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description Journal article public Buletin Penelitian Sistem Kesehatan

Analisis Keberadaan Bidan Desa dan Dukun Bayi di Jawa Timur

Mochamad Setyo Pramono, Fx Sri Sadewo
Published July 2012

Abstract

Background: The aim of the MDGs improving maternal health, one indicator is the proportion of aid delivery by trained health personnel. Related to this field which is spearheading the village midwife. The presence of the midwife profession not within the vacant land, because the tradition of the existence of traditional birth attendants have been there first. In the geographical and social conditions of a diverse society, where they can be a wealth of cultural treasures. Becomes interesting when the two interests are aligned but different backgrounds met in the field. How their existence in society, especially in rural areas whose traditions are still strong. Methods: This study was conducted in 2011 in four districts in East Java is Sampang, Probolinggo, Jombang and Madison. Refers to the characteristics of the election districts in East Java community is Madura, pandalungan, arek and Mataraman. This study combines quantitative and qualitative research. The data was collected by observation and in-depth interviews, informants were village midwives and traditional birth attendants in each region was selected health centers. Results: There is a dichotomy of senior midwives and midwives young. Senior midwife came mostly from outside the region. While a limited number of wide area coverage, it is not un comm on to make them choose to live in the central districts. As aresuIt, service delivery is limited. Relations senior midwife with pregnant women is quite high. Meanwhile, a young midwife from the local community though, is not necessarily acceptable in the neighborhood. Midwives are considered inexperienced young because young age, unmarried status or newly married. Meanwhile, the role of traditional birth attendants in rural areas is still quite significant, especially in Sampang and Probolinggo, there are still bold to help direct labor. In addition to knowledge of hereditary shamans, also based on modern medical knowledge gained through the course. Suggestion: Patterns midwife partnership with shamans only one way to improve the coverage of deliveries by health personnel. The approach must be done from two sides, which is also in the community. The abilityof midwives to promotive and preventive accordance with the local culture are factors in addition to the factors of education and knowledge in society itself.

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