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Kanekes Village, where Baduy people live, is the biggest contributor to maternal deaths in the District of Lebak. Baduy awareness to check pregnancy at midwives has begun to increase, but for childbirth and childbirth examination has not been carried out. That is because there is a culture in the Baduy community regarding childbirth itself, as well as their adherence to the rules that have been issued by traditional leaders. The research uses a qualitative approach with the Participatory Action Research (PAR) approach. This study aims to examine the constraints and analyze the process of the formation of relationships between health workers, cadres, and heads of RT with the Baduy community in effective communication to improve modern health services during pregnancy, give birth, and postpartum in the Baduy community. The results showed that modern health services can be applied to the behavior of pregnancy, childbirth, and the puerperal of the Baduy community if the agents of change (organic intellectual) can change the idea of the modern health service into an ideology, then popular belief is obtained, then hegemony is formed from the agents of change. The final stage is that the country must be able to accommodate this effort. The efforts of agents of change (organic intellectuals) from the idea of modern health services to the created hegemony are sought by effective communication. Implementation of effective communication is pursued by provding explanations that are easily understood by the public through simulations.

There are many areas which coverage of death data recording is still below the predicted mortality rate in the region. Death data recording in the Bumiayu region exceeds the predicted mortality rate in the region. In the pre-study there were indications of a link between the social system and the bureaucracy in the work of data collection. This study aims to analyze the social system that develops in the Bumiayu community if there is a death of a family member, explaining the integration of the social system and the bureaucratic system in the work of collecting death data, and analyzing hegemony relations that develop in the recording of death data. A qualitative approach with ethnographic strategy was used in this study. The hegemony relationship that developed started from the idea of recording death data into an ideology, an active commitment, until an equilibrium was formed between the governing and governed parties making it easy for the activities to run. Implementation of death data recording needs to understand and apply the local social system through approach of Gramsci's theory of hegemony.

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