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"ABSTRAKNama : NoralisaProgram Studi : Ilmu Kesehatan MasyarakatJudul : Keselarasan Peran Bidan dan Dukun dalam Pandangan Suku AnakDalam SAD pada Masa Kehamilan, Persalinan, dan Nifas diKabupaten Tebo Provinsi Jambi Tahun 2018Angka kematian ibu dikalangan Suku Anak Dalam SAD sangat tinggi. Setiap tahun sejakTahun 2012 sampai Tahun 2017 terjadi satu kematian ibu. Penyebab utama adalah perdarahan daninfeksi, penyebab tidak langsung adalah faktor budaya dimana persalinan ditolong oleh dukun beranakdan tempat persalinan di pondok. Tujuan penelitian adalah untuk memotret keselarasan peran bidan dandukun dalam pandangan SAD pada masa kehamilan, persalinan, dan nifas. Metode penelitian kualitatifdengan pendekatan etnografi. Hasil penelitian diperoleh bahwa terdapat tiga aktifitas SAD pada masakehamilan, persalinan, dan nifas yaitu cara perawatan diri dan cara mencegah terjadi bahaya kehamilan,persalinan, dan nifas, pemilihan tenaga penolong, serta upacara ritual, hal dominan yang mempengaruhiaktifitas selama kehamilan ,persalinan, dan nifas adalah pengalaman yang lalu, perasaan Saat Ini, anjurandan Pantangan , pusat kekuatan pengambilan Keputusan. SAD menyatakan bahwa bidan hanya memilikiperhatian yang positif dalam memberikan pelayanan kesehatan, sedangkan dukun mampu memberikantiga unsur inti pertolongan. Bidan menyatakan Sulit berkomunikasi dan jarang melakukan interaksidengan SAD, sedangkan dukun mampu berkomunikasi dan berinteraksi baik dengan SAD. Dukunmenyatakan SAD memiliki kepatuhan terhadap tradisi dalam pemilihan penolong, sedangkan bidanmenjaga jarak dengan SAD. Menurut temenggung SAD akan memilih bidan sebagai penolong, apabiladukun tidak mampu lagi memberikan pertolongan.Kata kunci: peran bidan;peran dukun;Suku Anak Dalam SAD ;kehamilan;persalinan;nifas

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ABSTRACTName NoralisaStudy Program Public Health SciensesTitle Alignment of the Midwife and Traditional Birth Attendent TBA inview Suku Anak Dalam SAD in Pregnancy, Delivery, and Postpartumat Tebo, Jambi 2018Maternal mortality rate among Suku Anak Dalam SAD is very high. Every year from 2012to 2017 there is one maternal death. The main cause is bleeding and infection, indirect cause is a culturalfactor where labor is helped by traditional birth attendants TBA and place of birth in the lodge. Theobjective of the study was to photograph the harmony of the role of midwives and TBA in the view ofSAD during pregnancy, maternity, and childbirth. Qualitative research method with ethnographyapproach. The results showed that there were three SAD activities during pregnancy, maternity, andchildbirth, namely self care and how to prevent the occurrence of danger of pregnancy, maternity, andchildbirth, the selection of rescue workers, as well as ritual ceremonies, dominant things that affectactivities during pregnancy, maternity, and childbirth are past experiences, current feelings, suggestionsand abstinences, centers of decision making power. SAD states that midwives have only positiveattention in providing health services, whereas TBA are able to provide three core elements of relief.Midwives say Difficult to communicate and rarely interact with SAD, while TBA are able tocommunicate and interact well with SAD. TBA claim SAD has adherence to tradition in helper election,while midwife keeps distance with SAD. According to the Chief of SAD the midwife will choose as ahelper, if the TBA is unable to provide help.Keywords midwife 39 s role TBA 39 s role Suku Anak Dalam SAD pregnancy maternity childbirth"

