ROLE OF RELATIONSHIP WITH THE KNOWLEDGE OF

PREGNANCY Cadre HIGH RISK PREGNANT WOMEN IN

THE 10 VILLAGE RW Cimanggu
Karlita Tri Agustin *, Yosi Maria Wijaya **, *** Niman Susanti
STIKes Santo Borromeus Padalarang - West Java
Jl. Parahyangan Lot 8 Block B No. 1 Kota Baru Parahyangan district. Padalarang,
Kab. West Bandung, West Java, 40 558
Email: Karlita_triagustin@yahoo.co.id

ABSTRACT

Data Health Office Bandung Barat 2016 maternal mortality has risen 25 mothers.
Cadre important role in improving knowledge of pregnant moms to achieve
optimal health status. Pilot study was conducted with interviews obtained 8
pregnant women who do not know the high-risk pregnancy and have not received
special counseling about the dangers of high-risk pregnancy by a health worker.
The purpose of this study determine the relationship cadre with knowledge of the
role of high-risk pregnancy in pregnant women at 10 RW Cimanggu village.
Kader role is the behavior of cadres actively committed to helping people to deal
with health problems. Knowledge is the result out and this happens after a person
holding a specific sensing of an object. This study uses a quantitative method,
descriptive correlation design, through the cross-sectional approach. Sampling of
179 respondents in total samples were obtained. Univariate analysis showed more
than half the active cadres role (58.1%) and more than half of pregnant women
good knowledge (62.6%). The bivariate analysis using chi-square test showed no
association cadre with knowledge of the role of high-risk pregnancy in pregnant
women (p-value = 0.030). Advice to the health worker cadres and Ngamprah ie
once a month to do counseling with interesting topics about pregnancy, especially
high-risk pregnancy by delivering leaflets poster atapun time extension. 1%) and
more than half of pregnant women good knowledge (62.6%). The bivariate
analysis using chi-square test showed no association cadre with knowledge of the
role of high-risk pregnancy in pregnant women (p-value = 0.030). Advice to the
health worker cadres and Ngamprah ie once a month to do counseling with
interesting topics about pregnancy, especially high-risk pregnancy by delivering
leaflets poster atapun time extension. 1%) and more than half of pregnant women
good knowledge (62.6%). The bivariate analysis using chi-square test showed no
association cadre with knowledge of the role of high-risk pregnancy in pregnant
women (p-value = 0.030). Advice to the health worker cadres and Ngamprah ie
once a month to do counseling with interesting topics about pregnancy, especially
high-risk pregnancy by delivering leaflets poster atapun time extension.

Keywords: Role Kader, Science, High Risk Pregnancy

PRELIMINARY the onset of illness or death for both

mother and baby that occurred before
High-risk pregnancies are or after delivery (Yohana et al, 2011).
pregnancies that are at greatest risk at According to WHO (2015), as many as

