Analysis of Maternal Referral System in Wulur Public Health Center Working Area in Damer Sub-District of Southwest Maluku Regency (Qualitative Study)

Abstract

Referral of pregnant women and high-risk neonatals is an important component of the maternal healthcare system. In order for the maternal referral system to run it is necessary to prepare a referral strategyin accordance with the prevailing health system with the condition of the local community. The purposeof this study is to analyze the picture of maternal referral system at the level of community analysis onmaternal mortality cases in Damer Sub-district. The type of research used in this study is qualitative researchwith phenomenological approaches. The informants in this study had 27 people consisting of 10 husbands/families of patients accompanying mothers who died in childbirth in 2017 – 2018, 6 village shamans orintegrated healthcare center cadres who know the chronological pregnancy and childbirth of the mother, 5village chiefs / village staff / village heads from the village where the patient lives and is in place during thelabor process until the death of the patient, 1 nurse in the village, 2 midwives of Wulur health center, 1 doctorof public health center, 1 head of Wulur public health center, 1 head of Damer Sub-district. The resultsshowed that at the level of analysis of high-risk pregnancy communities and health services by midwiveshave not woken up well. While the perception of complications in pregnancy is good enough. Culturalfactors, still high trust in the village shaman. Transportation costs, tools and communication processes. ToWulur public health center to further incentiize health promotion, especially related to high-risk pregnancyand to change the role of village shamans as labor helpers into preventive promotive personnel