GAMBARAN PILIHAN PERSALINAN OLEH TENAGA NON KESEHATAN/TANPA PERTOLONGAN DI INDONESIA

Asep Hermawan

Abstract


Background: Delivery by health personnel is an attempt to reduce maternal and infant mortality. However, delivery by non-health workers is still high, especially in some provinces and districts in Indonesia.

Objective: In order to obtain an overview of delivery by traditional birth attendant/none and the influencial factors

Method: This cross-sectional study used the 2013 Basic Health Research (Riskesdas) data and routine data from Board of Development and Empowerment Human Resources for Health (BPPSDMK), Ministry of Health. Data were analyzed bivariately by using generalized linear models (GLM).

Results: The results of the analysis showed that the delivery by traditional birth attendant or none is still high in eastern Indonesia, especially in remote areas, islands, and borders. Bivariate tests showed that low education, low socioeconomic status and travel time to health facility had significant effect (p<0.05) to the high rate of proportion of deliveries by non-health workers. However, the ratio of midwives per 1000 population was vice versa.

Conclusion: Low education, low socioeconomic status, and travel time to health facilities affect the choice of traditional birth (with the help of traditional birth attendant, relatives or no assistance at all).

Keywords


delivery, traditional birth attendant, non-health personnel

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