HOW HEALTH SERVICE? PERSPECTIVE OF MATERNAL IN EAST NUSA TENGGARA PROVINCE, INDONESIA
DOI:
https://doi.org/10.61841/3c6fjm80Keywords:
Community perspective, Access, Health services, MaternalAbstract
The utilization of maternal health services in Indonesia is still low, especially in rural areas. This condition also occurs in the community in the work area of the Babulu Selatan Community Health Center in Malacca Regency. The community is still giving birth at home. This study will examine access to maternal health services from the perspective of the public as health care users who are less noticed. This study was designed in a descriptive qualitative manner, collecting data with in-depth interviews, Focus Group Discussion (FGD) and observations in the field. Research location in Malacca District in February-April 2019. The results illustrate the accessibility of maternal health services in general, the community believes that it is still lacking. Physical access is difficult to reach due to poor infrastructure and facilities. Also, social access is felt to be lacking because health providers are not friendly and careless, people believe in traditional birth attendants and cultural practices. The conclusion of this research, in general, is that the community still feels barriers to physical access and social access. For this reason, it is necessary to recommend the local government to improve physical access and health services to make efforts to increase public awareness to utilize maternal health services.
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References
1. Ministry of Health of the Republic of Indonesia. Indonesia health profile in 2015. Jakarta: Ministry of Health of the Republic of Indonesia. 2016;45-55
2. East Nusa Tenggara Provincial Health Office Profile of the Health Service Office of East Nusa Tenggara Province in 2016. Kupang: East Nusa Tenggara Provincial Health Office. 2017;34-45
3. Ministry of Health of the Republic of Indonesia National referral system guidelines. Jakarta: Directorate General of BUK (Community Health Efforts) Ministry of Health of the Republic of Indonesia. 2012;23-33
4. McCarthy & Maine. A frame for analyzing the determinants of maternal mortality. Studies in Family Planning. 1992;23(1):23-33.
5. Laksono, AD & Hidayati, E. Efforts to Increase the Delivery of Health Workers Based on Need and Demand Analysis. Journal of Health Policy Analysis. 2008:6(1):56–63.
6. Zahtamal, Z. Determinant Factor Analysis of Problems in Maternal and Child Health Services. National Journal of Public Health. 2011;6(1):9-16.
7. Laksono, AD & Pranata, S. Access to Maternal and Child Health Services in the Islands (Case Study in Aru Islands, Wakatobi & Natuna Islands). In: AD Laksono & T. Rachmawati (Eds.), Social Determinants of Maternal and Child Health . 2013;145–177
8. Astuti, WD & Laksono, AD. Maternal and Child Health Services in Sampang. In: L. Dyson & AD Laksono (Eds). Positioning Traditional TBAs; Case Study of Efforts to Reduce Maternal Mortality in Sampang District. 2014; 51-72
9. Laksono, AD. Health Care Accessibility. In: S. Supriyanto, D. Chalidyanto, & RD Wulandari (Eds.), Accessibility of Health Services in Indonesia. 2016;5-20
10. Wang, W., Alva, S., Wang, S. & Fort, A.. Levels and trends in the use of maternal health services in developing countries. DHS comparative reports. Calverton, Maryland: ICF Macros.2011;26-44.
11. Ministry of Health of the Republic of Indonesia Indonesia Health Profile 2018. Indonesia. 2019;221-229
12. Ministry of Health Republic of IndonesiaMinistry of Health Strategic Plan 2012-2014. Decree of the Minister of Health of the Republic of Indonesia Number HK. 2010;106-115
13. Mubasyiroh, R., Nurhotimah, E., & Laksono, AD Health Services Accessibility Index in Indonesia. In
S. Supriyanto, D. Chalidyanto, & RD Wulandari (Eds.), In: Accessibility of Health Services in Indonesia. 2016;21–58
14. Language Development and Development Board, KP and KRI 2016. Large Indonesian Dictionary in Networks. 2018;34-44
15. Higgs, ZR, Bayne, T., & Murphy, D.. Health Care Access: A Consumer Perspective. Public Health Nursing, 2001;18(1):3–12.
