Penelitian ini didasari masih tingginya angka kematian ibu dan angka kematian bayi di Indonesia dan khususnya di Kabupaten Buton, dan telah dilakukannya pelatihan APD bagi bidan di desa di Kabupaten Buton dan belum ada gambaran dampak pelatihan APD terhadap mutu proses persalinan. Penelitian dilakukan di Kabupaten Buton bagi bidan di desa yang telah mendapat pelatihan APD dan di Kabupaten Muna bagi bidan di desa yang tidak mendapatkan pelatihan APD. Dilaksanakan pada bulan Januari hingga Mei 2001. Jenis penelitian ini adalah deskriptif analitik dengan desain penelitian Cross Sectional. Teknik pengumpulan data menggunakan instrumen observasi untuk kepatuhan bidan terhadap proses persalinan dan kuesioner untuk karakteristik dan motivasi bidan di desa. Hasil yang didapatkan adalah ada perbedaan mutu proses persalinan antara bidan di desa yang mendapat pelatihan dengan tidak mendapat pelatihan APD (p value = 0,049 a = 0,05). Ada perbedaan mutu proses persalinan antara kelompok umur lebih atau sama dengan 32 tahun dengan kurang dari 32 tahun (p value = 0,018 a = 0,05), serta ada perbedaan mutu proses persalinan antara bidan di desa dengan masa kerja lebih atau sama dengan 11 tahun dan kurang dari 11 tahun (p value = 0,012 ct = 0,05). Untuk motivasi bidan di desa antara yang pelatihan APD dan tidak pelatihan tidak ada perbedaan yang bermakna (p value = 0,388 a = 0,05). Kesimpulan dari pelatihan ini ada perbedaan yang bermakna antara pelatihau APD dan mutu proses persalinan serta ada perbedaan mutu proses persalinan berdasarkan kelompok umur dan masa kerja. Sehingga bagi penyelenggara dan pelaksana program pelatihan APD tetap dilaksanakan dengan perbaikan pada metode, materi, waktu dan fasilitator pelatihan, juga diperlukan dukungan pelatihan lain yaitu pelatihan komunikasi. Bagi Dinas Kesehatan Propinsi Sulawesi Tenggara perlu memikirkan untuk pemerataan pelatihan APD bagi bidan di desa di Kabupaten-kabupaten lain di Propinsi Sulawesi Tenggara.

Analysis Training Impact of Basic Upbringing Childbirth toward Childbirth Process Quality by Midwife in Town of Buton Regency in 2001This research was still based on the high rate of Mother Death and the Baby Death in Indonesia, especially in Buton regency. The research of Basic Upbringing childbirth for midwife which had been done in Buton regency of the impact for this research toward the child birth process quality had not give the description yet. This research was done in Buton Regency for midwife in town which got the training of Basic Upbringing Childbirth and in Muna regency for the midwife who didn't get the same training on January until May 2001. Type of this research was Descriptive analytic with construction Cross Sectional. Technique of data finding was by using instrument observation for discipline of the midwife to the childbirth Process Quality and questioner for characteristics and motivation. The result that the writer got was the differences of childbirth process quality between the midwife in town which got the training as compared to the midwife which didn't got it (P value = 0,049 a = 0,05). There are the differences of the Childbirth process quality between group of ages more than or same as 32 years old with the group less than 32 years old (P value = 0,018 a = 0,05), and the differences of childbirth process quality between the midwife in town by the time of working same or more than 11 years (P.value 0,012 0 = 0,05 ). There is no urgent differences for the motivation of midwife which got the training with the midwife which didn't get it (P value = 0,388 a = 0,05 ). Conclusion of this research is the urgent differences between training of Basic Upbringing Childbirth and the childbirth process quality and also the differences of childbirth process quality which based on group of ages and based on the time of working. So, for the committee and the organizer of this program still rearrange the method, materials, time and training facilitator. Beside that, it is important to add another kinds of training, such as communication training, completed with own evaluation of training method, the mutual standard, which was decided and can be obeyed by the midwife in town. For the health official of southeast Sulawesi have to consider the even distribution of Basic Upbringing Childbirth for midwife in town of regencies in southeast Sulawesi.