Independent Practice Midwife Research Articles

Implementation of Health Insurance System in Independent Practice Midwives (Bpm) in the Framework of Maternal and Child Health According to Law Number 40 Year 2004 (Study in Surabaya City)

Abstract Introduction to the Problem: Health is a basic right guaranteed by the Indonesian constitution. The government, through BPJS Kesehatan, seeks to provide access to health services for all, including mothers and children. However, Independent Practitioner Midwives (BPM) often face obstacles in cooperation with BPJS. Purpose/Study Objectives: This study examines the implementation and constraints of the BPM health insurance system according to Law No. 40 of 2004. Design/Methodology/Approach: Primary data was obtained through observation and interviews with independent practicing midwives (BPM) in Surabaya. Secondary data came from legislation and legal literature. The analysis is done qualitatively by integrating empirical data and literature study to get a systematic conclusion. Findings: The health insurance system in independent midwives (BPM) provides access to maternal and child health in accordance with Law No. 40 Year 2004. BPMs are obliged to cooperate with BPJS Health to ensure affordable and quality health services. However, BPMs often face administrative and technical obstacles in establishing cooperation with BPJS, affecting the effectiveness of services.The implementation of the health insurance system in Independent Practitioner Midwives (BPM) in accordance with Law No. 40/2004 has improved access to maternal and child health in Indonesia. BPMs that cooperate with BPJS Health help reduce maternal and infant mortality rates. However, administrative, technical and financial constraints remain. Solutions include simplifying administration, improving facilities, and improving the claims payment system. Paper Type: Research Article

Midwifery assessment and interventions protocol for adolescent pregnancy: a Delphi method approach

Background: Adolescence pregnancy poses risks for both mothers and infants, often due to insufficient prenatal care resulting from societal stigmatization and lack of awareness. Around 16 million adolescents aged 15-19 years in the world give birth each year; in Indonesia, the first pregnant women aged <20 years are 45.10%, while in West Sumatra, it is 33.7%. To address this issue, integrated programs and midwifery care have been implemented. However, providing such care to adolescent mothers comes with its own set of challenges.Purpose: This study aims to conduct a midwifery assessment and intervention protocol for adolescent pregnancy.Method: Qualitative approach The Delphi method involved two rounds of evaluation, with twenty-one participants who were independent practice midwives, six midwives involved in the mother and child health program, and nine midwifery lecturers from accredited educational institutions A (excellent). Participants had at least five years of clinical experience and were selected using purposive non-probability sampling. Participants evaluated statements related to midwifery care during the Delphi process. The validity of these statements was determined by participants providing a minimum score of 3, and the Content Validity Ratio (CVR) was calculated. Statements with a CVR greater than 0.8 were considered valid.Results: Based on expert consensus, important assessments for adolescent pregnant women include addressing issues of gender equality and domestic violence, reproductive and sexual health, risks associated with smoking and substance abuse, maintaining a healthy pregnancy, and adequately preparing for labor and parenthood.Conclusion: Midwifery management and midwifery information were deemed valid dimensions of midwifery care; relational care had one invalid item.

Analysis of Independent Practice Midwifes in West Pasaman District Using Partograph in Normal Delivery Care

The maternal mortality rate (MMR) and infant mortality rate (IMR) are key performance indicators for a nation. For every Indonesian population, MMR and IMR represent one of the parameters of optimal health status. In an effort to lower the MMR, health professionals are urged to use Partograph to track the progress of labor and make appropriate decisions if pathological conditions are discovered. It has been demonstrated that the Partograph works well for both identifying irregularities in labor and preventing prolonged labor. The purpose of the study is to find out how Partograph are used by midwives at the Independent Midwife Practice in the West Pasaman district. Since the informants for this research are independent practice midwives, the qualitative descriptive research method will be used to collect data through focus group discussions (FGD), in-depth interviews, and observations. Data analysis: By deciphering, writing up, and drawing conclusions from in-depth interviews conducted with key informants and two discussion groups. The research's conclusions are based on the findings of two focus groups and two key informant interviews. Specifically, Partograph are used by independent practice midwives to aid in childbirth; some midwives have also used them to track the progression of labor, particularly for patients with birth insurance so they can claim delivery expenses. The Partograph is filled all the way, but occasionally it is filled after delivery. The only reason partography is applied is to obtain Jampersal fees; independent practical midwives are knowledgeable about partography and have a positive attitude toward it. Organizational policies and leadership for IBI are still lacking.

