Background: Antenatal care standard ensures the health of pregnant woman with early detection of risk factors, prevention and treatment provided by competent health practitioners. Health equality does not always mean improving the same service for everyone, but the services are provided according to everyone's needs.Aim: This research was to examine the antenatal standards based on patients’ needs in the Public Health Centre of Medokan Ayu.Methods: This research was observational by using cross-sectional design. The population in this study was 518 pregnant women who gave birth from June 2011 to May 2012 in the Primary Healthcare Center of Medokan Ayu. There were 88 mothers as samples obtained by a cluster random sampling.Results: This study determines the need for antenatal care standards can be fulfilled more for the age of <20 years and >30 years to avoid the high risk of maternal death and needs and equity based on the standards. There were no differences in the acceptance standard of antenatal care (5T and 7T) based on the age group between <20 years, 20-30 years, and> 30 years.Conclusions: Reproductive women need to recognize the importance of antenatal care. The availability and quality of antenatal care need to be further maintained by the healthcare providers, and they need to be more aware to the importance of antenatal care. Women in later reproductive period need to be aware of the prevailing risks in circumstances. Keywords: Equity, Antenatal care standard, Age.

Background: Reproductive health is still a problem of public health that have large scales in Indonesia. Phenomenon that occurs in public during this indicates that sexual behavior youth and sex pre marriage in adolescents continually increase from year to year. One of prevention that can be for the provision is education through extension activities. Extension that used is by using the whole group discussion method that will be used to know attitude in the prevention teen pregnancy. This research have aims to know attitude in the prevention teen pregnancy with counseling uses the whole group discussion in junior high school 3 Kasihan. Method: This research using a kind of Quasi Experiment with one group pre test and post test design. The Population were 119 students in IX class. The sample collection with simple random sampling and there were 55 samples. The method of analysis data by using paired t test. Result: Based on the results of pre test and post test its mean value of pre test 61,75, while value post test 64,74. T count of -5,877 and the significance is 0,000 (p< 0.05). The results of the difference attitude before and after given intervention that its mean value post test is higher than its mean value pre test. The conclution of reserch is a change in attitude students IX class in teen pregnancy prevention in state given intervention in the form of counseling with the methods whole group discussion. Keywords: Teenagers, counseling, a method of whole group discussion, teen pregnancy.

Latar Belakang: Pre eklamsia menjadi salah satu penyebab utama kematian ibu di Provinsi Jawa Timut dengan Angka Kematian Ibu (AKI) Provinsi Jawa Timur pada tahun 2017 mencapai 91,92 per 100.000 kelahiran penduduk. Kota Surabaya tercatat memiliki 72,99 per 100.000 kelahiran penduduk dengan pre eklamsia menjadi salah satu penyebab tingginya Angka Kematian Ibu (AKI). Peran tenaga kesehatan diperlukan untuk menurunkan jumlah kematian ibu di Kota Surabaya.Tujuan: Tujuan penelitian ini adalah menganalisis faktor sosiokognitif yang mempengaruhi kepatuhan bidan dalam penerapan SOP deteksi dini pre eklamsia di Kecamatan Kenjeran, Semampir, dan Tambaksari..Metode: Penelitian ini menggunakan crossectional study dengan variabel independen yang terdiri dari individual constraint, intention, organizational constraint, social influence, exemplary behavior, dan facilitating organization serta kepatuhan bidan terhadap penerapan SOP deteksi dini pre eklamsia sebagai variabel dependen. Analisis hubungan penelitian menggunakan cross tabulation dan analisis data menggunakan analisis binary logistic regression.Hasil: Hasil penelitian menunjukkan variabel individual constraint dan exemplary behavior berpengaruh terhadap kepatuhan penerapan SOP deteksi dini pre eklamsia. Variabel tersebut memiliki p-value α<0,05. Selain itu, 28,9% dari 38 bidan yang dipilih kepatuhannya memiliki kepatuhan rendah terhadap penerapan SOP deteksi dini pre eklamsia, sedangkan 71,1% lainnya memiliki tingkat kepatuhan tinggi.Kesimpulan: Faktor sosiokognitif yang berpengaruh dalam penerapan SOP deteksi dini pre eklamsia ialah individual constraint dan exemplary behavior. Oleh karena itu, perlu adanya pembentukan tim pengendali mutu untuk memantau pelaksanaan SOP deteksi dini pre eklamsia agar ketidakpatuhan pada bidan tidak mengalami peningkatan.Kata kunci:deteksi dini pre eklamsia, faktor sosiokognitif, kepatuhan bidan.