Village midwives’ experiences in rural area
Journal Ilmiah Permata Medika
Volume 4 (1), July 2015,
page 1-24
Research Report
Indrayani1§, Gustina Mulyawati1
Corespondence address
1§Akademi Kebidanan Dewi
Sartika, Jl. Terusan Kopo KM 12,8 Katapang, Bandung
Abstract
Background: Village midwife is the spearhead of
health service to mother and child. In 1989, the government established a
program to assign midwife in every village to ensure a safe pregnancy and birth
process of women. In fact, a midwife is expected to do her job according to not
only her authority but also jobs instructed to her. This research aims to
describe the implementation of already established village midwife program.
Research method: This qualitative research employed method of oral thematic
history. Data collection was conducted in February 2015 at two sub-districts in
Bandung Regency through in-depth interviews. Sampling technique used in this
research was snowball sampling.
Total participants involved are 36, specifically14 village midwives, 3 cadres, 5 patients, 2 traditional birth
attendants (paraji), 2 staffs of
sub-district office, 2 community office staffs, 6 public health center staffs,
and 2 regional health department staffs. Data triangulation was conducted to
verify data validity of this research.
Results: Findings of this research are divided
into three parts, specifically recruitment of village midwife, jobs of village midwife, and obstacles encountered by village midwife. Recruitment of village midwife includes registration
information, requirements, selection, approval pronouncement, inauguration and
information of village midwife,
appointment of village midwife,
and description of village midwife
jobs. The jobs include orientation/ introduction, services of village midwife, documentation process, and
reporting of village midwife.
Obstacles encountered by participants being village midwives include many documentation and reporting to do, education
level of society, tradition and culture in society, births at health
facilities, unsuccessful partnership with paraji,
ratio of areal width and populations with numbers of village midwives, facilities and
infrastructures, the lack of training given to village midwives, and inactive
cadres.
Conclusion: Village midwife program is one of
alternative solutions to decrease mother and infant mortality rates especially
at peripheral regions. However, the program has not yet overcome some problems
because many weaknesses including the input, process, or output have not met
the expectation. The government is expected to make some improvements to the
program.
Keywords:
Program, village midwife, experience
Cited:
Indrayani I, Mulyawati G.
Village midwives’ experiences in rural area. J Ilmiah Permata Med.
2015;4(1):1-24.