The Effectiveness of Consuming Watermelon in Reducing Hypertension in Pregnant Women at Nurlina Independent Practice Midwife, Kampung Baru Village, Bukit Kapur District, Dumai City Year 2023

The Effectiveness of Consuming Watermelon in Reducing Hypertension in Pregnant Women at Nurlina Independent Practice Midwife, Kampung Baru Village, Bukit Kapur District, Dumai City Year 2023

The Association Between the Characteristics of Pregnant Women with Knowledge and Attitudes Toward Midwifery Care Based on Gender Sensitivity

Respectful maternity care must be ensured that all pregnant women can accept it. It is necessary to understand all pregnant women receiving midwifery care with a gender-sensitive approach to prevent the possibility of mistreatment, harassment, or violence during midwifery practice. This study aimed to assess the association between the characteristics of pregnant women and the knowledge and attitudes regarding gender-sensitive midwifery care. This was a cross-sectional study on 200 pregnant women who came to get antenatal care services at independent practice midwives. The sample was selected using a purposive sampling technique. Multivariate logistic regression analysis was performed to obtain the odds ratio, 95% confidence interval, and p-value for the trend to assess the strength of the association. Data was collected using a questionnaire that was developed and has been assessed for validity and reliability. Pregnant women who actively participate in community activities are associated with good knowledge of midwifery care with a gender sensitivity approach (OR equal 1.51, OR equal 1.16-1.97, p-value equal 0.03). Pregnant women with higher education levels are associated with a good attitude toward midwifery care with a gender sensitivity approach (OR equal 2.02, 95% CI equal 1.01-4.05, p-value equal 0.04). Pregnant women participating in community activities are associated with good knowledge about midwifery care with a gender sensitivity approach, and pregnant women with higher education levels are associated with good attitudes about midwifery care with a gender sensitivity approach (p-value less than 0.001). Midwives and other health workers educate pregnant women in all health facilities at every antenatal visit and community activities such as the village community health center.

The Effect of Benson Relaxation and Dhikr on Decreasing Pain Scale in Active Phase I Delivery Mothers at Yosi Trihana Independent Midwifery Practice

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Pain management uses pharmacological and non-pharmacological approaches, to reduce pain by treating accompanying symptoms. One of the non-pharmacological pain treatments is Benson relaxation therapy and dhikr. Benson relaxation therapy is a non-pharmacological strategy that combines relaxation techniques with the patient's belief system. It aims to reduce pain and encourage calmness by focusing on Allah SWT and releasing all emotions to the mother. The purpose of this study was to determine the effect of Benson relaxation and dhikr on reducing the pain scale in mothers inpartu kala I active phase. The research method used is quantitative with a pre-experimental research design, with the type of research one group pre-post test. The research location was at the Yosi Trihana Independent Practice Midwife, Klaten Regency, Central Java. They were carried out in November 2023 to January 2024. The population used was all active mothers inpartu active phase I. The sampling technique was total sampling, so the research sample was 30 respondents. The research instrument used the Numeric Rating Scale (NRS) pain scale. Data analysis was performed using the Wilcoxon test, which was processed using SPSS software version 20.0. The results showed a significant relationship with a p-value = (0.000). There is a decrease in the intensity of pain experienced during the labour process in Yosi Trihana's Independent Midwife Practice. These findings indicate that benzene relaxation and dhikr significantly impact reducing pain levels during labour. It is recommended that nurses and other health workers use dhikr relaxation as a non-pharmacological technique to reduce pain during labour. </em><em></em></p><p> </p></td></tr></tbody></table></div><strong><em>Keywords: Benson Relaxation, Dhikr, Pain Intensity Scal</em></strong>

DUKUNGAN KELUARGA DENGAN KEPATUHAN KUNJUNGAN ANC PADA IBU HAMIL TRIMESTER III

The purpose of this study was to determine the correlation between family support and compliance with ANC visits in third trimester pregnant women at the Independent Practicing Midwife Amirul Cholifah S.Tr. Keb in Sumberwono Village, Bangsal District, Mojokerto Regency. The results showed that most of the respondents were in the Supporting category, namely 24 people (80%), and most of the respondents were in the Compliant category, namely 20 people (66.7 The results of the Fisher Exact test p value = 0.000 means that there is a correlation between family support and compliance with ANC visits in third trimester pregnant women at Independent Practice Midwife Amirul Cholifah S.Tr. Keb in Sumberwono Village, Bangsal District, Mojokerto Regency. Family support and pregnancy checks are important motivations for pregnant women in the form of compliance with ANC visits to maintain the condition of the mother and the growth of the fetus. It is expected that health workers will provide education and counseling about ANC to pregnant women so that families pay more attention to the physiological and psycholoical conditions of pregnant women

