Pengaruh Pemberdayaan Wanita terhadap Pemilihan Penolong Persalinan pada Tenaga Kesehatan Terampil

Wulandari, Mirta Dwi; Zoraya, Elfrida

doi:10.30597/mkmi.v16i3.9048

Cited by 4 publications

(7 citation statements)

References 13 publications

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“…So that mothers must get antenatal care (ANC) services that are by the standards, which is to carry out three examinations, namely the 1st, 2nd and 3rd trimesters with health workers in health facilities The risk of mothers who are socioeconomic in the lowest quartile (quartile 1) to give birth to non-health workers is 6.4 times higher than that of mothers who are socioeconomic in the top quartile of wealth after controlling for other maternal variables. This finding is in line with the results of previous research from Wulandari et al (2020), namely the economic status of the household also plays a role in the selection of birth attendants. Women who have a household economy in quintile 1 (lowest) give birth to non-skilled health workers.…”

Section: Multivariate Analysissupporting

confidence: 92%

“…Then the greater the wealth quintile, which means that the higher a person's economic status, the smaller the percentage of women who give birth with the help of non-skilled health workers. [9]. Other studies show that pregnant women who do not have or prepare for delivery costs have a 1.7x greater chance of choosing birth attendants by non-health workers than pregnant women who do prepare for their delivery costs [12].…”

Section: Multivariate Analysismentioning

confidence: 99%

“…Empowerment of women is a process to determine life choices, including making decisions and having control over the resources they have [9]. Compliance in the family is still a tradition which results in low access to health services including health personnel and facilities [10].…”

Section: Introductionmentioning

confidence: 99%

“…The direct decision on the mother also makes the proportion of birth choices among health workers more [11]. The selection of birth attendants for skilled health workers tends to be for women who take part in household decisions [9].…”

Section: Introductionmentioning

confidence: 99%

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The Relationship Between Participation in Maternal Health Care Decision-Making and the Selection of Birth Assistants

Tari¹,

Andriani²

2022

Proceedings of the First International Conference on Medical Technology (ICoMTech 2021)

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Maternal Mortality Rate (MMR) still a concern, especially in Indonesia. The decreasing of MMR is an important indicator in achieving health development in Indonesia. Delivery assistance by health personnel is important because health workers have the appropriate skills and tools to provide safe and clean assistance. The Ministry of Health has obliged delivery assistance assisted by competent health personnel to achieve the Sustainable Development Goals (SDGs) targets. However, study on women's participation in household decision-making to choose birth assistants is still lacking. This study aims to determine the relationship between participation in maternal health care decision-making and the selection of mothers' birth assistants in Indonesia. This study used secondary data from 2017 Indonesian Demographic and Health Survey (IDHS) using a cross-sectional research design. The sample of this research was mothers aged 15-49 years who had given birth in the last five years before the survey in 34 provinces in Indonesia, with a total of 3.042 respondents. The independent variable was participation in maternal healthcare decision-making, and the outcome variable was the selection of birth assistants. The potential covariates were mother's age, residence, living with a partner, number of children who are still alive, knowledge during pregnancy, women's education, women's occupation, husband's education, husband's occupation, and the socio-economic. This study was analyzed using multiple logistic regression. The proportion of skilled birth attendants was 88,6% and traditional birth assistants were 11,4%. The majority of husbands indicated that they made the healthcare decision (46,9%). Our study showed that mothers and other people was 1.5 times more likely to choose traditional birth assistants than the decision made by mothers (OR = 1.5; 95% CI = 1-2.1; p-value 0.044). Also, the participation in health care decision-making by partners was 1.4 times higher than participation by mothers (OR = 1.4; 95% CI = 1.1-1.7; p-value 0,009). However, in the final model of multivariate, participation maternal health care decision-making variable has a significant relationship with the birth assistants variable after controlling for the covariates (p-value > 0.05). Health workers need to improve health education during pregnancy and delivery, openly or even personally through classes for pregnant women and increase knowledge from families, especially husbands, in choosing birth assistants in professional birth assistants.

