Kasus-Kasus Maternal di Berita Online Menyangkut Hak Asasi yang Patut Menjadi Pelajaran dalam Pendidikan Bidan di Indonesia

  • Mahindria Vici Virahayu Prodi S1 Kebidanan, STIKes AKBIDYO, Jln Parangtritis km 6, Sewon, Kabupaten Bantul, Daerah Istimewa Yogyakarta 55188, Indonesia
  • D. Dasuki Kedokteran dan Kesehatan, Universitas Gadjah Mada, Jln Farmako, Senolowo, Sekip Utara, Mlati, Kabupaten Sleman, Daerah Istimewa Yogyakarta, 55281, Indonesia
  • O. Emilia Kedokteran dan Kesehatan, Universitas Gadjah Mada, Jln Farmako, Senolowo, Sekip Utara, Mlati, Kabupaten Sleman, Daerah Istimewa Yogyakarta, 55281, Indonesia
  • M. Hasanbasri Kedokteran dan Kesehatan, Universitas Gadjah Mada, Jln Farmako, Senolowo, Sekip Utara, Mlati, Kabupaten Sleman, Daerah Istimewa Yogyakarta, 55281, Indonesia
  • M. Hakimi Kedokteran dan Kesehatan, Universitas Gadjah Mada, Jln Farmako, Senolowo, Sekip Utara, Mlati, Kabupaten Sleman, Daerah Istimewa Yogyakarta, 55281, Indonesia
Keywords: pengabaian hak asasi dalam layanan bidan, kasus malpraktik bidan, penguatan pendidikan bidan, neglect of human rights in midwife services, midwife malpractice case, strengthening midwifery education

Abstract

Abstrak

Gerakan menghormati hak asasi manusia dalam pelayanan kesehatan maternal di berbagai negara mendorong petugas kesehatan bertindak lebih manusiawi. Perempuan selama ini diam karena tidak ingin memutus hubungan harmonis dengan bidan serta jarangnya isu ini diangkat dalam pertemuan profesi dan publikasi ilmiah menyebabkan perhatian yang rendah terhadap hak asasi manusia dalam pelayanan kesehatan maternal. Penelitian ini bertujuan untuk mengidentifikasi kegagalan dalam pemenuhan hak kesehatan ibu hamil dan bersalin serta mengeksplorasi alasan-alasan yang menyebabkan hal tersebut terjadi. Metode penelitian dilakukan dengan melakukan penelusuran berita online kompas.com, tribunnews.com, dan detiknews.com tahun 2016-2018 dengan kata kunci “malpraktik” dan “bidan”, tentang persoalan hak asasi manusia dalam pelayanan bidan. Kami mengikuti kasus dalam lebih dari satu media online, disertai perkembangan berita tentang kasus tersebut. Hasil penelitian menunjukkan bahwa dominasi bidan dalam pelayanan kesehatan maternal di Indonesia, berdampak pada pengabaian hak asasi perempuan dan keselamatan. Kejadian ini pada kelompok orang dengan pendapatan rendah dan kelompok yang mampu. Didapatkan praktik bidan di luar kewenangan, kemungkinan motivasi mendapatkan keuntungan, dominasi bidan, posisi sosial perempuan yang rendah dalam pelayanan kesehatan maternal, dan keterlibatan masyarakat yang rendah untuk mendukung perempuan yang mengalami ketidakadilan dalam layanan kesehatan. Kepercayaan dan ketergantungan perempuan pada bidan, berdampak pengabaian hak asasi dan keselamatan ibu, tindakan di luar kewenangan, untuk pencarian keuntungan dalam praktik pribadi. Organisasi profesi dan pendidik bidan harus memasukkan penerapan hak asasi manusia dalam praktik kebidanan melalui kasus-kasus dari berita online dalam pertemuan berkala asosiasi profesi, serta kurikulum pendidikan, untuk mencegah dampak buruk pengabaian hak asasi ibu di masa depan.

