Decision making towards maternal health services in Central Java, Indonesia

Treesia Sujana; Margaret Barnes; Jennifer Rowe; Rachel Reed

doi:10.14710/nmjn.v6i2.12151

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Decision making towards maternal health services in Central Java, Indonesia

Journal article

Open access

Peer reviewed

Decision making towards maternal health services in Central Java, Indonesia

Treesia Sujana, Margaret Barnes, Jennifer Rowe and Rachel Reed

Nurse Media, Vol.6(2), pp.68-80

2016

DOI: https://doi.org/10.14710/nmjn.v6i2.12151

Appears in UniSC Diversity and Inclusion Research Collection

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Abstract

Nursing

Paediatrics and Reproductive Medicine

maternal health

health policies

community health

UniSC Diversity Area - Life Stages

Background: Indonesia has always been struggling with maternal health issue even after the Millennium Development Goals (MDGs) programs were done. Prior research findings identified many factors which influenced maternal health status in developing countries such Indonesia and even though various efforts had been made, the impact of the transformation of maternal health behavior was minimal. Purpose: This study aimed to seek an understanding of the factors influencing decisions towards maternal health services. Methods: A case study with a single case embedded design was employed. Interviews and Focus Group Discussions (FGDs) were held to collect data from 3 health workers and 40 maternal women in a sub-district in Central Java, Indonesia. Results: Interviews with the village midwives as the main health providers in the Getasan sub-district concluded that there were several factors influencing the women's decisions towards maternal services. The factors were options to have services with other health workers outside the area, and shaman services as alternative care and family influencing maternal health behaviors. The analysis of the FGDs also supported the village midwives' statements that in spite of their awareness towards the available maternal health services, the existence of shamans and traditional beliefs strongly affected their decision. Conclusion: The findings in this study showed that cultural issues prevented the maximum maternal health status in Getasan sub-district. This study recommends Puskesmas (Primary Health Care) as the first level of health institutions in Indonesia to support the village midwives' roles within their target area.

Details

Title: Decision making towards maternal health services in Central Java, Indonesia
Authors: Treesia Sujana (Author) - Universitas Kristen Satya Wacana, Indonesia
Margaret Barnes (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Jennifer Rowe (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Rachel Reed (Author) - University of the Sunshine Coast - Faculty of Science, Health, Education and Engineering
Publication details: Nurse Media, Vol.6(2), pp.68-80
Publisher: Universitas Diponegoro
Date published: 2016
DOI: 10.14710/nmjn.v6i2.12151
ISSN: 2087-7811
Organisation Unit: University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy
Language: English
Record Identifier: 99450806102621
Output Type: Journal article

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