Study of The Implementation of Minimum Service Standards for Maternal Health Services in Magelang City
Abstract
Maternal health services are an essential component of public health systems and play a significant role in reducing maternal mortality. The implementation of Minimum Service Standards (MSS) is one of the government’s strategies to ensure the quality and accessibility of maternal health services at the regional level. This study aims to analyze the implementation of Minimum Service Standards for maternal health services in Magelang City. This research employed a qualitative approach with a socio-legal perspective. Data were collected through in-depth interviews, observations, focus group discussions, and literature review involving stakeholders related to maternal health services. The data were analyzed using data reduction, data presentation, and verification through triangulation techniques to ensure validity. The results show that the implementation of MSS for maternal health services in Magelang City generally meets the established indicators, including the availability of health facilities, health personnel, and maternal health service coverage. However, several aspects still require improvement, particularly the quality of services and the continued involvement of traditional birth attendants in the childbirth process. Socioeconomic factors such as poverty, education level, and social inequality also influence the effectiveness of maternal health services. Strengthening community education and improving service quality are necessary to support optimal implementation of MSS. In conclusion, although the implementation of maternal health MSS in Magelang City has largely met the required standards, improvements in service quality and equitable access remain essential to optimize maternal health outcomes.
References
Marita I, Budiyono, Purnaweni H. Kualitas Standar Pelayanan Minimal Kesehatan Ibu Hamil di Kabupaten Brebes. Higeia J Public Heal Res Dev [Internet]. 2021;5(1):39–51. Available from: https://journal.unnes.ac.id/sju/index.php/higeia/article/view/38391
Ahmed SAE, Mahimbo A, Dawson A. Quality intrapartum care expectations and experiences of women in sub-Saharan African Low and Low Middle-Income Countries: a qualitative meta-synthesis. BMC Pregnancy Childbirth [Internet]. 2023;23(1):1–19. Available from: https://doi.org/10.1186/s12884-022-05319-1
Woldeamanuel BT. Factors associated with inadequate prenatal care service utilization in Ethiopia according to the WHO recommended standard guidelines. Front Public Heal. 2022;10.
Sukriani W, Hilmanto D, Susanto H. Understanding Perinatal Mortality Causes in Indramayu, Indonesia. Kemas. 2022;17(3):319–28.
Chawla S, Kumar C, Bose M, Shrivastav SM. Performance and challenges of Accredited Social Health Activists (ASHAs) in delivering key Maternal and Newborn Health (MNH) services in India: A systematic review and meta-analyses. SSM - Heal Syst [Internet]. 2025;5:100134. Available from: https://www.sciencedirect.com/science/article/pii/S2949856225000868
Priambodo R, Handayani PW, Aji RF, Dimyati K. Challenges for a Maternal-Care Health Recommender System in Indonesia: Formative Preimplementation Qualitative Study. JMIR Form Res [Internet]. 2026;10. Available from: https://www.sciencedirect.com/science/article/pii/S2561326X2600079X
Filippi V, Chou D, Barreix M, Say L, Barbour K, Cecatti JG, et al. A new conceptual framework for maternal morbidity. Int J Gynecol Obstet. 2018;141:4–9.
Herwansyah H, Czabanowska K, Schröder-Bäck P, Kalaitzi S. Barriers and facilitators to the provision of maternal health services at community health centers during the COVID-19 pandemic: Experiences of midwives in Indonesia. Midwifery [Internet]. 2023;123:103713. Available from: https://www.sciencedirect.com/science/article/pii/S026661382300116X
Ledoh L, Suroso DSA, Sagala S, Suhirman S. Integrating adaptive governance into disaster management planning in medium-sized cities: a case study of Kupang city, Indonesia. Disaster Prev Manag An Int J [Internet]. 2025;35(1):81–94. Available from: https://www.sciencedirect.com/science/article/pii/S0965356225000412
Ashar H, Rahfiludin MZ, Nugraheni SA, Tjandrarini DH, Murwani A, Supadmi S, et al. A qualitative study in Magelang Central Java Indonesia: Mothers’ knowledge, parenting styles and national priority programs managing of stunting in toddlers. Soc Sci Humanit Open [Internet]. 2025;12:101874. Available from: https://www.sciencedirect.com/science/article/pii/S2590291125006023
Ria Karlina Lubis, Meydora Cahya Nugrahenti RP. Peran Kabupaten Magelang dalam Pendaftaran Indikasi Geografis. 2019;3:242–53.
Woodman J, Mc Grath-Lone L, Clery A, Weatherly H, Jankovic D, Appleton J V., et al. Study protocol: a mixed-methods study to evaluate which health visiting models in England are most promising for mitigating the harms of adverse childhood experiences. BMJ Open. 2022;12(9).
Azad R, Fahmi R, Shrestha S, Joshi H, Hasan M, Khan ANS, et al. Prevalence and risk factors of postpartum depression within one year after birth in urban slums of Dhaka, Bangladesh. PLoS One. 2019;14(5):1–15.
