PERAN BIDAN DALAM LAYANAN KESEHATAN IBU DAN ANAK SEBAGAI PILAR PERTAHANAN NIRMILITER PADA MASA PERANG KEMERDEKAAN INDONESIA (1945–1949)
DOI:
https://doi.org/10.62710/81qhj962Keywords:
Bidan, Kesehatan Pertahanan, Perang Kemerdekaan, Pertahanan NirmiliterAbstract
Perang Kemerdekaan Indonesia (1945–1949) umumnya didominasi oleh narasi pertempuran militer dan diplomasi politik, sementara ketahanan sektor kesehatan masyarakat di garis belakang sering terabaikan. Di tengah darurat perang dan blokade ekonomi, layanan kesehatan ibu dan anak menghadapi ancaman kelumpuhan, padahal sektor ini merupakan pilar esensial kelangsungan regenerasi bangsa. Penelitian ini bertujuan merekonstruksi dinamika pelayanan kesehatan ibu dan anak kurun 1945–1949 serta menganalisis kontribusi strategis bidan melalui kacamata pertahanan nirmiliter. Penelitian ini menggunakan metode penelitian sejarah (historical research method) berbasis pendekatan kualitatif-deskriptif melalui tahapan heuristik, kritik sumber, interpretasi, dan historiografi. Hasil rekonstruksi historis menunjukkan bahwa di tengah kelangkaan tenaga dan fasilitas medis, bidan mempertahankan kelangsungan persalinan serta mengemban peran ganda dalam unit pertolongan darurat berkolaborasi dengan Palang Merah Indonesia dan Djawatan Kesehatan Tentara. Secara analitis, ketahanan ini mencerminkan kapasitas adaptif sistem kesehatan dalam menjaga fungsi esensial masyarakat di tengah konflik. Kesimpulan kajian ini menegaskan secara konseptual bahwa keberlangsungan pelayanan kebidanan pada masa perang merupakan wujud nyata pertahanan nirmiliter yang memelihara ketahanan demografis dan menyelamatkan generasi penerus bangsa.
Downloads
References
Adnani, Q. E. S., Gilkison, A., & McAra-Couper, J. (2023). A historical narrative of the development of midwifery education in Indonesia. Women and Birth, 36(1), e175–e178. https://doi.org/10.1016/j.wombi.2022.06.007
Akik, C., Semaan, A., Shaker-Berbari, L., Jamaluddine, Z., Saad, G. E., Lopes, K., Constantin, J., Ekzayez, A., Singh, N. S., Blanchet, K., DeJong, J., & Ghattas, H. (2020). Responding to health needs of women, children and adolescents within Syria during conflict: Intervention coverage, challenges and adaptations. Conflict and Health, 14(1), Article 37. https://doi.org/10.1186/s13031-020-00263-3
Astiannis, R., & Saripudin, D. (2018). Johannes Leimena dalam kesehatan ibu dan anak di Indonesia (1946–1956). Factum: Jurnal Sejarah dan Pendidikan Sejarah, 7(2), 203–214. https://doi.org/10.17509/factum.v7i2.15606
Beek, K., McFadden, A., & Dawson, A. (2019). The role and scope of practice of midwives in humanitarian settings: A systematic review and content analysis. Human Resources for Health, 17(1), Article 5. https://doi.org/10.1186/s12960-018-0341-5
Chi, P. C., Bulage, P., Urdal, H., & Sundby, J. (2015). Perceptions of the effects of armed conflict on maternal and reproductive health services and outcomes in Burundi and Northern Uganda: A qualitative study. BMC International Health and Human Rights, 15(1), Article 7. https://doi.org/10.1186/s12914-015-0045-z
Fathoni, R. S., & Safitri, I. (2026). Professionalizing care at Petronella Hospital: Javanese agency, colonial medicine, and healthcare work in Yogyakarta (1900–1940). Analisis Sejarah: Mencari Jalan Sejarah, 16(1), 1–15. https://doi.org/10.25077/jas.v16i1.173
Gottschalk, L. (1986). Mengerti sejarah (N. Notosusanto, Penerj.). Penerbit Universitas Indonesia (UI-Press).
Haldane, V., De Foo, C., Abdalla, S. M., Jung, A. S., Tan, M., Wu, S., Chua, A., Verma, M., Murakami, P., & Legido-Quigley, H. (2021). Health systems resilience in managing the COVID-19 pandemic: Lessons from 28 countries. Nature Medicine, 27(6), 964–980. https://doi.org/10.1038/s41591-021-01381-y
Hesselink, L. (2011). Healers on the colonial market: Native doctors and midwives in the Dutch East Indies. KITLV Press. https://doi.org/10.1163/9789004253575
Homer, C. S. E., Turkmani, S., Wilson, A. N., Vogel, J. P., Shah, M. G., Fogstad, H., & Langlois, E. V. (2022). Enhancing quality midwifery care in humanitarian and fragile settings: A systematic review of interventions, support systems and enabling environments. BMJ Global Health, 7(1), e006872. https://doi.org/10.1136/bmjgh-2021-006872
Hull, T. H., & Hull, V. J. (2005). From family planning to reproductive health care: A brief history. Dalam T. H. Hull (Ed.), People, population, and policy in Indonesia (hlm. 1–69). Equinox Publishing.