Effect of midwife competence training in primary healthcare facilities on obstetric risk early detection

Early detection of obstetric risk is the main competence of midwives to anticipate the mother’s inability to adapt during pregnancy. The early detection competence of midwives determines the success of obstetric risk management, preventing pain and even death of mothers and babies. This study aimed to analyze the effect of obstetric risk early detection training on improving the competence of midwives in basic health care facilities. The study employed a quasi-experimental pre-posttest design with a control group. The samples were selected based on inclusion criteria, encompassing independent practice midwives and public health center midwives. The study comprised 27 midwives in the treatment group and 27 in the control group. The determination of and control groups was conducted through simple random sampling. Data analysis involved the use of Mann-Whitney and T-tests. The results indicated a significant difference in the increase in midwife competence within the treatment group post-training (p-value <0.001), with a notable improvement of 34.5%, compared to a 14.53% rise in midwife competence within the control group after reading the training module. Although a slight decrease in competence was observed after 2-4 weeks of training, the posttest values remained considerably higher than the pretest values. These findings underscore the impact of training on midwife competence, emphasizing the continual need for midwives to enhance their skills to elevate the health outcomes for the mothers and children under their care.

Application of the Conceptual Model of Holistic Midwifery Services to Pregnant Women in Independent Practicing Midwives in Purwakarta Regency

Holistic midwifery services are an approach that views pregnant women as complete beings, consisting of physical, mental, social and spiritual aspects. The aim of this research is to determine the application of the conceptual model of holistic midwifery services to pregnant women in independent practice midwives in Purwakarta Regency. This research uses a qualitative approach with a case study method. The research subjects were 5 independent practicing midwives in Purwakarta Regency. Data was collected through in-depth interviews and observations. Data analysis was carried out descriptively qualitatively. The research results show that the implementation of the conceptual model of holistic midwifery services for pregnant women in independent practice midwives in Purwakarta Regency is quite good. Midwives are able to carry out holistic assessments of pregnant women, covering physical, mental, social and spiritual aspects. Midwives are also able to provide holistic midwifery care, including physical, mental, social and spiritual care.

THE AFFECT OF COVID-19 PANDEMIC ANXIETY ON BREAST MILK EJECTION OF POSTPARTUM MOTHER IN PMB HJ. FARIDATUL AMPERA

COVID-19 pandemic has made postpartum mothers experience anxiety from mild to fear of crowds and lock themselves at home. So that it affects the expenditure of postpartum mother's milk, because the increase in cortisol makes the hormone oxytocin inhibition in its secretion so that the release of breast milk is inhibited. Knowing the effect of the anxiety of the Covid-19 pandemic on the release of postpartum mother's milk at the Independent Practice Midwife Hj. Faridatul Ampera Performance. This type of research is an analytic survey using a cross sectional design. It is recommended that pregnant women always think positively and seek information about health, especially Covid-19 or do relaxation so that they are not anxious.

Faktor-Faktor Yang Mempengaruhi Ibu Hamil Dalam Melakukan Perawatan Payudara Di Bidan Praktek Mandiri Bena Handayani Desa Lama Kec Hamparan Perak Tahun 2023

BACKGROUND: According to Huliana (2013), breast care is carried out to prevent blockage of the milk ducts thereby facilitating the release of breast milk. This is confirmed by the results of research by Sholichah (2011) which found a relationship between breast care for pregnant women and the smooth production of breast milk. In this study, mothers who had good breast condition with good breast care had good breast milk production. If the condition of the mother's breasts is in poor condition and the care is not good then it can more or less disrupt the lactation process. Breast care is carried out during pregnancy (antenatal) to get the effect of producing breast milk more quickly. This was obtained from the results of research by Astari (2018) that mothers who had breast care during the antenatal period produced breast milk after giving birth faster than mothers who did not have breast care during the antenatal period. OBJECTIVE To analyze the relationship between factors that influence pregnant women in carrying out breast care at the Bena Handayani Independent Practicing Midwife in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted as a statistical test result of a significant relationship. RESULTS: There is a relationship between education, age, parity, knowledge and attitudes towards breast care at the Bena Handayani independent practice midwife in 2023. Suggestions are given for research and for research sites and for educational institutions regarding breast care.

