Evaluation Of Midwives' Compliance In Implementing The Principles Of Respectful Maternity Care In Antenatal Care Services At Community Health Centers
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Abstract
This study aims to comprehensively evaluate the level of midwives' compliance in implementing Respectful Maternity Care (RMC) principles in antenatal care (ANC) services at community health centers (Puskesmas), through a systematic and structured literature review approach. The literature search was conducted methodologically by utilizing three main, credible and broad-based scientific databases: Google Scholar, PubMed, and Publish or Perish. The search strategy was formulated using a combination of keywords in Indonesian and English, such as: "Respectful Maternity Care," "Midwives Compliance," "Antenatal Care," "Midwives Compliance," and "Respective Maternity Care," with publication restrictions for the period 2021 to 2025 to ensure data up-to-dateness. Of the 99 articles identified in the initial process, a strict selection stage was carried out based on inclusion criteria, namely articles with full-text access that specifically discussed midwives' compliance in implementing RMC principles in ANC services at the primary care level such as community health centers. This selection yielded five eligible and relevant articles for in-depth analysis. The analysis showed that the implementation of RMC principles, including empathetic and effective communication, protection of patient privacy and dignity, and transparent and understandable information delivery, significantly contributed to increased maternal satisfaction and encouraged their adherence to ANC procedures. Furthermore, structured training for health workers, particularly midwives, significantly improved the quality of RMC principles in the field. Therefore, it is recommended that regular evaluations of ANC service practices and the development of standardized, ongoing training programs be implemented. These efforts are crucial to ensure the delivery of antenatal care services based on professional ethics, upholding humanitarian values, and placing women at the center of attention in the maternal health care system.
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References
- (WHO), WHO (2018). Standards for improving the quality of maternal and newborn care in health facilities. WHO.
- Afulani, PA, Aborigo, RA, Nutor, JJ, Okiring, J., Kuwolamo, I., Ogolla, BA, Oboke, EN, Dorzie, JBK, Odiase, OJ, Steinauer, J., & Walker, D. (2021). Self-reported provision of person-centred maternity care among providers in Kenya and Ghana: Scale validation and examination of associated factors. BMJ Global Health, 6(12), 1–12. https://doi.org/10.1136/bmjgh-2021-007415
- Ardhiangtyas, N., Mufida Dian Hardika, Ajeng Novita Sari, & Siti Nur Fadilah. (2024). Implementation of Effective Communication by Midwives in Increasing Patient Compliance in Carrying Out Antenatal Care. Jurnal Midwifery, 6(1), 7–11. https://doi.org/10.24252/jmw.v6i1.44141
- Dolatabadi, Z., Farahani, L.A., Zargar, Z., Haghani, S., & Mousavi, S.S. (2025). Disrespect and abuse during childbirth and associated factors among women : a cross-sectional study. 7.
- K., S., Yadav, A., & Jeetu. (2023). Impact of respectful maternity care and its outcome in a childbearing woman. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 12(6), 1610–1615. https://doi.org/10.18203/2320-1770.ijrcog20231523
- Mita Meilani, S., Keb, M., Insyiroh, AN, Keb, ST, & Keb, M. (2023). Respectful Women Care in Midwifery.
- Rachim, DP, Silvia Nesva, I., Scorpinasari, D., Ginting, B., Lisa, UF, Studi, P., Program, K., Faculty, M., University, K., Jalan, A., Kemerdekaan, P., 94, N., & Barat, S. (2023). Partnership-Based Midwifery Service Management in Antenatal Care: LITERATURE REVIEW. Journal of Andalas Medica JAM 2023 Journal of Andalas Medica, 1(1), 50.
- Syam, H. (2024). Relationship Between Receiving Respectful Midwifery Care (RMC) and Satisfaction with Newborn Care Services Article history. 12(6), 2338–9095. https://doi.org/10.32668/jitek.v12i1.1696
- Tajvar, M., Alipour, S., Atashbahar, O., Shakibazadeh, E., Saeed, A.S., & Khaledian, Z. (2025). Promoting respectful maternity care: a quasi-experimental study on the effectiveness of an educational intervention in Iranian hospitals. Reproductive Health, 22(1). https://doi.org/10.1186/s12978-025-01969-4