A Pre-Eclampsia Guidence Program in the Community Based on the Pre-Eclampsia Community Guide

Preeclampsia is a major cause of maternal mortality, Bojonegoro is one area which has an MMR of fluctuating over the last 3 years. Nonetheless, there is no single program is held to address the issue of preeclampsia. To Analyze the effectiveness of the PRECOG program on the management of preeclampsia in Bojonegoro District. The research method is quantitative are represented by The Dander Health Center consisting of 9 villages and The Kepoh Baru 13 villages. The intervention was given to Dander health center by implementing the PRECOG program which consisted of guidance on early detection and recommendations through cadre training, and manipulation of maternity services according to PRECOG, while Kepoh Baru health center was a comparison. The sample are all pregnant women in amount 220 people in Dander and 100 people in Kepoh Baru with Total Sampling Technique. The effectiveness of PRECOG to handle pre eclampsia is measured by comparing risk factor screening, Detection and recommendation of two districts. There are significant differences in risk factor screening. The PRECOG guide shows that 68.75% with Diastolic BP of 80-89mmHg as a risk factor developing into a preeclampsia while without the PRECOG, it is not a risk factor, even though the diastolic BP is 80-89mmHg by 50%. The recommendation measured by Chisquare test with α 5% obtained sig.1.00, which means there is no difference in recommendation. Early detection and accuracy of the screening results and recommendations are the most important thing in vigilance pre eclampsia to suppress MMR due to pre eclampsia. Keyword: precog, maternal mortality, screening, detection