"ABSTRAKAngka kematian ibu adalah tantangan kesehatan masyarakat di dunia, negara-negaraberkembang menyumbang 99 kematian ibu secara global. Diperkirakan 15 sampai20 ibu hamil dari seluruh ibu hamil yang ada akan mengalami keadaan risiko tinggidan mengalami komplikasi obstetri. Asuhan kebidanan komprehensif berbasis buktiyang diberikan oleh bidan diharapkan dapat mendeteksi dini faktor risiko kehamilan,persalinan, dan nifas sebelum komplikasi terjadi. Sistem deteksi dini melalui penilaianfaktor risiko dengan menggunakan sistem skoring membutuhkan waktu untukmengambil keputusan, belum ada manajemen risiko yang dapat digunakan sebagaiacuan bidan, dan ibu hamil serta keluarga belum mendapat informasi sesuai kebutuhanrisiko ibu. Tujuan penelitian ini adalah membangun sistem deteksi dini di PraktekMandiri Bidan Kabupaten Lampung Tengah dalam rangka mendeteksi secara dini faktorrisiko kehamilan, persalinan dan nifas yang mungkin terjadi, melakukan penilaian risikodan memberikan manajemen risiko sesuai kebutuhan, merancang basis data ibu hamildan membuat laporan. Rancangan pengembangan sistem menggunakan pendekatanprototyping. Sistem deteksi dini ini memudahkan bidan dalam mendeteksi faktor risikopada ibu hamil, bersalin, dan nifas dengan meningkatkan kecepatan penilaian faktorrisiko oleh bidan sehingga bidan dapat melakukan tatalaksana kasus dengan segera,memberikan informasi yang dibutuhkan oleh ibu dan keluarga, memudahkan bidandalam melakukan pencatatan dan memberikan laporan yang berkualitas.

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ABSTRACTMaternal mortality is a challenge for public health field in the world and developingcountries account for 99 of maternal deaths globally. It is estimated that 15 to 20 of all pregnant women will experience a high risk state and obstetric complication. Theevidence based midwifery comprehensive guideline provided by the midwife isexpected to detect early risk factors for pregnancy, labor, and postpartum women beforecomplication occurs. The early detection system through risk factor assessment usingscoring system takes time too much to make decisions. The other contraints are there isno risk management that can be used as a benchmark for midwives and also pregnantwomen and families have not been enough informed about mother 39 s risk requirement.The purpose of this research is to build an early detection system in private midwifepractice of Central Lampung regency in order to detect the early pregnancy, labor andpost childbirth risk factors that may occur, to perform risk assessment, to provide riskmanagement as needed, to design data base of pregnant mother and to make a report.This research uses prototyping approach as system development design. The earlydetection system enables midwifes to assess the health status of pregnant, maternal, andpost childbirth women, to assist midwifes in performing case management, to provideinformation needed by pregnant women and families, and to facilitate midwifes inrecording and delivering a quality report. "

"Saat ini transportasi yang dilakukan bagi bayi berat lahir rendah (BBLR) menggunakan inkubator dengan menyiapkan berbagai perlengkapan untuk menunjang keamanan dan kenyamanan bayi selama perjalanan. Beberapa efek dari transportasi menggunakan inkubator diantaranya gangguan istirahat-tidur dan ketidakstabilan suhu bayi selama perjalanan.Penelitian bertujuan untuk mengidentifikasi pengaruh transportasi dengan perawatan metode kanguru pada kelompok intervensi dan transportasi dengan digendong. Pengukuran fungsi fisiologi dan kepercayaan diri ibu dilakukan sebelum dan sesudah transportasi baik kelompok intervensi maupun kelompok kontrol, kepercayaan diri ibu dinilai dengan kuesioner. Rancangan menggunakan eksperimen dengan pendekatan non equivalent control group before after design melibatkan 34 ibu dan BBLR.Hasil analisis fungsi fisiologi BBLR dan kepercayaan diri ibu terdapat perbedaan yang signifikan pada kelompok intervensi (p=0,000), serta terdapat perbedaan yang signifikan fungsi fisiologis BBLR dan kepercayaan diri ibu baik kelompok intervensi maupun kelompok kontrol (p=0,000). Berdasarkan hasil penelitian ini perawat perlu menggalakkan PMK untuk meningkatan pengetahuan dan kemampuan ibu untuk merawat BBLR.

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Currently the transportation of low birth weight babies (LBWB) using incubator by providing a variety of equipments to support the safety and comfort of the baby during the trip. Some effects of transport using the incubator are sleep disorder and instability temperature of the baby during the trip.

This study aimed to compare the effects of transportation between KMC and cuddling. This study employed experimental approach using non equivalent control group before after design involving 34 mothers and low birth weight babies. Low birth weight babies physiologic functions and mothers? confidence caring for the babies were measured before and after transportation.

