PENDEKATAN DINAS KESEHATAN DALAM PEMBERIAN PELAYANAN KESEHATAN DASAR MATERNAL PADA KOMUNITAS ADAT TERPENCIL SUKU ANAK DALAM DI KABUPATEN MERANGIN

THE APPROACH OF THE HEALTH DISTRICT OFFICE IN PROVIDING MATERNAL BASIC HEALTH SERVICES TO THE REMOTE INDIGENOUS COMMUNITY OF THE ANAK DALAM TRIBE IN MERANGIN DISTRICT

Abstract

Background: Based on previous research in Sarolangun District which stated that mothers of Anak Dalam tribes do not want to come to give birth at the Health Service center provided by the government. Meanwhile in Merangin District, there were mothers of Anak
Dalam tribes who want to do ANC and gave birth to available health services.
Objective: To explore the approach taken by the Merangin District Health Office in providing basic maternal health services to
the remote indigenous communities of the Anak Dalam tribe in the Merangin District area.
Methods: This research was qualitative research with a single embedded case study design. The respondents were mothers,
tumenggung (chief of tribe), health workers, holders of maternal health programs at the health department and the Head of Health
District Office.
Results: Maternal health services in Kabupaten Merangin included 14 services that cover the entire community including Anak Dalam
tribe. Service delivery efforts were provided with a cultural approach and teamwork. The strategy of providing maternal health services
to the Anak Dalam tribe was carried out with innovations in health care facilities thus the Anak Dalam tribe community begun to mingle
with the community, understand maternal health, and finally accept maternal health services provided by health care facilities. It
was also inseparable from cross-sectoral support in providing counselling and outreach about healthy life style of the Anak Dalam tribe
residents. Therefore, the impact was Anak Dalam tribe begun to understand the importance and need to utilize health care facilities
provided by the government.
Conclusion: The approach was carried out with cross-sectoral collaboration and initiation of innovation in health service facilities.
Evaluation of the approach to providing health services can be viewed from the aspect of mistrust in health services and the acceptance of providing maternal health services to the Anak Dalam tribe.