16. Rahayu, SK, Toyamah, N., Hutagalung, S., Rosfahdila, M. & Syukri, M. PNPM's qualitative and basal qualitative study research report on layoffs: availability and use of maternal and child health services
and basic education in the provinces of West Java and East Nusa Tenggara, Jakarta's SMERU Education Institute. 2008;114-124
17. Leach, MJ, Wiese, M., Agnew, T. & Thakkar, M.. Health consumer and health provider preferences for an integrative healthcare service delivery model: A national cross-sectional study. International Journal of Clinical Practice. 2018;72(6):1–13
18. Martin, D., Miller, AP, Quesnel-Vallée, A., Caron, NR, Vissandjée, B. & Marchildon, GP Canada's universal health-care system: achieving its potential. The Lancet. 2018;391(10131):1718-1735.
19. Herman & Hasanbasri, M. Policy Evaluation on Placement of Health Workers at the Community Health Center Very remote in Buton District. Journal of Health Services Management. 2008; 11(3):22-29
20. McKee, M. Global sustainable healthcare. Medicine (United Kingdom). 2018:46(7):383–87.
21. Dorjdagva, J., Batbaatar, E., Svensson, M., Dorjsuren, B., Batmunkh, B., & Kauhanen, J. Free and universal, but unequal utilization of primary health care in the rural and urban areas of Mongolia. International Journal for Equity in Health. 2017;16(1):23-35
22. Wen, P.-C., Lee, CB, Chang, Y.-H., Ku, L.-JE, & Li, C.-Y.. Demographic and rural-urban variations in dental service utilization in Taiwan. Rural and Remote Health. 2017;17(3):46-57
23. Chiang, C.-L., Chen, P.-C., Huang, L.-Y., Kuo, P.-H., Tung, Y.-C., Liu, C.-C., & Chen , WJ. Impact of universal health coverage on urban-ruralal inequity in psychiatric service utilization for patients with the first admission for psychosis: a 10-year nationwide population-based study in Taiwan. BMJ Open. 2016;6(3):57-66
24. Mohanty, SK, Kim, R., Khan, PK, & Subramanian, SV. Geographic Variation in Household and Catastrophic Health Spending in India: Assessing the Relative Importance of Villages, Districts, and States, 2011-2012. The Milbank Quarterly. 2018;96(1):167-206.
25. Atuoye, KN, Dixon, J., Rishworth, A., Galaa, SZ, Boamah, SA & Luginaah, I. Can she make it? Transportation barriers to accessing maternal and child health care services in rural Ghana. BMC Health Services Research. 2015;15(2):1–10.
26. Rishworth, A., Dixon, J., Luginaah, I., Mkandawire, P. & Prince, CT 'I was on the way to the hospital but delivered in the bush': maternal health in Ghana's Upper West Region in the context of a traditional birth attendant-ants' ban. Social Science & Medicine. 2016;148(2):8–17.
27. Lange, IL, Kanhonou, L., Goufodji, S., Ronsmans, C. & Filippi, V. The costs of "free": Experiences of facility-based childbirth after Benin's cesarea section exemption policy. Social Science & Medicine. 2016;168(3):53–62.
28. Chantzaras, AE & Yfantopoulos, JN Financial protection of households against health shocks in Greece during the economic crisis. Social Science and Medicine. 2018;211(3):338–351.
29. Fekadu, GA, Ambaw, F., & Kidanie, SA Facility delivery and postnatal care services use among mothers who attended four or more antenatal care visits in Ethiopia: further analysis of the 2016 demographic and health survey. BMC Pregnancy and Childbirth. 2019;19(2):1-11
30. Lungu, EA, Obse, AG, Darker, C., & Biesma, R. What influences where they seek care? Caregivers' preferences for under-ve ve child healthcare services in urban slums of Malawi: A discrete choice experiment. PLoS ONE. 2018;13(1):45-49
31. Gabrysch S, Lema C, Bedrinana E, Bautista MA, Malca R, et al. Cultural adaptation of birthing services in rural Ayacucho, Peru. Bull World Health Organ. 2009;87(3):724–729.
32. Thaddeus, S., Maine, D. Too far to walk maternal mortality in context. Soc Sci Med. 1994;38(8):11-10.
33. Ahmed, M., Demissie, M., Worku, A., Abrha, A. & Berhane, Y. Socio-cultural factors favoring home delivery in Afar pastoral community, northeast Ethiopia: A Qualitative Study. Reproductive Health. 2019;16(1):34-44
34. Titaley, CR, Dibley, MJ, Roberts, CL. Factors associated with underutilization of antenatal care services in Indonesia results from Indonesia demographic and health survey 2002/2003 and 2007. BMC Public Health. 2010;10(3):485-495
35. Betancourt, JR, Green, AR, Emilio Carrillo, J., & Park, ER Cultural competence and health care disparities: Key perspectives and trends. Health Affairs. 2005;7(2):23-33.
