Legal Protection for Midwives Performing Medical Procedures at Tanjung Enim Community Health Center
DOI:
https://doi.org/10.15575/jis.v5i4.58609Keywords:
community health centers, legal protection, legal responsibility, midwives, medical proceduresAbstract
Midwives, as health workers, play a crucial role in the provision of maternal and child health services, particularly at Community Health Centers (Puskesmas) as primary healthcare facilities. In their practice, midwives often face potential legal risks, particularly when medical procedures are deemed to exceed their authority or cause harm to patients. This situation places legal protection as a crucial aspect in ensuring professional safety while maintaining the quality of healthcare services. This study aims to analyze the forms of legal protection for midwives in the implementation of medical procedures at the Tanjung Enim Community Health Center and to examine the legal responsibilities that may arise in the event of errors or negligence in the service. The research method used is a mixed approach: normative legal research by examining laws and regulations related to midwifery practice and healthcare services, and empirical research through in-depth interviews with two midwives and the Head of the Tanjung Enim Community Health Center. The data obtained were analyzed to assess the conformity between normative provisions and field practice. The results indicate that preventive legal protection is available through the implementation of Standard Operating Procedures (SOPs), competency improvement training, regulation of authority by the Indonesian Health Workforce Council, and the implementation of informed consent before medical procedures. In addition, repressive protection is also available in the form of administrative clarification mechanisms and assistance from Community Health Centers (Puskesmas) and the Health Office in the event of a complaint. However, midwives' understanding of the legal aspects remains limited, and medical documentation is suboptimal, creating a gap between regulation and implementation. Therefore, strengthening legal literacy, improving the quality of medical records, and developing more comprehensive legal assistance guidelines are needed to ensure legal certainty and the safety of the midwifery profession.
References
Ali, M., & Bagir, Z. A. (2021). Pendidikan Islam Multikultural: Konsep, Praksis, dan Tantangan Kontemporer [Multicultural Islamic Education: Concepts, Practices, and Contemporary Challenges]. UIN Sunan Kalijaga Press.
Astuti, R., & Savitri, A. M. (2025). Perbandingan Perlindungan Hukum Bagi Bidan dalam Menjalankan Praktik Keprofesiannya Sebelum dan Sesudah Berlakunya UU Nomor 17 Tahun 2023 Tentang Kesehatan [Comparison of Legal Protection for Midwives in Carrying Out Their Professional Practice Before and. HUMANIORUM, 3(2), 71–81. https://doi.org/10.37010/hmr.v3i2.76 [In Indonesian]
Asyah, N. (2024). Pelindungan Hukum bagi Bidan Memberikan Pelayanan Obat kepada pasien dalam Praktik Kebidanan di Daerah Terpencil [Legal Protection for Midwives Providing Drug Services to Patients in Midwifery Practice in Remote Areas]. Jurnal Hukum Dan Etika Kesehatan, 82–92. https://doi.org/10.30649/jhek.v3i2.122 [In Indonesian]
Enim, D. K. K. M. (2023). Laporan Evaluasi Pelayanan Kesehatan Ibu dan Anak di Puskesmas Tanjung Enim (Muara Enim: Dinas Kesehatan Kabupaten Muara Enim) [Evaluation Report of Maternal and Child Health Services at Tanjung Enim Community Health Center (Muara Enim: Muara Enim Distric.
Farida. (2020). Peran Bidan dalam Upaya Penurunan Angka Kematian Ibu dan Bayi di Indonesia [The Role of Midwives in Efforts to Reduce Maternal and Infant Mortality Rates in Indonesia]. Kementerian Kesehatan Republik Indonesia.
Firmanto, A. A. (2019). Perlindungan Hukum Pasien Pada Bidan Praktik Mandiri Di Indonesia Pasca Dikeluarkannya Undang-Undang Nomor 4 Tahun 2019 Tentang Kebidanan [Legal Protection for Patients of Independent Midwives in Indonesia Following the Issuance of Law Number 4 of 2019 Co. PRANATA HUKUM, 14(2), 140–156. https://doi.org/10.36448/pranatahukum.v14i2.80 [In Indonesian]
Hadjon, P. M. (2020). Perlindungan Hukum bagi Rakyat di Indonesia [Legal Protection for the People in Indonesia]. In Cet. Revisi. PT Bina Ilmu, Surabaya.
