Evaluation of the continuity of care (CoC) development model in midwifery care
DOI:
https://doi.org/10.35335/midwifery.v14i2.2166Keywords:
Childbirth, CoC, Midwifery Care, Postpartum, PregnancyAbstract
The Continuity of Care (CoC) development model is designed to improve the quality and continuity of midwifery services during pregnancy, childbirth, the postpartum period, infant care, and contraceptive use. Ensuring that these services are safe, effective, timely, efficient, equitable, and woman-centered can enhance maternal and neonatal health outcomes. This study aimed to evaluate the implementation of the CoC development model in midwifery services. A descriptive research design was used to assess the application of the CoC development model in three health centers: Sikumana, Alak, and Bakunase. The study population consisted of midwives working in these areas, selected using purposive sampling. Data were analyzed using univariate analysis. The implementation of the CoC development model in midwifery services was carried out well, though with varying levels of achievement across the stages of care. The implementation during pregnancy was categorized as very good (14.87%), during childbirth as very good (11.30%), and during the postpartum period as good (13.42%). The CoC development model has been effectively implemented in midwifery services, contributing to improved continuity and quality of care for mothers and newborns, although further enhancement is needed to ensure consistency across all stages.
Downloads
References
Hilmah, S., Sutarno, M., & Laksamana Jati, B. (2025). ANALISIS KUALITAS PELAYANAN BIDAN DALAM ANTE NATAL CARE DI PUSKESMAS KLARI KARAWANG JAWA BARAT TAHUN 2025. Jurnal Ners, 4(4), 6832–6844. http://journal.universitaspahlawan.ac.id/index.php/ners
Homer, C. S. (2016). Models of maternity care: Evidence for midwifery continuity of care. Medical Journal of Australia, 205(8), 370–374. https://doi.org/10.5694/mja16.00844
Jaoza, S. N., & Fitria, I. J. (2025). ANALISIS KUALITAS PENGEMBANGAN PROFESIONAL BERKELANJUTAN DI BIDAN WIDIARTI KIANGROKE. Jurnal Online Manajemen ELPEI, 5(2), 1618–1622. http://jurnal.stim-lpi.ac.id/index.php/elpei
NSW Ministry of Health. (2023). Continuity of Care Models - A Midwifery Toolkit. NSW Ministry of Health. www.health.nsw.gov.au
Ramadani, S. A., Ciselia, D., Ernawati, W., & Aisyah, S. (2024). Hubungan Pendidikan, Pekerjaan, dan Kepemilikan Jaminan Kesehatan Dengan Pelaksanaan Continuity of Care di Bidan Praktik Mandiri. Lentera Perawat, 5(1), 1–7.
Rayment-Jones, H., Silverio, S. A., Harris, J., Harden, A., & Sandall, J. (2020). Project 20: Midwives’ insight into continuity of care models for women with social risk factors: what works, for whom, in what circumstances, and how. Midwifery, 84. https://doi.org/10.1016/j.midw.2020.102654
Renfrew, M. J., McFadden, A., Bastos, M. H., Campbell, J., Channon, A. A., Cheung, N. F., Silva, D. R. A. D., Downe, S., Kennedy, H. P., Malata, A., McCormick, F., Wick, L., & Declercq, E. (2014). Midwifery and quality care: Findings from a new evidence-informed framework for maternal and newborn care. In The Lancet (Vol. 384, Number 9948, pp. 1129–1145). Lancet Publishing Group. https://doi.org/10.1016/S0140-6736(14)60789-3
Sandall, J. (n.d.). The contribution of continuity of midwifery care to high quality maternity care. Retrieved www.rcm.org.uk
Sandall, J. (2017). The contribution of continuity of midwifery care to high quality maternity care. The Royal College of Midwives, 16. https://www.rcm.org.uk/sites/default/files/Continuity of Care A5 Web.pdf
Sandall, J. (2018). Measuring Continuity of Carer: A monitoring and evaluation framework. (November), 20.
Sandall, J., Fernandez Turienzo, C., Devane, D., Soltani, H., Gillespie, P., Gates, S., Jones, L. V., Shennan, A. H., & Rayment-Jones, H. (2024a). Midwife continuity of care models versus other models of care for childbearing women. In Cochrane Database of Systematic Reviews (Vol. 2024, Number 4). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD004667.pub6
Sandall, J., Fernandez Turienzo, C., Devane, D., Soltani, H., Gillespie, P., Gates, S., Jones, L. V., Shennan, A. H., & Rayment-Jones, H. (2024b). Midwife continuity of care models versus other models of care for childbearing women. In Cochrane Database of Systematic Reviews (Vol. 2024, Number 4). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD004667.pub6
Sandall, J., Soltani, H., Gates, S., Shennan, A., & Devane, D. (2016). Midwife-led continuity models versus other models of care for childbearing women. In Cochrane Database of Systematic Reviews (Vol. 2016, Number 4). John Wiley and Sons Ltd. https://doi.org/10.1002/14651858.CD004667.pub5
Tenggara, E. N., Giri, M. A., & Indrawan, I. W. A. (2020). The Quality of Maternal Health Services Improves the Continuity of Midwifery Services at the Community Health Center in Kupang City ,. 0966(4), 2012–2015. https://doi.org/10.36349/EASJNM.2020.v02i04.010
Triana, A. (2021). DOMINANT FACTORS AFFECTING THE PERFORMANCE OF MIDWIVES IN CONTINUITY OF CARE IN MATERNITY HOSPITAL AND MIDWIFE INDEPENDENT PRACTICE IN PEKANBARU CITY. Jurnal Kebidanan Malahayati, 7(3), 398–403. https://doi.org/DOI10.33024,http://ejurnalmalahayati.ac.id/index.php/kebidanan
Tunçalp, Pena-Rosas, J. P., Lawrie, T., Bucagu, M., Oladapo, O. T., Portela, A., & Metin Gülmezoglu, A. (2017). WHO recommendations on antenatal care for a positive pregnancy experience—going beyond survival. BJOG: An International Journal of Obstetrics and Gynaecology, 124(6), 860–862. https://doi.org/10.1111/1471-0528.14599
Tunçalp, Were, W. M., Maclennan, C., Oladapo, O. T., Gülmezoglu, A. M., Bahl, R., Daelmans, B., Mathai, M., Say, L., Kristensen, F., Temmerman, M., & Bustreo, F. (2015). Quality of care for pregnant women and newborns - The WHO vision. BJOG: An International Journal of Obstetrics and Gynaecology, 122(8), 1045–1049. https://doi.org/10.1111/1471-0528.13451
World Health Organization (WHO). (2016). WHO Recommendations on antenatal care for a positive pregnancy experience.
World Health Organization (WHO). (2021). Maternal Mortalily. Https://Www.Who.Int/. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
Wuriningsih, A. Y., Wahyuni, S., Rahayu, T., Distinarista, H., Astuti, I. T., Khasanah, N. N., Susanto, H., Wijayanti, K., Luthfa, I., & Nu’im Haiya, N. (2017). Pendampingan Ibu Hamil Melalui Program One Student One Client (Osoc) Di Wilayah Kerja Puskesmas Genuk Semarang. Prosiding Seminar Nasional & Internasional, 1(1), 720–729. https://jurnal.unimus.ac.id/index.php/psn12012010/article/download/3113/3017
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Ummi Saleh, Mareta B. Bakoil, Firda Kalzum Kiah, Wahidah Sukriani, Noordiaty Noordiaty, Chendy Sofianty Pelatta

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.


