THE EFFECTIVENESS OF THE CONTINUITY OF CARE MODEL IN IMPROVING MATERNAL AND NEONATAL SAFETY IN COMMUNITY-BASED MIDWIFERY SERVICES

Abstract

This study aims to analyze the effectiveness of the continuity of care model in enhancing maternal and neonatal safety within community-based midwifery services. A qualitative research approach with a case study design was employed, as it allows for an in-depth exploration of processes, experiences, and contextual factors related to the implementation of continuous midwifery care at the primary healthcare level. The case study design enables a comprehensive understanding of continuity of care practices, including the dynamics of the midwife–mother relationship and the mechanisms of service coordination. The study was conducted at Cibadak Primary Health Center, Sekarwangi Primary Health Center, and several independent midwifery practices in Sukabumi Regency, West Java, Indonesia. Seven informants were purposively selected based on their direct involvement and relevance to the research focus, consisting of three practicing midwives, two mothers who received continuity of care–based midwifery services, and two primary healthcare managers. The findings indicate that the implementation of continuity of care contributes to improved maternal and neonatal safety through continuous monitoring, early risk detection, strengthened service coordination, and enhanced maternal perceptions of security. This study recommends strengthening the implementation of continuity of care as a core strategy in community midwifery services to sustainably support maternal and neonatal safety.