Inter-Agency Working Group on Reproductive Health in Crises. (2018). Inter-agency field manual on reproductive health in humanitarian settings. Women’s Refugee Commission. https://iawg.net/resources/field-manual
Janti, N. (2020). Midwives and dukun beranak, the choices for handling childbirth. Lembaran Sejarah, 16(2), 165–182. https://doi.org/10.22146/lembaran-sejarah.66957
Jawad, M., Hone, T., Vamos, E. P., Cetorelli, V., & Millett, C. (2021). Implications of armed conflict for maternal and child health: A regression analysis of data from 181 countries for 2000–2019. PLOS Medicine, 18(9), e1003810. https://doi.org/10.1371/journal.pmed.1003810
Jawad, M., Hone, T., Vamos, E. P., Roderick, P., Sullivan, R., & Millett, C. (2020). Estimating indirect mortality impacts of armed conflict in civilian populations: Panel regression analyses of 193 countries, 1990–2017. BMC Medicine, 18(1), Article 266. https://doi.org/10.1186/s12916-020-01708-5
Kementerian Pertahanan Republik Indonesia. (2014). Peraturan Menteri Pertahanan Republik Indonesia Nomor 20 Tahun 2014 tentang Sistem Kesehatan Pertahanan Negara (Berita Negara Republik Indonesia Tahun 2014 Nomor 613).
Kruk, M. E., Myers, M., Varpilah, S. T., & Dahn, B. T. (2015). What is a resilient health system? Lessons from Ebola. The Lancet, 385(9980), 1910–1912. https://doi.org/10.1016/S0140-6736(15)60755-3
Kuntowijoyo. (2005). Pengantar ilmu sejarah. Bentang Pustaka.
Kurasawa, A. (1993). Mobilisasi dan kontrol: Studi tentang perubahan sosial di pedesaan Jawa 1942–1945. Grasindo.
Mirzazada, S., Padhani, Z. A., Jabeen, S., Fatima, M., Rizvi, A., Ansari, U., Das, J. K., & Bhutta, Z. A. (2020). Impact of conflict on maternal and child health service delivery: A country case study of Afghanistan. Conflict and Health, 14(1), Article 38. https://doi.org/10.1186/s13031-020-00285-x
Munyuzangabo, M., Gaffey, M. F., Khalifa, D. S., Als, D., Ataullahjan, A., Kamali, M., Jain, R. P., Meteke, S., Radhakrishnan, A., Shah, S., Siddiqui, F. J., & Bhutta, Z. A. (2021). Delivering maternal and neonatal health interventions in conflict settings: A systematic review. BMJ Global Health, 5(Suppl. 1), e003750. https://doi.org/10.1136/bmjgh-2020-003750
Pols, H. (2018). Nurturing Indonesia: Medicine and decolonisation in the Dutch East Indies. Cambridge University Press. https://doi.org/10.1017/9781108341035
Pols, H. (2024). The expansion of medical education in the Dutch East Indies and the formation of the Indonesian medical profession. Medical History, 68(2), 162–182. https://doi.org/10.1017/mdh.2024.11
Saputra, R. E. (2022). Antara netralitas dan keberpihakan: Palang Merah di Jawa pada masa perang (1945–1949). Lembaran Sejarah, 18(1), 56–77. https://doi.org/10.22146/lembaran-sejarah.80453
Sciortino, R. (1995). Care-takers of cure: An anthropological study of health centre nurses in rural Central Java. Gadjah Mada University Press.
Sphere Association. (2018). The Sphere handbook: Humanitarian charter and minimum standards in humanitarian response (Edisi ke-4). Practical Action Publishing. https://spherestandards.org/handbook-2018/
Van Bergen, L. (2013). Medical care as the carrot: The Red Cross in Indonesia during the war of decolonization, 1945–1950. Medicine, Conflict and Survival, 29(3), 216–243. https://doi.org/10.1080/13623699.2013.814438
World Health Organization. (2024a). Building health system resilience to public health challenges: Guidance for implementation in countries. https://www.who.int/publications/i/item/9789240094321
World Health Organization. (2024b). Health system resilience indicators: An integrated package for measuring and monitoring health system resilience in countries. https://www.who.int/publications/i/item/9789240088986
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Jurnal Ilmu Kesehatan & Kebidanan Nusantara

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.