1
99% of maternal deaths due to labor
problems or births occur in developing
countries. The maternal mortality ratio
in developing countries is 240: 100,000
live births, whereas in developed
countries 16: 100,000 births. The
research results Central Statistics
Agency (BPS) (2016) noted that the
infant mortality rate (IMR) reached
25.5. That is, there were 25.5 deaths
per 1,000 babies born. In 2015, WHO
estimated that worldwide each year
more than 585,000 pregnant women die
in pregnancy or childbirth.
Maternal Mortality Rate (MMR) is
one of the development goals of
Sustainable Development Goals
(SDGs) from 2015 to 2030, the purpose
of the SDGs one target of reducing
maternal mortality rate of 70 per
100,000 live births, but according to
data from Indonesia Demographic
Health Survey (2015) (IDHS)
Indonesia figures AKI back as in 1997.
One of the provinces that has
contributed AKI West Java. According
to data from the West Java Provincial
Health Office in 2015 the number of
AKI risk age group (<20 years) and
maternal age (> 35 years) which led to
the death of as many as 290 mothers
compared with the West Java
Provincial Health Data 2016 326
maternal deaths. Whereas, in the region
of West Bandung data on maternal
deaths in 2015 in the age group at risk
(<20 years) and maternal age (> 35
years) that cause maternal mortality by
13 mothers, the data Health Office
Bandung Barat 2016 maternal mortality
has risen 25 mother.
Based on the data the high
maternal mortality rate, needed to do
2
prevention efforts to reduce the
maternal mortality rate (Sofiah, 2016).
According to research Puti (2014) there
are factors causing this situation
include a lack of knowledge about
high-risk pregnancy that affect
maternal mortality.
According Notoatmodjo (2012)
that the person is a knowledge base and
the ability to act and do something.
Based on knowledge about health care,
the purpose and benefits of health care
in place allows the mother to attend to
the health center or to Posyandu (Elvi,
2014). Health education and counseling
can be provided to increase the
knowledge of pregnant women in
overcoming the dangers of high-risk
pregnancies in order to avoid death
(Dwi, 2016).
The introduction and provision of
health education will be the condition
of high-risk pregnancies can be done
proactively by health workers in health
centers or trained personnel in the
community, such as the PKK,
Posyandu cadres and youth (Sartika,
2010). In the implementation of
development
Health district or city governments
can empower local communities, and to
act to help the services of one of them
is a cadre of health (MOH, 2015).
Kader is a community effort that is
considered closest to the people
because they are chosen by the people
themselves as executive personnel
services had to comply and was given
the task and responsibility for
implementation, monitoring, and
facilitate other activities (Fallen, 2010).
The role of volunteers is as a motivator,
facilitator and educator (East Java
Health Office, 2011).
Results of a preliminary study
conducted on 28 November 2018, the
data obtained at the health center RESULTS AND DISCUSSION
during 2018 Ngamprah there are 185 1. characteristics of Respondents
high-risk pregnant women and Village a. Age
Cimanggu the village has the highest Table 1. Distribution of the sample by
number of pregnant women at high risk age.
of 55 pregnant women. Obtained three Age Frequency %
out of 10 pregnant women in the RemajaAkhir 65 36.3
DewasaAwal 95 53.1
village Cimanggu RW 8 included in the DewasaAkhir 19 10.6
category of high-risk pregnancies are total 179 100
two mothers under age 20, a pregnant Based on the above table shows more
woman aged 41 years and during the than half of respondents (53.1%) were
examination 37 weeks gestational age aged 26-35 years, and categorized early
of the fetus breech position. From adulthood.
interviews to 10 pregnant women in the
village Cimanggu RW 8 showed eight b. Education
out of 10 women do not know the high- Table 2. Distribution of samples is
risk pregnancy, including pregnancy if based on education
Education Frequency %
the distance is too close, pregnant at
basic education 74 41.3
age less than 20 years and more than 35 Middle education 104 58.1
years. higher education 1 0.6
total 179 100
According to the table 2 can be seen
RESEARCH METHODS
that more than half of respondents
(58.1%) last education at the level of
The method used in this research is
secondary education.
descriptive quantitative research with
cross sectional design, through a c. Work
retrospective approach to the 108 Table 3. Distribution of samples is
respondents in Posyandu RW 09, based on the work
Village Cilame data in this study using Work Frequency %
trader 29 16.2
a non-probability techniques addition Farm 18 10.1
to the types of purposive sampling. workers 9 5.0
Researchers collected data by using a entrepreneur 123 68.7
IRT
questionnaire distributed to total 179 100
respondents to be filled and records Based on Table 3 can be seen that more
data cadre (checklist) regarding than half of respondents (68.7%) had a
immunization MR. job as a housewife (IRT).

