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Suami SIAGA: male engagement in maternal health in Indonesia

 2017 Oct 1;32(8):1203-1211. doi: 10.1093/heapol/czx073.

Suami SIAGA: male engagement in maternal health in Indonesia.

Author information

1
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
2
Center for Planning and Management of Human Resources for Health, BPPSDMK, Ministry of Health, Indonesia.
3
Department of Nursing, Institute of Gerontology, Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
4
Department of Mental Health and Community Health Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
5
Department of Public Health, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
6
Institute of Statistics (STIS), BPS-Statistics of Indonesia, Jakarta, Indonesia.

Abstract

Suami SIAGA, which translates literally as the ‘alert husband’, is a national campaign that was created in early 2000 to promote male participation in maternal and child health program in Indonesia. The purpose of this study was to identify the proportion of men who took part in Suami SIAGA and the factors associated with their participation using the 2012 Indonesia Demographic and Health Survey (IDHS). This study also examined the relationship between Suami SIAGA and the following results related to the national campaign: the presence of husbands at antenatal care (ANC) units and the place of delivery at health facilities. Data on the characteristics of husbands and wives, as well as other related factors, the perceived elements of Suami SIAGA, and the national campaign outcomes were obtained from a total of 1256 eligible male subjects, drawn from the matched couples’ data set. The data was analysed using bivariate and multiple logistic regression to test the associations. This study found that 86% of the respondents were categorised as SIAGA husbands. After controlling all the variables, age and education of wife factors were significantly associated with Suami SIAGA, especially in the group of women aged 41-49 years old (OR = 2.4, 95% CI: 1.1-5.5) and women with a secondary level of education (OR = 1.8, 95% CI: 1.2-2.7) and higher (OR = 2.8, 95% CI: 1.4-5.6). SIAGA husbands were more likely to attend their wives’ ANC (OR = 2.3; 95% CI: 1.4-3.7). This study provides evidence on the benefit of husband involvement in maternal health, especially to improve ANC attendance. Empowering women themselves should also be addressed in leveraging the impact of Suami SIAGA.

KEYWORDS:

Indonesia; Suami SIAGA; male engagement; maternal health

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A deskilling and challenging journey: the lived experience of Indonesian nurse returnees

 

 

A deskilling and challenging journey: the lived experience of Indonesian nurse returnees

Author information

1
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
2
Center for Planning and Management of Human Resources for Health, The Board for Development and Empowerment of Human Resources for Health (BPPSDMK), Ministry of Health, Jakarta, Indonesia.
3
Department of Nursing, Institute of Gerontology, Institute of Allied Health Sciences, National Cheng Kung University, Tainan, Taiwan.
4
Faculty of Nursing, Airlangga University, Surabaya, Indonesia.
5
Graduate School of Social and Cultural Studies, Kyushu University, Japan.

Abstract

AIM:

To illuminate the lived experiences of Indonesian nurses who previously worked as caregivers in Japanese residential care facilities, by exploring the journey of becoming returnees.

BACKGROUND:

The creation of bilateral agreements between Indonesia and Japan has facilitated the movement of Indonesian nurses to work as caregivers in Japan since 2008. While this decision raised concerns with regard to the degradation of nursing skills, little is known about this issue from the perspective of nurse returnees and how the experience affects their life.

METHOD:

A hermeneutic phenomenological method was employed for this study. A purposive sample of 15 Indonesian nurse returnees participated in this study. Semi-structured interviews were conducted in four of Indonesia’s provinces between August and October 2015. Data were analysed thematically, supported by QSR NVIVO 10 software.

FINDINGS:

Four key themes emerged from the data analysis: (i) returning home; (ii) going back to zero; (iii) walking through a difficult journey; and (iv) overcoming barriers. These findings described the lived experiences of nurse returnees when they got back to the country of origin.

CONCLUSION:

Indonesian nurse returnees experienced deskilling and struggled to re-enter the nursing profession or to find other non-nursing jobs. The significant impact of this migration on individual nurses with regard to maximizing the benefits of return migration deserves further investigation.

IMPLICATION FOR NURSING AND HEALTH POLICY:

The Indonesian government, jointly with other stakeholders, should develop a brain gain strategy to align returnees’ expertise with the needs of the national labour market. The public-private partnership should be strengthened to utilize returnees in healthcare services.

Factors influencing Indonesian women’s use of maternal health care services

Kurniati, A., Chen, C. M., Efendi, F., & Berliana, S. M. (2018). Factors influencing Indonesian women’s use of maternal health care services. Health care for women international39(1), 3-18.

Employing the 2012 Indonesia Demographic and Health Survey data, we aimed to examine factors influencing married women to use maternity services. Data of married women who had given birth in the last five years before the survey were included in the analysis (n = 14,672). Factors of education, employment, women’s age at first marriage, age at first birth, spousal education difference, contraceptive use, place of residence, and woman’s attitude toward wife beating were associated with the use of antenatal care, institutional delivery, and postnatal care services. The likelihood of women using those recommended maternal health care services increased along with the increased educational attainment among women and their spouses, and the older age at first birth. Higher schooling years may contribute to improving adequate maternal health care. Community awareness on maternal health issues should be promoted and include the prevention of early marriage, teenage pregnancies, and domestic violence.

 

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