Evaluation Of The Maternal Perinatal Audit Program (AMP) In Aceh Timur, Langsa City, And Aceh Tamiang, Indonesia

Abstract

The global maternal mortality rate (MMR) shows a concerning stagnation, with only a slight decrease during the Sustainable Development Goals (SDGs) period, from 227 to 223 per 100,000 live births. In Indonesia, the issue of MMR remains serious, with a recorded rate of 189 per 100,000 live births in 2020, exceeding the target set for 2024. Notably, Aceh has experienced the highest increase in MMR, indicating a need for stronger interventions and better access to quality maternal health services. In this context, evaluating the Maternal and Neonatal Audit Program (AMP) in Aceh is crucial for identifying and improving local policies and the quality of maternal and neonatal care. This study employs a mixed-methods design to evaluate the implementation of the Maternal Perinatal Audit program in three regions: Aceh Timur, Aceh Tamiang, and Langsa City, conducted from 2021 to 2023. The sample comprises 107 program holders for maternal and child health working in various facilities, including community health centers (Puskesmas), hospitals, and health offices. Data were collected through a specially designed questionnaire and analyzed descriptively to assess the effectiveness of services and challenges faced in program implementation. The results indicate that the AMP training was successfully conducted in Langsa City, while training has not yet taken place in Aceh Tamiang and Aceh Timur due to scheduling conflicts. The evaluation shows that Langsa City performed the best, with a training material relevance score of 95.2% and media quality score of 91%. Although Aceh Timur reported a comfortable training location, the lowest score was in the provision of teaching materials, which reached only 76.8%. Furthermore, post-training evaluations revealed a significant increase in participants’ knowledge, with the average pre-test score in Aceh Timur rising from 55.6 to 77.5 after the training. These findings demonstrate that the training has successfully enhanced participants' contributions and performance in the workplace, with Langsa City recording the highest contributions.Tingkat kematian maternal global .