d. Status Overview Gravida

3
 Table 4. Distribution of samples
Totalbased
112 46 21 179
on the status of gravida p-value 0.030
Status Gravida Frequency %
primigravidas 66 36.9 Based on statistical tests on the table 8,
multigravida 113 63.1
total 179 100 by using the chi-square test obtained p-
Based on table 4 it can be seen that value = 0.030 compared with
more than half of respondents (63.1%) coefficient alpha (a) = 0.05, then the p-
multigravida. value of <0.05, it can be concluded that
Ha is accepted, so that there is a
2. Univariate analysis relationship between the role of Kader
with knowledge of High-Risk
a. role Kader Pregnancy in Pregnancy at 10 RW
Table 5. Distribution of samples based Village Cimanggu
on Role Kader
role Kader Frequency %
Active 104 58.1 Discussion
Not active 75 41.9
Total 179 100 1. The role of cadres to the
According to the table 5 it can be seen knowledge of high risk pregnancy
that more than half the respondents, in pregnant women at 10 RW
104 respondents (58.1%) said that the Cimanggu village.
role of cadres in the active category. The results of this study, the
majority of respondents as many as 104
b. Knowledge pregnant women (58.1%) said that the
Table 6. Distribution of samples based role of cadres in the active category
on Knowledge and a small proportion of respondents
Knowledge Frequency %
Well 112 62.6 said that the role of cadres in the
Enough 46 25.7 inactive category. This research result
Less 21 11.7
is in line with research conducted by
total 179 100
Based on table 6 it can be seen that Khomsah (2012) in which the active
more than half of the respondents as participation of cadres 79 (52.32%),
many as 112 respondents (62.6%) had more than cadres with less active
good knowledge about high-risk participation of 72 (47.68%). This is in
pregnancy. line according to Wahyutomo (2010)
Posyandu cadre members have an
Bivariate analysis important role because it is a health
Table 8. Relationship with Knowledge care (health care providers) are located
Kader Role of High Risk Pregnancy in near the target Posyandu activities and
Pregnancy at 10 RW Village Cimanggu frequency of cadres face more often
Knowledge Total than other health workers.
Role Well enough less Researchers found that volunteers
n % n % n % %
in the village Cimanggu active role
Active 73 70. 23 22. 8 7.7 100
Not 39 2 23 1 13 17.3 100 because of 104 (58.1%) of respondents
active 52. 30. stated that cadres always accompany
0 7

