Mother and child health local area monitoring system "Pemantauan Wilayah Setempat-Kesehatan Ibu dan Anak" (PWS-KIA) as a mean of management KIA's program to observe KIA program services continually with scope at a work area. Registration in Tangerang district and PWS-KIA recording reporting system were well conducted, but still not yet applied accordingly as the system. This research aimed to determine village midwive ("bides") practices towards registration and PWS-KIA recording reporting

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... m. The benefits of the study were evidenced data supporting policy and intervention to decrease maternal and child mortality rate ("angka kematian anak-AKA"). The respondents consists of village midwives, midwives coordinators at Puskesmas and heads of Puskesmas. Focus Group Discussion (FGD) was conducted for village midwives, while indepth interview for the midwives coordinators and heads of puskesmas.The results showed that informans, midwives, were aged 22-37 years old, diploma 1 (DI) in midwifery and not official/permanent workers " bukan pegawai negeri sipil/PNS". Reason that village midwives were lazy or not doing the registration and PWS-KIA recording reporting because too many registration/reporting should be conducted by the village midwives. There was no kohort for m for pregnant women, there as no kohort form for babies, and under five, "kesehatan ibu dan anak"-KIA's book and mother's "kartu menuju sehat"-KMS and also there is no children under five, Other forms must be boughyt or copied by village midwieves themselves. Midwives usially discussed among themselves at Puskesmas and made the report together with the guidance of widwife coordinator. Midwife working divices were very limited. It is recommended thta the Puskesmas or district public health services should provide registration forms and PWS-KIA report forms. Abstrak. Sistem Pemantauan Wilayah Setempat Kesehatan Ibu dan Anak (PWS-KIA) sebagai alat management program KIA untuk memantau cakupan pelayanan KIA di suatu wilayah kerja secara terus menerus. Di Kabupaten Tangerang pelaksanaan pencatatan dan pelaporan sistem PWS-KIA sudah berlangsung, namun masih belum menerapkan sesuai dengan sistem yang ada. Tujuan untuk mengetahui prilaku bidan di desa (bides) terhadap pencatatan dan pelaporan sistem PWS-KIA. Manfaat sebagai dukungan "evidence data" yang melandasi kebijakan dan intervensi penurunan AKI dan AKA. Ruang lingkup penelitian meliputi bidan di desa, bidan koordinator di Puskesmas dan kepala Puskesmas. Dimana para bidan di desa akan dilakukan focus group discussion (FGD) sedangkan bidan koordinator dan kepala puskesmas akan dilakukan indepth interview. Hasilnya informan (bidan) berusia 22-37 tahun, berpendidikan DI Kebidanan dan pegawai tidak tetap/ bukan PNS. Alasan para bidan di desa malas melakukan pencatatan dan pelaporan PWS-KIA karena terlalu banyak pencatatan/pelaporan yang harus dikerjakan oleh bidan di desa, termasuk menjalankan tugas profesi selaku bidan. Juga para bidan di desa ini dimintakan oleh pimpinan puskesmas untuk membantu tugas-tugas kebidanan di Puskesmas atau jaga malam di bagian kebidanan puskesmas. Form kohort ibu hamil tidak ada, kohort bay! tidak ada, buku KIA dan KMS ibu dan balita juga tidak ada, dan form-form yang lain harus dibeli atau difotocopy sendiri oleh bides. Sesama bidan di desa saling berdiskusi dan malah membuat laporan bersama-sama di puskesmas. Mendapat bimbingan dari bidan koordinator puskesmas. Peralatan tugas bidan di desa sangat terbatas. Disarankan sebagai berikut Puskesmas atau Dinas Kesehatan Kab seharusnya menyediakan/mencetak form-form pencatatan dan pelaporan PWS-KIA