Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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INCREASING MIDWIFERY SKILL FOR PREGNANCY HEALTH CARE WITH AMMUNTULI BIJA TIANANG NA BEJA-BEJA MODEL
mus ta min

Last modified: 2018-08-07

Abstract


Background: Maternal mortality rate is the assessment indicator of a country's public health status and welfare. In addition, high maternal mortality rates in an area indicate that the maternal health care system is still poor. The study aim to describe midwife skill for pregnancy health care in Jeneponto district.

Method: Qualitative study was conducted among 26 respondent, consisting sub head of District health office (DHO), midwife coordinator of DHO, head office of primary health care (PHC), midwife coordinator of PHC, Midwife, and pregnant woman.

Result: Study result shown that midwifery skill in pregnancy health care was still low. Internal factors of a midwife were low knowledge level, not good attitude, low motivation, and access obstacle to workplace.  External factors of midwife were less number of midwife, less number of health care facility, low knowledge level of pregnant woman, culture not supporting pregnancy health care system, family’s economy, and access to health care facility.  Although, government’s funding has been adequate and training for midwife has been implemented, but the implementation of these activities has not been able increased maternal health services and reduced maternal mortality rate. The coverage of maternal health services was still low and the maternal mortality was still high.

Conclusion: Pregnancy health care program in Jeneponto district has not been implemented optimally. It was influenced by low midwifery skill in pregnancy health care. Increasing number of midwife, improving skill of midwife, and Ammuntuli bija tianang na beja-beja model are recommended to increase pregnancy health care.

 

Key Words : Ammuntuli (Home visit), Pregnancy Health Care, Midwifery