4
 the pregnant woman during the open
Posyandu cadres during Posyandu
activities provide information about
high-risk pregnancy through
counseling together. Of respondents
stated that the role of an active cadre of
as much as 58.1%.
Based on the characteristics of
respondents, education can affect the
assessment of the role of cadres in this
regard is the process of learning and
cognitive processes (Notoatmodjo,
2007). This can be seen still their
secondary education level of
respondents ie 104 (58.1%) of
respondents. Differences in education
level can lead to differences in the
assessment of the role of cadres, the
higher the education level, the better
the assessment of the role of cadres
Posyandu (Notoatmodjo, 2007).
2. Knowledge of high-risk pregnancy in
pregnant women in the village
Cimanggu
Researchers obtain research results
that more than half (62.6%)
respondents' awareness of high-risk
pregnancies is good, less than half
(25.7%) of respondents have sufficient
knowledge and a fraction (11.7%) of
respondents have less knowledge.
Factors that affect the knowledge,
among others, education, occupation,
and age (Henry & Goddess, 2011).
Knowledge in this study are all
things that are known, understood,
applied by pregnant women on the
definition of high-risk pregnancy, the
signs and symptoms of high-risk
pregnancy, purpose, and benefits of
prenatal care and how to prevent high-
risk pregnancies.
5
Based on research conducted by
researchers to 179 respondents in 10
RW Village Cimanggu, the results of
the univariate analysis of data shows
that more than half of the respondents
had a good knowledge of as many as
112 respondents (62.6%). Good
knowledge of the respondents in this
study because the respondents get
information from a variety of formal
and informal terms, either from direct
experience (pregnant women
multigravida) or through the experience
of others. Based on interviews with
cadres and pregnant women, the
respondents in this study to get
information about high-risk
pregnancies through health care
midwives, health cadres in Posyandu,
KIA books, banners, information of
cadres and others.
The results of this study are
supported by research Dwi (2015)
regarding the knowledge of pregnant
women with implementation to 31
respondents and showed no correlation
score of knowledge of pregnant women
about pregnancy and danger signs in
pregnancy after counseling given by
volunteers.
The education level of respondents
in 10 RW Cimanggu village consists of
half of the respondents (58.1%) had a
secondary education, less than half of
respondents (41.3%) had primary
education and almost none (0.6%) has
education high. This is in line with
research Wati (2012) about the factors
that influence knowledge about the
nutritional needs of pregnant women
during pregnancy with the results
showed that 26 (55.3%) of respondents
with secondary education level. The
level of education can determine
whether or not a person easy to absorb
and understand the knowledge they
gain, in general, the higher the person's
level of education the better the
knowledge (Notoatmodjo, 2012).
Education can also affect a person,
including behavior, the higher one's
education,
Knowledge is also influenced by
factors of age-related experiences of
individuals. The study states that more
than half of the respondents were in the
age range 26-35 years as many as 95
respondents (53.1%). This is in line
with the research studies conducted by
Astuti (2011), where as many as
71.69% of pregnant women in the age
group between 20-35 years has a good
level of knowledge. 26-35 years age
category is early adulthood (MOH,
2009), which in this age range of young
adults belonging to the cognitive
capacity of formal operational period
(capable of logical thinking). This
causes the level of young adults have
the ability to understand, analyze, and
find a meeting point of ideas, ideas,3.
theories,
Researchers also get respondents
with gravida status as multigravida
mother as much as 113 (63.1%). This is
in line with research Sri (2008) with
the Mann-Whitney U test obtained a
value of 6.5 in which the mother
multigravida have good knowledge of
the danger signs of pregnancy, the
amount of experience that is more in
multigravida since been pregnant
before and given counseling or
counseling during pregnancy first.
According Zulfatunnisa (2016) which
states that already have experience
6
multigravida mother pregnant before.
In women who have been pregnant, the
mother already has experience on how
to cope with the discomfort during
pregnancy. Experience is the best
teacher, meaningful and is a source for
obtaining the truth of knowledge itself
(Zulfatunnisa, 2016).
The level of knowledge a person
can also be affected by the work. The
results of research showed that most
respondents are housewives as many as
123 respondents (68.7%). Henry &
Goddess (2010) says that work is
generally a time-consuming activity.
Working for pregnant women will have
an influence on the family.
Respondents in the study who had a job
as a housewife has a good knowledge,
because housewives have more time to
be exposed to information about high-
risk pregnancy. More housewives have
plenty of time to search for
information, but it is also time owned
more mothers so that mothers have
time for a visit to Posyandu.
Kader relationship with Knowledge
Role At High Risk Pregnancy Pregnant
women in the village Cimanggu.
Researchers get results obtained
chi-square test p-value = 0.030. So it
can be concluded that there is a
relationship role cadre with knowledge
of high-risk pregnancy in pregnant
women at 10 RW Cimanggu village.
Knowledge of respondents were either
influenced by formal and informal
information, either from direct
