| Summary: | Background: The high maternal and neonatal mortality in Indonesia caused most
of the villages do deliveries at home assisted by a shaman, so that complications of
labor can not be addressed comprehensively. Distribution and placement of village
midwives are not evenly distributed in every village as well as the high villages not
served by a village midwife services. This situation was a factor contributing to the
high maternal and infant mortality in an area.
Purpose: Knowing the relationship of the placement of village midwives toward the
health delivery coverage in Konawe.
Methodology:. This type of research is an observational research with cross
sectional design. The study was conducted in Konawe. The population in this study
was the village midwives working in Konawe who meet inclusion and exclusion
criteria. The sample in this study was the entire population. Variables in the study
include the independent variables (independent variables) the placement of village
midwife, the dependent variables (dependent variables) indicator variables outside
the scope of deliveries and midwives residence, length of work, service delivery
facilities. Instruments used in this study is a questionnaire and a check list of
research questionnaires, documents MCH programs, and medical record
delivery. Data analysis with chi-square test and logistic regression, the ratio of
prevalence with confidence intervals (CI) 95% with a significance level of p<0.05.
Results: There is a significant relationship between the placement of village
midwives, residence, length of work, and service facilities with the scope of delivery
p = <0.05. There is a significant relationship between the placement of village
midwives, home and long worked with the complications of childbirth p = <0.05. No
significant relationship exists between the service facility with the incidence of
complications of labor p => 0.05.
Conclusion: The proportion of deliveries by skilled health care coverage was
higher in villages that have placement compared with the village midwife who did not
receive placements midwife. More dominant factors that impact on the coverage of
labor is a factor of health care facilities. Factor of the old work of a midwife is more
dominant impact on the occurrence of complications of labor Konawe. Delivery is
the incidence of bleeding complications that often occur in births attended by
midwives in Konawe.
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