Repository Poltekkes Kemenkes Palangka Raya

Anjelia, Anjelia (2025) Determinan pemilihan tempat persalinan di wilayah kerja UPT Puskesmas Tumbang Jutuh. Skripsi thesis, Poltekkes Kemenkes Palangka Raya.

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Abstract

Latar Belakang: Persalinan di fasilitas kesehatan yang ditolong tenaga kesehatan penting untuk menurunkan Angka Kematian Ibu (AKI) dan Bayi (AKB). Meskipun cakupan ANC di UPT Puskesmas Tumbang Jutuh tinggi (97%), sebagian besar persalinan masih dilakukan di luar fasilitas kesehatan, meningkatkan risiko komplikasi. Tren AKI dan AKB di Kalimantan Tengah fluktuatif, menunjukkan perlunya perhatian terhadap pemilihan tempat persalinan. Penelitian ini bertujuan menganalisis determinan pemilihan tempat persalinan di wilayah kerja Puskesmas Tumbang Jutuh. Tujuan: Mengetahui determinan pemilihan tempat persalinan di wilayah kerja UPT Puskesmas Tumbang Jutuh. Metode: Penelitian ini menggunakan desain kuantitatif analitik dengan pendekatan cross sectional. Populasi adalah ibu balita di wilayah kerja UPT Puskesmas Tumbang Jutuh pada tahun 2024, yang berjumlah 216 orang dengan sampel sebanyak 75 responden yang di hitung dengan slovil dan teknik pengambilan sampel Purposive Sampling. Data dikumpulkan melalui kuesioner dan dianalisis secara univariat dan bivariat menggunakan uji Chi-Square dan Odds Ratio. Hasil: Hasil penelitian pada 75 responden di wilayah kerja UPT Puskesmas Tumbang Jutuh menunjukkan bahwa sebagian besar ibu melahirkan di luar fasilitas kesehatan (73,3%). Analisis bivariat menggunakan uji Chi-Square dan Odds Ratio menunjukkan bahwa usia ibu (p=0,594) (OR 1,325), pengetahuan ibu (p=0,278) (OR 2,944), dan riwayat antenatal care (p=0,913) (0,942) tidak berhubungan signifikan dengan pemilihan tempat persalinan. Sebaliknya, terdapat hubungan signifikan antara pemilihan tempat persalinan dengan aksesibilitas pelayanan kesehatan (p=0,050) (OR 6,488), kepemilikan jaminan kesehatan (p=0,004) (OR 7,319), dan dukungan suami (p=0,036) (OR 2,229). Kesimpulan: Hasil analisis menunjukkan bahwa usia ibu, pengetahuan, dan riwayat antenatal care tidak berhubungan dengan pemilihan tempat persalinan. Sebaliknya, aksesibilitas pelayanan kesehatan, kepemilikan jaminan kesehatan, dan dukungan suami berhubungan signifikan dengan pemilihan tempat persalinan. Ibu dengan akses pelayanan kesehatan mudah, memiliki jaminan kesehatan, dan mendapat dukungan suami memiliki peluang lebih besar untuk memilih persalinan di fasilitas kesehatan. Background: Delivery in health facilities assisted by skilled health personnel is essential to reduce the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Although antenatal care (ANC) coverage in the working area of UPT Puskesmas Tumbang Jutuh is high (97%), most deliveries are still conducted outside health facilities, increasing the risk of complications. The fluctuating trends of MMR and IMR in Central Kalimantan indicate the need for attention to factors influencing the choice of delivery place. This study aimed to analyze the determinants of delivery place selection in the working area of UPT Puskesmas Tumbang Jutuh. Objective: To identify the determinants of delivery place selection in the working area of UPT Puskesmas Tumbang Jutuh. Methods: This study employed an analytical quantitative design with a crosssectional approach. The population consisted of mothers with children under five years old in the working area of UPT Puskesmas Tumbang Jutuh in 2024, totaling 216 individuals. A sample of 75 respondents was selected using the Slovin formula and purposive sampling technique. Data were collected through questionnaires and analyzed using univariate and bivariate analyses with the Chi-Square test and Odds Ratio. Results: The results showed that most respondents delivered outside health facilities (73.3%). Bivariate analysis indicated that maternal age (p=0.594; OR=1.325), maternal knowledge (p=0.278; OR=2.944), and antenatal care history (p=0.913; OR=0.942) were not significantly associated with the choice of delivery place. In contrast, significant associations were found between delivery place selection and health service accessibility (p=0.050; OR=6.488), health insurance ownership (p=0.004; OR=7.319), and husband’s support (p=0.036; OR=2.229). Conclusion: Maternal age, knowledge, and antenatal care history were not associated with the choice of delivery place. However, health service accessibility, health insurance ownership, and husband’s support were significantly associated with delivery place selection. Mothers who have easy access to health services, health insurance coverage, and support from their husbands are more likely to choose delivery in health facilities.

Item Type:	Laporan Tugas Akhir / Karya Tulis Ilmiah / Laporan Praktek Asuhan Kebidanan (stase 9) / Skripsi / Tesis / Disertasi (Skripsi)
Uncontrolled Keywords:	Pemilihan Tempat Persalinan, Usia, Pengetahuan, Riwayat Antenatal Care, Aksesibilitas Pelayanan Kesehatan, Kepemilikan Jaminan Kesehatan, Dukungan Suami Keywords: Place of Delivery, Age, Knowledge, Antenatal Care History, Health Service Accessibility, Health Insurance Ownership, Husband’s Support.
Subjects:	11 MEDICAL AND HEALTH SCIENCES > 1110 Nursing > 111006 Midwifery 11 MEDICAL AND HEALTH SCIENCES > 1199 Other Medical and Health Sciences
Divisions:	Jurusan Kebidanan > Program Studi Diploma IV Kebidanan
Depositing User:	Mahasiswa STR Kebidanan
Date Deposited:	11 May 2026 02:35
Last Modified:	11 May 2026 02:35
URI:	http://repo.polkesraya.ac.id/id/eprint/3389

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