Gambaran Pengelolaan Limbah Medis Padat pada Klinik Bidan Praktik Mandiri di Kecamatan Lempuing Kabupaten Ogan Komering Ilir Tahun 2023

WHO said that in 2010, unsafe injections still caused as many as 33,800 new HIV infections, 1.7 million hepatitis B infections, and 315,000 hepatitis C infections. Independent Practice Midwife Clinics are one source of solid medical waste generation. Knowledge of solid medical waste management at independent practicing midwife clinics in Lempuing District, Ogan Komering Ilir Regency in 2023. Research This type of research is descriptive research. This research was conducted in March-May 2023. The population in this study were all 38 independent practicing midwife clinics. The sample is total sampling, namely all independent practicing midwife clinics. The data collection tool is a checklist sheet. Variable sorting, container, storage, and transportation. Data analysis using Univariate Analysis. Sorting 38 (100%) fulfilled the requirements, containers for labeling infectious waste 8 (22%) and pharmaceutical 13 (44%), container grouping for infectious 15 (40%) and pharmaceutical 30 (70%) did not meet the requirements. Storage contained 23 (59%) separate rooms, 8 (21%) covered packaging, and 20 (53%) identity labeled packaging did not meet the requirements. Transportation 11 (29%) did not carry out transportation. by concluding that 38 (100%) have done proper sorting, for containers that have not been labeled infectious waste 8 (22%) and pharmaceutical 13 (44%), there is no separate storage room 23 (59%), there is the packaging does not have a cover 8 (21%), the packaging does not have an identity label 20 (53%). Transportation 11 (29%) did not carry out the transportation be consistent in carrying out proper sorting, more complete facilities, especially in terms of container and storage, and know how to process and transport medical waste properly and correctly.

Combination of Herbal Steam Bath and Endorphin Massage to Increasing Breast Milk Production

The importance of breastfeeding has strong evidence. Complementary therapy that can increase milk production is to increase comfort and body fitness by using herbal steam baths. This is local wisdom that is still preserved in Indonesia as a therapy for postpartum mothers with water vapor. Another similar alternative is endorphin massage, which is a light touch therapy on the neck, back and arms that can trigger the release of endorphins that affect milk production. The purpose of this study was to estimate that the combination of the two methods would be more effective in influencing breast milk production. This research design is a quasi-experimental. The population in this study were postpartum mothers at the Independent Practice Midwife in Surabaya with a total sample of 40 which were divided into treatment and control groups, using purposive sampling technique. The treatment group was given intervention with a combination of herbal steam baths 2x/week for 5-20 minutes and endorphin massage 2x/week for 20 minutes, while the control group was not given. Each group was given a pre-test and post-test to determine the volume of breast milk production with indicators of increased baby weight, increased frequency of urination and defecation. Statistical test using Mann Whitney and Shapiro Wilk. The results showed that there was a significant effect of the combination of herbal steam baths and endorphin massage on increasing breast milk production with a value of α =0,000 atau α <0,05. There was a significant difference in milk production in the treatment group compared to the control group with a value of α =0,000 atau α <0,05. Conclusion: By doing a combination of herbal steam baths and endorphin massage regularly, it can increase milk production.

Quantitative and Qualitative Analysis of Complete Informed Consent Filling Structure in Delivery Assistance at Independent Practicing Midwives (BPM) in the Work Area of Lubuk Buaya Health Center, Padang City: A Review

This review article aims to explain how the quantitative and qualitative analysis of the completeness of the structure of filling out informed consent in delivery assistance at the Independent Practicing Midwife (BPM) in the work area of ​​the Lubuk Buaya Health Center, Padang City. Approval for medical action (PTK) or better known as informed consent is an agreement given by the patient or next of kin after receiving a complete explanation regarding the medical action to be performed on the patient with the aim of curing the disease he is suffering from. The medical action to be carried out on the patient must obtain approval, this consent can be given in writing or verbally and given after the patient has received the necessary explanation about the need for medical action to be carried out. Informed consent is made with the aim of providing protection for service users (patients) for all medical actions and providing legal protection for executors of medical actions from unreasonable patient demands, as well as the consequences of unexpected medical actions. In midwifery services, written informed consent must be carried out in midwifery services, especially in childbirth assistance. Keywords: Informed Consent; Labor; Independent Practice Midwife (BPM)

