scholarly journals DETERMINAN KULTURAL DAN STRUKTURAL DALAM KEMITRAAN BIDAN DENGAN DUKUN BAYI (BHISA/SANDO) DI KABUPATEN WAKATOBI, SULAWESI TENGGARA

2021 ◽  
Vol 12 (1) ◽  
pp. 89-101
Author(s):  
Luxi Riajuni Pasaribu ◽  
Lely Indrawati
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Health Personnel ◽  
Traditional Birth Attendants ◽  
Child Health Services ◽  
Structural Determinants ◽  
Birth Attendants ◽  
And Child Health ◽  
Skilled Health Personnel ◽  
Skilled Health

Abstract   Background: Births assisted by skilled health personnel in health facilities is the prevention of maternal mortality. Wakatobi District has a low coverage of birth attendance by skilled health personnel, and the community has a powerful culture in all aspects of life, including visiting traditional birth attendants known as Bhisa/Sando in caring for women from pregnant to childbirth. Objective: To identify the cultural and structural determinants that affect the partnership between Bhisa/Shando and midwives in maternal and child health services (MCH). Methods: This study used an operational research design with a qualitative approach. A total of 68 informants were involved in focus group discussions, in-depth interviews, and participatory observations. Thematic analysis was used in processing all information. Results: Cultural determinants that affect the partnership between Bhisa/Shando and midwives were hereditary traditions and a powerful belief in Bhisa/Shando's ability to take care for pregnant women, labor women, postpartum women, and newborns. Meanwhile, structural determinants included inadequate facilities and health personnel for MCH services and suboptimal supports from related parties. These results may cause the partnership between Bhisa/Shando and midwives will not be optimal. Conclusion: Cultural and structural factors have a strong influence in realizing the partnership between Bhisa/Sando and midwives. The involvement of Bhisa/Sando in MCH services conducted by midwives, adequate MCH service infrastructure, and support from community leaders, cadres, and related agencies is essential to be carried out to improve Bhisa/Sando's partnership with midwives in improving MCH services.   Keywords: Bhisa/Shando, partnership of midwives and traditional birth attendants, maternal and child health   Abstrak   Latar belakang: Persalinan yang ditolong oleh tenaga kesehatan di fasilitas kesehatan merupakan upaya untuk mencegah kematian ibu. Kabupaten Wakatobi memiliki cakupan penolong persalinan oleh tenaga kesehatan yang rendah, dan masyarakatnya memiliki budaya yang sangat kuat dalam segala aspek kehidupan, termasuk mendatangi dukun bayi yang disebut sebagai Bhisa/Sando dalam menangani ibu hamil hingga bersalin. Tujuan: Mengidentifikasi determinan kultural dan struktural yang memengaruhi kemitraan antara Bhisa/Shando dengan bidan dalam pelayanan kesehatan ibu dan anak (KIA). Metode: Studi ini menggunakan desain riset operasional dengan pendekatan kualitatif. Total 68 informan terlibat dalam diskusi grup terarah, wawancara mendalam, dan observasi partisipasi. Analisis tematik digunakan dalam mengolah seluruh informasi. Hasil: Determinan kultural yang memengaruhi kemitraan antara Bhisa/Shando dengan bidan yaitu tradisi turun temurun dan kepercayaan yang kuat terhadap kemampuan Bhisa/Shando dalam menangani ibu hamil, ibu bersalin, ibu nifas, dan bayi baru lahir. Sedangkan determinan struktural meliputi fasilitas dan tenaga kesehatan untuk pelayanan KIA yang belum memadai serta dukungan dari pihak terkait yang belum optimal. Hal ini menyebabkan kemitraan antara Bhisa/Shando dengan bidan belum optimal. Kesimpulan: faktor kulturan dan struktural berpengaruh kuat dalam mewujudkan kemitraan antara Bhisa/Sando dengan bidan. Keterlibatan Bhisa/Sando dalam pelayanan KIA yang dilakukan bidan, infrastruktur pelayanan KIA yang memadai, dan dukungan dari tokoh masyarakat, kader, dan instansi terkait perlu dilakukan untuk meningkatkan kemitraan Bhisa/Sando dengan bidan dalam meningkatkan pelayanan KIA. Kesimpulan: Kualitas hidup ibu hamil dan ibu nifas relatif sama dengan kecenderungan lebih rendah pada kualitas hidup ibu nifas   Kata kunci: Bhisa/Shando, kemitraan bidan dan dukun bayi, kesehatan ibu dan anak

