HUBUNGAN PENGETAHUAN, SIKAP DAN PRAKTIK IBU HAMIL DALAM PELAYANAN ANTENATAL DENGAN PENGAMBILAN KEPUTUSAN MEMILIH PENOLONG PERSALINAN DI KECAMATAN BANJAREJO KABUPATEN BLORA TAHUN 2002 (The Relationship Between The Knowledge, The Attitude, and The Practice of Pregnant Women in Antenatal Care with The Determining of a Child-Birth Assistant at The Sub District of Banjarejo, Blora, 2002)

Abstract

Some of the maternal mortality cases are caused by an Assistant of Child-Birth. In Central Java, (In 2000), the average birthrate which was assisted by Formal Health Worker, was 70.65%. In the District of Blora, the average birthrate was 47.44%. This value was lowest in Central Java. The District of Blora has 26 Centers of Community Health. The average birthrate which was assisted by Formal Health Worker, was 26%. This value was lowest in the Sub District of Banj arej o. The aim of research is to find the relationship between the knowledge, the attitude, and the practice of pregnant women in antenatal care with the detennining of a child-birth assistant in Sub District of Banjarejo, Blora, (in 2002). One hundred samples have been taken by researcher. Samples were taken Proportional Stratified Random Sampling from 20 villages. This research had been done by researcher between February 2002 and March 2002. The mode of research was by questionnaire in order to collect quantitative data. The activity of Focus Group Discussion (FGD) is done to collect qualitative data. The result of research shows that the knowledge, the attitude, and the practice of pregnant women in antenatal care have no significant relationship with the detennining of a child-birth assistant. Based on statistical analysis, it is known that the decision maker for determining child-birth assistant is family (65%) from one hundred respondents who have been assisted by traditional midwife. Based on content analysis of Focus Group Discussion, it is gotten information that the decision maker for detennining of child-birth assistant is family. The first choice for child-birth assistant is the traditional midwife because they have no habit to go to the modern midwife. Salah satu penyebab kematian ibu karena kehamilan dan persalinan sangat erat kaitannya dengan penolong persalinan. Pada tahun 2000, rata-rata cakupan persalinan oleh tenaga kesehatan di Jawa Tengah adalah 70.65%, sedangkan yang terendah adalah di Kabupaten Blora yaitu 47.44%. Dan 26 Puskesmas di Kabupaten Blora, cakupan pertolongan oleh tenaga kesehatan yang terendah adalah di Puskesinas Banjarejo Kecarnatan Banjarejo yaitu 26%. Penelitian min bertujuan untuk mengetahui hubungan antara Pengetahuan, Sikap dan Praktik ibu hamil dalam pelayanan antenatal (ANC) dengan pengambilan keputusan meinilih penolong persalinan di Kecarnatan Banjarejo Kabupaten Blora tahun 2002. Responden diambil sebanyak 100 orang sebagai sampel penelitian dengan menggunalcan Proportional Stratified Random Sampling dad 20 desa. Penelitian dilaksanakan dad mulai bulan Pebruari 2002 sampai bulan Maret 2002. Pengumpulan data kuantitatif dilakukan dengan menggunakan daftar pertanyaan tertutup, adapun data kualitatif dengan Focus Group Di•cussion (FGD). Penelitian ini menunjukkan bahwa tidak ada hubungan yang berrnakna antara Pengetahuan, Sikap dan Praktik ibu hamil dalam pelayanan ANC dengan pengambilan keputusan memilih penolong persalinan. Berdasarkan deskriptif statiStik, 65% penentu keputusan adalah keluarga. Dad 100 orang responden, yang bersalin ke Dukun 57%. Berdasarkan analisis isi FGD diperbleh informasi bahwa yang dominan menentukan keputusan penolong persalinan adalah keluarga, sedang ibu yang akan melahirkan kurang berdaya, dan yang menjadi pilihan pertarna untuk penolong persalinan adalah Dukun. Hal ini salah satunya disebabkan karena merasa tidak biasa dengan Bidan.