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All Journal Jurnal Kebijakan Kesehatan Indonesia Jurnal Manajemen Kesehatan Indonesia Berkala Ilmiah Kedokteran Duta Wacana SOEPRA Jurnal Hukum Kesehatan Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management)
Tjahjono Kuntjoro
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Public Health Social Sciences

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Journal : Jurnal Manajemen Kesehatan Indonesia

 1 
Implementation ff Midwive-Traditional Birth Attendants Partnership by Midwives in Buton District, Southeast Sulawesi, (A Case Study on Wakaokili Primary Healthcare Center) Hermawati Hermawati; Tjahjono Kuntjoro; Ayun Sriatmi
Jurnal Manajemen Kesehatan Indonesia Vol 1, No 1 (2013): April 2013
Publisher : Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1091.872 KB) | DOI: 10.14710/jmki.1.1.2013.%p

Abstract

Terbatasnya pemahaman pentingnya persalinan Nakes terlatih menjadikan dukun sebagai pilihan penolong persalinan, disamping faktor sosial ekonomi, budaya, dan kinerja bidan, yang berdampak peningkatan AKI di Kabupaten Buton. Cakupan persalinan oleh tenaga kesehatan masih rendah, ditandai rendahnya jumlah dukun bermitra dan rendahnya rujukankehamilan dan rujukan persalinan dukun di Puskesmas Wakaokili. Inilah cermin Program Kemitraan Bidan-Dukun oleh Bidan Desa di Puskesmas Wakaokili. Jenis penelitian deskriptif kualitatif. Pengumpulan data dengan wawancara mendalam pada 4 bidan desa dan 9 dukun bersalin sebagai informan utama. Data dianalisis menggunakan metode content analysis. Penelitian menunjukkan tujuan dan indikator keberhasilan program kurang dipahami, tidak ada aturan tertulis, tidak ada SOP dan pencatatan khusus kemitraan bidan-dukun. Diseminasi program bersifat pengenalan, pelaporan tidak didiskusikan. Pembinaan dan magang dukuntidak ada. Sikap pelaksana terhadap kemitraan cenderung mendua dan sumber daya kurang mendukung. Terbukti lingkungan ekonomi, sosial dan politik mempengaruhi keberhasilan program.Kata Kunci : Puskesmas, Program Kemitraan Bidan-Dukun .The limited knowledge on the importance of health workers deliveries, together with some other factors such as economies, social and culture, made traditional birth attendants became a choice of delivery services. This condition resulted in the increase of Maternal MortalityRate in Buton District. The coverage of health workers deliveries in Wakaokili was still low. It was marked by the low rate of traditional birth attendance-midwives’ partnership and deliveries referral to the midwives, as well as high rates of traditional birth attendancedeliveries. This study was a descriptive qualitative study. Data were collected by in depth interviews on 4 village midwives and 9 traditional birth attendants as the main informants. Data were analyzed by content analysis method. Results showed that the goals and program success indicators were not understood well. Dissemination was only an introduction and the report was not discussed. There was no coaching or internship program. The attitude tended to be ambivalent and the resources were not supportive. It is proven that economic, social and political environment influence the program results.
Co-Authors Andreasta Meliala Anggita Ratna Damayanti Apriyanto, R. Hendri Ariefuddin, M Agus Atikah Proverawati, Atikah Ayun Sriatmi Castro, Toto Eka Ari Wibawa Endang Wahyati Yustina, Endang Wahyati Endy Paryanto Prawirohartono, Endy Paryanto Hermawati Hermawati Jaya, A A Gde Putra Semara Lutfan Lazuardi Marliana Marliana, Marliana Nurlela, Indrawati Prawiningdyah, Yeni Rizaldy Taslim Pinzon Sri Wahyuni Tri Wahyuning Puji Astuti, Tri Wahyuning Trihoni Nalesty Dewi, Trihoni Nalesty Yuristrianti, Nurrekta