KEBIJAKAN PEMANFAATAN ASUHAN KEBIDANAN HOLISTIK PADA IBU HAMIL DI KABUPATEN KARANGANYAR: TINJAUAN IMPLEMENTASI DAN TANTANGAN
DOI:
https://doi.org/10.54877/maternal.v10i1.1059Kata Kunci:
Asuhan kebidanan holistik, kebijakan kesehatan daerah, ibu hamil, pelayanan maternal, KaranganyarAbstrak
Holistic midwifery care is a maternal health approach that integrates bio-psycho-social-spiritual and cultural dimensions, essential for improving maternal well-being. Although supported by national policy frameworks, its local-level implementation remains suboptimal. Karanganyar Regency, with relatively good maternal service coverage, serves as the focus of this study. This study aims to identify local policies on holistic midwifery care utilization, assess field-level implementation, and explore enabling and inhibiting factors affecting its application in Karanganyar Regency. A qualitative descriptive method with a policy analysis study design was employed. Data were collected through document reviews, in-depth interviews with key informants, and participatory observation in several primary health facilities. Data analysis used content analysis and thematic approaches. The study found that there is no specific local regulation explicitly supporting holistic midwifery care implementation. Field practices are inconsistent and largely depend on individual midwives' initiative. Enabling factors include health workers’ motivation and family support, while barriers involve limited technical training, high workload, and the absence of quality-based evaluation systems for holistic care. The development of technical regulations at the district level, continuous training for health workers, and integration of local cultural values into services are urgently needed. Community-based and adaptive policies hold significant potential to improve the quality of maternal services and the overall well-being of pregnant women.
Referensi
BKKBN. (2020). Laporan Kinerja BKKBN Tahun 2020. Jakarta: BKKBN.
Bustan, M.N. (2015). Dasar-dasar Ilmu Kesehatan Masyarakat. Jakarta: Rineka Cipta.
Depkes RI. (2011). Pedoman Asuhan Kebidanan. Jakarta: Departemen Kesehatan RI.
Dinas Kesehatan Kabupaten Karanganyar. (2023). Profil Kesehatan Kabupaten Karanganyar Tahun 2022. Karanganyar: DKK.
Ernawati, F., Yuliyanti, D. & Wahyuni, T.S. (2020). Hubungan Asuhan Kebidanan Holistik dengan Kesejahteraan Psikologis Ibu Hamil. Jurnal Ilmiah Bidan, 8(1), pp.23-30.
Fadli, R. & Susilowati, M. (2022). Pengaruh Pendekatan Holistik dalam Asuhan Kehamilan terhadap Kecemasan Ibu. Jurnal Kebidanan Indonesia, 13(2), pp.85–93.
Fitriani, R. & Sari, Y.P. (2019). Asuhan Kebidanan Holistik: Implementasi dan Tantangan di Lapangan. Jurnal Kesehatan Reproduksi, 5(2), pp.44-51.
Ginanjar, D. (2021). Manajemen Kesehatan Ibu dan Anak. Yogyakarta: Deepublish.
Handayani, L. & Indriyani, D. (2021). Perspektif Holistik dalam Pelayanan Kesehatan Ibu. Jurnal Keperawatan dan Kebidanan, 12(1), pp.14-21.
Kemenkes RI. (2014). Peraturan Menteri Kesehatan No. 97 Tahun 2014 tentang Pelayanan Kesehatan Reproduksi. Jakarta: Kementerian Kesehatan RI.
Kemenkes RI. (2021). Profil Kesehatan Indonesia Tahun 2020. Jakarta: Kemenkes.
Kurniasih, Y., Ambarwati, R. & Pramudyo, D. (2021). Studi Kualitatif: Implementasi Asuhan Kebidanan Holistik di Puskesmas. Jurnal Ilmu Kesehatan Masyarakat, 10(3), pp.67–76.
Maulani, N., Yulianti, E. & Hidayat, A. (2020). Peran Keluarga dalam Asuhan Holistik Ibu Hamil. Jurnal Kesehatan Komunitas, 9(1), pp.32-39.
Miles, M.B. & Huberman, A.M. (2014). Qualitative Data Analysis: A Methods Sourcebook. 3rd ed. California: Sage Publications.
Ministry of Health. (2020). Indonesia Health Profile 2019. Jakarta: Ministry of Health.
Moleong, L.J. (2017). Metodologi Penelitian Kualitatif. Bandung: Remaja Rosdakarya.
Notoatmodjo, S. (2012). Promosi Kesehatan dan Ilmu Perilaku. Jakarta: Rineka Cipta.
Nursalam. (2020). Konsep dan Penerapan Metodologi Penelitian Ilmu Keperawatan. Jakarta: Salemba Medika.
Oktaviani, Y. & Zulfikar, A. (2019). Penguatan Peran Bidan dalam Pendekatan Holistik Kehamilan. Jurnal Kebidanan dan Kesehatan, 11(2), pp.101-109.
Prawirohardjo, S. (2014). Ilmu Kebidanan. Jakarta: Yayasan Bina Pustaka.
Pusdatin. (2021). Infodatin Kesehatan Ibu 2021. Jakarta: Kemenkes RI.
Putri, S.R. & Harsono, T. (2022). Keterlibatan Tokoh Agama dalam Pelayanan Holistik Kehamilan. Jurnal Sosiologi Kesehatan, 4(1), pp.55–64.
Rahayu, S. (2021). Integrasi Layanan Kesehatan Reproduksi dan Nilai Kearifan Lokal. Jurnal Kesehatan Ibu dan Anak, 15(3), pp.90–97.
Rahmawati, A. & Nuraini, N. (2020). Evaluasi Pelayanan Kebidanan di Puskesmas dengan Pendekatan Holistik. Jurnal Kesehatan Prima, 14(2), pp.77–84.
Riskiyani, N. (2022). Pendekatan Holistik dalam Menangani Kehamilan Risiko Tinggi. Jurnal Kebidanan Terpadu, 10(1), pp.11–18.
Sari, P. & Handayani, S. (2018). Studi Fenomenologi Ibu Hamil tentang Asuhan Holistik. Jurnal Ilmu Kebidanan, 6(2), pp.45–52.
Sastrawijaya, H. (2011). Anatomi dan Fisiologi untuk Kebidanan. Jakarta: EGC.
Simatupang, R. & Ayu, M.D. (2020). Pelayanan Kesehatan Ibu di Era Desentralisasi: Tantangan Implementasi. Jurnal Administrasi Kesehatan Indonesia, 8(1), pp.20-29.
Sugiyono. (2019). Metode Penelitian Kualitatif, Kuantitatif dan R&D. Bandung: Alfabeta.
WHO. (2016). Standards for Improving Quality of Maternal and Newborn Care in Health Facilities. Geneva: World Health Organization.
