Praktik pemilihan penolong persalinan pada ibu usia remaja di Kelurahan Rancamaya Kecamatan Bogor Selatan Kota Bogor 2014 = The practice of selection maternity attendants to young mother at Rancamaya South Bogor district in 2014

Yusriati Yusuf, author

Praktik pemilihan penolong persalinan pada ibu usia remaja di Kelurahan Rancamaya Kecamatan Bogor Selatan Kota Bogor 2014 = The practice of selection maternity attendants to young mother at Rancamaya South Bogor district in 2014

Yusriati Yusuf; Hadi Pratomo, supervisor; Evi Martha, co-promotor; Turita Indah Setyani, examiner; Sri Pinantari Hanum, examiner; Baby Jim Aditya, examiner (Fakultas Kesehatan Masyarakat Universitas Indonesia, 2014)

Abstrak

[ABSTRAK

Survei Demografi dan Kesehatan Indonesia (SDKI, 2012) menunjukkan persentase perempuan

15-19 tahun di pedesaan yang pernah melahirkan (13,7%) lebih tinggi dibanding di perkotaan

(7,3%). Laporan LB3 KIA 2013 Puskesmas Cipaku melaporkan persalinan oleh tenaga

kesehatan sebanyak 97 orang dan oleh dukun (paraji) sebanyak 52 orang. Cakupan persalinan

dengan tenaga kesehatan sudah cukup baik (78,05% ), akan tetapi peran dukun dalam penolong

persalinan khususnya pada ibu usia remaja masih cukup besar (20,5%).

Penelitian ini bertujuan untuk memperoleh informasi mengenai praktik pemilihan penolong

persalinan pada ibu usia remaja dengan desain penelitian Rapid Assessment Procedure (RAP).

Data dikumpulkan melalui wawancara mendalam kepada 3 ibu remaja yang bersalin pada tenaga

kesehatan (2 bukan KTD dan 1 KTD); 4 ibu remaja yang melakukan persalinan dengan dukun (2

bukan KTD dan 2 KTD); 9 informan lain yang terdiri dari keluarga, bidan koordinator dan

dukun. Hasil penelitian menunjukkan bahwa praktik pemilihan penolong persalinan dengan

tenaga kesehatan didasari oleh perasaan aman ibu. Sementara pemilihan persalinan dengan

dukun dilatarbelakangi oleh pengalaman keluarga dalam menggunakan jasa dukun (paraji).

Selain itu kurangnya pengetahuan dikalangan remaja mengenai kehamilan, persalinan, dan

komplikasi-komplikasi yang bisa timbul. Direkomendasikan kepada Dinas Kesehatan dan

Puskesmas setempat perlu diupayakan peningkatan program advokasi dan konseling tentang

kesehatan reproduksi remaja serta penyebarluasan informasi secara merata.

ABSTRACT

The Indonesia Demographic and Health Survey (IDHS, 2012) shown adolescents women 15-19

years who had given birth was 13.7% in the rural areas the percentage of is higher than in the

urban areas was 7.3%. Based on monthly report of the LB3 KIA 2013 at Puskesmas Cipaku it

was shown that there was 97 deliveries by the health workers and 52 people by the traditional

birth attendant (paraji). The coverage of delivery by the health personal birth attendant was

78.05%, while the coverage of delivery by TBA among adolescent was 20.5%. The aim of this

study was to obtain information regarding the practice selection of birth attendants among

adolescents. Design of this study was a Rapid Assessment Procedure (RAP). Data were collected

through in-depth interviews to 3 adolescent mothers delivered attended by health workers (2

wanted and 1 unwanted pregnancy); 4 adolescent mothers delivered by TBA (2 wanted and 2

unwanted pregnancies); 9 other informants consisting of families, midwife coordinator and

TBA?s. The results showed that the practice of selecting health personal birth attendant was

primarily due to mother's feeling of safety. Mean while the selection of TBA as birth attendant

was mainly based on the previous family experience in using the TBA services. In addition there

was insufficient knowledge both of delivery and pregnancy and their complications among

adolescents. The recomendation was made to the Department of Health and the local health

center to increased advocacy and counseling programs on adolescent reproductive health and

disseminate evenly by the Department of Health and the local Health Centre;The Indonesia Demographic and Health Survey (IDHS, 2012) shown adolescents women 15-19