experience or through the experience of
others such as extension obtained from
health volunteers.
 The results of this research was
supported by the results of research
Sukesih (2012) on factors related to
knowledge of pregnant women about
danger signs in pregnancy in
Puskesmas South Tegal Tegal City in
2012. The results obtained by using the
chi-square test obtained by value p <0,
05 (p = 0.001), which showed a
statistically significant association
regarding the exposure of information
by the role of cadres with knowledge of
pregnant women about danger signs in
pregnancy.
This is also supported by research
Sakinah (2014) concerning the
relationship improving knowledge,
attitudes and visit antenatal care (ANC)
pregnant women through
empowerment of ANC cadres. The
results obtained are significant
differences between before and after
the intervention in the experimental
group and the control group.
Information obtained by the
respondent can affect behavior and
have a good knowledge so that
pregnant women examination and
determine high-risk pregnancies and
their signs and symptoms. Information
and knowledge of high-risk
pregnancies obtained by extension
respondents cadres, media leaflets /
brochures, health services, banners,
books KIA and others. When pregnant
women get an accurate answer and the
right information, then pregnant
women can make the right decisions
and the right of the high-risk
pregnancy.
CONCLUSION
7
1. Most of the respondents said that
the role of cadres in Posyandu RW 10
Cimanggu village in the active
category.
2. More than half of respondents have
good knowledge about high-risk
pregnancy.
3. There is a relationship between the
role of cadres with knowledge of high-
risk pregnancy in pregnant women at
10 RW Cimanggu village.
SUGGESTION
1. For health workers and cadres
Posyandu health centers Ngamprah
expected to further improve the
information to pregnant women about
once a month to do counseling with
interesting topics about pregnancy,
especially high-risk pregnancy.
2. For cadres to improve their
knowledge and skills by following a
regular basis every meeting held by the
Health Center. Conduct home visits to
see if the mother has been carrying out
the messages are written in the book
KIA, provide brochures and posters
while doing outreach to pregnant
women.
3. For pregnant women to maintain
knowledge of high-risk pregnancy by
reading the information contained in
the book of KIA and brochures given
to health workers and pregnant women
who have not come to Posyandu to
approach and consult cause they do not
come to Posyandu antenatal to get
counseling by a cadre of high risk.
4. Researchers suggest the next
researcher to make research results as
supporting data and reference for
further research. Researchers can then
examine factors cadre with knowledge
of the role of expectant mothers to
follow the high-risk pregnancy ex.php/jpkm/aricle/view/4780.
counseling. Accessed on October 10, 2018.
13. Elvi, Fitriani. (2014). Effectiveness
of Health Education on High-Risk
BIBLIOGRAPHY
Pregnancy on Maternal Knowledge.
1. Abdulsyani. (2012). Sociology:
https: //www.e-
schematic, Theory, and Applied.
jurnal.com/2016/11/efektifitas
Jakarta: PT. Earth Literacy.
kesehatan_75.html education.
2. Arikunto, S. (2014). Research
Accessed on October 9, 2018.
Procedure A Practical Approach.
14. Fallen, R., & R.Budi Dwi .K.
Jakarta: Rineka Reserved.
(2010). Community Nursing
3. Adisasmito, W. (2009). The health
Lecture Notes. Yogyakarta:
system. Jakarta: King Grafindo
Nuha Medika.
Persada.
15. Khomsah, Nani. (2012). Factors
4. Astuti, Maya. (2010). Smart
Associated with Participation of
Pregnancy Book. Jakarta: EGC.
volunteers of Posyandu in the
5. Astuti, Hutari Praise. (2011).
Detection of Pregnant Women
Maternal characteristics relationship
Risk Factors In Area Health Center
to the Level of Knowledge About
of Buayan Kebumen in Central
Pregnancy Danger Signs On PHC
Java.
Sidoharjo In Sragen.
http://lib.ui.ac.id/file?file=digital/2
http://jurnal.stikeskusumahusada.ac.
0320023-S-Nani%20Khomsah.pdf.
id/index.php/JK/article/view/40/95.
Diakases March 16, 2016.
Accessed on July 9, 2019.
16. Notoatmodjo S. (2007) .Promosi
6. Budiman, Riayanto A. (2013).
Health and Behavioral Sciences.
Capita Selecta Questionnaire:
Jakarta: Rineka Reserved.
Awareness and Attitudes in Health
17. Notoatmodjo, S. (2011).
Research. Jakarta: Salemba Medika.
Community health care: t Science
7. Chapman, L. &. (2010). Maternal-
& Arts. Jakarta: Rineka Reserved.
Newborn Nursing: The Critical
18. _____________. (2012). Public
Components Of Nursing Care. ,
Health Sciences and Arts. Jakarta:
Philadelphia: FA Davis Company.
Rineka Reserved.
Accessed on October 9, 2018.
19. Puti Sari H, Dwi Hapsari. (2014).
8. Detiana, P. (2010). Pregnant Safe
Factors that Influence the Risk of
and Comfortable Above 30 Years.
Pregnancy "4 Too (4 T)" in
Yogyakarta: Media Pressindo.
Women Age 10 59 Years
9. MOH. (2011). Indonesia Health
(Riskesdas Analysis 2010).
Profile 2010. Jakarta.
http://ejournal.litbang.depkes.go.id
10. _________. (2012). General
/index.php/MPK/article/view/3649
Guidelines for Management of IHC.
. Accessed on December 10, 2018.
Jakarta: Ministry of Health.
20. Sartika. (2010). Screening / Early
11. East Java Provincial Health Office.
Detection Pregnancy Risk in
(2011). East Java Provincial Health
Community-Based Family Central
Profile 2011.
Aceh district. Accessed October
12. Dwi S, Reni. (2016). Improving
10, 2018.
Maternal knowledge and Kader
http://journal.stikeseub.ac.id/index.
Posyandu Balita about the
php/jkeb/article/view/96/95.
introduction of Pregnancy Danger
21. Sakinah, Vika. (2014). Improving
Signs in Banyumas.
Knowledge, Attitude and
https://jurnal.unimed.ac.id/2012/ind