A Parallel Strategy: Deliberate Inclusion of Trained Traditional Birth Attendants in Maternal and Child Health Workforce of Low-Income Countries

2014 ◽  
Vol 7 (2) ◽  
pp. 184-189
Author(s):  
Laura Zeidenstein ◽  
Mary W. Byrne
Keyword(s):  
Child Health ◽  
Human Resources ◽  
Maternal And Child Health ◽  
Low Income ◽  
Traditional Birth Attendants ◽  
Low Income Countries ◽  
Birth Attendants ◽  
International Nursing ◽  
And Child Health ◽  
Parallel Strategy

The authors propose an interim parallel strategy for the thoughtful inclusion of trained traditional birth attendants (TTBAs) in the maternal and child health (MCH) human resources of low-resource nations to improve safe childbirth. This is in contrast with international policy recommendations that traditional birth attendants (TBAs) be eliminated and replaced by skilled birth attendants (SBAs). Dimensions for critical awareness that should inform global MCH enterprises are identified and elaborated in support of this proposal: omnipresent women’s status, international nursing and midwifery standards, ethnographic values and strategies, local government roles, culturally specific birthing expectations, and the realities of current MCH human resources infrastructures.

scholarly journals Traditional birth attendants in Malawi

Curationis ◽  
1994 ◽  
Vol 17 (2) ◽  
Author(s):  
J. J. M. Smit
Keyword(s):  
Health Personnel ◽  
Traditional Healers ◽  
Traditional Birth Attendants ◽  
Child Health Services ◽  
Birth Attendants ◽  
Primary Health ◽  
Health Centres ◽  
Traditional Practitioners ◽  
Year 2000 ◽  
And Child Health

Traditional Birth Attendants (TBAs) and traditional healers form an important link in the chain of health personnel providing primary health care in Malawi. In spite of the establishment of hospitals and health centres, it is to these traditional healers and TBAs that the majority of people turn in times of sickness and child-birth. Approximately 60 percent of all deliveries in Malawi occur in the villages. It is therefore important that due regard be paid to the activities of these traditional practitioners in order to ensure the achievement of the goal - "Health for all by the year 2000". The training of TBAs is seen as part of the Maternal and Child Health Services in the country.

Evaluating the Effectiveness of Utilizing Traditional Birth Attendants for Maternal and Child Health/Family Planning Programs in the Rural Philippines

1985 ◽  
Vol 6 (2) ◽  
pp. 131-143
Author(s):  
Donald E. Morisky
Keyword(s):  
Family Planning ◽  
Child Health ◽  
Maternal And Child Health ◽  
Field Performance ◽  
Role Playing ◽  
Monetary Incentive ◽  
The Philippines ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
And Child Health

A pilot project was designed to measure the effectiveness of utilizing traditional birth attendants ( hilots) as family planning motivators in the Philippines. A total of 492 hilots underwent a one-week training program in maternal and child health and family planning. Following the training, a quasi-experimental design was used to test the effects of training alone, training plus supervision, and the combination of training, supervision and a monetary incentive on family planning activities. In addition to these three program inputs, the type of training method was also assessed to determine its relationship on post-training knowledge scores and field performance. Analysis of the one-year program statistics indicated that a combination of training methods (lecture, audio-visual demonstrations, and role-playing) significantly increased both test performance and field performance. Hilots who received supervision recruited twice as many acceptors as hilots who received only the training input ( p <.01). Adding a monetary incentive did not significantly increase the average monthly number of acceptors recruited. Cost effectiveness of the three experimental approaches are contrasted with each other as well as with the national program utilizing family planning motivators.

