Factors Related to the Selection of Childbirth Assistance

The focus on reducing MMR is carried out on activities that include three messages in the MPS program, namely that each delivery is assisted by trained health workers, each obstetric and neonatal complications receive adequate services and every woman of childbearing age has access to prevention of unwanted pregnancy and management of miscarriage complications. The higher the coverage of childbirth by health workers, the lower the risk of death, therefore the goal of health development, one of which is to significantly increase the number of pregnant women who get examined and give birth assisted by health workers. The purpose of this study was to determine the relationship of education, employment, family support, affordability of access to health facilities (transportation), socio-cultural relations with the selection of birth assistance in the work area of Lede Health Center. This type of research was an observational study with a cross-sectional approach. The subjects were all mothers with childbirth in the work area of Lede Health Center, Lede. Regency, North Maluku, from January to June 2018 as many as 61 people. The results of this study indicate that there was a relationship between education and the selection of childbirth assistance (p-value = 0.000), there was a relationship between work and the selection of childbirth assistance (p-value = 0.000), there was a relationship between family support and the selection of childbirth assistance (p-value = 0.009), there was a relationship between access to health services and the selection of childbirth assistance (p-value = 0.028), there was no relationship between social culture and the selection of childbirth assistance (p-value = 0.246). So, the factors related to childbirth assistance were education, work, family support, access to health facilities. Keywords: childbirth assistance; education; work; family support; access to health facilities