The practice of birth preparedness and complication readiness (BPCR) in Panti District, Jember Regency

Devi Arine Kusumawardani, Ni'mal Baroya, Elok Permatasari


Background: High maternal mortality rates remain challenging in developing countries such as Indonesia. These maternal deaths are preventable with appropriate management and care. Birth preparedness and complication readiness (BPCR) is a crucial strategy for making prompt decisions to seek care resulting in reduced maternal mortality. Jember regency is one of the districts that rank first until the end of 2021 with the highest death rate in East Java and nationally.  

Objectives: This study aims to assess the proportion of BPCR practices and the aspect of BPCR in pregnant women.

Methods: This descriptive research was conducted among pregnant women in the working area of Panti Primary Health Service, Jember Regency as Primary Health Services with the highest maternal mortality rate in Jember regency in 2020. This study was conductedfrom August to November 2021. A total of 110 pregnant women were recruited by simple random sampling. The respondents were interviewed using the BPCR index, adapted from the John Hopkins Program for International Education in Gynecology and Obstetrics to identify nine indicators of BPCR.

Results: The proportion of good BPCR in pregnant women was 60,00%. The most mentioned aspect of BPCR was planning transportation (89,10%) and planning to give birth with a skilled provider (82,7%). The elements that pregnant women are least prepared for are aware of the danger signs during pregnancy, childbirth, and postpartum.

Conclusions: The proportion of good BPCR among pregnant women was moderate. Community-based health education about preparation for birth and awareness of danger signs during pregnancy, labor, and postpartum is crucial to prevent maternal mortality.


birth preparedness; complication readiness; danger signs; education; maternal mortality

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WHO, UNICEF, UNFPA WBG and the UNPD. Maternal Mortality [Internet]. Geneva, Switzerland: World Health Organization. 2019. Available from:

Indonesia KKR. Profil Kesehatan Indonesia 2018 [Internet]. 2018th ed. Vol. 1227. Kemenkes RI; 2018. 496 p. Available from: website:

Dinas Kesehatan Provinsi Jawa Timur. Profil Kesehatan Provinsi Jawa Timur 2020 [Internet]. Dinas Kesehatan Provinsi Jawa Timur. Dinas Kesehatan Provinsi Jawa Timur; 2020. 1–123 p. Available from:

Teekhasaenee T, Kaewkiattikun K. Birth preparedness and complication readiness among pregnant women in Southern Ethiopia. Adolescent Health Medicine and Therapeutics. 2020;1(1):1–8.

Andarge E, Nigussie A, Wondafrash M. Factors associated with birth preparedness and complication readiness in Southern Ethiopia: a community based cross-sectional study. BMC Pregnancy Childbirth. 2017;17(1):412.

Soubeiga D, Gauvin L, Hatem MA, Johri M. Birth Preparedness and Complication Readiness (BPCR) interventions to reduce maternal and neonatal mortality in developing countries: Systematic review and meta-analysis. BMC Pregnancy Childbirth. 2014;14(1):1–11.

Bintabara D, Mohamed MA, Mghamba J, Wasswa P, Mpembeni RNM. Birth preparedness and complication readiness among recently delivered women in chamwino district, central Tanzania: A cross sectional study “Obstetrics.” Reprod Health [Internet]. 2015;12(1):1–8. Available from: Biomed Central

Kamineni V, Murki A, Kota V. Birth preparedness and complication readiness in pregnant women attending urban tertiary care hospital. Journal of Primary Medicine and Family Care. 2017;6(2):297.

ize A, Eyassu A, Nigatu B, Eshete M, Wendwessen N. Men’s knowledge and involvement on obstetric danger signs, birth preparedness and complication readiness in Burayu town, Oromia region, Ethiopia. BMC Pregnancy Childbirth. 2019;19(1):1–9.

