Maternal Childbirth Experiences Among the Arfak Tribe in Meinyufoka Village, Manokwari Regency, West Papua Province

Abstract

Maternal mortality remains a major public health issue in remote and indigenous communities, including the Arfak tribe in Manokwari District, West Papua Province. This study aims to explore the cultural, educational, and systemic factors contributing to maternal deaths among Arfak women using a qualitative ethnographic approach. Data were collected through observations, in-depth interviews, and documentation from 13 informants including mothers, husbands, traditional leaders, a midwife, and a traditional birth attendant. Thematic analysis using the Colaizzi method revealed three main findings. First, low levels of education among Arfak women limit their health literacy and decision-making during pregnancy. Second, traditional beliefs and reliance on herbal remedies contribute to delays in seeking medical care, often worsening complications. Third, awareness and acceptance of family planning have improved, with support from both spouses and community leaders. However, challenges remain in terms of access to health services and continuity of care. The study concludes that improving maternal health among the Arfak tribe requires culturally sensitive interventions that integrate community values, enhance education, and strengthen rural healthcare systems.