Jauhani, M. A., Pratiwi, Y. W., & Supianto, S. (2022). Perlindungan Hukum Tenaga Medis dan Pasien Pada Tindakan Gawat Darurat [Legal Protection for Medical Personnel and Patients in Emergency Procedures]. JURNAL RECHTENS, 11(2), 257–278. https://doi.org/10.56013/rechtens.v11i2.1790 [In Indonesian]
Jordan, K., & Hughes, R. (2020). Primary Health Care and Emergency Decision Making. Oxford University Press.
Kementerian Kesehatan Republik Indonesia. (2021). Profil Kesehatan Indonesia Tahun 2021 [Indonesia’s Health Profile 2021]. Kementerian Kesehatan RI.
Konsil Tenaga Kesehatan Indonesia. (2022). Standar Kompetensi dan Kewenangan Tenaga Kesehatan [Competency Standards and Authority of Health Workers]. KTKI.
Moleong, L. J. (2002). Metodologi Penelitian Kualitatif. Lexy J. Moleong.
Njoto, H. (2023). Legal Protection Mechanisms and Consequences for Medical Negligence in Healthcare Services. Rechtsidee, 11(1), 85–98. https://doi.org/10.21070/jihr.v12i1.994
Rahmad, N., Setiyawan, D., & Indrawati, S. (2023). Perlindungan Hukum Bagi Bidan yang Melakukan Tindakan Medis (Studi Kasus Rumah Sakit PKU Muhammadiyah Gombong) [Legal Protection for Midwives Performing Medical Procedures (Case Study of PKU Muhammadiyah Gombong Hospital)]. Amnesti: Jurnal Hukum, 5(1), 126–137. https://doi.org/10.37729/amnesti.v5i1.2710 [In Indonesian]
Rayga, & Siregar, A. R. M. (2025). Kepastian Hukum dalam Penerapan Teknologi Kesehatan: Perlindungan Data Pasien dan Malpraktik [Legal Certainty in the Implementation of Health Technology: Patient Data Protection and Malpractice]. Politika Progresif : Jurnal Hukum, Politik Dan Humaniora, 2(1), 01–11. https://doi.org/10.62383/progres.v2i1.1230 [In Indonesian]
Soekanto, S., & Mamudji, S. (2018). Penelitian Hukum Normatif: Suatu Tinjauan Singkat [Normative Legal Research: A Brief Overview]. Rajawali Pers.
Sugiyono. (2019). Metode Penelitian Kualitatif, Kuantitatif dan R&D [Qualitative, Quantitative and R&D Research Methods]. Alfabeta.
Ulfa, M., & Hidayat, A. (2021). Tanggung Jawab Hukum Tenaga Kesehatan dalam Pelayanan Medis [Legal Responsibilities of Health Workers in Medical Services]. Pustaka Ilmu.
Vitrianingsih, Y., Suhartono, S., Mangesti, Y. A., & Budiarsih. (2023). Doctors’ Legal Protection of Midwives And Nurses Professionals In Medical Actions In Hospitals. YURISDIKSI : Jurnal Wacana Hukum Dan Sains, 19(3), 423–432. https://doi.org/10.55173/yurisdiksi.v19i3.212
WHO. (2023). Trends in Maternal Mortality 2000–2020. World Health Organization Press.
Williams, C. (2023). Medical Negligence and Dispute Resolution in Healthcare Services. Routledge.
Yunica, S. L. (2021). Perlindungan Hukum Bidan dalam Tindakan Pemasangan Alat Kontrasepsi dalam Rahim (AKDR) di Puskesmas [Legal Protection for Midwives in the Procedure of Inserting Intrauterine Contraceptive Devices (IUDs) in Community Health Centers]. Jurnal Hukum Dan Etika Kesehatan, 11–23. https://doi.org/10.30649/jhek.v1i1.12 [In Indonesian]
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Yopi Puspasari, Yuyut Prayuti

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).