Motivate midwives to live in their target villages

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The Influence of Predisposing, Supporting, and Needs for the Utilization of Childbirth Assistance in Maternity Mothers in the Working Area of the Binjai Puskesmas Berbangan Asahan Regency

Introduction

Maternal and infant health during childbirth is a critical aspect of healthcare that is influenced by various factors. One of the key factors is the presence of delivery helpers, also known as labor assistants. The use of labor assistants can be an important health indicator, reflecting the level of maternal and child health and overall health services. In this study, we aim to explore the effect of predisposing, supporting, and needs factors on the utilization of childbirth assistance in maternity mothers at the Binjai Berbangan Health Center, Asahan Regency.

Background

According to the Profile of the Asahan Regency Health Office in 2010, from a total of 16,404 labor, only 14,408 (87.83%) received assistance from health workers. This figure is still below the healthy Indonesia program target, which is set at 95%. The low utilization of labor assistants is a concern, as it may lead to poor maternal and child health outcomes. Therefore, it is essential to identify the factors that influence the use of labor assistants and develop strategies to improve their utilization.

Methodology

This study employed an explanatory survey design to describe the effect of predisposing factors, supporting factors, and the need for the use of childbirth assistance in maternity mothers at the Binjai Berbangan Health Center, Asahan Regency. The study was conducted from April to July 2012, involving 157 respondents. Data were collected through a questionnaire and analyzed using a logistics regression test at a 95% confidence level.

Results

The results of multivariate analysis show that the knowledge factor (p = 0.009), socio-cultural factor (p = 0.016), and the need for health care facilities (p = 0.001) have a significant influence on the use of labor helpers. Among all of these factors, the need for health service facilities is the most influential variable, with a regression coefficient of 3,893. This indicates that the higher the mother's needs for health facilities, the more likely they will use quality delivery helpers.

Discussion

The findings of this study highlight the importance of considering the needs of maternity mothers in the working area of the Binjai Puskesmas Berbangan Asahan Regency. The need for health service facilities is a critical factor that influences the use of labor assistants. This suggests that improving access to quality healthcare facilities can increase the utilization of labor assistants. Furthermore, the study's results emphasize the significance of socio-cultural factors, such as knowledge and attitudes towards childbirth assistance, in shaping the behavior of maternity mothers.

Conclusion

In conclusion, this study demonstrates the influence of predisposing, supporting, and needs factors on the utilization of childbirth assistance in maternity mothers at the Binjai Berbangan Health Center, Asahan Regency. The findings suggest that improving access to quality healthcare facilities and addressing socio-cultural factors can increase the use of labor assistants. By paying attention to these factors, it is expected that efforts to increase the use of childbirth assistance at the Binjai Berkangan Health Center can be realized, contributing positively to the health of the mother and baby, and reducing maternal and neonatal mortality in Asahan Regency.

Recommendations

Based on the study's findings, the following recommendations are made:

Motivate midwives to live in their target villages: To provide better services, midwives should be motivated to live in their target villages, increasing their accessibility and availability to maternity mothers.
Activate Posyandu in each hamlet: Posyandu, or community health centers, should be activated in each hamlet to provide basic healthcare services, including childbirth assistance.
Strengthen the role of health cadres: Health cadres should be strengthened through a home visiting program to improve the health of the mother and child as a whole.
Improve access to quality healthcare facilities: Efforts should be made to improve access to quality healthcare facilities, including labor assistants, to increase the utilization of childbirth assistance.

Limitations

This study has several limitations, including:

Sample size: The sample size of 157 respondents may not be representative of the entire population of maternity mothers in the working area of the Binjai Puskesmas Berbangan Asahan Regency.
Data collection method: The data were collected through a questionnaire, which may not capture the complexity of the factors influencing the use of childbirth assistance.
Analysis method: The logistics regression test used in this study may not be the most appropriate method for analyzing the data.

Future Research Directions

Future research should aim to:

Explore the impact of childbirth assistance on maternal and child health outcomes: Studies should investigate the impact of childbirth assistance on maternal and child health outcomes, including mortality rates and morbidity.
Develop strategies to improve access to quality healthcare facilities: Researchers should develop strategies to improve access to quality healthcare facilities, including labor assistants, to increase the utilization of childbirth assistance.
Investigate the role of socio-cultural factors in shaping behavior: Studies should investigate the role of socio-cultural factors, such as knowledge and attitudes towards childbirth assistance, in shaping the behavior of maternity mothers.

