Faktor-Faktor Yang Berhubungan dengan Pemilihan Tempat Persalinan di Wilayah Kerja Puskesmas Tarus

Abstract

Puskesmas Tarus is the only puskesmas in Kupang Regency that has always contributed to maternal death cases since 2016-2018. The number of maternal deaths at the Tarus Health Center in 2016 was 2 cases, in 2017 1 case and in 2018 1 case. The direct cause of maternal death at the Tarus Health Center in 2020 was due to heavy bleeding and preeclampsia and childbirth was carried out at home. Therefore, the decision to choose a health facility as a place of delivery is very important to help prevent the occurrence of maternal death due to 3 late (3T) which is a factor in indirectly causing maternal death. This study aims to determine the relationship between knowledge, family income, personal autonomy, culture, accessibility, and family support with the selection of a place of delivery in the Tarus Health Center Work Area in 2022. This type of research is quantitative research that is an analytical survey with a cross-sectional research design. The size of the sample in this study of 65 people was determined by the Probability Sampling technique using a simple random sampling method. The data were then analyzed using the spearman correlation rank test. The results showed that there was a relationship between the level of knowledge (ρ = 0.000), income (ρ = 0.000), personal autonomy (ρ = 0.035) and family support (ρ = 0.025) with the selection of a place of delivery in the Tarus Health Center Working Area in 2022. Health workers who handle Maternal and Child Health (MCH) are expected to be able to carry out counseling activities with print media, electronic media, as well as other websites or social media and increase the implementation of the pregnant women's class program by more involving family husbands and local village communities.

Factors Associated with The Choice of Place of Delivery in Coastal Communities in The Working Area of Bonegunu Community Health Center North Buton District

“…It is hoped that this high level of maternal knowledge can be a reference in maternal health attitudes and behavior in selecting birth attendants for the safety and health of the mother and her baby in the future. 21 Although the results of this study provide evidence of a relationship between knowledge and the choice of place of birth, in this study it was also found Sitti Al Aaliatin Hamsah, Juminten Saimin, Asnia Zainudin 57 that 16 respondents (28.1%) chose a birth place that was not a health facility even though they had good knowledge, this was due to the lack of family support. obtained by the mother, the mother's closest family wants the mother to give birth at home because they think that the birthing process can be monitored directly by the family rather than in a health facility.…”

“…In this research, it was found that respondents with low family incomes preferred delivery places outside health facilities such as at home with the help of a birth attendant, in contrast to mothers who had high family incomes who chose to give birth in health facilities. 21 Income is a reason for women to prefer home as a place to give birth, because they argue that choosing to give birth at home costs less than giving birth in a health facility. They think that by giving birth at home they can save money on delivery costs and the birth money can be diverted to pay for the services of health workers.…”