Faculty of Medicine and Health Science, State Islamic University, Jalan Kertamukti, Ciputat Jakarta, Indonesia.
Department of Women's Health and Midwifery, St. Luke's International University, 10-1 Akashi-cho, Chuo-ku, Tokyo 104-0044, Japan.
Women Birth. 2018 Dec;31(6):513-519. doi: 10.1016/j.wombi.2018.01.007. Epub 2018 Feb 14.
In the 1990s, the Indonesian government launched programmes to train traditional birth attendants (TBAs) and increase the number of midwives.
To identify and compare the factors that influence women's choice of a midwife or a TBA for maternal healthcare in Indonesia.
This study used a descriptive design for comparing women's choice of maternal healthcare. The participants were (1) married women, (2) experienced birth within two years, (3) living in a rural or urban village, and (4) capable of communicating in the Indonesia language. Three instruments were used: (1) traditional belief questionnaire, (2) preference for caregiver questionnaire, and (3) women-centered care (WCC) questionnaire which measured women's perceptions of care that they received during pregnancy.
A total of 371 women participated in this study. All these subjects answered based on their most recent birth within the last two years. Of the 371 women, 207 (55.8%) chose a midwife and 164 (44.2%) chose a TBA for giving birth. Women choosing midwives were generally satisfied and perceived receiving WCC. Factors determining choice were (1) women's background, (2) perception of WCC, (3) satisfaction, (4) choice of antenatal care (ANC), (5) family encouragement, and (6) traditional beliefs.
The choice of caregivers was determined by not only education, parity, usual source of healthcare payment, and family encouragement but also traditional beliefs.
Indonesian women's choice of a midwife instead of a TBA for their maternal healthcare resulted in a higher satisfaction of care and more ANC visits.
20 世纪 90 年代，印度尼西亚政府启动了培训传统助产士和增加助产士数量的计划。
确定并比较影响印度尼西亚妇女选择助产士或传统助产士进行产妇保健的因素。
本研究采用描述性设计比较妇女对产妇保健的选择。参与者为：（1）已婚妇女，（2）在两年内经历过分娩，（3）居住在农村或城市村庄，（4）能够用印度尼西亚语交流。使用了三种工具：（1）传统信仰问卷，（2）护理人员偏好问卷，（3）以妇女为中心的护理（WCC）问卷，用于衡量妇女在怀孕期间对所接受护理的看法。
共有 371 名妇女参加了这项研究。所有这些受试者都是根据最近两年内的最后一次分娩来回答的。在 371 名妇女中，有 207 名（55.8%）选择了助产士，164 名（44.2%）选择了传统助产士来分娩。选择助产士的妇女通常感到满意，并认为接受了 WCC。决定选择的因素包括：（1）妇女的背景，（2）WCC 的感知，（3）满意度，（4）产前护理（ANC）的选择，（5）家庭鼓励，以及（6）传统信仰。
护理人员的选择不仅取决于教育程度、生育次数、常规医疗保健支付来源和家庭鼓励，还取决于传统信仰。
印度尼西亚妇女选择助产士而不是传统助产士进行产妇保健，结果是对护理的满意度更高，接受的 ANC 访问次数更多。
