MALAY CULTURAL PRACTICE AND CHILDBIRTH WITH TRADITIONAL BIRTH ATTENDANTS: A QUALITATIVE STUDY IN WOMEN OF PRODUCTIVE AGE IN WEST BORNEO INDONESIA

Lilis Lestari, Ramadhaniyati Ramadhaniyati


DOI: https://doi.org/10.33546/bnj.605

Abstract


Background: The decline in Maternal Mortality Rate (MMR) in developing countries still does not meet the target of Sustainable Development Goals (SDGs). The rise of childbirth with the help of traditional birth attendants and cultural practices still becomes the choice of women of productive age to give birth today.

Objective: This study aimed to explore the Malay culture practice and childbirth with traditional birth attendants in women of productive age in West Borneo, Indonesia.

Methods: This was a phenomenological study conducted on in 2018 in one district in West Borneo. Focus Group Discussion (FDG) was done with eight Malay tribal women who had given birth with the help of Traditional Birth Attendants (TBAs). Thematic analysis was used.

Results: Cultural practices during pregnancy, childbirth and the care of newborns, the services of TBAs, and the economy factor were strong reasons for mothers to choose to give birth assisted by TBAs although they were aware of the risks. This study identified five main themes, namely: 1) Reason for choosing TBAs, 2) TBAs’ service, 3) Cultural trust in pregnancy, 4) Cultural trust in labor, and 5) Cultural trust in caring for newborns.

Conclusion: Our findings revealed that culture and childbirth cannot be separated. Health practitioners should have different approach by involving culture and TBAs in childbirth among women of productive age in West Borneo Indonesia.

 


Keywords


traditional birth attendants; Malay culture; qualitative study; Indonesia

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References


Afiyanti, Y., & Rachmawati, I. N. (2014). Metodologi penelitian kualitatif dalam riset keperawatan (Methodology in Qualitative Research in Nursing). Jakarta: Rajawali Pers.

Andrino, M. A. P., Balasoto, I. H. H., Kathrine, M., Bono, Z. G., Canindo, K. R., Casa, J. L. G., & Oducado, R. M. F. (2016). Reasons Why Women Choose Home Birth. Asia Pacific Journal of Multidisciplinary Research, 4(4).

Byrne, A., Caulfield, T., Onyo, P., Nyagero, J., Morgan, A., Nduba, J., & Kermode, M. (2016). Community and provider perceptions of traditional and skilled birth attendants providing maternal health care for pastoralist communities in Kenya: a qualitative study. BMC pregnancy and childbirth, 16(1), 43.

Center of Data and Information Center. (2014). Mother's Day. Jakarta: Ministry of Health of the Republic of Indonesia.

Creswell, J. W. (2015). Penelitian Kualitatif & Desain Riset: Memilih Diantara Lima Pendekatan (Qualitative Research & Research Design: Choosing Between Five Approaches). Yogyakarta: Pustaka Pelajar.

Darmstadt, G. L., Lee, A. C., Cousens, S., Sibley, L., Bhutta, Z. A., Donnay, F., . . . Wall, S. N. (2009). 60 million non‐facility births: Who can deliver in community settings to reduce intrapartum‐related deaths? International Journal of Gynecology & Obstetrics, 107(Supplement).

Direktorat Kesehatan Keluarga. (2016). Laporan Tahunan Direktorat Kesehatan Keluarga (Yearly Report of Directorate of Family Health). Direktorat Kesehatan Keluarga. Jakarta, Indonesia.

Ebuehi, O. M., & Akintujoye, I. (2012). Perception and utilization of traditional birth attendants by pregnant women attending primary health care clinics in a rural Local Government Area in Ogun State, Nigeria. International journal of women's health, 4, 25.

Pembantu Pembina Keluarga Berencana Desa. (2015). Health Profile of West Kalimantan Province Year 2015. Pembantu Pembina Keluarga Berencana Desa. Pontianak, Indonesia.

Polit, D. F., & Beck, C. T. (2010). Generalization in quantitative and qualitative research: Myths and strategies. International journal of nursing studies, 47(11), 1451-1458.

Sarker, B. K., Rahman, M., Rahman, T., Hossain, J., Reichenbach, L., & Mitra, D. K. (2016). Reasons for preference of home delivery with traditional birth attendants (TBAs) in rural Bangladesh: a qualitative exploration. PloS one, 11(1), e0146161.

Sialubanje, C., Massar, K., Hamer, D. H., & Ruiter, R. A. (2015). Reasons for home delivery and use of traditional birth attendants in rural Zambia: a qualitative study. BMC pregnancy and childbirth, 15(1), 216.

Suprabowo, E. (2006). Praktik Budaya dalam Kehamilan, Persalinan dan Nifas pada Suku Dayak Sanggau, Tahun 2006 (Cultural Practices in Pregnancy, Childbirth and Postpartum in the Sanggau Dayak Tribe, 2006). Kesmas: National Public Health Journal, 1(3), 112-121.

Titaley, C. R., Hunter, C. L., Dibley, M. J., & Heywood, P. (2010). Why do some women still prefer traditional birth attendants and home delivery?: a qualitative study on delivery care services in West Java Province, Indonesia. BMC pregnancy and childbirth, 10(1), 43.

WHO. (2017). Sustainable Development Goals. Retrieved from Geneva, Switzerland: http://www.who.int/sdg/en/

Wilkinson, C. (2007). Professional Perspectives in Health Care. New York: Palgrave Macmillan.


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