This study aims to determine the Optimization of Village Midwife Services for Pregnant Women and Toddlers in Kwandang District, North Gorontalo Regency. This research method uses a descriptive qualitative approach. Data collection techniques were carried out through in-depth interviews with a number of informants, observation and documentation studies. This research focused on 3 (three) aspects, namely Awareness of Pregnant Women, Facilities and Infrastructure, Existence of Village Midwives. Optimization of Village Midwife Services for Pregnant Women and Toddlers in Kwandang District, North Gorontalo Regency was previously obtained through interviews with a number of informants who had been selected to provide explanations of 3 (three) aspects that were the focus of this research, namely Awareness of Pregnant Women, Facilities and Infrastructure, Existence of Midwives Village. So in conclusion, the services of village midwives for pregnant women and toddlers in Kwandang District have not been optimal so far. This is due to the lack of awareness of pregnant women to carry out routine pregnancy checks. This can be seen in the posyandu implementation. Pregnant women often do not have the time to attend, even though they have been informed via loudspeakers. Village midwife services for pregnant women and toddlers in Kwandang District are not yet optimal. This is caused by the absence of supporting facilities/infrastructure such as the Polindes Building which is used by village midwives as a place for antenatal care services because they are still waiting for a budget from the village. Village midwife services for pregnant women and toddlers in Kwandang District have not been optimal so far. This is due to the existence of village midwives who are often found not in the place/village if there are pregnant women who need direct delivery assistance to the health center accompanied by a village shaman. For this reason, it is suggested that the services of village midwives need to be improved to further optimize services for pregnant women and toddlers. There is a need for maximum awareness of pregnant women in terms of the importance of health for mothers and children through posyandu activities. can be used by village midwives in carrying out pregnancy checks. The existence of village midwives is given more attention and increases work discipline in carrying out their duties and responsibilities so that they become professional village midwives who are willing to live in the village.
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