Kakaire O, Kaye DK, Osinde MO. Male involvement in birth preparedness and complication readiness for emergency obstetric referrals in rural Uganda. Reprod Health [Internet]. 2011;8(1):12. Available from:

Gebreyesus H, Berhe T, Teweldemedhin M. Birth preparedness as a precursor to reduce maternal morbidity and mortality among pregnant mothers in Medebay Zana District, Northern Ethiopia. BMC Research Notes [Internet]. 2019;12(1):1–6. Available from:

Tancred T, Marchant T, Hanson C, Schellenberg J, Manzi F. Birth preparedness and place of birth in Tandahimba district, Tanzania: What women prepare for birth, where they go to deliver, and why. BMC Pregnancy Childbirth [Internet]. 2016;16(1):1–9. Available from:

Debelew GT, Afework F, Yalew AW. Factors affecting birth preparedness and complication readiness in Jimma Zone, Southwest Ethiopia: A multilevel analysis. Pan African Medical Journal. 2014;19:1–14.

Anindya K, Lee JT, McPake B, Wilopo SA, Millett C, Carvalho N. Impact of Indonesia’s national health insurance scheme on inequality in access to maternal health services: A propensity score matched analysis. Journal of Global Health. 2020;10(1):1–12.

Haile D, Habte A BB. Determinants of Frequency and Content of Antenatal Care in Postnatal Mothers in Arba, Ethopia. International Journal of Women's Health. 2020;953–64.

Bogale B, Astatkie A, Wakgari N. Effect of Pregnant Mothers’ Forum Participation on Birth Preparedness and Complication Readiness among Pregnant Women in Dale District, Southern Ethiopia: A Comparative Cross-Sectional Study. Journal of Pregnancy. 2019;2019.

Belda SS, Gebremariam MB. Birth preparedness, complication readiness and other determinants of place of delivery among mothers in Goba District, Bale Zone, South East Ethiopia. BMC Pregnancy Childbirth [Internet]. 2016;16(1):1–12. Available from:

Moran AC, Jolivet RR, Chou D, Dalglish SL, Hill K, Ramsey K, et al. A common monitoring framework for ending preventable maternal mortality, 2015-2030: Phase I of a multi-step process. BMC Pregnancy Childbirth [Internet]. 2016;16(1):1–13. Available from:

Pindani M, Chilinda I, Botha J, Chorwe-Sungani G. Exploring community support on safe motherhood: A case of Lilongwe District, Malawi. African Journal of Primary Health Care and Family Medicine. 2021;13(1):1–7.

Kalisa R, Smeele P, van Elteren M, van den Akker T, van Roosmalen J. Facilitators and barriers to birth preparedness and complication readiness in rural Rwanda among community health workers and community members: a qualitative study. Maternal Health, Neonatology, and Perinatology. 2018;4(1):1–7.

Berhe AK, Muche AA, Fekadu GA, Kassa GM. Birth preparedness and complication readiness among pregnant women in Ethiopia: A systematic review and Meta-analysis. Reproductive Health. 2018;15(1):1–10.

Sanogo NA, Yaya S. Wealth Status, Health Insurance, and Maternal Health Care Utilization in Africa: Evidence from Gabon. Biomed Research International. 2020;2020.

Wang W, Temsah G, Mallick L. The impact of health insurance on maternal health care utilization: Evidence from Ghana, Indonesia and Rwanda. Health Policy Plan. 2017;32(3):366–75.

Solnes Miltenburg A, Roggeveen Y, van Elteren M, Shields L, Bunders J, van Roosmalen J, et al. A protocol for a systematic review of birth preparedness and complication readiness programs. Systematic Reviews [Internet]. 2013;2(1):11. Available from: Systematic Reviews

JHPIEGO. Monitoring birth preparedness and complication readiness. Tools and indicators for maternal and newborn health. Baltimore; 2004.

Kusumawardani, D. A., & Wahyuningtyias F. Faktor Predisposisi Implementasi Suami Siaga Selama Pandemi Covid-19 Di Kabupaten Jember. Ikesma. 2021;17(November):13–21.

Tadesse M, Boltena AT, Asamoah BO. Husbands’ participation in birth preparedness and complication readiness and associated factors in Wolaita Sodo town, Southern Ethiopia. African Journal of Primary Health Care and Family Medicine. 2018;10(1):1–8.

Zepre K, Kaba M. Birth preparedness and complication readiness among rural women of reproductive age in Aabeshige district, Gguraghe zone, SNNPR, Eethiopia. International Journal of Women's Health. 2017;9:11–21.



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