8
 Antenatal Care Visits (anc) 28. Wahyutomo, Ahmad Hernowo.
Pregnancy through Empowerment (2010). Relationship characteristics
Anc cadres. and role of Posyandu cadre with
https://journal.unnes.ac.id/sju/inde growth monitoring at health centers
x.php/ujph/article/view/4710/4347. toddler Kalitidu Bojonegoro. Thesis.
Accessed on May 20, 2019. Eleven University in March,
22. Syafruddin. (2012). Organization Surakarta.
and Management in Health Care https://eprints.uns.ac.id/5452/.
Midwifery. Jakarta: Trans Accessed on May 20, 2019.
Media Info. 29. WHO. (2015). Trends In Maternal
23. Sukesih, Sri. (2012). Factors Mortality: 1990 to 2015. The World
Associated With Knowledge About Health Organizazion.
Pregnancy Danger Signs in 30. Yulifah. R. And Johan, TAY (2009).
Pregnancy In Puskesmas South Community Nursing, Jakarta:
Tegal Tegal City 2012. Salemba Medika.
http://lib.ui.ac.id/file?file=digital/20 31. Joanna, et al. (2011). Pregnancy and
315113-S_Sri%20Sukesih.pdf. Childbirth. Jakarta: Garda Medika.
Accessed on May 21, 2019. 32. Zulfatunnisa, Nevia. (2016).
24. Sri Rusiana Haryanti. (2008). Knowledge Level difference
Difference Between Knowledge Gravida Status About How
Level primigravidae And Discomfort During Pregnancy. file:
multigravida On Pregnancy Danger /// C: /Users/acer/Downloads/266-
Signs In Puskesmas Sibela Article%20Text-517-1-10-
Surakarta. .file: /// C: 20180227.pdf. Accessed on July 9,
/Users/acer/Downloads/Rusiana%20 2019.
Sri%20Haryanti.pdf. Accessed on
July 9, 2019.
25. Sofiah, Sri Kusumo Hapsari and
Sumardiyono. (2016). Prevention of
Maternal and Child Mortality
through Implementation of
Communication Strategy Program
chest Gold (Expanding Maternal
And Neonatal Survival). University
March Surakarta. Journal of
Communication, Volume 14,
Number 3, September-December
2016.
http://jurnal.upnyk.ac.id/index.php/k
omunikasi/article/vie w / 2129.
Accessed on October 9, 2018
26. Henry. A. (2011). Knowledge,
Attitudes, and Human Behavior.
Yogyakarta: Nuha Medika.
27. Henry, A & Dewi M. 2011. Theory
and Measurement of Compliance,
Attitudes, and Human Behavior.
Yogyakarta: Nuha Medika.