Analisis Pengetahuan, Sikap dan Perilaku Tenaga Nonprofesional dalam Pelayanan Kesehatan Maternal (suatu Analisis Kebijakan Program Percepatan Penurunan Angka Kematian Lbu di Indonesia)

Abstract

Background: There are many mothers giving birth at home assisted by Traditional birth attendance (TBAs) in Indonesia. It was predicted as the cause of high Maternal Mortality Rate in Indonesia. To accelerate the maternal mortality rate, we need to empowered the nonprofessional health manpower (Traditional birth attendance, health cadres and family members) to provide maternal health services for the pregnant mothers to take care her from the antenatal to post natal. Objective:The objective of this study was conducted the knowledge, attitude and practice (KAP) of nonprofessional health manpower in the villages. Methods: This cross sectional study was done in 3 provinces i.e. East Java, South Kalimantan and South Sulawesi. The population of samples were nonprofessional health manpower in the village. 48 villages were chosen purposively from 12 health centers which were in 6 Districts. 2 districts were chosen purposively in each province. Total number of traditional birth attendances and health cadres and mother who giving birth during the year of 2005 were the samples of this study. The study was held for 8 months start from March 2006 to October 2006. They run in depth interviews, structural interviews, and Focus Group Discussions to collect the data and reported as descriptive analysis. Results:The result showed that nonprofessional health manpower had low KAP especially how to detect the high risk pregnancy and the emergency state of delivery. In many places, TBAs and midwives has already a good collaboration to take care pregnant mothers. TBAs and family members have role to prepare the equipment for giving birth and look after mother and the baby after giving birth, while midwives has role to assist the delivery and cut the umbilical cord of the baby. AlthoughTBAs are not permitted to deliver the babies, but many of them still do it. They agree to be the assistant of midwives and refer the pregnant mother to deliver assisted by midwives but they want some compensation (money) from hers. Midwives should cooperate and ask for TBAs the help her and train the nonprofessional health manpower how to detect the risk mother.