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Section: Multivariate Analysissupporting

confidence: 92%

Section: Multivariate Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Relationship Between Participation in Maternal Health Care Decision-Making and the Selection of Birth Assistants

Tari¹,

Andriani²

2022

Proceedings of the First International Conference on Medical Technology (ICoMTech 2021)

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show abstract

“… 29 Previous studies in Indonesia showed that women living in urban areas were less likely to choose delivery with the help of TBAs than women living in rural areas (p≤0.001; OR 0.70; 95% C 0.60 to 0.91). 22 Due to strong cultural beliefs, accessibility and availability of delivery facilities (long distance to health facilities), rural residents trust TBAs more than health professionals and prefer to give birth in non-health facilities or at home, regardless of the competence of birth attendants. 23 Living in urban areas allows for easier access to health facilities and information than living in rural areas.…”

Section: Discussionmentioning

confidence: 99%

Continuity of maternal healthcare services utilisation in Indonesia: analysis of determinants from the Indonesia Demographic and Health Survey

et al. 2021

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ObjectiveWHO recommends that every pregnant woman and newborn receive quality care throughout the pregnancy, delivery and postnatal periods. However, Maternal Mortality Ratio in Indonesia for 2015 reached 305 per 100 000 live births, which exceeds the target of Sustainable Development Goals (<70 per 100 000 live births). Receiving at least four times antenatal care (ANC4+) and skilled birth attendant (SBA) during childbirth is crucial for preventing maternal and neonatal deaths. The study aims to assess the determinants of ANC4 +and SBA independently, evaluate the distribution of utilisation of ANC4 + and SBA services, and further investigate the associations of two levels of continuity of services utilisation in IndonesiaDesignData from the Indonesia Demographic and Health Survey, a cross-sectional and large-scale national survey conducted in 2017 were used.SettingThis study was set in Indonesia.ParticipantsThe study involved ever-married women of reproductive age (15–49 years) and had given birth in the last 5 years prior to the survey (n=15 288). The dependent variables are the use of ANC4 + and SBA. Individual, family and community factors, such as age, age at first birth, level of education, employment status, parity, autonomy in healthcare decision-making, level of education, employment status of spouses, household income, mass media consumption residence and distance from health facilities were also measured.ResultsResults showed that 11 632 (76.1%) women received ANC4 + and SBA during childbirth. Multivariate analysis revealed that age, age at first birth, and parity have a statistically significant association with continuity of services utilisation. The odds of using continuity of services were higher among women older than 34 years (adjusted OR (aOR) 1.54; 95% CI 1.31 to 1.80) compared with women aged 15–24 years. Women with a favourable distance from health facilities were more likely to receive continuity of services utilisation (aOR 1.39; 95% CI 1.24 to 1.57).ConclusionsThe continuity of services utilisation is associated with age, reproductive status, family influence and accessibility-related factors. Findings demonstrated the importance of enhancing early reproductive health education for men and women. The health system reinforcement, community empowerment and multisectoral engagement enhance accessibility to health facilities, reduce financial and geographical barriers, and produce strong quality care.

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Enterprise Architecture sebagai Strategi Pengembangan Smart Village pada Dimensi Health Services

Ikrima,

Nur Fajrillah,

Nurtrisha

2023

jitsi

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Pemanfaatan teknologi informasi dalam bidang kesehatan menjadi aspek krusial mengingat kesehatan menjadi fundamental dalam pelaksanaan pembangunan berkelanjutan (Sustainable Development Goals). Salah satu hal yang perlu ditingkatkan adalah penyelenggaraan layanan publik di tingkat pemerintah desa menggunakan konsep smart village pada layanan kesehatan untuk meningkatkan nilai SDGs desa. Metode dalam riset ini menerapkan framework TOGAF ADM 9.2 dimana tersusun atas 7 (tujuh) fase yakni Preliminary, Architecture Vision, Information System Architecture, Business Architecture, Technology Architecture, Opportunities and Solution, dan Migration Planning. Perancangan Enteprise Architecture Smart Village sesuai Peraturan Presiden Republik Indonesia Nomor 111 Tahun 2012 mampu membantu pemerintah desa meningkatkan taraf hidup sekaligus mencapai pembangunan berkelanjutan.

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Pengaruh Pemberdayaan Wanita terhadap Pemilihan Penolong Persalinan pada Tenaga Kesehatan Terampil

Cited by 4 publications

References 13 publications

The Relationship Between Participation in Maternal Health Care Decision-Making and the Selection of Birth Assistants

The Relationship Between Participation in Maternal Health Care Decision-Making and the Selection of Birth Assistants

Continuity of maternal healthcare services utilisation in Indonesia: analysis of determinants from the Indonesia Demographic and Health Survey

Enterprise Architecture sebagai Strategi Pengembangan Smart Village pada Dimensi Health Services

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