Enhancing Maternal and Infant Health: Improving Healthcare Access through Cultural Sensitivity and Community Engagement in Tigalingga, Dairi Regency
DOI:
https://doi.org/10.35335/laweco.v17i1.42Keywords:
Maternal Health, Infant Mortality, Healthcare Access, Cultural Sensitivity, Community EngagementAbstract
This research investigates the state of maternal and infant health in Tigalingga, Dairi Regency, emphasizing the significance of reducing mortality rates among mothers and infants in this underserved community. Employing a mixed-method approach, the study combines quantitative analysis and qualitative insights to understand the multifaceted landscape of healthcare challenges. Utilizing regional health records, interviews, and community engagement, the study unveils critical disparities, cultural influences, and barriers to healthcare access. The findings showcase higher-than-desired maternal and infant mortality rates, underscoring the urgency for targeted interventions. The Health Assistance Program, a focal point of the research, demonstrates promising outcomes in reducing mortality rates. The program's success is attributed to improved healthcare access, culturally sensitive interventions, and community engagement. Recommendations derived from the study advocate for sustained efforts in healthcare infrastructure development, enhanced community involvement, and cultural adaptation in healthcare initiatives. The implications of the research extend to public health policy, emphasizing the importance of equitable healthcare access, culturally competent interventions, and community-driven strategies. The research underscores the critical need for tailored healthcare interventions, respecting cultural practices and addressing healthcare disparities, to improve the health outcomes of mothers and infants in Tigalingga. The findings serve as a foundation for informed decision-making and the development of targeted interventions not only within the region but also for similar vulnerable communities globally
References
Abel, E. K. (1991). Who cares for the elderly?: Public policy and the experiences of adult daughters. Temple University Press.
Bhutta, Z. A., Cabral, S., Chan, C., & Keenan, W. J. (2012). Reducing maternal, newborn, and infant mortality globally: an integrated action agenda. International Journal of Gynecology & Obstetrics, 119, S13–S17.
Blakely, C. H., Mayer, J. P., Gottschalk, R. G., Schmitt, N., Davidson, W. S., Roitman, D. B., & Emshoff, J. G. (2002). The fidelity-adaptation debate: Implications for the implementation of public sector social programs. In A Quarter Century of Community Psychology: Readings from the American Journal of Community Psychology (pp. 163–179). Springer.
Dahab, R., & Sakellariou, D. (2020). Barriers to accessing maternal care in low income countries in Africa: a systematic review. International Journal of Environmental Research and Public Health, 17(12), 4292.
Garrison Jr, L. P., Neumann, P. J., Erickson, P., Marshall, D., & Mullins, C. D. (2007). Using real‐world data for coverage and payment decisions: the ISPOR real‐world data task force report. Value in Health, 10(5), 326–335.
Geronimus, A. T. (1996). What teen mothers know. Human Nature, 7(4), 323–352.
Glasgow, R. E., Vogt, T. M., & Boles, S. M. (1999). Evaluating the public health impact of health promotion interventions: the RE-AIM framework. American Journal of Public Health, 89(9), 1322–1327.
Hanan, H. (2012). Modernization and cultural transformation: The expansion of traditional Batak Toba House in Huta Siallagan. Procedia-Social and Behavioral Sciences, 50, 800–811.
Kimanzi, S. (2020). Maternal Health Care Services And Infant Mortality In Kenya. University of Nairobi.
Lum, D. (2013). Culturally competent practice. In Encyclopedia of social work.
Maton, K. I. (2008). Empowering community settings: Agents of individual development, community betterment, and positive social change. American Journal of Community Psychology, 41, 4–21.
Meckel, R. A. (1998). Save the babies: American public health reform and the prevention of infant mortality, 1850-1929 (Vol. 32). University of Michigan Press.
Muldoon, K. A., Galway, L. P., Nakajima, M., Kanters, S., Hogg, R. S., Bendavid, E., & Mills, E. J. (2011). Health system determinants of infant, child and maternal mortality: A cross-sectional study of UN member countries. Globalization and Health, 7(1), 1–10.
Palmer, G. R., & Short, S. D. (2000). Health care & public policy: an Australian analysis. Macmillan Education AU.
Pathak, P. K., Singh, A., & Subramanian, S. V. (2010). Economic inequalities in maternal health care: prenatal care and skilled birth attendance in India, 1992–2006. PloS One, 5(10), e13593.
Peña, R., Wall, S., & Persson, L.-A. (2000). The effect of poverty, social inequity, and maternal education on infant mortality in Nicaragua, 1988-1993. American Journal of Public Health, 90(1), 64.
Reno, R., & Hyder, A. (2018). The evidence base for social determinants of health as risk factors for infant mortality: a systematic scoping review. Journal of Health Care for the Poor and Underserved, 29(4), 1188–1208.
Ritonga, A. K. (2019). The Strategy of Local Food Marketing and Development as a Typical Souvenir of Dairi Regency. 1st International Conference One Belt, One Road, One Tourism (ICOBOROT 2018), 57–67.
Sartorius, B. K. D., & Sartorius, K. (2014). Global infant mortality trends and attributable determinants–an ecological study using data from 192 countries for the period 1990–2011. Population Health Metrics, 12, 1–15.
Schoch-Spana, M., Franco, C., Nuzzo, J. B., & Usenza, C. (2007). Community engagement: leadership tool for catastrophic health events. Biosecurity and Bioterrorism, 5(1), 8–25.
Sherman, D. G. (1990). Rice, rupees, and ritual: economy and society among the Samosir Batak of Sumatra. Stanford University Press.
Trickett, E. J. (2009). Multilevel community-based culturally situated interventions and community impact: An ecological perspective. American Journal of Community Psychology, 43, 257–266.
Tunçalp, Ӧ, Were, W. M., MacLennan, C., Oladapo, O. T., Gülmezoglu, A. M., Bahl, R., Daelmans, B., Mathai, M., Say, L., & Kristensen, F. (2015). Quality of care for pregnant women and newborns—the WHO vision. Bjog, 122(8), 1045.
Woog, V., Susheela, S., Alyssa, B., & Jesse, P. (2015). Adolescent womens need for and use of sexual and reproductive health services in developing countries. Citeseer.
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