The results showed that babies physiologic function and mothers? confidence caring for the babies among intervention group increased significantly (p = 0.000). There were also significant differences in babies physiologic function and mothers? confidence caring for the babies between intervention and control group (p = 0.000). Based on the results of this study, nurse need to implement KMC to increase the knowledge and ability of a mother in caring for LBWB (Low Birth Weight Babies)."

"Tingginya Angka Kematian Ibu dan Bayi di Indonesia sering dilatar belakangi oleh tiga jenis keterlambatan (3T) yaitu keterlambatan mengenai tanda bahaya gawat darurat dan mengambil keputusan untuk merujuk, keterlambatan mencari fasilitas pclayanan kcschatan dan keterlambatan mempcroleh pcrtolongan memadai di fasilitas pelayanan rujukan (Depkes,2005).Tujuan Penelitian ini adalah diketahuinya faktor-faktor yang berhubungan dengan pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan. nifas dan neonatus, di Kabupaten Garut Jawa Barat, tahun 2007. Penelitian ini menggunakan data sekunder dari " Survei Data Dasar Pengem-bangan Madel Pelayanan Kesehatan Neonatal Esensial di Kabupaten Garut, Jawa Barat, 2007'; yang telah dilakukan oleh Pusat Penelitian Kesehatan UI & Pusat Kajian Promkcs FKM-UI bekerja sarna dengan Save The Children, pada bulan Juli sampai Oktober 2007, di 40 desa dari 10 kecamatan di Kahupaten Garut. Rancangan penelitian adalah potong lintang (cross sectional). Sampel yang digunakan yaitu suami yang memiliki istri dengan hayi yang berumur 0-11 bulan. Jumlah sampcl sebanyak 209 pasang suami istri. Sumber data berasal dari modul survei suami dan ibu. Data yeng berasal dari suami yaitu pengelahuan tentang tanda bahaya pada masa kebamilan, persalinan. nifas dan neonatus, kererlibatan keanggotaan kegiatan sosial, keterpaparan mdia informasi, keterpaparan terhadap Desa Siaga, kepercayaan/kebiasaan yang berhubungan dengan kesehatan maternal dan neonatal, sedangkan yang berasal dari ibu yaitu umur suami pendididkan suami, pekerjaan suami, jumlah anak, pendapatan keluarga yaitu pendapatan istri, suami dan jumlah tanggunagn keluarga, kepemilikan media elektronik, kepemilikan alat transportasi.Variabel terikat adalah pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus, sedangkan variabel bebas adalah karakteristik. suami (umur, pendidikan, pekeljaan, jumlah anak, jumlah pendapatan keluarga, kepercayaan/kebiasaan terkait kesehatan maternal dan neonatal), kepemilikan media komunikasi elektronik, kepemilikan alat transportasi, keterpaparan terhadap media infonnasi, keterpaparan terhadap Desa Siaga, keterlihatan keanggotaan kegiatan sosial. Berdasarkan hasil analisis multivariat dari regresi model akhir kandidat model multivariat didapatkan bahwa variabel pendidikan merupakan faktor dominan yang berhubungan dengan pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus.Saran bagi Depkes RI. khususnya Bagian Promosi Kesehatan agar meningkatkan kerjasama dalam bidang komunikasi dan inforrnasi khususnya dengan institusi pertelevisian nasional untuk memasukan acara penayangan infonnasi kesehatan tematama tentang tanda bahaya pada masa kehamilan persalinan, nifas dan neonatus. Bagi Dinkes Kabupaten, agar I) melakukan advokasi ke Pemda Kabupaten Garut untuk selanjutnya dilimpahkan ke Diknas untuk melakukan peningkatan pendidikan masyarakat Kabupaten Garut. 2) Menganjurkan kepada petugas kesehatan untuk senantiasa mendorong suami agar dapat berperan serta dalam meningkatkan pengetahuan tentang kesehatan maternal dan neonatal, khususnya pengetahuan tentang tanda bahaya diatas.; 3) Melakuan sosialisasi Desa Siaga serta uji coba dibentuknya kader kesehatan yang terdiri dari para suami dalarn suatu forum kegiatan sosial.; 4) Melakukan keljasama dengan stasiun radio setempat untuk mernasukan prognm sosialisasikan peningkatan pegetahuan tentang tanda bahaya pada masa keharnilan, persalinan, nifas dan neonatus. dengan acara yang disukai masyarakat; 5) Kerjasama dengan iustitusi pendidikakan kesehatan setempat baik pemerintah maupun swasta melalui kerjasarna pengelolaan daerah binaan kesehatan. Bagi kelompok profesi IDI, PPNI, IBI, agar senantiasa meningkatkan pemberikan informasi kesehatan khususnya tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus dengan sasaran suami atau keluarga. Bagi masyarakt dan LSM, PKK, Forum Desa Siaga, agar dapat berperan serta aktif yaitu mengikuti kegiatan social yang dibentuk untuk mengatasi maalah maternal dan neonatal, sehingga dimasa yang akan datang kematian ibu dan bayi yang disebabkan karena keterlambatan mengenal tanda bahaya tersebut dapat teratasi.

