scholarly journals IMPLEMENTASI KEBIJAKAN PELAYANAN KESEHATAN IBU DAN ANAK DI KABUPATEN TAKALAR PROVINSI SULAWESI SELATAN

2016 ◽  
Vol 2 (01) ◽  
Author(s):  
Halwa Tiah

Takalar district, South Sulawesi has a policy of maternal and child healthby adopting indigenous shaman a major role in the birthing process in theform of Regulation No. 2 of 2010 on the Partnership midwife and healer.Based on the subject matter, the question of the proposed research is howthe implementation of policies on Maternal and Child Health in Takalardistrict, South Sulawesi? How to model Policy Implementation Maternaland Child Health Care according to local conditions in the district of SouthSulawesi Takalar? The method used is descriptive qualitative. The resultsshowed that the results are good policy performance. The success of thepolicy program at the district MCH-KBD Takalar this policy to be a "pilotproject"for other regions. The contents of the policy is a creative solutionbased on local wisdom for facts on the ground people still believe their role.Program planning, implementation and evaluation are participatorystakeholders. Policy context, the views of the Situational factors, KBD is aform of cooperation with the shaman's midwife with the principle of mutualbenefit sipakatau sipakainge upheld by society Takalar. This principle isimplemented by creating the principle of openness, equality, and trust in anattempt to save the mother and baby. This partnership puts birth attendantsand midwives as their role from birth attendant became a partner in caringfor mothers and babies. In terms of structural factors, contextually seen thatthe decentralization policy in the health sector in the district Takalar hasbeen used for the benefit of policy implementation KIA. KBD policy islocal policy is based on local cultural values and fully supported bystakeholders.Keywords: Implementation, health care, mother and child, shaman, Takalar

2018 ◽  
Vol 3 (6) ◽  

The issue that underlies a worrying question of maternal and child health in Côte d'Ivoire is that of social logic. Social logic is perceived as "cultural constructions of actors with regard to morbidity that cause to adopt reproductive health care". Based on this understanding, the concept of social logic in reproductive health is similar to a paradigm that highlights the various factors that structure and organise sociological resistance to mothers' openness to healthy reproductive behaviours; that is, openness to change for sustainable reproductive health. Far from becoming and remaining a prisoner of blind culturalism with the social logic that generates the health of mothers, new-borns and children, practically-relevant questions are raised. Issues of "bad governance", socio-cultural representations and behaviours in conflict with modern epidemiological standards are addressed in a culturally-sensitive manner, an important issue for the provision of care focused on the needs of mothers seeking answers to health problems. Developing these original community characteristics helps to orient a reading list in a socioanthropological perspective with a view to explaining and understanding different problems encountered, experiences acquired by social actors during the implementation of antenatal, postnatal and family planning care. This context of building logic with regard to reproductive health care is key to identifying real bottlenecks in maternity services and achieving efficient management of maternal, new-born and child health care for the benefit of populations and actors in the public health sector.


Author(s):  
Hari Walujo Sedjati

The research aimed to know problems policy health on Purbalingga district; province Central Java. Health planners have been more effective largely because of a policy regionalizing responsibility for the public health pure delivery assurance systems. Several kinds of health service provider’s hospital recommended by government for pure society in Purbalingga district. The Government as certain the efficiency and effectiveness of health services in public actors, these goals and options which frame a actor government Purbalingga district, choice in the health sector, are complicated by agreement over the criteria that determinant which patients are getting too much for pure society to health care. The policy Implementation goals to minimize mortalities and Invalid body for pure society in Purbalingga and policy health goals and standards are reached.


2019 ◽  
Vol 24 (3) ◽  
pp. 165
Author(s):  
Inang Winarso ◽  
Ressa Ria Lestari

<p>Mother and child health as a key indicator of community welfare is measured by the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). But why have efforts to reduce MMR and IMR not yet reached the target? This research answers this question by using an approach of cultural values in mother and child health. The focus of this research is on the human life cycle starting from marriage, pregnancy, birth and death in Situbondo Regency, East Java and Ngada Regency, NTT. Research has found four cultural elements that predominantly influence health beliefs, family and community decisions in dealing with maternal and infant health problems. These cultural elements are the religious system, the kinship system, the knowledge system and the livelihood system. These four systems can increase or decrease the risk of maternal and infant mortality. The government must consider the cultural values of the community in making health policies. First, strengthen factors that reduce the risk of maternal and child mortality. Second, reduce the factors that increase the risk of maternal and child mortality.</p>


Author(s):  
Bambang Dharwiyanto Putro ◽  
A.A. Ayu Murniasih

Health problems are closely related to culture or tradition in society. Cultural values in the community of Manggarai is a cultural potential that can be used as a means of agreeing to various public health issues including finding solutions to problems in the field of maternal and child health. Until now, traditional cultural values (local wisdom) still play important role in the process of maternal and child health care in the practice of pregnancy and childbirth care, and some are still handled by a traditional midwife (ata pecing). This study aims at determining the role of culture in maternal and child health practices, how health care search behavior and cultural potential of maternal and child health care practices in Ruteng sub-district are. The study was conducted by using an ethnographic approach method as one of the variants of the qualitative approach. The research activities included field assessments to understand the condition of the research location, field data collection by using interview, observation, literature and document verification techniques. The data collected from various sources were then processed, analyzed, and then presented in the form of interpretative descriptive argumentation. Manggarai community still believes in local customs and some particular behaviors for pregnant and postpartum women. A cultural conception of abstinence is intended to safeguard the safety of the mother and baby. However, the reasons revealed related to the restrictions are only symbolic. Health care providers and health workers need to understand the symbolic meaning contained in the respective abstinence.


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