Synergy of Midwives and Paraji: Finding the Plurality Side in the Maternal and Child Health Care System

Aan Kurniawan • Lestari Handayani • Suharmiati Suharmiati
Journal article Buletin Penelitian Sistem Kesehatan • July 2015 Indonesia

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(Bahasa Indonesia, 10 pages)


Background: The government issued a Delivery social insurance program (Jampersal) to reduce the Maternal and Infant Mortality Rate (MMR and IMR). Choice of aid delivery is a midwife or paraji (TBAs) in District Cirinten, Lebak, Banten. This paper reviews the diversity in the system of Maternal and Child Health Service. Methods: descriptive study, conducted in 2012 in the village Cirinten. Conducted in-depth interviews to the midwife and paraji as well as observations of the activities of service delivery by both. Results: Coverage deliveries by health workers in Cirinten health centers was 50.4% in 2011. The concept of ‘traditional', ‘local' and ‘modern' is used to describe the differences between plural MCH system in a community. Three factors related to health seeking behavior that is healing factors, psychological, and sociological. Cirinten community has a continuous historical experience in a belief system that affects the choice of TBAs (paraji). Cultural contact with the medical system affect the view of society through the traditional health care system. Conclusion: Paraji as TBAs in the remote area has a role to be a mediator between the traditional and modern MCH systems. Recomendation: Utilizing paraji to advocate the health care/MCH system to public who still believe in traditional health system through establish communications between them.




Buletin Penelitian Sistem Kesehatan

Buletin Penelitian Sistem Kesehatan (Bulletin of Health Systems Research) is an open access, peer... see more