Search Repository Universitas Fort De Kock

Kematian ibu di Indonesia masih banyak terjadi tanpa pertolongan tenaga kesehatan, keterlambatan akses menerima perawatan dan sebagainya. Kurangnya pengetahuan tenaga non kesehatan/dukun bersalin, khususnya yang berkaitan dengan tanda bahaya kehamilan dan persalinan. Tujuan Penelitian untuk menganalisis Persalinan dengan non tenaga kesehatan di Desa Tandai Kabupaten Solok Selatan. Desain penelitian yang digunakan penelitian kualitatif. Informan pada penelitian terdiri dari 1 orang staff dinas kesehatan Kabupaten Solok Selatan, kepala puskesmas Lubuk Gadang, 2 orang bidan, 2 orang kader, 2 orang tokoh masyatakat, 2 orang ibu bersalin, 2 keluarga ibu bersalin, dan 2 orang dukun. Data yang digunakan adalah wawancara mendalam, observasi dan telaah dokumen. Analisa data dilakukan dengan matriks triangulasi. Hasil penelitian didapatkan bahwa SDM di
Puskesmas dan Desa Tandai sudah cukup berpengalaman dan memiliki sertifikat pelatihan, Sarana dan prasarana di Pustu dan polindes Desa Tandai belum lengkap dan memadai, tidak ada dana khusus untuk ibu persalinan. Dana informan menggunakan BPJS dan dana pribadi, Budaya bersalin di pustu tandai ada meminum minyak goreng, air kembang sepatu untuk memudahkan persalinan, lalu dukun melakukan pemijatan payudara agar ASI keluar lalu acara turun mandi, Kebijakan dari puskesmas mengacu pada kebijakan dinas kesehatan. Faktor yang mempengaruhi persalinan dengan non tenaga kesehatan adalah ekonomi, budaya dan sarana dan prasarana. Berdasarkan hasil penelitian disimpulkan bahwa SDM, Sarana dan Prasarana, dana masih belum memadai di Desa Tandai serta budaya bersalin merupakan penyebab banyaknya ibu hamil yang bersalin dengan non tenaga kesehatan. Maka disarankan untuk Puskesmas Lubuk gadang agar meningkatkan lagi promosi dan program pelayanan kesehatan.

Maternal deaths in developing countries, including in Indonesia, still occur at home, without the help of health workers, delays in access to quality care and so on. Lack of knowledge of the ability of non-health workers / birth attendants is still lacking, especially with regard to danger signs, risks of pregnancy and childbirth and their referrals. The purpose of this study was to analyze labor with nonhealth workers in Tandai Village, South Solok Regency. The research design used is a qualitative research. The informants in this study consisted of 1 staff from the South Solok District Health Office, the head of the Lubuk Gadang Public Health Center, 2 midwives, 2 cadres, 2 community leaders, 2 mothers giving birth, 2 families of mothers giving birth, and 2 traditional healers. The data used are in-depth interview techniques, observation and document review. Data analysis was done by triangulation matrix. The results showed that the human resources at the Puskesmas and those in Tandai Village were experienced enough and had training certificates, the facilities and infrastructure at the Pustu and Polindes in Tandai Village were not complete and adequate, there were no special funds for childbirth mothers. Informants' funds in childbirth use BPJS and personal funds, Maternity culture at the pustu is marked by drinking cooking oil, hibiscus water to facilitate delivery, then the shaman does breast massage so that the milk comes out and then showers, the policy from the puskesmas refers to the policy of the health department. Factors that affect childbirth with non-health workers are economy, culture and facilities and infrastructure. Based on the results of the study, it was concluded that human resources, facilities and infrastructure, funds were still insufficient in Tandai Village and the maternity culture was the cause of the large number of pregnant women who gave birth with non-health workers. So it is recommended for the Lubuk Gadang Health Center to further improve promotions and health service programs.