Latar Belakang: Meski cakupan antenatal care (ANC) cukup tinggi, diperlukan perhatian khusus karena penurunan angka kematian ibu masih jauh dari target. Salah satu aspek yang perlu dipertimbangkan adalah kualitas layanan ANC. Tujuan: Untuk mengevaluasi perbedaan kualitas pelayanan ANC antara bidan delima dan bidan non delima di Kabupaten Purworejo. Metode: Penelitian ini menggunakan rancangan cross-sectional. Populasi dan subjek penelitian ini bidan delima, bidan non delima, dan ibu hamil yang dipilih secara acak. Alat ukur yang digunakan adalah daftar checklist, kuesioner, dan pedoman wawancara mendalam. Analisa data menggunakan deskriptif, korelasi, ttest, chi-square (x2), repeated anova dan regresi linear. Hasil: Kualitas pelayanan ANC pada bidan delima dan non delima tidak signifikan (p??0,05; mean 26,8 dan 26,0 dari skor maksimal 36). Kualitas pelayanan ANC yang didapatkan klien di bidan delima tidak berbeda dengan di bidan non delima (p??0,05). Kualitas pelayanan ANC oleh bidan delima dan non delima memiliki hubungan yang signifikan terhadap kualitas pelayanan ANC yang didapatkan klien di bidan delima dan non delima (r=0,5 dan p=0,0). Tidak ada perbedaan pendidikan bidan, pelatihan bidan, dan masa kerja antara bidan delima dan non delima. Ketersediaan fasilitas pada bidan delima lebih lengkap dibandingkan dengan bidan non delima. Kesimpulan: Status bidan delima itu tidak ada pengaruhnya dalam hal kualitas pelayanan ANC. Klien bisa melaporkan kualitas, tidak harus diobservasi oleh peneliti.

Background: Even with relatively high coverage, antenatal care (ANC) still needs attention, especially since maternal mortality ratio (MMR) remains high. One aspect to be considered is quality of ANC services. Objective: To evaluate the differences of antenatal care quality between delima’s midwives and non delima’s midwifes in District of Purworejo. Methods: This research uses a cross-sectional design. These population and research subjects are delima’s midwives, non-delima’s midwifes, and pregnant women selected in random. Measurement instrument used was checklist, questionnaires, and in-depth interview guideline. Data analysis using descriptive, correlation, t-test, chi-square (x 2) , repeated measures analysis of variance and linear regression. Results: The ANC quality by delima’s midwife and non delima’s midwife insignificant (p??0,05; score 26,8 and 26,0 out of maximal score 36). The ANC quality obtained by clients in delima’s midwife no different than non delima’s midwife (p??0,05). The ANC quality by delima’s midwife and non delima’s midwife has a significant relationship to the ANC quality obtained by clients in delima’s midwife and non delima’s midwife (r:0,5 and p:0,0). There is no difference in the midwifes education, midwifes training, and working period between delima’s midwifes and non delima’s midwifes. The availability of facilities in delima’s midwife is more complete than non delima’s midwifes. Conclusions: Status of delima’s midwife was no effect in terms of the ANC quality. The client can report the quality, not to be observed by the researcher.

Kata Kunci : Evaluasi, Kualitas Pelayanan, Antenatal Care, Bidan Delima