[ABSTRAK
Indonesia mempunyai target untuk menurunkan kematian ibu menjadi 125kematian maternal per 100.000 kelahiran hidup. Padahal Indonesia menghadapitantangan geografis dan variabel social lainnya yang menyebabkan kelahirankebanyakan di rumah dan ditolong bukan oleh tenaga kesehatan. Salah satupilihan pemerintah Indonesia untuk mengurangi kematian maternal adalah denganmeningkatkan angka utilisasi penolong persalinan oleh tenaga kesehatan. Agarkebijakan penanggulangan masalah ini lebih tepat perlu diketahui determinanyang menyebabkan ibu melahirkan dengan pertolongan tenaga kesehatan.Dengan menggunakan beberapa teori atau model dari beberapa studi sebelumnyamaka disusunlah kerangka konsep yang dapat memahami determinan utilisasilinakes.Data Susenas 2005 dan PODES 2005 digunakan dalam analisis ini. Hasilnyaberdasarkan lebih dari 91.000 sampel anak balita, diperoleh hasil prdiksi proporsipemanfaat pertolongan tenaga kesehatan pada kelahiran sebesar 75,5 %.Model binomial logistic digunakan untuk analisis inferensial. Hasilnyamenunjukkan variabel yang signifikan adalah pendidikan ibu, kunjungan ANC,area, kepemilikan jaminan pembiayaan kesehatan, urutan kelahiran, umur ibu,status bekerja ibu, sektor pekerjaan ibu, pekerjaan KRT, pendidikan KRT, jumlahanggota rumah tangga, fasilitas kesehatan seperti puskesmas, polindes dan bidandi desa serta pengeluaran rumah tangga per kapita.

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ABSTRACT
Indonesia has set a target of reducing its maternal mortality rate to 125 maternaldeaths per 100,000 live births by the year 2010. This poses formidable challengesin geographically diverse country where the majority of births occur at home byunskilled birth attendant. One option for the Indonesian government in oder toreduce its maternal mortality would be to increase rates of skilled assistance forhome deliveries. In order to design appropriate policies to achieve this, it isimperative to understand the determinant of use of skilled birth attendants bymothers. We use several model as an theoretical framework to understand thedeterminant of the use of a trained provider in Indonesia.The 2005 National Social Economic Survey was used, and data PODES wasabstracted for analysis. Out of a total sampel of 91.000 under 5 years, 75% usedservices of skilled birth attendants.A binomial logistic model was used to predict determinant of use. Our results thatmaternal education, household expenditure per capita quintile, occupation, andnumber of antenatal care visit are significant determinants among all choice set., Indonesia has set a target of reducing its maternal mortality rate to 125 maternaldeaths per 100,000 live births by the year 2010. This poses formidable challengesin geographically diverse country where the majority of births occur at home byunskilled birth attendant. One option for the Indonesian government in oder toreduce its maternal mortality would be to increase rates of skilled assistance forhome deliveries. In order to design appropriate policies to achieve this, it isimperative to understand the determinant of use of skilled birth attendants bymothers. We use several model as an theoretical framework to understand thedeterminant of the use of a trained provider in Indonesia.The 2005 National Social Economic Survey was used, and data PODES wasabstracted for analysis. Out of a total sampel of 91.000 under 5 years, 75% usedservices of skilled birth attendants.A binomial logistic model was used to predict determinant of use. Our results thatmaternal education, household expenditure per capita quintile, occupation, andnumber of antenatal care visit are significant determinants among all choice set.]