CD Tesis
Persalinan Pada Masyarakat Kecamatan Kuala Kampar Kabupaten Pelalawan
Childbirth is something that will be experienced by women and is considered as something natural. The Ministry of Health set a target of 95% of births assisted by medical personnel in 2015. However, until now labor by health workers has not reached 95% of deliveries by health workers. The results of basic health research (Riskesdas) also showed that deliveries by health workers in health facilities only reached 55.4%. this shows that around 43.2% of births are still assisted by traditional birth attendants.
Based on the theory of Health Beliefe Model developed by Rosenstock (1950) in Soekidjo Notoatmodjo there are factors that influence a person's behavior in taking appropriate actions for their health, among others: (1) beliefs about individual vulnerability to illness, (2) beliefs about seriousness or disease malignancy, (3) beliefs about benefits and (4) action signals or instructions.
This study aims to determine the factors associated with the behavior of mothers choosing birth attendants and analyze the most dominant factors (determinant) in the selection of birth attendants in the community of Kuala Kampar, Pelalawan Regency.
This research was conducted with a quantitative approach through the Crossectional method. Data collection using questionnaires on 74 samples. Data was processed, then univariate, bivariate and multivariate analyzes were carried out. Univariate results showed that mothers chose 66.22% of health workers, 64.87% of mothers without risk, 55.41% of mothers with less education, 54.05% of mothers with risky parity, 70.27% of high income mothers , mothers who do not have and utilize health insurance participation of 59.46%. Mothers with access far from service reach 71.62%, mothers with high knowledge about delivery helper selection 64.86%, mothers with positive perceptions of risk 70.27%. Mother with positive threat perception 58.11%, mother with positive benefit perception 71.62%, mother with negative obstacle perception 67.57%, mother accessed with mass media 71.62%, mother who gets childbirth recommendation with health worker 77, 03%. Bivariate results showed that there was a statistically significant relationship between maternal age (r = 0.252), education (r = 0.353), income (r = 0.352), knowledge (r = 0.611), perception of vulnerability (r = 0.723), perceived threat (r = 0.552), perceptions of benefits (r = 0.691), perceived barriers (and r = 0.604), mass media (r = 0.755) and recommendations from health workers (r = 0.697) with the selection of birth attendants. There was no significant relationship between maternal parity (r = 0.201), participation in health insurance (0.050), access to health services (r = 0.133) with the selection of birth attendants. While the most dominant multivariate result for the selection of birth attendants was the role of the mass media (r = 0.755).
Based on the results of this study, it was recommended to health workers at Kuala Kampar Health Center to improve communication and information through counseling at each posyandu and activate pregnant women classes, adding maternal health promotion media and being empathetic, providing sufficient time to patients and patients and families and activate village alert.
Keywords: childbirth helper, kuala kampar, dukun
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