Implementation Ff Midwive-Traditional Birth Attendants Partnership by Midwives in Buton District, Southeast Sulawesi, (a Case Study on Wakaokili Primary Healthcare Center)

Abstract

The limited knowledge on the importance of health workers deliveries, together with someother factors such as economies, social and culture, made traditional birth attendants becamea choice of delivery services. This condition resulted in the increase of Maternal MortalityRate in Buton District. The coverage of health workers deliveries in Wakaokili was still low. Itwas marked by the low rate of traditional birth attendance-midwives' partnership anddeliveries referral to the midwives, as well as high rates of traditional birth attendancedeliveries. This study was a descriptive qualitative study. Data were collected by in depthinterviews on 4 village midwives and 9 traditional birth attendants as the main informants.Data were analyzed by content analysis method. Results showed that the goals and programsuccess indicators were not understood well. Dissemination was only an introduction and thereport was not discussed. There was no coaching or internship program. The attitude tendedto be ambivalent and the resources were not supportive. It is proven that economic, social andpolitical environment influence the program results