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In Indonesia the high number of both maternal and neonatal death rate frequently has Background which consist of delay?s in recognizing emergency danger signs, making decision where to refer the emergency case to the health service facilities and in getting adequate treatment from referral services facilities. (Depkes,2005). This research used aimed to aim factors related wife husband's knowledge about danger sign at pregnancy time,partus, pcstpartus and neonates in Ga:rut West Java, 2007.This research usad secondary data from "Baseline Survey of Neonatal Essential Health Services Improvement Model in Garut Districk West Java, 2007' which was conducted by the Center of Health Research University of Indonesia & Center of Health Promotion Study FKM-UI in cooperation with Save the Children. It third July until October 2007, at 40 covered from 10 district in Garut Distrek. The research design was cross sectional. The selected sample was the husband whose wife matter having infant age 0..11 months. Total sample was 209 couples. The data instrument was take from the modules survey of husband and wife matter infant 0..11 moun infant. The data taken from husbands were knowledge about danger sign at pregnancy time, partus, postpartus and neonates, involvement in the of social organization exposure to information media, exposur towards ? Desa Siaga ?, Aler village program wich related to maternal and neonatal health, while data taken from the mothers were husband?s age, last education, work state job, number of children, family income consist with wife?s and husband?s income and number of family burden, electronic media partnership, vehicles partnership.The independent variable was husband's the knowledge,about danger sign at pregnancy time, partus, postpartus and neonates, while dependent variable was husband characteristic (age, education, job, number of children, family income, trust/habits related with maternal and neonatal health), electronics media communication partnership, vehicles possession, exposures towards information media, exposures towards "Desa Siaga" involvement in social organization activity. The multivariate analysis result showed that from regression of the last candidate model, education variable was the most dominant factor which related with husband knowledge about danger sign at pregnancy time, pregnancy delivery, postpartum, and neonates periode.Suggestions for the Health Department of the Republic Indonesia especially to the latter of Health Promotion is to improve the cooperation in communication and information especially with national television exident status to eximined health information speclatly about danger sign at pregnancy time, partus, postpartus and neonates. sub-province Health Department shall; (1) advocate to the Garut local government especially to ide to improve of level education the people, (2)Emergency health personal always to support the husband to develop their role in increasing knowledge of health maternal and neona!al, especially the above knowledge of danger sign, (3) conduct socialization of Desa Siaga and tryout health cadre formation which coos lists of the husbands , (4) establish cooperation with local radio station to create program of socialization of danger sign in pregnancy time, pregnancy delivery, postpartum, and neonates periode, with event or agenda that interest the society, (5) make cooperation with local health educational institution not only government but also private institution trough cooperation in establish pilot project such at IDI, PPNI, IBI could asistant socially, especially about danger sign in pregnancy time) pregnancy delivery, postpartum, and neonates periode with husband or family as target program."

