Factors Related to the Implementation of Complementary Midwifery Services in Indonesia
Background: In developing nations like Indonesia, maternal mortality rates (MMR) and infant mortality rates (IMR) continue to be the key issues. Methods: A descriptive analysis with a cross-sectional approach was conducted in West Sumatra Province, Indonesia, from June to November 2021. The participants consisted of 83 midwives who practiced Midwifery independently. The instrument in this study was a questionnaire developed by the researcher. Data were analysed using the Spearman rank statistical method for bivariate analysis. Results: The results of the study showed that most of the participants did not implement complementary midwifery services and there were only 30% of the participants provided complementary services to mother and babies included baby massage, pregnancy exercise, Pilates, yoga and aromatherapy. Based on the relationship analysis, it was found that training factors, sources of information, knowledge, and attitudes had a significant relationship with the implementation of complementary midwifery services (p < 0.05). However, the factors of age, education, occupation, and length of practice did not have a significant relationship with the implementation of complementary midwifery in the independent practice of midwives. Conclusion: It can be concluded that the low implementation of complementary midwifery in the practice of independent midwives can be related to several factors, both internal and external. Particularly, the source of information was more correlated with the implementation of comprehensive midwifery services than other factors in this study. It indicates that information about the importance of complementary midwifery services is likely to be slightly more supportive of the utilization of complementary services in midwifery practice. Recommendation: Further study is necessary to design an appropriate approach model for solving problems in the implementation of complementary midwifery, especially in the practice of independent midwives.
Keywords:Complementary Midwifery Services, Independent Practice of Midwives, Midwifery
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