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All Journal Public Health of Indonesia Women Midwives and Midwifery
Hakimi, Moh.
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Humanities Education Health Professions Medicine & Pharmacology Public Health

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DO WOMEN IN RURAL AREAS STILL PREFER HOMEBIRTH WITH TRADITIONAL BIRTH ATTENDANTS? A QUALITATIVE STUDY OF WOMEN IN RURAL AREA OF KUTAI KERTANEGARA EAST KALIMANTAN Nurrachmawati, Annisa; Hakimi, Moh.; Utarini, Adi
Public Health of Indonesia Vol. 4 No. 2 (2018): April - June
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (217.629 KB) | DOI: 10.36685/phi.v4i2.198

Abstract

Background: There continues to be a gap between facility-based delivery and homebirth. This condition is influenced by various social and cultural factors, which in rural areas could affect childbirth in health facilities.Objective: This study aimed to explore whether there has been a shift from homebirth to facility-based delivery and what factors are associated with the phenomenon.Method: A qualitative longitudinal research with ethnographic study design was conducted in the working area of Muara Kaman Health Center in Kutai Kertanegara District, East Kalimantan. The data were collected using in-depth interviews of 17 pregnant women as informants who were followed from the first or second trimester of pregnancy until delivery, and interviews with four midwives. Data were analyzed with thematic analysis.Results: Nine of the 17 women gave birth at the health facility, while there were still three who had homebirth assisted by traditional birth attendants. The number of women who performed deliveries at health facilities was increased from five in the previous pregnancy to nine in the current pregnancy during study. Women's autonomy and risk awareness were considered as enablers for delivery at health facilities, while perception of homebirth as appropriate for normal labor, unnecessary planning of place and birth attendants, and less optimum partnership between midwife and traditional birth attendants hindered facility-based delivery.Conclusion: Our findings suggest that the shift from homebirth to facility-based delivery has been slow. Efforts to minimize the barriers and improve supportive environment for women to deliver at health facilities should be strengthened.
The Effect of Galactagogue Education Using Video Media on The Knowledge, Attitudes and Behaviors of Postpartum Mothers Karo, Deliana Br; Hakimi, Moh.; Mufdlilah, Mufdlilah
Women, Midwives and Midwifery Vol. 5 No. 3 (2025): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/wmm.5.3.53-63.2025

Abstract

Background: According to the Basic Health Research (RISKESDAS) data, the exclusive breastfeeding rate in Indonesia in 2022 was 67.96%. Data from 2021 indicated that Jambi Province had a rate of exclusive breastfeeding below the national average. Providing counseling to breastfeeding mothers and offering additional support through the use of galactagogues aims to enhance knowledge, attitudes, and practices among postpartum mothers to support the process of milk production. Purpose: To assess the impact of educational videos about galactagogues on the knowledge, attitudes, and behaviors of postpartum mothers. Methods: A quasi-experimental design with a pretest-posttest control group was used. Sampling was conducted using probability sampling with a systematic sampling technique based on odd-even selection, with an average sample size of 16 postpartum mothers per group. The instruments used included questionnaires for knowledge, attitudes, and behaviors, and educational videos. Data analysis employed the Wilcoxon test, Mann-Whitney test, and MANCOVA. Results: The study found significant p-values for the educational video media in pretest-posttest assessments: knowledge (p-value = 0.001), attitudes (p-value = 0.001), and behaviors (p-value = 0.002). Educational videos were found to be more effective than lecture-based media, with p-values of 0.000 for knowledge, 0.005 for attitudes, and no significant effect on behavior with a p-value of 0.137. The test MANCOVA showed that age, education, and occupation did not significantly affect changes in knowledge, attitudes, and behaviors. Conclusion: There is a significant impact of providing galactagogue education through video media on the knowledge and attitudes of postpartum mothers. Although there were changes in behavior before and after the video intervention, no significant difference was found between the video and lecture media regarding behavior. It is recommended to use video media as an educational tool in classes for pregnant and postpartum mothers, because it is more interesting, efficient, and easily accessible to mothers.
Co-Authors Adi Utarini Annisa Nurrachmawati karo, deliana br Mufdlilah, Mufdlilah