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Challenges that Hinder Parturients to Deliver in Health Facilities: A Qualitative Analysis in Two Districts of Indonesia

Main Authors: Nasir, Sudirman, Ahmed, Rukhsana, Kurniasari, Miladi, Limato, Ralalicia, Tulloch, Olivia, Syafruddin, Din, Koning, Korrie De
Format: Book application/pdf Journal
Terbitan: UI Scholars Hub , 2016
Subjects:
health facilities
health promotion
midwifery
pregnant women
Online Access: https://scholarhub.ui.ac.id/mjhr/vol20/iss3/4
https://scholarhub.ui.ac.id/cgi/viewcontent.cgi?article=1092&context=mjhr
ctrlnum mjhr-1092
fullrecord <?xml version="1.0"?> <dc schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd"><title>Challenges that Hinder Parturients to Deliver in Health Facilities: A Qualitative Analysis in Two Districts of Indonesia</title><creator>Nasir, Sudirman</creator><creator>Ahmed, Rukhsana</creator><creator>Kurniasari, Miladi</creator><creator>Limato, Ralalicia</creator><creator>Tulloch, Olivia</creator><creator>Syafruddin, Din</creator><creator>Koning, Korrie De</creator><description>Background: There are many challenges women face to be able to give birth in health facilities in many parts of Indonesia. This study explores the roles and observations of close-to-community maternal health providers and other community members on potential barriers faced by women to deliver in health facilities in two districts within The Archipelago. Methods: Employing an explorative qualitative approach, 110 semi-structured interviews and 7 focus group discussions were conducted in 8 villages in Southwest Sumba, in the East Nusa Tenggara province, and in 8 villages in Cianjur, in the West Java province. The participants included village midwives, Posyandu volunteer (village health volunteers), traditional birth attendants (TBAs), mothers, men, village heads and district health officials. Results: The main findings were mostly similar in the two study areas. However, there were some key differences. Preference for TBA care, traditional beliefs, a lack of responsiveness of health providers to local traditions, distance, cost of travel and indirect costs of accompanying family members were all barriers to patients attending health facilities for the birth of their child. TBAs were the preferred health providers in most cases due to their close proximity at the time of childbirth and their adherence to traditional practices during pregnancy and delivery. Conclusions: Improving collaborations between midwives and TBAs, collaboration, and responsiveness to traditional practices within health facilities and effective health promotion campaigns about the benefits of giving birth in health facilities may increase the use of health facilities in both study areas.</description><date>2016-12-01T08:00:00Z</date><type>Book:Book</type><type>File:application/pdf</type><identifier>https://scholarhub.ui.ac.id/mjhr/vol20/iss3/4</identifier><identifier>https://scholarhub.ui.ac.id/cgi/viewcontent.cgi?article=1092&amp;amp;context=mjhr</identifier><source>Makara Journal of Health Research</source><publisher>UI Scholars Hub</publisher><subject>health facilities</subject><subject>health promotion</subject><subject>midwifery</subject><subject>pregnant women</subject><recordID>mjhr-1092</recordID></dc>
format Book:Book
Book
File:application/pdf
File
Journal:Journal
Journal
author Nasir, Sudirman
Ahmed, Rukhsana
Kurniasari, Miladi
Limato, Ralalicia
Tulloch, Olivia
Syafruddin, Din
Koning, Korrie De
title Challenges that Hinder Parturients to Deliver in Health Facilities: A Qualitative Analysis in Two Districts of Indonesia
publisher UI Scholars Hub
publishDate 2016
topic health facilities
health promotion
midwifery
pregnant women
url https://scholarhub.ui.ac.id/mjhr/vol20/iss3/4
https://scholarhub.ui.ac.id/cgi/viewcontent.cgi?article=1092&amp;context=mjhr
contents Background: There are many challenges women face to be able to give birth in health facilities in many parts of Indonesia. This study explores the roles and observations of close-to-community maternal health providers and other community members on potential barriers faced by women to deliver in health facilities in two districts within The Archipelago. Methods: Employing an explorative qualitative approach, 110 semi-structured interviews and 7 focus group discussions were conducted in 8 villages in Southwest Sumba, in the East Nusa Tenggara province, and in 8 villages in Cianjur, in the West Java province. The participants included village midwives, Posyandu volunteer (village health volunteers), traditional birth attendants (TBAs), mothers, men, village heads and district health officials. Results: The main findings were mostly similar in the two study areas. However, there were some key differences. Preference for TBA care, traditional beliefs, a lack of responsiveness of health providers to local traditions, distance, cost of travel and indirect costs of accompanying family members were all barriers to patients attending health facilities for the birth of their child. TBAs were the preferred health providers in most cases due to their close proximity at the time of childbirth and their adherence to traditional practices during pregnancy and delivery. Conclusions: Improving collaborations between midwives and TBAs, collaboration, and responsiveness to traditional practices within health facilities and effective health promotion campaigns about the benefits of giving birth in health facilities may increase the use of health facilities in both study areas.
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