Analisis Implementasi Program Audit Maternal di Puskesmas

Background: Maternal audits are part of quality control that is routinely
carried out and aims as an essential learning material in evaluating
maternal services in an area so that the expected outcome is a decrease
in maternal mortality in an area. The maternal audit program that is
carried out will undoubtedly benefit health facilities that provide services
in the maternal sector, such as primary, secondary, and tertiary health
facilities.
Methods: This study used a qualitative case study method with a
purposive sampling technique. The data collection technique was carried
out by interviewed using the in-depth interview method, and
triangulation was carried out using observation and document review.
Results: The community health center has contributed to implementing
maternal audits, starting from the data collection process, participating
in district audit forums, and implementing the recommendations. Four
factors influence the implementation of the maternal audit program at the
community health center in reducing maternal mortality, namely the
knowledge of health workers, the involvement of health workers in the
community health center in the audit process, the recommendations for
the results of the audit process and the implementation of follow-up on
the results of the audit recommendations at the community health center.
Conclusions: The maternal audit program can reduce maternal mortality
and improve the maternal and child service system at the community
health center level, although there are still several obstacles in
implementing the recommendations of the audit results.