Determinan Pemanfaatan Penolong Persalinan di Wilayah Kerja Puskesmas Kluet Selatan Kabupaten Aceh Selatan Propinsi Aceh

Abstract

The choice for childbirth attendants are determining factor for the implementation of safe childbirth process. The determinant of the use of childbirth attendants conducted by health workers and non-health workers includes the factors of age, education, knowledge, attitude, culture, family income, distance from health facility, the need based on pregnant disturbance, and the needed based on the result of the diagnosis by health workers. In the working area of Kluet Selatan Puskesmas, there are 38.1% of childbirths, childbirth attendants by non-health workers because of the factor of childbirth mothers and the factor of service. The objective of the research was to know the determinant of the use of childbirth attendants in the working area of Kluet Selatan Puskesmas, Aceh Selatan District, Aceh Province. The research was a survey with an explanatory research approach. The population was 189 childbirth mothers, and 92 of them were used as the samples. The data were gathered by using questionnaires and analyzed by using multiple logistic regression tests. The result of the research showed that the factors of education (p=0.014), knowledge (p=0.004), and the needed based on the result of the diagnosis by health workers (p=0.006) had significant influence on the use of childbirth attendants. It is recommended that the Head of Kluet Selatan Puskesmas empower health workers to conduct training for Traditional birth attendants (TBAs) gradually active through training and improve communication skills Information, Education and Communication (IEC).

Pemilihan penolong persalinan merupakan faktor yang menentukan terlaksananya proses persalinan yang aman. Determinan pemanfaatan penolong persalinan yang dilakukan oleh petugas kesehatan atau petugas non kesehatan meliputi faktor umur, pendidikan, pengetahuan, sikap, budaya, penghasilan keluarga, jarak ke sarana kesehatan, kebutuhan berdasarkan gangguan kehamilan dan kebutuhan berdasarkan hasil diagnosis oleh tenaga kesehatan. Wilayah kerja Puskesmas Kluet Selatan ditemukan persalinan yang ditolong petugas non kesehatan akibat faktor pada ibu bersalin dan faktor pelayanan sebanyak 38,1%. Tujuan penelitian ini untuk mengetahui determinan pemanfaatan penolong persalinan di wilayah kerja Puskesmas Kluet Selatan Kabupaten Aceh Selatan Propinsi Aceh. Jenis penelitian adalah survei dengan pendekatan explanatory research dengan jumlah populasi sebanyak 189 ibu bersalin dan sampel sebanyak 92 ibu bersalin. Data diperoleh melalui kuesioner dan dianalisis dengan uji regresi logistik berganda. Hasil penelitian menunjukkan faktor pendidikan (p=0,014), pengetahuan (p=0,004), dan kebutuhan diagnosis (p=0,006) berpengaruh signifikan terhadap pemanfaatan penolong persalinan. Disarankan kepada Kepala Puskesmas Kluet Selatan memberdayakan petugas kesehatan untuk melakukan pembinaan secara bertahap bagi dukun bayi yang aktif melalui pelatihan dan meningkatkan kemampuan komunikasi Informasi dan Edukasi (KIE).