Kata kunci: pengabaian hak asasi dalam layanan bidan, kasus malpraktik bidan, penguatan pendidikan bidan

Abstract

The movement to respect human rights in maternal health services in various countries encourages health workers to act more humanely. Low attention to human rights issue in maternal health services due to the silent of the victims-because women do not want to break the harmonious relationship with midwives, and this issue is rarely raised in professional meetings and scientific publications. This study aims to identify failures in fulfilling the health rights of pregnant women and childbirth and explore the reasons for this. The research method is done by searching online news kompas.com, tribunnews.com, and detiknews.com in 2016-2018 with the keywords “malpractice” and “midwife”, about human rights issues in midwifery services. We followed the case in more than one online media, accompanied by the case progress report. The results of the study show that the dominance of midwives in maternal health services in Indonesia has an impact on neglecting women’s human rights and safety. This event is in the group of people with low income and groups who are able. The practice of midwive’s out of authority, possible motivations for profit, dominance of midwives, low social position of women in maternal health services, and low community involvement in supporting women who experience inequality in maternal health services. Trust and dependence of women on midwives, impact on neglecting human rights and maternal safety, actions that are beyond authority, for seeking profit in private practice. Midwife professional organizations and educators must incorporate the application of human rights in midwifery practice through cases from online news in periodic meetings of professional associations, as well as educational curricula, to prevent the adverse effects of neglecting maternal rights in the future.

Keywords: neglect of human rights in midwife services, midwife malpractice case, strengthening midwifery education

References

Van Lerberghe W, Matthews Z, Achadi E, Ancona C, Campbell J, Channon A, et al. Country experience with strengthening of health systems and deployment of midwives in countries with high maternal mortality. Lancet. 2014 Sep 27;384(9949):1215–25.

Shankar A, Sebayang S, Guarenti L, Utomo B, Islam M, Fauveau V, et al. The village-based midwife programme in Indonesia. Lancet. 2008 Apr 12;371(9620):1226–9.

Shrestha R. The village midwife program and infant mortality in Indonesia. Bull Indones Econ Stud. 2010;46(2):193–211.

Heywood P, Harahap NP, Aryani S. Recent changes in human resources for health and health facilities at the district level in Indonesia: evidence from 3 districts in Java. Hum Resour Health. 2011 Feb 13;9:5.

Cronk M. The Midwife: A Professional Servant? In: The Midwife-Mother Relationship. 2010. p. 55–65.

Kirkham M, Stapleton H. Midwives’ support needs as childbirth changes. J Adv Nurs. 2000;32(2):465–72.

Kabakian-Khasholian T, Campbell O, Shediac-Rizkallah M, Ghorayeb F. Women’s experiences of maternity care: satisfaction or passivity? Soc Sci Med. 2000;51(1):103–13.

Jewkes R, Abrahams N, Mvo Z. Why do nurses abuse patients? Reflections from South African obstetric services. Soc Sci Med. 1998;47(11):1781–95.

d’Oliveira AFPL, Ana Flávia Pires, Diniz SG, Schraiber LB. Violence against women in health-care institutions: an emerging problem. Lancet. 2002;359(9318):1681–5.

Kruger L, Schoombee C. The other side of caring: abuse in a South African maternity ward. J Reprod Infant Psychol. 2009;28(1):84–101.

Hardee K, Gay J, Blanc AK. Maternal morbidity: neglected dimension of safe motherhood in the developing world. Glob Public Health. 2012 Mar 16;7(6):603–17.

Gruskin S, Ahmed S, Bogecho D, Ferguson L, Hanefeld J, Maccarthy S, et al. Human rights in health systems frameworks: what is there, what is missing and why does it matter? Glob Public Health. 2012 Jan 23;7(4):337–51.

Rosen HE, Lynam PF, Carr C, Reis V, Ricca J, Bazant ES, et al. Direct observation of respectful maternity care in five countries: a cross-sectional study of health facilities in East and Southern Africa. BMC Pregnancy Childbirth. 2015 Nov 23;15:306.

