Increased Cadre Motivation Conducting Childbirth Referrals Through Training with the DABA Method

dhiana setyorini


One of the causes of high maternal mortality is delivery assistance provided by other than health workers or traditional healers. The way to reduce the bondage relationship is to increase the motivation of cadres to refer mothers to health workers. The DABA method is a modification or development of the SALT method (support, appreciate, learn, and transfer), is a method or technique for forming something, showing that a community has the ability to respond to every challenge including childbirth assistance. The maternal mortality rate is still high, the Inter-Census Population Survey data released by the Central Statistics Agency shows that there were 359 maternal deaths per 100,000 births in 2013. The purpose of this study was to analyze the motivation of cadres by empowering the DABA method for referral for delivery assistance by health workers in Jember Regency. Motivation is the 'reason' that underlies an action done by an individual. The method used is quasi-experimental using 2 groups, the design of this study is the non equivalent control group, pre test post test design. With 100 respondents. The results of the study were significant differences (p: 0.021), the motivation of the treatment group cadres was higher than the control group for referral labor. Having high motivation means having very strong reasons to achieve what he wants by doing his current job. The motivation of treatment group cadres increased significantly, this happened because cadres trained through the DABA method were invited to achieve the dreams they had built, namely to reduce maternal and infant mortality. Training using the DABA method is able to increase the motivation of cadres to make a referral to mothers to give birth at a health service place, so training with the DABA method is highly recommended to increase motivation for certain groups to achieve certain goals.


Maternity Nursing


Kemenkes RI. Indonesia Health Profile (Profil Kesehatan Indonesia). Jakarta: Kemenkes RI; 2017

Kementerian Kesehatan Republik Indonesia. Decree of the Minister of Health of the Republic of Indonesia Number: 938 / Menkes / SK / VIII / 2007 concerning Midwifery Care Standards (Keputusan Menteri Kesehatan Republik Indonesia Nomor : 938/Menkes/SK/VIII/2007 Tentang Standar Asuhan Kebidanan). Jakarta: Kemenkes RI; 2016

Olugbenga-Bello, A. I. et al. “Perception on prevention of mother-to-child-transmission (PMTCT) of HIV among women of reproductive age group in Osogbo, Southwestern Nigeria,” International Journal of Women’s Health, 5(1),. doi: 10.2147/IJWH.S45815 ; 2013; p 399–405

Community Life Competence. Community Life Competence (Connecting Local Responses Around The World), Community Life Competence. Tersedia pada:; 2016

Supriyanto, S. dan Djohan, A. J. Business and Health Research Methodology (Metodologi Riset Bisnis dan Kesehatan). Banjarmasin: Kompas Gramedia; 2011

BKKBN. The 2012 Maternal Mortality Rate is High (Angka Kematian Ibu SDKI 2012 Tinggi).; 2013

Blomberg. A tekbook and reference Book for Midwiferyin Southern Africa,Volume II Complicationin Childbirth; 2011

Chervenak, F. dan Grunebaum, A. Planned Home Births Increase Despite Associated Risks, Weil Coenell Medicine. Tersedia pada: https://news.weill.; 2016

Desi Lusiana Wardani. Model for Increasing Referral of Pregnant Women for HIV Testing by Cadres to VCT Clinics at Puskesmas through the SALT Method (Model Peningkatan Rujukan Ibu Hamil Tes HIV oleh Kader ke Klinik VCT Puskesmas melalui Metode SALT). Disertasi; 2017

Cunningham, F., Gary., Norman, F., Gant., Kenneth, J., Leveno., Larry, C., Gilstrap., John, C., Hauth Katharine, D., Wenstrom. Obstetri Williams, Jakarta: EGC; 2013.

Developments in Community Psychology Practice September; 2014

Gaskin, I. M. Ina May’s guide to childbirth, Bantam/Dell. New York: Bantam/Dell; 2003

JPNK-KR. Training on Normal Childbirth Care and Attachment for Early Initiation of Breastfeeding (Pelatihan Asuhan Persalinan Normal dan Lampiran Inisiasi Menyusu Dini). Jakarta: JPNK-KR; 2007

Kadarisman. Human Resources Development Management PT. Grafindo Persada (Manajemen Pengembangan SDM PT. Grafindo Persada). Jakarta; 2013

Marlina. Risk Factors Associated with Haemoragic Post Partum Incidence at Wijaya Kusuma Maternity Home in 2014 (Faktor Risiko yang Berhubungan dengan Kejadian Haemoragic Post Partum di Rumah Bersalin Wijaya Kusuma Tahun 2014). Jurnal Fakultas Kesehatan Masyarakat, Vol.10, No.1, Maret 2016, pp. 21~ 28, ISSN: 1978 – 0575; 2011

Manuaba, I. A. C., Manuaba, I. B. G. F. dan Manuaba, I. B. G. Obstetric Pathology Textbook for Midwifery Students (Buku Ajar Patologi Obsetri untuk Mahasiswa Kebidanan). Jakarta: EGC; 2012

Meilani, N., Setiyawati, N. dan Estiwidani, D. () Kebidanan Komunitas. Yogyakarta: Fitramaya; 2009

Meyer, J. P. dan Allen, N. J. A Three Component Conceptualization of Organizational Commitment. Human Resource Management Review, 1(1), hal. 61–89. doi: 10.1016/1053-4822(91)90011-Z; 1991

Notoatmodjo, S. Health Behavior and Education (Pendidikan dan Perilaku Kesehatan). Jakarta: Rineka Cipta; 2003.

Pranata, S., Pratiwi, N. L. dan Rahanto, S. Community Empowerment in the Health Sector, Description of the Role of Posyandu Cadres in Efforts to Reduce Maternal and Infant Mortality Rates in Manado and Palangkaraya Cities (Pemberdayaan Masyarakat di Bidang Kesehatan, Gambaran Peran Kader Posyandu dalam Upaya Penurunan Angka Kematian Ibu dan Bayi di Kota Manado dan Palangkaraya). Buletin Penelitian Sistem Kesehatan, 14(2), hal. 174–182; 2011

Varney, H. Midwifery Education Textbook, Edition 4 (Buku Ajar Asuhan Kebidanan Edisi 4). Jakarta: EGC; 2010

WHO. Behind the assessment rates of maternal mortality and complications to get a safer pregnancy. (Dibalik angka pengkajian kematian maternal dan komplikasi untuk mendapatkan kehamilan yang lebih aman. diakses tgl 13 Januari 2014

Zachariah, B. et al. THEory into ACTion A Bulletin of New; 2014


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