Proceedings of the 3rd International Conference on Environmental Risks and Public Health, ICER-PH 2018, 26-27, October 2018, Makassar, Indonesia

Research Article

Analysis of the Relationship between Traditional Birth Attendant Service and the Risk of Hepatitis B Transmission among Pregnant Women at the Indonesian Rural Community

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  • @INPROCEEDINGS{10.4108/eai.26-10-2018.2288625,
        author={M Nadjib Bustan and Ansariadi  Ansariadi and Ermawati  Syam and Masyitha  Muis},
        title={Analysis of the Relationship between Traditional Birth Attendant Service and the Risk of Hepatitis B Transmission among Pregnant Women at the Indonesian Rural Community},
        proceedings={Proceedings of the 3rd International Conference on Environmental Risks and Public Health, ICER-PH 2018, 26-27, October 2018, Makassar, Indonesia},
        publisher={EAI},
        proceedings_a={ICER-PH},
        year={2019},
        month={11},
        keywords={traditional birth attendant hepatitis b binary logistic regression},
        doi={10.4108/eai.26-10-2018.2288625}
    }
    
  • M Nadjib Bustan
    Ansariadi Ansariadi
    Ermawati Syam
    Masyitha Muis
    Year: 2019
    Analysis of the Relationship between Traditional Birth Attendant Service and the Risk of Hepatitis B Transmission among Pregnant Women at the Indonesian Rural Community
    ICER-PH
    EAI
    DOI: 10.4108/eai.26-10-2018.2288625
M Nadjib Bustan1,*, Ansariadi Ansariadi2, Ermawati Syam2, Masyitha Muis3
  • 1: Department of Statistics, Faculty of Mathematics and Natural Science, Makassar University, Indonesia
  • 2: Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Indonesia
  • 3: Department of Occupational Health and Safety, Faculty of Public Health, Hasanuddin University, Indonesia
*Contact email: mnbustan@unm.ac.id

Abstract

Childbirth assistance with traditional birth attendant is carried out without regard to the sterilization factor so that transmission of the hepatitis virus can occur. This study aimed to determine the likelihood of Hepatitis B transmission in pregnant women based on the history of delivery assistance by traditional birth attendants. The study design was a case-control study of 120 cases of positive HVBsAg pregnant women and 120 negative HVBsAg pregnant women controls from the HVB screening program of Health Centers throughout Bulukumba District, Indonesia. Binary logistic regression analysis was carried out to determine the magnitude of the relationship between risk factors for labor history by TBA and HVB infection. Bivariate logistic regression model found that pregnant women with a history of childbirth by TBA have a risk of transmitting HVB 1.8 times greater (Odds Ratio = 1.78;95% CI 1.07 - 2.98) compared with those who do not have a history of labor for TBA. The multivariate logistic regression model showed that pregnant women who received TBA help who had a history of blood transfusion and a history of surgical treatment had a risk of contracting HVB by 1.8 times greater than those delivered by midwives or other skilled health workers (Odds Ratio=1.882; 95% CI 1,078-3,080). TBA services that pay less attention to sterilization in childbirth services have a risk of HVB transmission, especially if it occurs in those who have a history of blood transfusion and surgery.