The The Phenomenon of Non-Medical Assistance in Childbirth in the Work Area of UPT Community Health Center Palangkau

  • Ika Avrilina Haryono Diploma of Midwifery Faculty of Health, Sari Mulia University
  • Mira Marsela Bachelor’s Degree of Midwifery Program, Faculty of Health, Sari Mulia University
  • Desilestia Dwi Salmarini Bachelor’s Degree of Midwifery Program, Faculty of Health, Sari Mulia University
Keywords: Childbirth, Non-healthcare personnel

Abstract

The assistance of midwives in childbirth is one of the strategies related to maternal and child health issues. In Indonesia, the utilization of midwifery assistance in the community is still low compared to the expected indicators. According to data from Palangkau Community Health Center in 2022, there were 7 mothers assisted by non-medical personnel during childbirth. Several factors influence the choice of childbirth assistance, including the distance to health facilities, transportation, trust, costs, and others.

The aim of this research is to describe the phenomenon of childbirth assistance by non-medical personnel in the work area of UPT Community Health Center Palangkau. It is a descriptive study with a qualitative approach. The main informants are 10 mothers who gave birth with the assistance of traditional birth attendants from 2022 to 2023.

The research results indicate that all mothers prefer and utilize assistance from traditional birth attendants due to the strong community trust in them, as well as the generational aspect. Other influencing factors include the cost of childbirth, the distant location of health facilities, inactive health insurance, and issues related to still having to pay for childbirth even with health insurance, as well as inadequate transportation.

Therefore, health policy solutions and interventions need to be holistic, considering various factors influencing community decisions. This poses a significant challenge in achieving optimal maternal health while highlighting potential opportunities to enhance childbirth services and strengthen maternal health systems.

References

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Alaofe, H., Lott, B., Kimaru, L., Okusanya, B., Okechukwu, A., Chebet, J., Meremikwu, M., & Ehiri, J. (2020). Emergency transportation interventions for reducing adverse pregnancy outcomes in low-and middle-income countries: A systematic review. Annals of Global Health, 86(1), 1–18. https://doi.org/10.5334/aogh.2934
Alhidayati, A., & Asmuliyanti, A. (2016). Perilaku Ibu dalam Memilih Tenaga Penolong Persalinan di Wilayah Kerja Puskesmas Tembilahan Hulu Tahun 2016. Jurnal Kesehatan Reproduksi, 3(3), 155. https://doi.org/10.22146/jkr.36036
Andersen, A. M. N., Vastrup, P., & Madsen, M. (2018). Public Health Care System and Maternity Care: A Scandinavian Perspective. Journal of Public Health, 35 (5)245-.
Dewi R, Widyarini A, U. S. (2020). Patient Satisfaction with Private vs. Public Healthcare Services in Indonesia. Health Policy and Planning, 35 (7), 831–839.
Dian Reja Adila, H.M. Natsir Nugroho, I. (2020). A Phenomenology Study : The Experience Of Mother Workers And Traditional Birth Attendants. 6(3), 44–55.
Dinas Kesehatan Kota Palangkaraya. (2022). Provinsi Kalimantan Tengah. Simreg Bappenas, 16, 1–36. https://simreg.bappenas.go.id/assets/temaalus/document/Publikasi/DokPub/Analisis Provinsi Kalimantan Tengah 2015_ok.pdf
Dinkes, K. K. (2022). Profil Kesehatan Kabupaten Kapuas 2022. Dinkes Kabupaten Kapuas.
Euis Julaeha. (2023). Hubungan Pengetahuan, Peran Keluarga Dan Kepemilikan Jaminan Kesehatan Dengan Pemilihan Penolong Persalinan Pada Ibu Hamil Di Desa Batuhideung Kecamatan Cimanggu Pandeglang Banten Tahun 2022. Dohara Publisher Open Access Journal, 4(1), 1–7. http://kiss.kstudy.com/journal/thesis_name.asp?tname=kiss2002&key=3183676
Kemenkes RI. (2021). Profil Kesehatan Indonesia 2020. In Science as Culture (Vol. 1, Issue 4). Kemenkes RI. https://doi.org/10.1080/09505438809526230
Kemenkes RI. (2022). Turunkan angka Kematian Ibu, Menkes Canangkan Gerakan Bumil sehat. https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20221222/2142090/turunkan-angka-kematian-ibu-menkes-canangkan-gerakan-bumil-sehat/
Novianty, B., Pangestu, G. K., & Ciptiasrini, U. (2023). Hubungan Persepsi Ibu Tentang Linfaskes, Sumber Informasi Dan Dukungan Suami Terhadap Pemilihan Penolong Persalinan Oleh Ibu Bersalin Di Puskesmas Wanaraja Kabupaten Garut Tahun 2023. SENTRI: Jurnal Riset Ilmiah, 2(11), 4780–4794. https://doi.org/10.55681/sentri.v2i11.1814
Panda. (2023). Masalah Transportasi dalam Akses Layanan Kesehatan di Pedasaan. https://www.panda.id/masalah-transportasi-dalam-akses-ke-layanan-kesehatan-di-pedesaan/
Rokom. (2023). Turunkan Angka Kematian ibu melalui Deteksi Dini dengan Pemenuhan USG di Puskesmas. Sehatnegriku.Kemenkes.Go.Id. https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20230115/4842206/turunkan-angka-kematian-ibu-melalui-deteksi-dini-dengan-pemenuhan-usg-di-puskesmas/
Rosenthal, T., McBride, J., & Sanders, T. (2019). Comparative Analysis of Childbirth Costs: United States vs. Other Developed Countries. Health Economics Review, 29(2), 201–218.
Salsabila, N., Yusrani, K. G., Annajah, S., Azzahra, K. A., & Sabrina, R. S. N. (2023). The Comparative Analysis of Inpatient Service at Public Hospitals and Private Hospitals in Order to Improve Patient Satisfication : A Literature Review. Usada Nusantara: Jurnal Kesehatan Tradisional, 1(2), 65–78. https://e-journal.nalanda.ac.id/index.php/usd/article/view/250
Siregar, M. L. (2022). Deteminan Ibu Hamil dalam Pemilihan Tenaga Penolong Persalinan di Wilayah Kerja Puskesmas Naga Saribu Kabupaten Padang Lawas Utara. Universitas Islam Negri Sumatra Utara.
WHO. (2020). World Health Statistics 2020 Monitoring Health for the SDG’S (Vol. 2507, Issue 1). http://journal.um-surabaya.ac.id/index.php/JKM/article/view/2203
Yuliani, I., Setyowati, L., & Rohmatin, H. (2023). Perbedaan Pelayanan Persalinan Bidan Dan Dukun Dari Sudut Pandang Pasien Didusun Dadapan Puskesmas Andongsari. SAINTEKES: Jurnal Sains, Teknologi Dan Kesehatan, 2(4), 476–485. https://doi.org/10.55681/saintekes.v2i4.161
Published
2024-06-11
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