Sumiya M, Nishimura T, Aizaki K, Hirata I, Tsukui N, Osuka Y, et al. Addressing the Ethical, Legal, and Social Issues of Healthtech in Education: Insights From Japan. JMIR Form Res [Internet]. 2025;9. Available from: https://www.sciencedirect.com/science/article/pii/S2561326X25004834
Suci Ramadhani, Dwi Sutiningsih CTP. Obstacles to Implementation of Minimum Service Standards in the Health Sector for Hypertension Sufferers at Health Centers: Literature Review. 2023;6(4):553–60. Available from: https://jurnal.unismuhpalu.ac.id/index.php/MPPKI/article/view/3209/2670
Sarastri L, Indarto I, Wardoyo P. STRATEGI MENINGKATKAN CAPAIAN STANDAR PELAYANAN MINIMAL PADA PEMERINTAH KOTA MAGELANG. Solusi [Internet]. 2023;21(4):379–389. Available from: https://journals.usm.ac.id/index.php/solusi/article/view/7531
Cahyaningsari BA, Jati SP, Sriatmi A, Kesehatan K, Masyarakat FK, Diponegoro U. Pelaksanaan Standar Pelayanan Minimal Bidang Kesehatan pada Indikator Kebencanaan di Balkesmas Wilayah Magelang Provinsi Jawa Tengah. 2021;99–105.
Pujiastuti RN, Sriatmi A, Nandini N. Mengapa Program Pelayanan Kesehatan Peduli Remaja ( PKPR ) di Puskesmas Kota Magelang tidak Optimal ? 2021;9(April).
Rengga OA. STUDI IMPEMENTASI STANDAR PELAYANAN MINIMAL ( SPM ) BIDANG KESEHATAN DASAR DI KOTA MAGELANG. 2009;
Renawati A, Paramita F, Adi S. Analisis implementasi standar pelayanan minimal ( SPM ) bidang pelayanan kesehatan hipertensi di Puskesmas X Kabupaten Malang Analysis of the implementation of Minimum Service Standards ( MMS ) in the field of hypertension Health Services at Puskesmas X Malang District. 2025;05(01):36–45.
Intan Rachmita Sari B. Evaluasi Kinerja Dan Upaya Peningkatan Kualitas Data Standar Pelayanan Minimal (SPM) Bidang Kesehatan. 2022;13:723–31. Available from: https://journal.unigres.ac.id/index.php/JNC/article/view/2398/1757
Sofyan O, Wiedyaningsih C, Danu SS, Priyatni N. THE EFFECT OF FOCUS GROUP DISCUSSION WITH FEEDBACK INTERVENTION ON DRUG kelompok anggota . Hal-hal yang perlu diperhatikan kuasi eksperimen dengan rancangan pretest –. 2014;17(01):22–9. Available from: https://d1wqtxts1xzle7.cloudfront.net/107356734/5081-libre.pdf?1699948252=&response-content-disposition=inline%3B+filename%3DPengaruh_Intervensi_Diskusi_Kelompok_Kec.pdf&Expires=1777134896&Signature=Q8NraJI21KTKUznzaWuSfxcoDJ4ZBXht8iXGNEtjZu-rejUN1-CEfcCTUJ-ilg5METk-xbht8RmKm2IJ3eo82LEGMkFfyt3LCzpCp1dxKxAlUv5dSxJVjHefGHV20NEDJ6WXMGPB1nE8ODcqzqhvFVwdKGgDdPejVnoFOG6jXdUeMtqF8goTOFHxB-r5tXgy71xTI2QSkdi2Ph58uAe~msSvfu1wvlunLFhtaInIY-mv2KVzY9Do5c-lQ206OZkjwnxZKhrOIc~CmxOx~-4sZYp0KaxbgoH~WdmDSHWW1WCWM3oZyZKZs-2-Akx09ppRTHzpRiQuoyz2QvC6clVSMQ__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA
Di Giorgio L, Evans DK, Lindelow M, Nguyen SN, Svensson J, Wane W, et al. Analysis of clinical knowledge, absenteeism and availability of resources for maternal and child health: A cross-sectional quality of care study in 10 African countries. BMJ Glob Heal. 2020;5(12):1–14.
Zudi M, Suryoputro A, Arso SP. Analisis Implementasi Standar Pelayanan Minimal Bidang Kesehatan di Puskesmas Guntur I Kabupaten Demak. JKM (Jurnal Kesehat Masyarakat) Cendekia Utama [Internet]. 2021;8(2):165–79. Available from: https://jurnal.stikescendekiautamakudus.ac.id/index.php/JKM/article/view/681
Ducos P, Rouessac F. Coupures thermiques du type retro-Diels et Alder-II. Une nouvelle synthese du (±) jasmonate de methyle. Tetrahedron. 1973;29(20):3233–6.
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