Women’s Autonomy To Improve Quality Of Maternal Health

  • Hilmi Yumni, Fendy Suhariadi, Oedojo Sudirham
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H. Y. F. S. Oedojo Sudirham, “Women’s Autonomy To Improve Quality Of Maternal Health”, ijmhs, vol. 6, no. 6, Dec. 2016.
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Abstract

Background: Reducing the number of maternal mortality ratio (MMR) in Indonesia has one of the targets of Sustainable Development Goals that launched in 2015-2030. Surabaya, as one of the biggest cities in Indonesia has still recorded have highest MMR, such an ironic for a city with adequate resources and facilities. Late in making the decision has been noticed as indirectly caused. Social dimension of pregnant women is one caused to be resolved, that is the women’s ability to take decision for herself or called women’s autonomy. Objectives: The purpose of this study was to explore women's autonomy in improving quality of reproductive health in the family. Methods: The method used qualitative with obtaining information through indepth interview. Participants were pregnant women in the work area of Puskesmas (Health Center) South Krembangan Surabaya as many as 15 (fifteen) participants who were selected by purposive. Results: This study resulted four (4) topics, namely decision making at the household level, women’s independence to access financial resources, women’s independence in mobility, women's decision making related to maternal health. The 4th (fourth) topics consisted three (3) meanings, namely women's autonomy to implement antenatal care, women's autonomy over delivery planning and women's autonomy to deal with emergency situations during pregnancy. Based on the discussion showed understanding that conservative culture, social construction, gender biased and strong patriarchal ideology conditioned women became dependent, determined and controlled by the authorities, in this case family, the husband and parents. Conclusion: The proposed recommendations were creating efforts for men’s involvement who can improve maternal health started since early adolescent reproductive processes and made education improvement programs and women’s empowerment programs to increase credible women's autonomy.

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