Keywords: Predisposition, Support, Needs, Labor helpers.
Q&A: The Influence of Predisposing, Supporting, and Needs for the Utilization of Childbirth Assistance in Maternity Mothers in the Working Area of the Binjai Puskesmas Berbangan Asahan Regency

Q: What is the significance of childbirth assistance in maternity mothers?

A: Childbirth assistance is crucial for the health and well-being of both the mother and the baby. It can help reduce maternal and neonatal mortality rates, improve birth outcomes, and enhance the overall quality of care provided to maternity mothers.

Q: What are the predisposing factors that influence the use of childbirth assistance?

A: The predisposing factors that influence the use of childbirth assistance include knowledge, socio-cultural factors, and the need for health care facilities. These factors can shape the behavior of maternity mothers and influence their decision to use childbirth assistance.

Q: How does knowledge influence the use of childbirth assistance?

A: Knowledge is a critical predisposing factor that influences the use of childbirth assistance. Maternity mothers who have knowledge about childbirth assistance are more likely to use it. This knowledge can be gained through education, training, and awareness programs.

Q: What is the role of socio-cultural factors in shaping the behavior of maternity mothers?

A: Socio-cultural factors, such as attitudes and beliefs, can shape the behavior of maternity mothers and influence their decision to use childbirth assistance. For example, a mother who believes that childbirth assistance is essential for a safe delivery is more likely to use it.

Q: How does the need for health care facilities influence the use of childbirth assistance?

A: The need for health care facilities is a critical predisposing factor that influences the use of childbirth assistance. Maternity mothers who have access to quality healthcare facilities are more likely to use childbirth assistance.

Q: What are the supporting factors that influence the use of childbirth assistance?

A: The supporting factors that influence the use of childbirth assistance include the availability of healthcare providers, the quality of care provided, and the accessibility of healthcare facilities.

Q: How does the availability of healthcare providers influence the use of childbirth assistance?

A: The availability of healthcare providers is a critical supporting factor that influences the use of childbirth assistance. Maternity mothers who have access to healthcare providers are more likely to use childbirth assistance.

Q: What is the role of the quality of care provided in influencing the use of childbirth assistance?

A: The quality of care provided is a critical supporting factor that influences the use of childbirth assistance. Maternity mothers who receive high-quality care are more likely to use childbirth assistance.

Q: How does the accessibility of healthcare facilities influence the use of childbirth assistance?

A: The accessibility of healthcare facilities is a critical supporting factor that influences the use of childbirth assistance. Maternity mothers who have access to healthcare facilities are more likely to use childbirth assistance.

Q: What are the needs factors that influence the use of childbirth assistance?

A: The needs factors that influence the use of childbirth assistance include the need for health care facilities, the need for healthcare providers, and the need for quality care.

Q: How does the need for health care facilities influence the use of childbirth assistance?

A: The need for health care facilities is a critical needs factor that influences the use of childbirth assistance. Maternity mothers who have access to quality healthcare facilities are more likely to use childbirth assistance.

Q: What is the role of healthcare providers in influencing the use of childbirth assistance?

A: Healthcare providers play a critical role in influencing the use of childbirth assistance. They can provide education, training, and awareness programs to maternity mothers, and ensure that they receive high-quality care.

Q: How can healthcare providers improve the use of childbirth assistance?

A: Healthcare providers can improve the use of childbirth assistance by providing education, training, and awareness programs to maternity mothers, ensuring that they receive high-quality care, and making childbirth assistance accessible and affordable.

Q: What are the implications of this study for healthcare policy and practice?

A: The findings of this study have implications for healthcare policy and practice. They highlight the importance of considering the needs of maternity mothers, including their knowledge, socio-cultural factors, and the need for health care facilities, in shaping their behavior and influencing their decision to use childbirth assistance.

Q: What are the limitations of this study?

A: This study has several limitations, including the sample size, data collection method, and analysis method. Future studies should aim to address these limitations and provide a more comprehensive understanding of the factors influencing the use of childbirth assistance.

Q: What are the future research directions for this study?

A: Future research should aim to explore the impact of childbirth assistance on maternal and child health outcomes, develop strategies to improve access to quality healthcare facilities, and investigate the role of socio-cultural factors in shaping behavior.