Knowledge and attitude of accepting COVID-19 vaccine booster doses and third doses among postpartum women in Palembang, Indonesia

Background: Since the discovery of Covid-19, scientific developments, policies, and programs regarding Covid-19 have changed rapidly. In 2022 the Covid-19 vaccine arrived at the second booster. In Indonesia, various policies related to Covid-19 are also experiencing very rapid adjustments, such as the policy for travelling using public transportation, planes, trains, and ships that require the completeness of the Covid-19 vaccine up to boosters. These regulations make the Covid-19 vaccination a necessity that seems forced. Pregnant and postpartum women are also not free from the target of giving Covid-19. Various theories and research have proven that knowledge is related to attitude. Following this theory, knowledge and attitudes will align with the completeness of Covid-19. So if positive knowledge and attitudes affect the completeness of the Covid-19 vaccine, then it will not be affected by the Covid-19 vaccination obligation policy required by the Indonesian government.Purpose: To find out the relationship between Knowledge and attitude of accepting COVID-19 vaccine booster doses and third doses among postpartum women in Palembang, IndonesiaMethod: This study was quantitative. The design was analytical with a cross-sectional approach. The study samples consisted of 38 postpartum mothers in Independent Practice Midwife at Palembang. The complications of postpartum mothers were excluded. The sampling technique was accidental sampling.Results: There is no relationship between knowledge and accepting COVID-19 vaccine booster doses and third doses (p=0.348), but in the analysis, there is a relationship between attitude towards vaccination readiness and accepting COVID-19 (p=0.003), there is a relationship between attitude towards government policy and completeness of vaccination Covid-19 (p=0.004), there is a relationship between attitudes towards vaccines and accepting COVID-19 (p=0.015)Conclusion: There is no relationship between knowledge and accepting COVID-19, and there is a relationship between attitude and accepting COVID-19

Mother's motivation and attitude towards baby spa services during the COVID-19 pandemic

Introduction: During the COVID-19 pandemic, the stay-at-home policy, which requires people to carry out activities at home, avoid crowds and minimize contact with people, is a problem for baby spa businesses due to the decline in baby spa patients at their clinics. This study aimed to evaluate the mother's motivation and attitude toward baby spa services during the COVID-19 pandemic. Methods: This cross-sectional study involves parents who are consumers of baby spas and independent practice midwives who provide baby spa services in the Sidoarjo Regency that met inclusion criteria. Sample determination used purposive sampling. All data were obtained directly as primary data, then collected and analyzed using univariate and bivariate analysis in SPSS ver. 20. Results: Most of the mothers and children were aged 36-40 years (32.0%) and <2 years (72.0%), respectively. Most respondents had high motivation and attitude (70.4% and 74.1%). Chi-square and Fisher exact test showed a significant relationship between the mother's motivation and attitude towards mother's interest in baby spa services (p<0.001) Conclusion: The mother's attitude and motivation are related to the mother's interest in coming to the baby spa service during the COVID-19 pandemic.

Edukasi Konsumsi Tablet Fe dan Susu Kedelai untuk pencegahan Anemia pada Ibu Hamil di Bidan Praktek Mandiri Muzilatulnisma Kota Jambi

Anemia is the biggest public health problem in the world, especially in the group of pregnant women. The prevalence of anemia in pregnant women worldwide is 41.8%, the prevalence of anemia in pregnant women in developed countries is 18%, while the average prevalence of anemia in pregnant women in developing countries is around 63.5% - 80%. the results of basic health research (Riskesdas) in 2013 the prevalence of pregnant women with anemia in Indonesia was 37.1%. cases of anemia in pregnant women is due to iron deficiency. The risk of pregnant women who experience anemia face the risk of death in pregnancy. Every year there are 500 thousand postnatal maternal deaths worldwide, as much as 20-40% of the main causes of death are anemia. BPM muzilatulnisma is a clinic that serves maternal and child health in the city of Jambi which has been standardized as a Delima midwife and as a certified mom and baby treatment clinic. Consumption of Fe tablets and soy milk is one way to prevent anemia in pregnant women. This community service is carried out by providing education through counseling for pregnant women about anemia prevention. held from March to August 2022 at the Muzilatulnisma Independent Practice Midwife, Jambi City. The purpose of this service activity is to provide education by providing health education/counseling on how to prevent anemia in pregnant women. With the hope of increasing the knowledge and awareness of pregnant women in consuming Fe tablets and soy milk in the prevention of anemia. The results obtained after community service was carried out were an increase in knowledge of pregnant women about anemia prevention at BPM Muzilatulnisma Jambi City. The implementation of community service activities carried out by providing education (counseling) using leaflets was able to increase the knowledge of pregnant women about anemia prevention.

