Public Health Management Strategies in Optimizing the Role of Village Midwives as Agents of Change in Mental Health Awareness among Pregnant and Breastfeeding Women

Abstract

Mental health is a fundamental dimension of public health that is often overlooked, especially in rural areas where stigma and limited access to services are still prevalent. This study aims to analyze in depth the role of village midwives as agents of change in increasing mental health awareness in rural communities through a community empowerment-based public health management approach. The research method used a descriptive qualitative approach with data collection techniques through in-depth interviews, participatory observation, and documentation of village midwives, health cadres, and target communities. Data analysis was conducted thematically through reduction, presentation, and conclusion drawing stages. The results show that village midwives play a role not only as providers of basic health services but also as social facilitators who initiate public dialogue, mental health education, and community support networks. Empathetic communication strategies and cross-sector collaboration proved effective in reducing stigma and improving mental health literacy among the community. This study emphasizes the importance of repositioning the role of village midwives as key actors in community-based mental health management. These findings recommend strengthening the capacity of village midwives through psychosocial training and integrating mental health policies into community health programs at the village level.