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Maternal health program in rural development is an attempt to get closer access to maternal health services that are expected to reduce the occurrence of maternal deaths. The placement of midwives to villace is important to delivery and refferal accesed. Objectives: This study aims to determine the contributions of midwives who live in the same villages where the mother stay for the purpose of refferal mechanism work to prevent maternal deaths as well as evaluating the midwives performance.fatcat:vbgiwgytvfa7fe2tryzi3xmx6i