Ndwiga C, Warren CE, Ritter J, Sripad P, Abuya T. Exploring provider perspectives on respectful maternity care in Kenya: “Work with what you have.” Reprod Health. 2017 Aug 22;14(1):99.

Moyer CA, Adongo PB, Aborigo RA, Hodgson A, Engmann CM. “They treat you like you are not a human being”: maltreatment during labour and delivery in rural northern Ghana. Midwifery. 2014 Feb;30(2):262–8.

Eliasson M, Kainz G, von Post I. Uncaring Midwives. Nurs Ethics. 2008;15(4):500–11.

Bowler IM. Stereotypes of women of Asian descent in midwifery: some evidence. Midwifery. 1993 Mar;9(1):7–16.

Bowler I. “They”re not the same as us’: midwives’ stereotypes of South Asian descent maternity patients. Sociol Health Illn. 1993;15(2):157–78.

Bowes AM, Meehan Domokos T. Pakistani women and maternity care: raising muted voices. Sociol Health Illn. 1996;18(1):45–65.

Kirkham M, Stapleton H, Curtis P, Thomas G. Stereotyping as a professional defence mechanism. British Journal of Midwifery. 2002;10(9):549–52.

Bohren MA, Vogel JP, Hunter EC, Lutsiv O, Makh SK, Souza JP, et al. The Mistreatment of Women during Childbirth in Health Facilities Globally: A Mixed-Methods Systematic Review. PLoS Med. 2015 Jun;12(6):e1001847; discussion e1001847.

Andajani-Sutjahjo S, Manderson L. Stillbirth, Neonatal Death and Reproductive Rights in Indonesia. Reprod Health Matters. 2004;12(24):181–8.

Rominski SD, Manu A, Maya E, Morhe ESK, Dalton VK. Discontinuation of long-acting reversible contraception versus short-term hormonal methods in urban Ghana: A pilot longitudinal study. Int J Gynaecol Obstet. 2018 Aug;142(2):235–6.

Sulaeman ES, Murti B, Waryana W. Peran Kepemimpinan, Modal Sosial, Akses Informasi serta Petugas dan Fasilitator Kesehatan dalam Pemberdayaan Masyarakat Bidang Kesehatan. Kesmas: National Public Health Journal. 2015;9(4):353.

D’Ambruoso L, Byass P, Qomariyah SN. Can the right to health inform public health planning in developing counties? A case study for maternal healthcare from Indonesia. Glob Health Action. 2008;1(1):1828.

Freedman LP. Using human rights in maternal mortality programs: from analysis to strategy. Int J Gynaecol Obstet. 2001 Oct;75(1):51–60; discussion 61.

Fathalla MF. The Reproductive Health Community: A Valuable Asset for Achieving the MDGs. Stud Fam Plann. 2005;36(2):135–7.

Kasamba N, Kaye DK, Mbalinda SN. Community awareness about risk factors, presentation and prevention and obstetric fistula in Nabitovu village, Iganga district, Uganda. BMC Pregnancy Childbirth. 2013 Dec 10;13:229.

Armstrong N. Role modelling in the clinical workplace. British Journal of Midwifery. 2008;16(9):596–601.

Yanti Y, Claramita M, Emilia O, Hakimi M. Students’ understanding of “Women-Centred Care Philosophy” in midwifery care through Continuity of Care (CoC) learning model: a quasi-experimental study. BMC Nurs [Internet]. 2015;14(1). Available from: http://dx.doi.org/10.1186/s12912-015-0072-z

Published
2019-01-10
How to Cite
Virahayu, M., Dasuki, D., Emilia, O., Hasanbasri, M., & Hakimi, M. (2019). Kasus-Kasus Maternal di Berita Online Menyangkut Hak Asasi yang Patut Menjadi Pelajaran dalam Pendidikan Bidan di Indonesia. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 2(3), 140-152. https://doi.org/10.22435/jpppk.v2i3.813
Section
Articles