<![CDATA[Introduction: The fulfillment of Minimum Service Standards (MSS) for maternal health services remains an important indicator of the quality and adequacy of antenatal care. Health worker competence is considered an important factor in ensuring that maternal health services are delivered according to established standards. This study aimed to examine the Health Worker Competence as a Predictor of Minimum Service Standard Fulfillment in Maternal Health Services: A Cross Sectional Study in South Konawe Regency, Indonesia. Method: A quantitative cross-sectional study was conducted from May to July 2025 across 24 community health centers in South Konawe Regency that had not achieved the 100% MSS target. The study included 233 midwives selected from a population of 557 midwives using cluster random sampling. Data were collected using a structured questionnaire, observation sheets, and secondary MSS data obtained from the South Konawe District Health Office. Result: The results of this study indicate that the midwife competency variable has a positive and significant effect on the fulfillment of Minimum Service Standards for maternal health services in South Konawe Regency. Conclusion: The suggestions in this study are to develop an integrated quality management system for maternal health services, conduct routine evaluation and monitoring of the achievement of ANC service Minimum Service Standards, and create clear and effective referral protocols between community health centers, village midwives, and hospitals.]]>
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