Search Repository Universitas Fort De Kock

Di Indonesia pemanfaatan pertolongan persalinan oleh bidan masih rendah dibandingkan dengan indikator yang telah ditetapkan. Fenomena ini Sekitar 40% kelahiran bayi di Indonesia dibantu oleh dukun bayi. dukun bayi merupakan salah satu bagian yang cukup besar pengaruhnya dalam menentukan status kesehatan ibu dan bayi, banyak faktor yang mendasari dalam pemilihan penolong persalinan oleh tenaga non Nakes antara lain dipengaruhi oleh faktor sosial ekonomi, pendidikan, pengetahuan, pekerjaan, dukungan keluarga, keterjangkauan terhadap pelayanan kesehatan, serta sosial budaya karena Penelitian ini bertujuan untuk melihat faktor-faktor yang berhubungan dengan pemilihan penolong persalinan di Desa Tuapejat Kabupaten Kepulauan Mentawai tahun 2018. Jenis penelitian ini adalah analitik dengan desain penelitian cross sectional, populasi dalam penelitian ini adalah seluruh Ibu bersalin dari bulan Januari-Agustus tahun 2018 yang ada di Desa tuapejat Kabupaten Kepulauan Mentawai berjumlah 45 orang. Sampel dalam penelitian ini berjumlah 45 orang dengan menggunakan tekinik total sampling. Data dikumpulkan menggunakan Kuesioner dan dianalisis secara Univariat dan Bivariat menggunakan uji statistik chi-square. Hasil penelitian menunjukkan bahwa (60%) ibu memiliki ekonomi rendah, (62,2%) Jarak Pelayanan Kesehatan yang jauh, (44,4%) Ibu memiliki sosial budaya yang kurang baik, (37,8%) ibu mendapat dukungan keluarga yang kurang baik, (40%) ibu memilih penolong persalinan dengan tenaga non kesehatan. Ada hubungan status ekonomi (p=0.000), jarak pelayanan kesehatan (p=0,038), sosial budaya (p=0,000), dan dukungan keluarga (p=0,000) dengan pemilihan penolong persalinan. Disimpulkan status ekonomi, jarak pelayanan kesehatan, sosial budaya dan dukungan keluarga merupakan faktor yang berpengaruh terhadap pemilihan penolong persalinan. Diharapkan kepada tenaga kesehatan untuk peningkatan akses layanan kesehatan, dan perlu dilakukan pembinaan terhadap dukun bayi.

In Indonesia,the use of childbirth assistants by midwives is still low if it is compare with the established indicators. There are 40% of babies born in Indonesia helped by a shaman. Traditional birth attendants are a significant part of determining the health status of the mother and baby. There aresome factors that related to the selection of birth assistantsby non-health workers. It is influenced by socio-economic factors, education, knowledge, employment, family support, affordability of services health, and socio-culture. Because of this phenomenon, this research aims to look at some factors related to Childbirth Assistants Selection in Tuapejat Village,Mentawai Islands Regency in 2018. The type of this research was analytic with cross sectional research design. The populations were all maternity mothers from January to August 2018 in Tuapejat village, Mentawai Islands Regency. There were 45 people. Then, by using total sampling all populations were chosen as the samples. Then, the data had been collectedtrough questionnaires and it was analyzed by Univariate and Bivariate by using chi-square statistical test. The results of this research showed that 60%of the respondents had low economy status. Then, 62.2% of them said that the distancebetween health services and their housewere far. Next, 44.4%of the respondents had poor social culture. After that, 37.8% of them had low family support. Then, 40% of them chose the birth attendants with non-health workers. Moreover, there was a relationship between economic status (p = 0,000), distance of health services (p = 0,038), socio-cultural (p = 0,000), and family support (p = 0,000) with the selection of birth assistants. In short, it can be concluded economic status, distance of health services, socio-cultural and family support were some factors that influence the selection of birth assistants. Then, it is expected that the health workers increase the access to health services and it is necessary to provide guidance to traditional birth attendants.