The Implementation of Pregnant Mother Class Program in Aceh Barat District Teungku Nih Farisni1, Yarmaliza2, Fitriani3

The total of pregnant women in Aceh Barat District in 2018 is 4453 0 people. The total of deaths was 3 and than the total of infant deaths was 90. The importance of pregnant mothers class programs as an effort to reduce maternal mortality and infant mortality rates. The purpose of this study was to analyze the study of Communication, Resources, Disposition, and Bureaucratic Structure in the Implementation of the Mother Class Program in West Aceh District. This type of research is descriptive qualitative research that is the method used to explore or analyze a study but is not used to make broader conclusions. The sampling technique used purposive sampling with 16 main informants, 1 key informant and 1 supporting informant. Data collection techniques with in-depth interviews. Data analysis uses content analysis. The results of research on communication studies are still not good, resources are incomplete. Disposition is still lacking in commitment, and bureaucratic structure is still lacking in cooperation. The implementation of the Pregnant Women Class Program in West Aceh district is still inappropriate and there are still many obstacles and obstacles. The conclusion is that there is still a lack of communication across sectors, the lack of resources to carry out maximum implementation, the lack of commitment from decision makers, and the bureaucratic structure is still lacking of cooperation so that the implementation of the pregnant mothers class program cannot run properly and optimally. Suggestions are expected to build good communication across sectors, decision makers seek to maximize available resources in the implementation of classes for pregnant women, build cooperation in bureaucratic structures and for pregnant women are expected to continue to follow the Pregnant Women Class routinely and to the end so that pregnant women class programs can run effectively.


mortality are Neonatal Mortality Rate (AKN), Infant Mortality Rate (IMR), and Toddler
Mortality Rate (AKABA). Attention to efforts to reduce neonatal mortality (0-28 days) is important because neonatal mortality contributes to 59% of infant deaths (Ministry of Health Republic of Indonesia, 2015).
In Aceh Province, the proportion of maternal deaths is still dominated by postpartum maternal deaths, which is 70 mothers or 52%, followed by maternal deaths as many as 34 mothers or 25% and maternal deaths as many as 30 mothers or 23%. AKI calculation in each district / city is difficult, because the number of live births does not reach 100,000 births and there is still the possibility of underreporting. An effective effort to reduce maternal mortality is to increase delivery assistance by health professionals in health facilities, as well as increase the Pregnant Women Class is a study group of pregnant women with gestational age between 20 weeks to 36 weeks (before delivery) with a maximum number of participants of 10 people.
Pregnant women will learn together in this class, they are trained to discuss and exchange experiences on maternal and child health (MCH) thoroughly and systematically and can be carried out in a scheduled and continuous manner. Classes of pregnant women are facilitated by midwives or health workers by using a package of classes for pregnant women, namely the MCH book, flip chart (turning sheet) (Ministry of Health Republic of Indonesia, 2011).
Pregnant mothers class is expected to increase knowledge, change the attitude and behavior of mothers to understand about pregnancy, body changes and complaints during pregnancy, pregnancy care, childbirth, postpartum care, postnatal family planning, infectious diseases and birth certificates (Ministry of Health Republic of Indonesia, 2011).
Implementing classes of pregnant women are generally midwives. Midwives in this case have the task as facilitators in the pregnant mothers class program, which in carrying out classes of pregnant women who can ask for help from resource persons to deliver material in certain fields (Kemenkes RI, 2011).

Based on a preliminary survey conducted with 10 Pregnant Women in West Aceh
District where 8 of them said that they did not get information or information from Midwives or Health Officers who carried out the program prior to the implementation of the Pregnant Mothers Class Program and there were still pregnant women who did not know of any class programs pregnant mother.
Based on the observations carried out in two posyandu, the lack of facilities and infrastructure is still lacking, such as a study room that is too small, so the process of providing maternal class material is not effective. Results of Interviews with Midwives or Health Officers who run the Pregnant Class Program The attitude of executors in carrying out tasks such as lack of commitment in carrying out the Pregnant Class Program and the lack of form of coordination and cooperation with community leaders and parties concerned so that socialization is still not going well.

Method
This type of research is descriptive qualitative research that is the method used to explore or analyze a study but not used to make broader conclusions (Sugiyono, 2012). The aim is to find

Conclusion
Based on the results of the study, it can be concluded that: 1. Implementation of the results of the research that has been done shows that the implementation is still not good, lack of funds from the Health Office to complete the facilities and infrastructure for the implementation of the Pregnant Women Class, and the lack of commitment from midwives in village midwives who carry out the class of pregnant women so that the implementation does not run smoothly , and the inappropriate implementation of activities with the Guidelines for Pregnant Women Classes so that the Implementation of the Pregnant Women Class Program in the work area of the Layung Health Center does not run optimally and effectively.
2. Communication of the results of research that has been done shows that communication between village midwives and pregnant women is still poor, such as village midwives who do not provide information or information prior to the implementation of the pregnant mothers class program, so that there are still many women who do not attend the mother's class and even have pregnant women who rarely come to the posyandu.