Analysis of Factors Affecting the Selection of Midwives and Shaman Labor Workers in Haria State Saparua District

Abstract

Maternal mortality ratio (MMR) is an important indicator of a country’s public health. MMR is currently the
highest number in Southeast Asia. The coverage of childbirth in 2018 Haria State is 66.67%, still far from
the Target Of Central Maluku Regency in 2018 which is 76.27%. There are 14 active child shamans who are
trained shamans and there are still many wild shamans who do maternity assistance, while only 3 midwives.
The purpose in this study is to analyze the factors that influence the selection of midwives and shaman
laborers in Haria State saparua sub-district. This research is quantitatively descriptive using cross sectional
design. The population in this study was mothers who performed childbirth, either stillborn or born alive in
the working area of Porto Haria public health center saparua sub-district in 2018. The sampling used total
sampling, namely all mothers who did childbirth helped by midwives as many as 62 respondents and shamans
as many as 31 respondents in Haria State in 2018. Data analysis uses univariate and bivariate analysis. The
results showed no influence between the number (parity) of children on the selection of maternity helpers
in Haria State saparua sub-district (p value=0.769), There is a work influence (p value = 0.012), knowledge
(p value = 0.000) and attitude (p value = 0.000) on the selection of labor helpers in Haria State saparua subdistrict.
It is important to improve the mother’s knowledge of healthy childbirth and instill a positive attitude
towards health workers so that the mother will choose a healthcare person as a helper in childbirth.