Determinan persalinan oleh tenaga kesehatan di Indonesia

Asep Hermawan; Yayi Suryo Prabandari; Siswanto Agus Wilopo

doi:10.22146/bkm.12320

Determinan persalinan oleh tenaga kesehatan di Indonesia

https://doi.org/10.22146/bkm.12320

Asep Hermawan^(1*), Yayi Suryo Prabandari⁽²⁾, Siswanto Agus Wilopo⁽³⁾

(1) Puslitbang Sumberdaya dan Pelayanan Kesehatan, Badan Penelitian dan Pengembangan Kesehatan, Kementrian Kesehatan, Jakarta
(2) Departemen Perilaku Kesehatan, Lingkungan dan Kedokteran Sosial, Fakultas Kedokteran, Universitas Gadjah Mada
(3) Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi, Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author

Abstract

Determinants of skilled birth attendance in Indonesia

Purpose

This study aimed to find the relationship between health worker ratio with skilled birth attendants (SBA).

Methods

This research was a cross-sectional study using data from Rifaskes 2011 (a nationwide survey of healthcare facilities), SP 2010 (population census), and Riskesdas 2013 (a nationwide survey based on community for basic health). The sample was total population of the district/city as many as 497 districts/cities. The unit of analysis of this study was the district/city in Indonesia. Statistical analysis used univariate analysis, bivariate analysis and generalized linear model (GLM).

Results

There was no correlation between the ratio of health workers with SBA coverage. But, the GLM analyses showed positive correlation of midwives ratio in the population and SBA when regressed with physicians, nurses, accessibility to community health center (puskesmas) with OR 1.07 (95% CI: 1-1.14), status of region (remote, borderland or islands area) 1.07 (95% CI: 1.01-1.15), and administrative status (district/city) with OR 1.11 (95% CI: 1.03-1.19).

Conclusion

The midwives ratio has a strong correlation with SBA after improving accessibility to primary health centers.

Keywords

skilled birth attendance; density of health workers; primary health care

Full Text:

PDF (Bahasa Indonesia)

References

World Health Organization. The world health report: 2006: working together for health. 2006.
Kanchanachitra C, et al. Human resources for health in southeast Asia: shortages, distributional challenges, and international trade in health services. The Lancet. 2011;377(9767):769-81.
Joint Learning Initiative. Human resources for health: overcoming the crisis. Global Equity Initiative. 2004.
Chen L, Evans T, Anand S, Boufford JI, Brown H, Chowdhury M, Cueto M, Dare L, Dussault G, Elzinga G, Fee E. Human resources for health: overcoming the crisis. The Lancet. 2004;364(9449):1984-90.
Dreesch N, Dolea C, Dal Poz MR, Goubarev A, Adams O, Aregawi M, Bergstrom K, Fogstad H, Sheratt D, Linkins J, Scherpbier R. An approach to estimating human resource requirements to achieve the Millennium Development Goals. Health Policy and Planning. 2005;20(5):267-76.
World Health Organization. Trends in maternal mortality: 1990 to 2008. Geneva: WHO. 2010.
Acuin CS, Khor GL, Liabsuetrakul T, Achadi EL, Htay TT, Firestone R, Bhutta ZA. Maternal, neonatal, and child health in southeast Asia: towards greater regional collaboration. The Lancet. 2011;377(9764):516-25.
Hernawati I. Analisis Kematian Ibu Di Indonesia Tahun 2010 Berdasarkan Data SDKI, Riskesdas dan laporan rutin KIA. Online) diunduh; 2011.
Kementrian Perencanaan Pembangunan Nasional. Peraturan Presiden Republik Indonesia Nomor 5 Tahun 2010 Tentang Rencana Pembangunan Jangka Menengah Nasional (RPJM) Tahun 2010-2014. Diunduh; 2010.
WHO ICM & FIGO. Making Pregnancy Safer: The Critical Role of The Skilled Attendant: A Joint Statement by WHO, ICM and FIGO. Geneva: WHO. 2004.
World Health Organization. Making Preganancy Safer: Skilled Birth Attendants. Geneva; 2008.
Badan Penelitian dan Pengembangan Kesehatan. Riset kesehatan dasar 2013. Jakarta: Kementrian Kesehatan Republik Indonesia. 2013.
Anand S, Bärnighausen T. Human resources and health outcomes: cross-country econometric study. The Lancet. 2004;364(9445):1603-9.
Frenk J & White KL. The concept and measurement of accessibility. PAHO Scientific Publication: Pan American Health Organization; 1992. p. 842-55.
Kabakyenga JK, Östergren PO, Turyakira E, Pettersson KO. Influence of birth preparedness, decision-making on location of birth and assistance by skilled birth attendants among women in south-western Uganda. PloS one. 2012;7(4):e35747.
Teferra AS, Alemu FM, & Woldeyohannes SM. Institutional delivery service utilization and associated factors among mothers who gave birth in the last 12 months in Sekela District, North West of Ethiopia: A community-based cross sectional study. BMC pregnancy and childbirth. 2012;12(1):1.
Kruk ME, Prescott MR, & Galea S. Equity of skilled birth attendant utilization in developing countries: financing and policy determinants. American Journal of Public Health. 2008;98(1):142-7.
Ahmed S, Creanga AA, Gillespie DG, & Tsui AO. Economic status, education and empowerment: implications for maternal health service utilization in developing countries. PloS one. 2010;5(6):e11190.
Sinay T. Access to quality health services: determinants of access. Journal of health care finance. 2001;28(4):58-68.
Kim K, & Moody PM. More resources better health? A cross-national perspective. Social science & medicine. 1992;34(8):837-42.
Burnham KP, & Anderson DR. Multimodel inference understanding AIC and BIC in model selection. Sociological methods & research. 2004;33(2):261-304.
WHO. Global action for skilled attendants for pregnant women: making pregnancy safer. 2002.
Badan Pengembangan dan Pemberdayaan Sumberdaya Manusia Kesehatan. Rencana pengembangan tenaga kesehatan 2011 2025. Jakarta: Kementerian Kesehatan; 2011.
Yanagisawa S, Oum S, & Wakai S. Determinants of skilled birth attendance in rural Cambodia. Tropical Medicine & International Health. 2006;11(2):238-51.
Buor D & Bream K. An analysis of the determinants of maternal mortality in sub-Saharan Africa. Journal of Women's Health. 2004;13(8):926-38. 26. Lestari TRP. Pelayanan Kesehatan di Daerah Tertinggal, Perbatasan, dan Kepulauan. Info Singkat kesejahtraan sosial. 2013;Vol. V, No. 12/II/P3DI/Juni/2013:9-12.