scholarly journals THE RELATIONSHIP BETWEEN MATERNAL AND CHILD HEALTH SERVICES WITH THE PREVALENCE OF STUNTING BASED ON THE BASIC HEALTH RESEARCH IN INDONESIA

2021 ◽  
Vol 16 (2) ◽  
pp. 177
Author(s):  
Demsa Simbolon ◽  
Dhea Adevianti ◽  
Luluk Setianingsih ◽  
Lisma Ningsih ◽  
Lusi Andriani
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Health Research ◽  
Health Personnel ◽  
Maternal Health Services ◽  
Child Health Services ◽  
Basic Health ◽  
And Child Health ◽  
Neonatal Examination

ABSTRACTStunting is a linear growth disorder considered as a serious health problem in Indonesia, where its prevalence is related to maternal and child health (MCH) services. This study aimed to compare the coverage of maternal and child health services between two surveys and analyze how they relate to the prevalence of stunting. The study used aggregate data from the 2013 and 2018 Basic Health Research Reports using a cross-sectional approach. The research sample spanned to 34 provinces in Indonesia. Stunting prevalence was taken as aggregate data from individuals based on height-for-age z-scores (HAZ). The independent variable was the achievement of MCH service indicators. Data analysis used variance measures, correlations, simple linear regression, and paired T-tests. The results found variations in the prevalence of stunting, with 25.4% in 2013 and 25.1% in 2018. There was a 7.4% decrease in severe stunting prevalence between 2013 and 2018, but the decrease was not significant (p = 0.506). The analysis results of the 2013 Basic Health Research showed that MCH service indicators related to stunting prevalence were coverage of antenatal care, iron consumption, delivery by health personnel, delivery in health facilities, postpartum maternal health services, low birth weight (LBW) prevalence, neonatal examination, complete immunization, health card ownership, and growth monitoring. The analysis results of the 2018 Basic Health Research showed that MCH indicators were related to the prevalence of antenatal care coverage, delivery by health personnel, and delivery in health facilities, postpartum maternal health services, LBW prevalence, neonatal examination, and complete immunization. There was a significant increase in the coverage of MCH services from 2013 and 2018 (p < 0.0001), except for the coverage of Fe tablet consumption, the prevalence of stunted birth babies, ownership of health cards, provision of vitamin A, and provision of colostrum. The better the coverage of MCH services, the lower the stunting prevalence. Efforts to improve the MCH service programs are required to reduce the prevalence of stunting for Indonesian children. Keywords: stunting, children under five years old, coverage of maternal and child health services

scholarly journals Increasing the Use of Skilled Health Personnel Where Traditional Birth Attendants Were Providers of Childbirth Care: A Systematic Review

PLoS ONE ◽  
2012 ◽  
Vol 7 (10) ◽  
pp. e47946 ◽  
Author(s):  
Claudia Vieira ◽  
Anayda Portela ◽  
Tina Miller ◽  
Ernestina Coast ◽  
Tiziana Leone ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Personnel ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
Skilled Health Personnel ◽  
Skilled Health ◽  
Childbirth Care

scholarly journals Progresses and Challenges of Utilizing Traditional Birth Attendants in Maternal and Child Health in Nigeria

2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Ndidiamaka Amutah-Onukagha ◽  
Monica Rodriguez ◽  
Ijeoma Opara ◽  
Michelle Gardner ◽  
Maame Assan ◽  
...  
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Traditional Birth Attendants ◽  
Birth Attendants ◽  
And Child Health
Sign in / Sign up

Export Citation Format

Share Document