"The direction of health development and social welfare according to the Outline of State Guideline 1999-2004 is to improve the human resource quality and to develop conducive environtment using health pradigm approach , that give priorities in improving health status, prevention, treatment, recovery, and rehabilitation since the beginning of human conception until old age. Furthermore, the directions is also increase and maintain the quality of institution and health service through sustainable empowerment of human resource and facilities and health inlrastmcture, including the availability of medicines affordable by the people. It is also increase the quality of population through controlling of birth, reduce mortality rate, and to improve the quality of family planning program.This study is intended to obtain description regarding performance of Midwife in villages as a contracted manpower -that currently are working in Regency of Padang Pariaman during their contract-extended period. The research is intended to examine what factors related to their performance, and what factors is the most closely related to the perfonnance. It was conducted by using cross-sectional study design that study the relationship of dependent variable with related &Cl0l'$ Gndependent variable) by observing the status of independent variable and dependent variable simultaneously (cross sectionally). The population of this research is the whole midwives in villages as contracted workers that are in extended-contract status, which are 92 respondents.Processing and analysis of data was done using univariate, bivariate and multivariate methods. The univariate analysis is done with descriptive analysis to see the perfomiance and description of each individual variable. The bivariate analysis was using Chi-Square ies! to sec the relationship of independent variable with dependent variable, and multivariate analysis is done by using binary multiple logistic regression test to see the relationship of independent variable together with dependent variable.The results of bivariate analysis indicates that 9 of the independent variables analyzed, it tumed out that there are three variables that has signihcant relationship (p < 0,05) with the perfomiance _of midwives in villages as contracted workers during extension period, namely knowledge, level tenure, and work load. The result of the multivariate analysis indicates that 2 variables as predictor of performance namely tenure and marriage status.Recommendation to the midwives in villages as temporary workers for the extension worlc it is necessary to recommend the tenure and marriage status of the midwives should be carefully considered in the placement of the midwives."

"Pemanfaatnn jasa dukun bayi untuk menanpni kehamilan dan pelsalinan merupakan salah satu faktor penghambat upaya peningkazan akses pelayanan KIA melalui penempaum bidan di desa. Oleh karma itu perm promosi kcsehatan melalui pendekatan kemitraan bidan di desa dan dukun bayi menjadi sangat panting. Upaya kemitraan telah dilaksanakan di Kabupaten Katingan namun belum pemah dilakukan penelitian yang bertujuan untuk mempemleh informasi yang mendalam mengenai kemitraan bidan di desa dan dukun bayi di Kabupatcn Katingan, hal internal dan ckstemal apa saja yang berkaitan, sem mengidentifikasi hal-hal yang mendukung dan menghambat bemjalannya kemitman.Penelitian dilakukan di enam dcsa di Riga kecamatan di Kabupaten Katingan Propinsi Kalimantan Tcngah yang telah melaksanakan upaya kemitraan, menggunakxm pendekatan kualitatif bemdesain RAP, dengan cara wawancara mendalam dan diskusi kelompok terarah. Infonnan penelitian adalah bidan di desa yang bemnitra, bidan kooxdinator, kepala Puskesmas, pengelola KIA Dinkcs Kntingan, Ketua [BI Katingan, dukun bayi yang bennilra dan anggota masyarakat (tokoh masyarakat dan kader posyandu).Hasil penclitian menunjukkan bahwa dilihat dari tahap kerjasama dan pembagian perannya, kemitraan bidan di desa dan dukun bayi di Kabupatzn Katingan ada yang sudah baik dan ada yang masih kurang, scrta memiliki kecenderungan hubungan deugan persepsi dukun bayi terhadap manfaat dan hambatan kemitraan, sikap bidan di desa dan duinm bayi daiam bermitra, motivasi dukun bayi, scrta pendekatan personal bidan di dcsa kepada dukun bayi. Pendukung kemitraan bidan di desa dan dukun bayi antara lain persepsi dukun bayi bahwa kemitraan memberikan rasa aman, sikap positif antara bidan dan duknn bayi, kebutuhanakmlrasaanmnyangmemotivasidukunbaydunmkbermiumserta intensitas komunikasi interpersonal bidan dan dukun bayi yang [ebih sexing dan lebih baik. Penghambat kemitraan antara lain pexsepsi dukun bayi yang kelim tentang manfaat kemitraan, keluarga tidak sctuju dukun bayi memanggil bidan di desa kamna alasan biaya dan ada! istiadat, proses persalinan yang terlalu ocpat, sikap negatif antara bidan dan dukun bayi, kebutuhan aktualisasi diri dukun bayi, intcnsitas komunikasi bidan-dukun yang kutang baik, bclum meratanya tenaga bidandi seluruh desa, serza pcndekatan seoara koe1sif7ancaman bidan di desa untuk mengubah perilaku dukun bayi. Masih di temukan mgenerasi dukun bayi dan kcbiaseum langsung memandikan bayi baru lahir, baik olch kcluarga, dukun bayi dan bidan di desa.Dengan demikian perlu dilakukan strategi pemctataan bidan di desa melalui insentif dan supervisi yang ketat khususnya di daerah terpencil, upaya pembinaan kcmitraan yang betkesinambungan, pclatihan komunikasi interpersonal bagi bidan di desa, sosialimi Iamkesnas untuk meaingkatkan persalinan dengan bidan di desa, melibatkan tokoh adat, tokoh masyarakat, dan tokoh agama dalam pembinaan kemitraan, menetapkan sistem pembagian pembayamn antara bidan di desa dan dukun bayi dcngan dana bergulir khususnya bagi kcluarga mislcin, menetapkan pcrtemuan rutin antara bidan di desa dan dukun bayi untuk mengetahui perkembangan kemitraan, Iebih pmaktif dan intcns melakukan pendekatan personal untuk mengubah persepsi dukun bayi tentang perannya saat ANC, persalinan, setelah bayi {ahh' dan nifas, sorta melakukan penyuluhan kepada masyarakat tcntang pencegahan hipotermia dengan menunda memandikan bayi bam Iahir.

