Analysis of Factors Related to the Partnership of Midwives and Village Shamans in Caring for Postpartum Mothers in the Blud Area of UPT Puskesmas Tumpung Laung

Abstract

Background: The maternal mortality rate in Indonesia reaches 177 per 100,000 live births, with 75 percent of deaths occurring in the first week of the postpartum period. The partnership between midwives and village shamans is an adaptive strategy to optimize maternal health services, but its implementation still faces various systemic obstacles. Objective: To analyze factors related to the partnership of village midwives and shamans in caring for postpartum mothers in the BLUD area of the Tumpung Laung Health Center UPT. Methods: A quantitative study with a cross-sectional design involved 50 respondents using a total sampling technique. Data were collected through a structured questionnaire and analyzed using the Chi-square test with a significance level of p<0.05. Results: There was a significant relationship between age (p=0.032), work experience (p=0.048), education (p=0.000), knowledge (p=0.000), competence (p=0.000), quality of communication (p=0.000), frequency of interaction (p=0.000), policy support (p=0.000), and availability of facilities (p=0.000) with partnership effectiveness. Conclusions: Effective partnerships are influenced by a multiplicity of factors at the individual, interpersonal, and structural levels, requiring holistic interventions through capacity building, communication strengthening, and comprehensive policy support to accelerate maternal mortality reduction.