Implementation of assistance for one pregnant woman one cadre in Banjarnegara District, Central Java Province, Indonesia

The high maternal mortality rate caused by late detection of risk factors for pregnant women is a major health problem in Banjarnegara District. One of the efforts made to overcome this problem is the implementation of assistance for one pregnant woman by one cadre (OPOC). The application of OPOC consists of four mentoring activities, namely reminders about antenatal care schedule, detecting risk factors, monitoring fetal movements, and carrying out delivery planning and handling complications. Therefore, this study aims to describe the implementation of OPOC as well as to evaluate cadres' performance in Banjarnegara District. A quantitative cross-sectional design was used, where a total of 200 cadres were selected as respondents using a representative purposive sampling method. The results showed that reminding mothers about their antenatal care schedule, detecting risk factors, monitoring of fetal health through movements, and making commitments for birth planning and complications prevention were carried out by 199 (99.49%), 129 (64.84%), 138 (69.05%), and 159 (79.42%) respondents, respectively. More than 92% of them know their duties and responsibilities as companions for pregnant women, but only 28% have knowledge about the benefits of assisting. Furthermore, 93% often carry out OPOC assistance. The knowledge of cadres about OPOC assistance was good, but some of them are not knowledgeable about its benefits. These findings show that they need guidance, training, and motivation from public health centers. (Afr J Reprod Health 2022; 26[7]: 83-89). Keywords: Assistance, pregnant woman, cadres, Banjarnegara, Central Java Le taux eleve de mortalite maternelle cause par la detection tardive des facteurs de risque chez les femmes enceintes est un probleme de sante majeur dans le district de Banjarnegara. L'un des efforts deployes pour pallier ce probleme est la mise en place de l'assistance a une femme enceinte par un cadre (OPOC). L'application de l'OPOC consiste en quatre activites de mentorat, a savoir des rappels sur le calendrier des soins prenatals, la detection des facteurs de risque, la surveillance des mouvements foetaux et la planification de l'accouchement et la gestion des complications. Par consequent, cette etude vise a decrire la mise en oeuvre de l'OPOC ainsi qu'a evaluer la performance des cadres dans le district de Banjarnegara. Une conception transversale quantitative a ete utilisee, ou un total de 200 cadres ont ete selectionnes comme rep