Pemanfaatan Rumah Tunggu Kelahiran di Puskesmas Adaut Kecamatan Selaru Kabupaten Maluku Tenggara Barat Tahun 2015

Noor Edi Widya Sukoco, Suparmi Suparmi

Abstract


Abstract
Maternal and infant mortality rate in Indonesia remain high and Indonesia faces health service disparities
across districts. Maternity waiting homes as an innovation to get mothers closer to health facilities.
This study aimed to analyze factors related to the utilization of maternity waiting homes in Adaut health
centre of Selaru Sub District, Maluku Tenggara Barat. A total of 87 mothers were used for the analysis.
This study was a cross sectional method. Cross tabulation and chi-square were used for analysis with
significance level of 5% and confidence interval of 95%. Our analysis shows that only 18.7 percent of
mothers utilize maternity waiting homes. Bivariate analysis shows that distance and time to travel are
associated with utilization of maternity waiting homes. Mothers had traveling time >60 minutes had
0.19-fold lower odds to utilize maternity waiting homes compared to mothers who had traveling time
of 30-60 minutes. Furthermore, mothers live within 25 km are 16 tims higher odds to utilized maternity
waiting homes. Therefore, it is important to consider distance and traveling times in order to increase the
utilization of maternity waiting homes.
Keywords: maternity waiting homes, utilization, travel time, distance
Abstrak
Angka kematian ibu dan bayi di Indonesia masih cukup tinggi, selain itu Indonesia masih menghadapi
kesenjangan antar wilayah dalam akses pelayanan kesehatan. Rumah tunggu kelahiran (RTK) merupakan
salah satu upaya dalam mendekatkan akses ibu hamil dan bersalin ke pelayanan kesehatan. Studi ini
bertujuan untuk memperoleh gambaran pemanfaatan rumah tunggu kelahiran di Puskesmas Adaut
Kecamatan Selaru, Kabupaten Maluku Tenggara Barat. Besar sampel yang dianalisis dalam penelitian
ini adalah 87 ibu yang pernah melahirkan di Puskesmas Adaut Kecamatan Selaru dalam periode tahun
2009-2015. Penelitian ini menggunakan metode potong lintang (cross sectional). Metode analisis yang
digunakan adalah tabulasi silang dan chi-square dengan tingkat kemaknaan 5% dan tingkat kepercayaan
95%. Hasil analisis menunjukkan bahwa hanya 18,7% responden yang memanfaatkan RTK. Analisis
bivariat menunjukkan bahwa waktu tempuh dan jarak berhubungan dengan pemanfaatan RTK. Ibu yang
bertempat tinggal dengan waktu tempuh >60 menit memiliki kemungkinan 0.19 lebih rendah untuk
memanfaatkan RTK dibandingkan ibu dengan waktu tempuh ke RTK antara 30-60 menit. Sedangkan
ibu yang bertempat tinggal dengan jarak < 25 km memiliki kemungkinan 16 kali lebih besar untuk
memanfaatkan RTK bila dibandingkan ibu yang tinggal ≥ 25km dari RTK. Oleh sebab itu, dalam upaya
meningkatkan pemanfaatan rumah tunggu kelahiran penting untuk mempertimbangkan aspek waktu
tempuh dan jarak ke RTK.
Kata kunci: rumah tungu kelahiran, pemanfaatan, waktu tempuh, jarak

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