36. Chae, D., Lee, J., Asami, K., & Kim, H. Experience of migrant care and needs for cultural competence training among public health workers in Korea. Public Health Nursing. 2018;35(3):211-219.
37. Fawcett, S., Torres, J., Jones, L., Moffett, M., Bradford, K., Mantilla, MR, ... Collie-Akers, V. Assuring Health Access and Culturally Competent Health Services Through the Latino Health for All Coalition. Health Promotion Practice. 2018;67-88
38. Husein, Ismail H Mawengkang, S Suwilo "Modeling the Transmission of Infectious Disease in a Dynamic Network" Journal of Physics: Conference Series 1255 (1), 012052, 2019.
39. Husein, Ismail, Herman Mawengkang, Saib Suwilo, and Mardiningsih. "Modelling Infectious Disease in Dynamic Networks Considering Vaccine." Systematic Reviews in Pharmacy 11.2, pp. 261-266, 2020.
40. Husein, Ismail, YD Prasetyo, S Suwilo "Upper generalized exponents of two-colored primitive extremal ministrong digraphs"AIP Conference Proceedings 1635 (1), 430-439, 2014
41. M Suhron, A Yusuf, R Subarniati. Assessment of Stress Reactions and Identification of Family Experiences in Primary Care Post Restrain Schizophrenia in East Java Indonesia. Mix Method: Sequential Explanatory. Indian Journal of Public Health Research & Development. 2018;10(12):1849-1854
42. M Suhron, F Amir. Reduce violent behavior schizophrenia: A new approach using LT (Laughing therapy) and DRT (Deep relaxation therapy). Indian Journal of Public Health Research & Development. 2018:9(8):1518-1523
43. Bennis, I., & De Brouwere, V. Fee exemption for Caesarean section in Morocco. Archives of Public Health. 2012;70(1):132-136
44. Boukhalfa, C., Abouchadi, S., Cunden, N., & Witter, S.. The free delivery and Caesarean policy in Morocco: how much do households still pay? Tropical Medicine & International Health. 2016;21(2):245–252.
45. Choi, S. Experiencing Financial Hardship Associated with Medical Bills and Its Effects on Health Care Behavior: A 2-Year Panel Study. Health Education and Behavior. 2018;45(4):616–624.
46. Otis, KE, Brett, JA) Barriers to hospital births: why do many Bolivian women give birth at home ?.Rev Panam Salud Publica. 2008;24(1):46-53.
47. Sinaga, M. Several social and demographic factors related to the high maternal mortality rate in the province of East Nusa Tenggara, Muhamahdiyah Medical Magazine. 2007;3(2):85-89
48. S Sitepu, H Mawengkang, I Husein “Optimization model for capacity management and bed scheduling for hospital” IOP Conference Series: Materials Science and Engineering 300 (1), 01,2016.
49. Suraya, I., Meilani, M., Wandasari, N., & Mariance, O. Relationship of Health Service Access with Early Neonatal Death. Arkesmas. 2016;1(1):18–24.
50. Suhron, M. Model of Potential Strengthening and Family Roles in Improving Family Members for ODGJ Adaptability http://conference.unair.ac.id/index.php/isoph/isoph/paper/view/1147. Publication Name : proceeding of The 2nd International Symposium of Public Health. 2018;1(1):344-354
51. Sugeng, M., Yusuf, Ah., Rika, S., Suhron, M. The Burden in Providing Caregiving Service to Mentally Illed Patients in Ponorogo Publication Name : Indian Journal of Public Health Research & Development. 2019;10(10):1070-1074
52. Yusuf, Ah., Rika, S., Suhron, Assessment of the Kempe Family Stress Inventory in self-care post-restrain schizophrenia. Publication Name : International Journal of Public Health Science. 2019;8(2):55-59
53. Andrea A, et al. Hypohidrotic Ectodermal Dysplasia. Clinical genetic aspects and future perspective. A short comprehensive review Michele Callea. Journal of International Dental and Medical Research. 2017;10(2):397-400
54. Yayun S, et al. Maternal Polymorphism MTHFR A1298C not C677T and MSX1 as the Risk Factors of Non-syndrome Cleft Lips /Palate in Sasak Tribe Indon. Journal of International Dental and Medical Research 2018;11(1):120-123
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