The Partnership between Traditional Birth Attendance (TBA) and Midwives in Childbirth Assistance: A Qualitative Study in East Manggarai Regency
DOI:
https://doi.org/10.53638/phpma.2016.v4.i1.p05Keywords:
partnership, traditional healers, midwives, childbirth, qualitativeAbstract
Background and purpose: Partnership between traditional birth attendance (TBA) and midwives is one of the strategies to increase the coverage of childbirth assistance by the health personnel. This partnership seems to be ineffective as there were still TBA performed childbirth assistance. The study aims to find out about the overview and obstacles in the implementation of the partnership between TBA and midwives in the East Manggarai Regency.
Methods: The qualitative research with in-depth interviews using open interview guide was conducted among 15 participants who were selected purposively, consisted of two village midwives, five TBAs who partnered with midwives, three TBAs who are not partnered with a midwife, and two participants of community leaders, the religious leaders, the two puerperal women and one policy maker. Data were analyzed by using thematic analysis approach.
Results: The results showed that the facilities and supporting infrastructure of partnership were inadequate, funds provided were not enough to finance the implementation of the partnership, there were no regular meetings between the midwives and the traditional healers, coordination was done merely incidental. The division of roles in the treatment of childbirth was clear, but many obstacles were found, namely transportation barriers, economic problems and there were traditional healers who did not want to partner.
Conclusion: The overview of partnership between the traditional healers and midwives in childbirth assistance has not gone well and there were still many obstacles found both internally and externally. To optimize this program, sufficient funds should be allocated, transportation should be improved and counseling should be provided to the community to raise awareness of the importance of childbirth assistance by the health personnel.
References
Kemenkes RI. Lima strategi operasional turunkan angka kematian ibu. Jakarta: Kemenkes RI; 2011.
BPS dan Kemenkes RI. Survei demografi kesehatan Indonesia. Jakarta: BPS; 2012.
Dinkes NTT. Profil Kesehatan Provinsi Nusa Tenggara Timur. Kupang: Dinkes NTT; 2011.
Dinkes Manggarai Timur. Profil kesehatan Manggarai Timur. Borong: Dinkes Manggarai Timur; 2013.
Kemenkes RI. Pokok-pokok hasil riskesdas indonesia. Jakarta: Badan Penelitian dan Pengembangan Kesehatan RI; 2013.
BPS Manggarai Timur. Manggarai Timur dalam angka. Borong: BPS Manggarai Timur; 2014.
Tim Basics. Panduan penerapan praktik cerdas kemitraan bidan, dukun bayi dan kader posyandu. Jakarta; 2014.
Depkes RI. Pedoman kemitraan bidan dengan dukun (1st ed.). Jakarta: Depkes RI; 2008.
Afrisal, S & Yasir, H. Hubungan kemitraan bidan dan dukun terlatih dengan peningkatan cakupan persalinan di wilayah kerja Puskesmas Aska Kabupaten Sinjai. Jurnal Kesehatan 2013; 03(02): 2302-1721.
Yusriani & Octaviani A. Partnership between midwives and traditional birth attendants (tbas) in the work health district minasate’ne Pangkep. International Conferenceon Emerging Trends In Academic Research; 2014.
Sudirman & Sakung, J. Kemitraan bidan dengan dukun bayi dalam menolong persalinan bagi ibu-Ibu yang melahirkan di pedesaan Kecamatan Palolo Kabupaten Donggala (Tesis). Palu: Fakultas Kesehatan Masyarakat Universitas Muhammadi- yah; 2006.
Lasker, D., Elisa, S., & Rebecca, M. Partnership synergy: A practical framework for studying and strengthening the collaborative advantage. New York Academi of Medicine. 2001; 79(02).
Sulistiawan, D., Nurmalasari & Rechy. Kemitraan bidan dan dukun bayi di Kabupaten Trenggalek. University Network for Governance Innovation; 2005.
Budiyono, Suparwati, A., Syamsulhuda, Nikita, Adrian. Kemitraan bidan dan dukun dalam mendukung penurunan angka kematian ibu di puskesmas Mranggen I Kabupaten Demak. Media KesehatanMasyarakat Indonesia. 2011; 11(1).
Notoatmodjo, S. Promosi kesehatan dan ilmu perilaku (revisi.). Jakarta: Rineka Cipta; 2012.
Metti, D & Rosmadewi. Hubungan kemitraan bidan dan dukun dengan persalinan oleh tenaga kesehatan di wilayah kerja Puskesmas Tanjung Sari Kabupaten Lampung Selatan. Jurnal Kesehatan Metro Sai Wawai. 2012; 5(1).
Anggorodi, R. Dukun bayi dalam persalinan oleh masyarakat Indonesia. Makara Kesehatan. 2009; 13(1): 9-14.
Tobroni, F. Kemitraan dukun bayi dan bidan di Bojonegoro.University Network for Governance Innovation; 2011.
Nara, A. Hubungan antara pengetahuan, sikap, akses pelayanan kesehatan, jumlah sumber informasi dan dukungan keluarga dengan pemanfaatan fasilitas persalinan yang memadai oleh ibu hamil di wilayah Puskesmas Kawangu Sumba Timur (Tesis). Denpasar: Magister Ilmu Kesehatan Masyarakat Universitas Udayana; 2014.
Christiana, L., Cynthia L, Michael J &Peter H. Why do some women still prefer traditional birth attendants and home delivery?: a qualitative study on delivery care services in West Java Province, Indonesia. BMC Pregnancy and Childbirth. 2009; 10(43): 1471-2393.
More, B. Utilization of health care services by pregnant mothers during delivery: A community based study in Nigeria. East Africa Journal of Public Health; 2011.
Latifah, N. Faktor-faktor yang berhubungan dengan pemilihan pertolongan persalinan oleh dukun bayi (skripsi). Semarang: Universitas Diponegoro; 2010.
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