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Utilization of the Traditional Birth Attendants ('I`BAs] to handle pregnancy and childbirth is one of the factors which barricade etforts to increase access to maternal and health services through the placement of midwives in the villages. Therefore, the role of health promotion through partnership approach is very important. It has been undertaken in Katingan Region, but research to obtain infomation about how depth is partnership between village michvives and TBA in Katingan, to know related internal and external things, and to identify things that support and hinder the flow of partnership has never done.

Research was conducted in six villages in three Katingan subdistricts in Central Kalimantan Province, which have been in partnership effort. use qualitative approach and RAP design, with depth interviews and focus group discussions methods to obtain data. Research informants are village midwives who have partnership with TBA, the midwife coordinators, head of public health centers, managers of ruatemal and child health programme of health district in Katingan, chairman of IBI Katiugan, TBAs who have partnership with village midwive, and member ofthe communities (community leaders and or Posyandu cadres).

Base on partnership stage and role division, results of research shows that there have been good and less partnership between villages midwives and TBAS in Katingan. It is likely related to 'l'BA?s benefits dan barrier perceptions, attitudes between village midwives and the TBA, TBA?s motivation, and midwives personal approach to the TBAS. 'l'BA?s perception that partnership will give her a safe labor, positive attitudes to each other, TBA?s safety feeling that motivate her to have partnership, and the intensity of interpersonal communication between midwives and TBA which are more olien beside better quality, support the partnership. Wrong TBA?s perception about the benefits of partnership, the lixrnily who do not agree to pick the midwive up because of costs and custom reasons, immediately labor process, negative attitudes and less communication intensity to each other, TBA seltl actualization needs, villages without midwive, coersive approach to change TBA?s behaviour, hind the partnership. 'l'BAs regeneration and the practice of bathe the new hom are still found.

Thus, some efforts and strategies like giving more incentives and strict supervision esspesially to village midwife in remote area, sustainable partnership programme, midwives interpersonal communication training, increasing Jamkesmas socialization, involving traditional leaders, community leaders, and religious lwders in partnership activities, setting a payment sharing system to village midwife and TBA i.e revolving iimd system mpecially to poor family, setting a regular meetings between midwives and 'I'BAs to talk about partnership, more proactive and intensely do personal approach to TBA to change her perception about her roles in antenatal care, labor process, and post natal, and develop community education about hypotermia prevention by delay a new born baths, all need to be done."

"Salah satu upaya menurunkan angka kesakitan dan kematian ibu adalah melalui pemberian pelayanan yang berkualitas. Cakupan pertolongan persalinan yang di tolong oleh tenaga kesehatan di Kabupaten Agam dari tahun 2008 sampai tahun 2010 masih rendah dan cendrung turun. Sejak bulan April tahun 2011 di Kabupaten Agam sudah diterapkan Jampersal, hal ini mendorong peneliti untuk mengetahui bagaimana cakupan pertolongan persalinan oleh bidan di desa pada bulan Juli-Desember 2011 sejak diterapkannya Jampersal.Penelitian ini dilakukan bulan April-Mei tahun 2012. Sampel pada penelitian ini adalah seluruh bidan desa yang berada di dua belas puskesmas yang berjumlah 102 orang. Jenis penelitian cross sectional dengan analisis menggunakan chi square. Untuk melihat perbandingan cakupan tahun 2010 dan tahun 2011. Perbandingan tersebut 2,5 kali, dengan p. value Mc.Nemar = 0.008 (OR 2.322) bermakna secara statistic. Selain itu dianalisa juga perbedaan rata-rata cakupan sebelum Jampersal (Juli-Desember 2010) dan setelah diterapkannya Jampersal (Juli-Desember 2011) yang dihitung dengan paired t-test, hasil analisis menunjukkan p value = 0,003 secara statistik bermakna, jadi terbukti terjadi penurunan cakupan persalinan oleh bidan di desa sejak diterapkannya Jampersal, disarankan kepada Dinas Kesehatan agar melakukan supervisi melalui pendekatan secara individu kepada bidan karena semakin setuju bidan dengan Jampersal semakin kecil penurunan cakupan persalinannya.

