Pemanfaatan Pertolongan Persalinan Tenaga Kesehatan Oleh Peserta Program Jaminan Pemeliharaan Kesehatan Masyarakat Miskin
Abstract: The proportion of
childbirth assisted by skilled health professionals is still 68.4%. Monetary
crisis which happened in 1997 still has influence in the increasing health cost
which limits access of poor community to health services. Major problems of
health service for poor community are cost and transportation.
Objective: To find out the increase of the utilization of childbirth
assistance provided by health professionals by participants of health care
insurance program for poor community and assesses factors affecting the
utilization of childbirth assistance provided by health professionals.
Methods: The study was a cross sectional observation which used both
qualitative and quantitative approaches. Participation in the health insurance
for poor community as independent variable and childbirth attended by health
professionals as dependent variable were simultaneously observed. Samples of
the study were 104 mothers who gave birth in 2006. Quantitative analysis used
univariate analysis with frequency distribution, bivariate with chi square and
multivariate with logistic regression test. Qualitative analysis used in-depth interview.
Results: There was significant relationship between perception in health
insurance for poor community and childbirth attended by health professionals
(OR=4.23, 95%CI=1.43-12.47, p=0.00). Variables of transportation and
availability of midwives had significant relationship with childbirth attended
by health professionals (OR=4.5,95%CI=1.45-13.96, p=0.00) and OR=4.43, 95%CI=1.56-12.57,
p=0.00). Length of time to reach health service facility for childbirth had no
significant relationship with the utilization of childbirth attended health
professionals.
Conclusion: Participants of health care insurance for poor community utilized
childbirth assistance provided by health professionals more than those who were
not participants. Other factors affecting the utilization of childbirth
attended by health professionals were distance, transportation and availability
of midwives at the service point. Transportation and availability of midwives
at the service point were confounding variables of participation in health care
insurance for poor community and childbirth provided by health professionals.
Keywords: childbirth attended
by health professionals, program of health insurance for poor community
Penulis: Nuzliati T. Djama,
Ova Emilia, Mubasysyir Hasanbasri
Kode Jurnal: jpkedokterandd110174
