Healthy Life Journal

health center officials, Purwakarta district, Monday (5 / 10) to prepare drug stock to be brought to the village of Parung Bull. Routine health officials around the 5 villages to provide health services for residents. This is because people are reluctant to seek treatment to the clinic because it is very far from where they live.

By Maria Hartiningsih

KOMPAS.com – Shaman baby has an office? Bontomarannu health center, District of South Galesong, Takalar, South Sulawesi, is the office Dg Sina Village sanro from Bontokanang.

I replaced the absent sanro Halia waiting, “said Dg Sina (55). Sanro is traditional midwives in the local language. Halia (18) and her husband, a handyman, lived in Mangindara village, 10 kilometers from the clinic.

The baby was two days old when visited, some time ago. It weighs 2.8 kilograms.

“Nyusu is strong,” said Salmiati (33), the midwife who helped birth Halia. With sanro at his side, “I feel more calm,” says Halia, who claimed went to the midwife from the age of two weeks of pregnancy sanro support.

Dg sanro Sina work as long as 30 years. Expertise is acquired from generation to generation. However, the work was done more as a mandate. “Sekasihnya, sometimes not paid the money,” said Suniati Dencaya (60), sanro from Sawakung Village.

Since proclaimed Partnership Program-The herbalist Baby Midwife in 2007, the Government initiated and facilitated Takalar Agency of the United Nations for Children (UNICEF) and Dg-Sina Suniati no longer practice. They helped midwife and have the incentive of Rp 50,000 for each candidate midwives who want to control mothers to health centers since the beginning of pregnancy until delivery.

Cultural change

The program was made in the health center Bontomarannu situation changed. “Until 2006, the first contact with us pregnant women on average 60 percent, after the partnership became 100 percent, also a complete visit,” said Siti Rochani (50), coordinator of the midwife. Health region includes nine villages with 22,139 people or 759 families, half are classified as unable to.

Complications during delivery can be handled immediately. “In 2009 the seven treated here, 23 are referred directly to the hospital,” continued Rochani.

Partnership-midwife midwives also affect public health. According to the Head Abdulrahman Puskesmnas Bontomarannu SKM, “Previously most 10 patients a day, now over 70 patients, served by 1 doctor, 1 dentist, 19 health personnel and 25 volunteers.”

Perhaps a practical treatment programs of the district is why. However, security was not enough. Willpower formal health check in public spaces should be seen as a leap of cultural-social-psychological.

In that context, the partnership placed midwives and midwife. UNICEF Representative cites Chief Makassar Purwanta Iskandar, doctors Willy Kumurur, MPH from Makassar Unicef says, the idea of partnership is far more complicated than just a medical-technical problems.

“There should be cultural changes in society. Shaman plays a major role because they are part of the tradition, “said Willy.

Special legislation

Open access to reproductive health services can not be presumed to be so accessible. In the partnership model, the key fact in the role of midwife.

They persuade and invite prospective mothers womb tested early and want to give birth in health centers. Technical-medical roles held by midwives, including nutrition and health advocacy for pregnant women.

This model of partnership on the basis of sipakatau (mutual respect), suspected as a smart practice to reduce maternal mortality in Takalar and Bone

“Before the partnership, many mothers died in childbirth,” said Ibrahim Regent Takalar Rewa.

According to Willy, before the year 2006 in maternal mortality Takalar 159 per 100,000 live births, to 57 in 2007 and 18 per 100,000 live births in 2008. Figures national average ranges from 228 per 100,000 live births (SDKI 2008) and 405 per 100,000 live births (Asian Development Bank Report, 2009).

Until the year 2006, 75 percent of births in Galesong done at home, mostly by shamans. Since 2007, all labor took place in health facilities so that the three causes of maternal death, namely bleeding, infection, and eklamsia / preeclampsia can be minimized.

“In 2009 maternal mortality rate in Takalar zero,” said Chief District Health Office Dr. Grace V Takalar Dumalang.

Midwife Partnership Program-The herbalist Baby secured with regulations, passed Parliament, 29 January. With local regulations, the district government through the budget to provide incentives for the shaman. “I’ll set in SK district,” said Grace.

Decrease in maternal mortality to 75 per cent in 2015 from the maternal mortality ratio in 1990 is part of the target of the Millennium Development Goals (MDGs), an international commitments agreed at the UN in 2000.

However, not target the most important figures. For Willy, far more important is the cultural change people’s health concerns. Nevertheless, “smart practice” in Takalar it must continue to be tested.