AbstrakPemanfaatan buku kesehatan ibu dan anak (KIA) masih belum maksimal terbukti dari data cakupan buku KIA Puskesmas Ajibarang I sekitar 72,34%, yang masih dibawah target Standar Pelayanan Minimal. Tujuan penelitian ini adalah menganalisis hubungan antara fungsi buku KIA yang meliputi pencatatan, edukasi, dan komunikasi dengan pengetahuan ibu terhadap KIA. Penelitian ini menggunakan desain studi potong lintang, yang dilakukan pada peiode bulan Juni _ Oktober 2012, pada ibu di wilayah kerja Puskesmas Ajibarang I. Populasi adalah ibu yang mempunyai anak berusia kurang dari 5 tahun. Sampel diambil sebanyak 91 orang dilakukan dengan teknik proportional random sampling. Analisis data meliputi univariat dengan melakukan uji distribusi frekuensi, dan analisis bivariat dengan uji kai kuadrat (x 2 ). Hasil fungsi pencatatan buku KIA kurang baik ditemukan sekitar 44 %, fungsi edukasi buku KIA baik sekitar 57,1%, fungsi komunikasi buku KIA baik sekitar 61,5%, dan pengetahuan ibu tentang KIA baik adalah sekitar 56%. Ada hubungan antara fungsi pencatatan buku KIA dengan pengetahuan KIA, tidak ada hubungan antara fungsi edukasi dan komunikasi buku KIA dengan pengetahuan KIA.Kata kunci: Buku kesehatan ibu dan anak, fungsi pencatatan, pengetahuan ibu Abstract Utilization maternal child health (MCH) book is not maximized, it is evident from the data MCH book coverage in Ajibarang I Primary Health Care (PHC) was 72.34%, the coverage is still below the target of Minimum Service Standards ( MSS ). The purpose of the study was to analyze relationship between the function of MCH books (recording, educational, communication) with knowledge of MCH. This study used a cross sectional approach and conducted from June to October 2012, performed to mothers at Ajibarang I PHC. The population were mothers of children aged less than 5 years. Samples were taken of 91 people conducted by proportional random sampling technique. Univariate analysis of the data for the frequency distri-

Peningkatan status derajat kesehatan. Indikator derajat kesehatan masyara- kat terkait erat dengan Angka Kematian Ibu (AKI). Kabupaten Banyumas memiliki AKI di bawah standar pelayanan minimal (SPM), salah satunya adalah wilayah kerja Puskesmas I Ajibarang. Peningkatan status kesehatan ibu pada saat kehamilan merupakan salah satu langkah yang dapat dilakukan untuk menurunkan kasus kematian ibu. Status kesehatan ibu hamil dipengaruhi oleh perawatan kehamilan yang baik oleh ibu hamil untuk mencegah terjadinya komplikasi dan kematian ketika persalinan, di samping itu juga untuk pertumbuhan dan kesehatan janin. Penelitian ini bertujuan untuk mengetahui faktor-faktor apakah yang dominan mempengaruhi perilaku perawatan kehamilan. Penelitian ini adalah potong lintang. Populasi adalah seluruh ibu hamil di Puskesmas I Ajibarang. Metode sampel yang di- gunakan adalah metode proportional random sampling dengan jumlah sampel 81 ibu hamil. Analisis data yang digunakan adalah analisis univariat dengan statistik deskriptif, analisis bivariat dengan kai kuadrat, serta analisis multivariat dengan regresi logistik. Hasil penelitian menunjukkan pendidikan, jenis pekerjaan, pendapatan, paritas, pengetahuan, sikap, dan peran bidan tidak berpengaruh terhadap perilaku perawatan kehamilan. Sedangkan, usia kehamilan, waktu tempuh pelayanan kesehatan, dan peran suami berpengaruh terhadap perilaku perawatan kehamilan. Peran suami merupakan variabel yang paling dominan memengaruhi ibu hamil dalam melakukan perawatan kehamilan.National health strategy is to realize the increasing level of health status. Public health status indicators closely related to Maternal Mortality Rate (MMR). Banyumas have MMR that is still below the minimum service standards. One that contributes to that number is Puskesmas I Ajibarang. Improving the health status of the mother during pregnancy is one of steps taken to reduce maternal deaths. Health status of pregnant women are affected by good prenatal care, preventing the occurrence of complications, death when delivery, the growth and health of the fetus. This study aims to determine the dominant factors influence to behavior of prenatal care in Ajibarang I Primary Health Center, Banyumas District. It was a cross sectional survey. Data was taken by interviews, involved 81 pregnant women in Ajibarang I primary health care. Data analysis used univariate analysis with descriptive statistic, bivariate with chi square and multivariate with logistic regression. The results showed that age, education, family income, occupation, knowledge, attitude, parity, and role of midwives did not influence to prenatal care behaviour. Otherwise, age of pregnancy, time of access to heatlh care, and role of husbands influenced pregnant women in prenatal care behaviour. Study also found that role of husband was the most dominant factor influenced to mother’s prenatal care behaviour.

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddlers mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mothers level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.

Maternal and child health problems is a major problem in rural of Baturaden I public health centers,Banyumas disctrict. Rural communities in the region have no access to maternal and child health information that is adequate, and the present lack of health information. This study aims to determine the effectiveness of training through lecture and discussion on the improvement of health worker knowledge about maternal and child health. This research is a quasi experimental study with a sample of 30 health cadres numbering . Analysis of the data used in this study is the paired t test to test for differences in knowledge before and after the intervention. The results showed an average value of knowledge about maternal and child health before training ( 9.31 ) and after training ( 10.0 ). The results showed an average value of knowledge about maternal and child health promotion before training (3.31 ) and after training ( 5.58 ). The statistical results showed no difference in the increase in knowledge about maternal child health, maternal and child health promotion knowledge before and after the intervention. Advice given is the advanced training of health promoters education on health workers with the method of simulation and mentoring. .

There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to highrisk pregnancies. Petahunan village in Pekuncen has the the highest incidence of highrisk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.