Background: Knowledge of brides and grooms about reproductive health and pregnancy preparedness in Indonesia still lack. Efforts to give lessons reproductive health and pregnancy preparedness to brides and grooms today still taboo and limited. Education about reproductive health and pregnancy preparedness is one of strategic ways to increase brides’ and grooms’ knowledge and attitudes about reproductive health and pregnancy preparedness. This study conducted to evaluate an effect of reproductive health and pregnancy preparedness education by provision of media on brides and grooms in Brebes district.Methods: This study utilized quasi experimental pre and post-test one group design. Population of this study includes 54 brides and grooms (31 females and 23 males) in Brebes.Results: Based on the results of a different test with Wilcoxon Match paired Test obtained were significant differences between the respondents' knowledge and attitudes before and after reproductive health education and provision of media (p=0.008).Conclusions: That means there were significant interventions in the form of brief counseling and provision of media to increase knowledge and attitudes of respondents about reproductive health. The results demonstrate that interventions can significantly improve knowledge and attitudes of respondents (p<0.005; Delta; 0.20). Recommendation to improve risk of maternal mortality rate is a reproductive health education with early intervention in brides and grooms as one of strategic actions to improving knowledge, minimize incidence of complication in pregnancy and maternal mortality.

Background: Knowledge of elementary students about reproductive health in Indonesia still lack. There are so many students who did not know how to maintain good reproductive health. Efforts to give lessons reproductive health or sex education to elementary school age children today is still considering taboo, but this problem should be anticipated as soon as possible. To decrease maternal mortality rate and unmet-need needs innovation to educate students. Education about reproductive health is one of strategic ways to increase elementary students’ knowledge and attitudes about reproductive health. This study conducted to evaluate effect of reproductive health education and provision of media on elementary students in Brebes.Methods: This study utilized quasi experimental pre and post-test one group design. Population of these study 70 elementary students (3 Government ES) in Brebes.Results: Based on the results of different test with Wilcoxon Match paired Test obtained were significant differences between the respondents' knowledge and attitudes before and after reproductive health education and provision of media (p=0.001).Conclusions: That means there were significant interventions in the form of education and provision of media to increase knowledge and attitudes of respondent about reproductive health. The results demonstrate that interventions can significantly improve knowledge and attitudes of respondents (p<0.005; Delta: 19.82). Recommendation to improve risk of maternal mortality rate is a reproductive health education with early intervention in young elementary school age children as one of strategic actions to improving knowledge and minimize incidence of teenage pregnancy.

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Maternal and child health was a priority of health program in Indonesia. Maternal Mortality Rate in Semarang was ranked second highest in Central Java. The highest proportion of maternal deaths occurred during puerperium. That’s indicates, there was a problem in a process of maternal health services during puerperium period in health facilities. This study was conducted to examine constraints on health systems that limit range of interventions or health services that were important for postpartum, bottlenecks related to postpartum services in Public Health Center (PHC), especially infrastructure, human resources, access to PHC, post partum visits (KF1 and KF3), as well as quality of post partum services on risk reduction of maternal mortality. This case study used a qualitative approach. Data collection through interviews to five midwives as main informants, 5 midwives coordinator and 5 heads of PHC as informant triangulation. Data analsyis used content analysis method, then assigned priority bottleneck through MCUA (Multiple Criteria Utility Assessment) techniques. WHO's scale-up BNA plan to analyze bottleneck causes. Results showed, there was a bottleneck on childbirth services in PHC. The causes of bottleneck risk reduction efforts of maternal mortality incidence in puerperium period has never been analyzed workload of health personnel in PHC, lack of monitoring and evaluation of an availability infrastructure facilities in PHC, there has not been regular training, especially on delivery until puerperium services, and PHC has not received more detailed and operational information about puerperium so their maternal knowledge about puerperium has not increased much and couldn’t raise mother's awareness to do so. Semarang Public Health Office (Dinas Kesehatan Kota Semarang) needs to conduct periodic monitoring and evaluation implementation of postpartum services and improve quality of childbirth services in PHC.Keywords: Bottleneck analysis, health services, post partum, Primary Health Care, Puskesmas, Maternal Mortality Rate