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An act that can be done to reduce maternal morbidity and mortality is through provision of healthcare services. In Agam Residency, the number of baby delivery that helped by health care worker between 2008 until 2010 was low and tended to fall. Jampersal had been implemented in Agam Regency since April 2011. This had encouraged researcher to know how the coverage of baby delivery with village?s midwife was on July-December 2011 after Jampersal implementation.

This research was conducted on april-may 2012. The samples were all village?s midwifes in 12 Public Health Center, there were 102 peoples. This was a cross sectional study with chi square analysis to compare between 2010 and 2012 coverage. The comparison was 2,5 times with p value Mc.Nemar = 0.008 (OR 2.322) and this was statistically significant. It was also being analyzed the coverage mean difference between before and after jampersal implementation (Juli-December 2010 and Juli-December 2011) by paired t-test. The result showed that p value = 0,003 and it was statistically significant, so it was being proved that the coverage of baby delivery with village?s midwife help was declined after jampersal implementation. The suggestion for Health Department is by supervising an individual approach to the midwife because the agreements of midwife to Jampersal will reduce the decline in coverage of baby delivery with help."

"Angka Kematian Ibu (AKI) di Indonesia masih tergolong tinggi yakni 228/100.000 kelahiran hidup. Sebagian besar kematian ibu disebabkan karena komplikasi yang terjadi selama kehamilan dan persalinan. Penelitian ini bertujuan untuk mengetahui faktor - faktor yang berhubungan dengan kejadian komplikasi kehamilan dan persalinan di RSUD Kota Depok tahun 2012. Penelitian ini dilakukan dengan desain kros seksional. Sampel penelitian ini adalah ibu - ibu yang melakukan persalinan di RSUD Kota Depok pada tahun 2012 sebanyak 330 orang.Hasil penelitian menunjukkan bahwa proporsi ibu yang mengalami komplikasi kehamilan dan persalinan adalah sebesar 32,4%. Faktor ? faktor yang berhubungan dengan kejadian komplikasi kehamilan dan persalinan dalam penelitian ini adalah gravida = 1 (PR: 1,56, CI: 1,100-2,234), paritas = 1 (PR:1,46, CI: 1,034-2,057), jarak kelahiran 4-5 tahun (PR: 2,85, CI: 1,330-6,111), jarak kelahiran ≥6 tahun (PR: 3,29, CI: 1,651-6,559), cara bersalin (PR: 1,69, CI:1,237-2,034), riwayat komplikasi (PR: 2,08, CI: 1,393-3,092), riwayat penyakit non-obstetri (PR: 1,58, CI:1,137-2,183), jumlah kunjungan ANC (PR: 1,53, CI:1,112-2,089).

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Maternal mortality ratio in Indonesia is still high within the number 228 per100.000 live births. Most of maternal death is caused by pregnancy and delivery complications. This study aims to know the factors that related to pregnancy and delivery complication in General Hospital (RSUD) Depok 2012. This research used a cross-sectional study, which number of samples were 330 delivered mothers in RSUD Depok 2012.

The result shows that there are 32,4% mothers got pregnancy and delivery complication. Factors which related to pregnancy and delivery complication are gravida = 1(PR: 1,56, CI: 1,100-2,234), parity = 1(PR:1,46, CI: 1,034-2,057), birth spacing 4-5 years (PR: 2,85, CI:1,330-6,111), birth spacing ≥6 years (PR: 3,29, CI: 1,651-6,559), method of delivery (PR: 1,69, CI:1,237-2,034), complication history (PR: 2,08, CI: 1,393-3,092), non-obstetric disease (PR: 1,58, CI:1,137-2,183), and frequency of antenatal care (ANC) (PR:1,53, CI: 1,112-2,089)."