agung dwi laksono, rachmalina soerachman, Tri Juni Angkasawati


Background: Maternal health problems are often closely related to local specific cultural customs. In the formulation of a policy, the local context is often overlooked in decision making that is often applied generically the same for the whole region.

Objective: To describe maternal health behavior in related with local wisdom and tradition

Methods: This research is a descriptive qualitative research by using ethnographic approach in the Muyu  ethnic-group in Mindiptana District, Boven Digoel. In this research, researchers lived and mingled with Muyu ethnic-group for 60 days (May-June 2014). In the ethnographic research researcher is the main instrument.

Result: Muyu has a strong belief related with dirty atmosphere which come from maternity and menstruation. This dirty environment could be weakening, or even could loss the power of male Muyu. Its urged community to isolate every Muyu women who will had childbirth. It’s also strongly supported with customary for noncompliance.

Conclutions:, Muyu belief women should be isolated during the time of giving birth.. Iptèm is the dirty blood of women in labor.This exile is an obligation that must be run, which is reinforced with a fine if it does not comply.

Muyu communities’  belief about ìptèm on labor embodied into "home delivery is not in the house" is an opportunity that must be arrested. This should be used to shift the pattern of labor "is not in the house of origin" to deliver in health facilities by health personnel.



maternal services policy, local context, Muyu tribe, DTPK


Badan Pusat Statistik-Statistics Indonesia (BPS), National Family Planning Coordinating Board, Ministry of Health, ORC Macro. Indonesia Demographic and Health Survey 2007. Calverton, Maryland: BPS and ORC Macro; 2008.

Badan Pusat Statistik-Statistics Indonesia (BPS), National Family Planning Coordinating Board, Ministry of Health, ORC Macro. Indonesia Demographic and Health Survey 2012. Calverton, Maryland: BPS and ORC Macro; 2013.

Kementerian Kesehatan RI. Upaya Percepatan Penurunan Angka Kematian Ibu di Indonesia. 2014. Tersedia di Diakses pada bulan Juli 2015.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar 2013. Jakarta: Balitbangkes Kemenkes RI.; 2013.

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan Republik Indonesia. Riset Kesehatan Dasar dalam Angka Tahun 2013. Jakarta: Balitbangkes Kemenkes RI.; 2013.

Kementerian Kesehatan. Buku Pedoman Pelayanan Puskesmas Terpencl dan Sangat Terpencl di Daerah Tertinggal, Perbatasan dan Kepulauan. Jakarta: Direktorat Jenderat Bina Upaya Kesehatan Dasar-Ditjen Bina Upaya Kesehatan; 2011.

Kementerian Kesehatan. Rencana Strategis Kementerian Kesehatan. Jakarta; 2015

Sekretariat Kabinet, Peraturan Presiden No 131 Tahun 2015 tentang Penetapan Daerah Tertinggal Tahun 2015-2019, diunduh dari

Blum, HL. Planning for Health, second edition. New York: Human Scence Press; 1974.

Laksono AD, Faizin K, Raunsay EM, Soerachman R. Perempuan Muyu dalam Pengasingan. Soerachman R, editor. Jakarta: Lembaga Penerbitan Balitbangkes; 2014.

Spradley, JP. Metode Etnografi. Jogjakarta: PT. Tiara Wacana; 1997.

Liamputtong, Pranee and Douglas Ezzy. 2005. Qualitative Research Methods. 2nd edition. UK: Oxford University Press.

Schoorl JW. Kebudayaan dan Perubahan Suku Muyu dalam Arus Modernisasi Irian Jaya. Jakarta: Grasindo; 1997.

Dinas Kesehatan Boven Digul, Profil Puskesmas Mindiptara Tahun 2013, 2014, Papua

Orru M, Haferkamp H, Smelser NJ. Social Change and Modernity. Vol. 23, Contemporary Sociology. 1994. p. 548.

Brennan J. Higher education and social change. Vol. 56, Higher Education. 2008. p. 381–93.

Rumlus, E. Penggunaan Kekuatan-Kekuatan Gaib dalam Suku Muyu (Irja). Yogyakarta: Pusat Pastoral; 1980

Kurniawan A, Ayomi I, Keliduan PMMS, Lokobal E, Laksono AD. Buku Seri Etnografi Kesehatan Ibu dan Anak 2012 Etnik Ngalum, Distrik Oksibil Kabupaten Pegunungan Bintang, Provinsi Papua. Surabaya: Pusat Humaniora, Kebijakan Kesehatan dan Pemberdayaan Masyarakat; 2012.

Djoht, DR. Towe, Masyarakat yang Hampir Punah. Jurnal Antropologi Papua, Volume 2. NO. 4 Agustus 2003

Huriah Astuti, Nurul. 2009. “Perempuan Percaya Diri, Peremppuan Berani Bicara: Pembelajaran dari Sekolah Lapang, di Kampung Nyungcung, Kabupaten Bogor” dalam Penyadaran Gender, Kesehatan daan Longkungan: Studi Kasus di Kampung Nyungcung daan Kampung Babakan Ciomas, Kawasan Halimun. Pusat Penelitian Kesehatan Universitas Indonesia- Ford Fondation. Jakarta. P.41-49

Janz NK, Becker MH. The Health Belief Model: a decade later. Health Educ Q. 1984;11(1):1–47.

Carpenter, CJ. "A meta-analysis of the effectiveness of health belief model variables in predicting behavior". Health Communication 25 (8), 2010. 661–669.

Glanz, K. & Bishop, DB. "The role of behavioral science theory in development and implementation of public health interventions". Annual review of public health 31, 2010: 399–418.

Rosenstock IM. The Health Belief Model and preventive health behavior. Health Educ Monogr [Internet]. 1974;2:354–86. Available from:,+2,+354-386.

Wang F. Measurement, Optimization, and Impact of Health Care Accessibility: A Methodological Review. Vol. 102, Annals of the Association of American Geographers. 2012. p. 1104–12.

McGrail MR. Spatial accessibility of primary health care utilising the two step floating catchment area method: an assessment of recent improvements. Int J Health Geogr [Internet]. 2012;11(1):50. Available from:

Guagliardo MF. Spatial accessibility of primary care: concepts, methods and challenges. Int J Health Geogr. 2004;3:3.

Huerta Munoz U, Källestål CC. Geographical accessibility and spatial coverage modeling of the primary health care network in the Western Province of Rwanda. Vol. 11, International Journal of Health Geographics. 2012. p. 40.

Oppong JR, Hodgson MJ. Spatial Accessibility to Health Care Facilities in Suhum District, Ghana. Vol. 46, The Professional Geographer. 1994. p. 199–209.

Collins C, Green A, Hunter D. Health sector reform and the interpretation of policy context. Health Policy. 1999;47(1):69–83.

Dobrow MJ, Goel V, Upshur RE. Evidence-based health policy: context and utilisation. Vol. 58, Social Science & Medicine. 2004. p. 207–17.

Braun A, Ball SJ, Maguire M, Hoskins K. Taking context seriously: towards explaining policy enactments in the secondary school. Vol. 32, Discourse: Studies in the Cultural Politics of Education. 2011. p. 585–96.

Jansson E, Fosse E, Tillgren P. National public health policy in a local context-Implementation in two Swedish municipalities. Health Policy (New York). 2011;103(2–3):219–27.

O’Brien MJ, Whitaker RC. The role of community-based participatory research to inform local health policy: A case study. Vol. 26, Journal of General Internal Medicine. 2011. p. 1498–1501.

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