Kajian Potensi Dan Peluang Investasi Pengelolaan Limbah Bahan Berbahaya Dan Beracun (B3) Medis Di Kota Surakarta

Hazardous Toxic Waste (B3) is a challenge as well as the latest threat to the people of Indonesia. The management of B3 waste, especially medical B3 waste, needs serious attention given that the production of medical B3 waste continues to increase from year to year. The potential for medical hazardous and toxic waste generated in Surakarta City is quite large, originating from Health Service Facilities which include 19 Hospitals, 17 Health Centers, 1 DKK Lab, 12 Health Laboratories, 102 Main and Primary Clinics, 1,399 Independent Practicing Doctors, 251 Independent Practicing Dentists , 7 Independent Practice Midwives, Beauty Clinic and 6 Veterinary Clinics. The urgency of building a B3 waste treatment plant is the limited B3 waste treatment facilities which can threaten the environment and the potential for regional income.

Hubungan Mobilisasi Dini Terhadap Penurunan Tinggi Fundus Uteri Ibu Nifas Di Bidan Praktek Mandiri (BPM) Susiyanti Tahun 2022

The postpartum period (puerperium) is the period after the release of the placenta until the reproductive organs recover as before pregnancy and normally the postpartum period lasts for 6 weeks or 40 days. . This study aims to determine the relationship between early mobilization and decreased uterine fundal height for postpartum women at BPM Susiyanti in 2022. This type of research is an analytic survey with a cross sectional approach. The number of samples used was 32 people. The data analysis technique uses the Chi Square test. the results obtained from 32 respondents, there is a relationship between early mobilization and acceleration of fundal height reduction in post partum mothers on the first and second days at the Independent Practice Midwife (BPM) Susiyanti.

Qualitative Study on HIV/AIDS Prevention in Jombang City


 
 
 
 Background: 2022 will see an increase in the number of HIV/AIDS cases in Jombang City, ranking it second in East Java with 1388 PLWHA, 20 cases of mother-to-child HIV transmission during childbirth, 12 HIV (+) cases, 8 AIDS cases, and 100 fatalities. The Independent Practice Midwife (BPM) is the linchpin of a healthcare organization that has the potential to grow into a network of expectant mothers. Midwives are qualified to serve as health educators for expectant women who exhibit habits that increase their risk of contracting HIV/AIDS. In a qualitative study in Jombang City, the aim of this study was to determine the program to develop midwives' ability as health educators for expectant mothers in an effort to prevent HIV/AIDS transmission.
 Method: This study is qualitative and employs an in-depth interviewing methodology. Up to 8 stakeholders served as primary informants, while 2 NGOs and 10 BPM employees served as secondary informants. analysis of data using the content analysis approach.
 Results: Because national guidelines for preventing HIV transmission from mother to newborn have been popularized, stakeholders have implemented a policy that uses standard technical programs for midwifery practice. Midwives have received training in APN, PI, and STIs, but due to funding restrictions, they have never received training in HIV/AIDS counseling. There is no such thing as BPM; only the central IBI does monitoring and assessment, which is done only through monthly reports. The coordination of NGOs, KPAD Regional Child Protection Commission, Public Health Office, The Indonesian Midwives Association, and BPM in the execution of monitoring and evaluation is insufficient, and only IBI is carried out, unplanned, carried out at any moment if it is going to prolong the practice permit. BPM has not yet received special supervision. Coordination amongst stakeholders during the implementation of supervision is insufficient. In an effort to stop the spread of HIV/AIDS, health education facilities for pregnant women in BPM have been provided with posters, flipcharts, and MCH handbooks. There are four VCT clinics and three PMTCT clinics.
 Conclusion: Program to improve midwives' abilities as health educators for expectant mothers in an effort to stop the spread of HIV/AIDS at BPM (independent practice midwives) Jombang City. In order to improve coordination between stakeholders (KPAD Regional Child Protection Commission, Public Health Office, and IBI The Indonesian Midwives Association with BPM in monitoring and supervision, train counselors for BPM (independent practice midwives), and have midwives become more motivated to provide IEC and continue to improve professionalism in providing midwifery services, advocacy is required to the Regional/ Legislative Council