Transformation of Midwives' Independent Practice in The Era of Law No. 17 of 2023: Between Regulations, Challenges and Opportunities
DOI:
https://doi.org/10.38035/jlph.v5i5.1876Keywords:
Midwifery regulations, Midwife Independent Practice, Risk-Based Licensing, Midwife Authority, Law No. 17 Of 2023, Challenges, OpportunitiesAbstract
The enactment of Law no. 17 of 2023 concerning Health brings significant changes to the independent practice of midwives, especially in aspects of regulation, licensing and authority. This regulation aims to improve the quality of health services, but also presents challenges for midwives in carrying out their practice. This research aims to analyze the impact of implementing Law no. 17 of 2023 regarding the independent practice of midwives, as well as identifying challenges and opportunities that arise as a result of changes to these regulations. This research uses a qualitative approach with document analysis methods, which involves a study of Law no. 17 of 2023, as well as scientific journal articles, WHO reports and relevant previous research. The research results show that this policy causes changes in the risk-based licensing system, increasing the authority of midwives, but also creates challenges in terms of regulatory adaptation, licensing costs, and the need for additional training. On the other hand, this regulation provides opportunities to simplify licensing procedures for low-risk services, stronger legal protection, and integration of health technology. Implementation of Law no. 17 of 2023 requires a good adaptation strategy so that midwives can adapt their practices to new regulations, while also taking advantage of opportunities to improve the professionalism and quality of maternal and child health services in Indonesia.
References
Ariyani, F., Lestari, W., Eza Fitria, N., & Putri Primasari, E. (2021). THE ROLE OF MIDWIVES IN ANTENATAL CARE DURING THE COVID 19 PANDEMIC. LIGHTHOUSE HEALTH JOURNAL, 4(1), 32-37. https://doi.org/10.36984/jkm.v4i1.175
Assegaf, S. Z. G., & Nambung, I. (2023). Legal Liability for the Delegation of Authority of Obstetricians to Midwives. INDONESIAN HEALTH LAW JOURNAL, 3(01), 46-56. https://doi.org/10.53337/jhki.v3i01.90
Ayudiah, F., Anissa, K., & Hermawan, D. (2022). LEGAL PROTECTION FOR PATIENTS AND MIDWIVES IN THE PROVISION OF PUBLIC SERVICES. Journal of Medical and Health Sciences, 9(2). https://doi.org/10.33024/jikk.v9i2.5382
Azizah, N. (2022). Pregnant women's satisfaction with the role of midwives in antenatal care services during the pandemic. Journal for Quality in Women's Health, 5(1), 76-81. https://doi.org/10.30994/jqwh.v5i1.148
Devi, S. P., Anshari, F., & Kaligis, R. A. W. (2022). THE ROLE OF MIDWIVES AS AGENTS OF CHANGE IN SOCIALIZING TELE-CTG FOR PREGNANT WOMEN'S HEALTH.
CoverAge: Journal of Strategic Communication, 12(2), 108-121. https://doi.org/10.35814/coverage.v12i2.3161
Indah Lugita Sari, Istiana Kusumastuti, & Fanni Hanifa. (2024). THE RELATIONSHIP BETWEEN MIDWIVES' ATTITUDES, COMPETENCE AND WORKLOAD WITH MIDWIVES' COMPLIANCE IN IMPLEMENTING THE REFERRAL SOP PONED PUSKESMAS. Journal of Midwifery Science and Health, 15(2), 68-78. https://doi.org/10.52299/jks.v15i2.218
Indina, F. (2024). Juridical Review of Informed Consent in the Perspective of Law No. 17 of 2023 Concerning Health. Journal of Cahaya Mandalika ISSN 2721-4796 (Online), 3(1), 633-638. https://doi.org/10.36312/jcm.v3i1.3499
Johan. (2023). FACTORS INHIBITING THE IMPLEMENTATION OF INDEPENDENT PRACTICE OF MIDWIVES IN TERARA VILLAGE BASED ON LAW NUMBER 4 OF 2019 CONCERNING MIDWIFERY. JURIDICA: Journal of the Faculty of Law, Gunung Rinjani University, 4(2), 15-21. https://doi.org/10.46601/juridicaugr.v4i2.226
Mawarni, D., Sulistyani, R., & Adi, S. (2021). FACTORS INFLUENCING ANTENATAL CARE IN RURAL AREAS. IKESMA, 17(1), 6. https://doi.org/10.19184/ikesma.v17i1.22444
Ningsih; Awaluddin; Ansar. (2024). LEGAL PROTECTION OF MIDWIVES IN THE IMPLEMENTATION OF HEALTH SERVICES IN TINOMBO SUB-DISTRICT. JIHAK: Journal of Actuality Law Science, 1(2), 56-69.
Paska, H. D. (2023). THE INDONESIAN GOVERNMENT'S EFFORTS TO IMPROVE RURAL HEALTH SERVICES AND FACILITIES IN RELATION TO THE HEALTH LAW. MAGISTRA Law Review, 4(01), 11. https://doi.org/10.56444/malrev.v4i01.3585
Central Government. (2023). Law Number 17 of 2023 Concerning Health. Legislation.
Raja, E. L., & Oktamianti, P. (2022). Analysis of Licensing Policy for Independent Practicing Midwives in DKI Jakarta Province: A Narrative Review. Syntax Literate ; Indonesian Scientific Journal, 7(1), 183. https://doi.org/10.36418/syntax-literate.v7i1.6042
Sari, Y. J., Arif, A., & Amalia, R. (2023). The Relationship between Maternal Employment, Husband Support and Early Breastfeeding Initiation (IMD) with Exclusive Breastfeeding at Nurachmi Palembang Independent Midwife Practice (PMB) in 2021. IMJ (Indonesian Midwifery Journal), 6(1). https://doi.org/10.31000/imj.v6i1.7530
Satria Indra Kesuma. (2024). Review of Law No.17 of 2023 concerning Health. Journal of Nusantara Berbakti, 2(1), 253-261. https://doi.org/10.59024/jnb.v2i1.324
Solichati, S., Kartasurya, M. I., & Agushybana, F. (2024). A COMPARISON OF THE QUALITY OF DELIVERY SERVICES BETWEEN PUSKESMAS AND INDEPENDENT MIDWIFE PRACTICES IN KUDUS DISTRICT. Journal of Nursing and Midwifery Science, 15(1), 40-49. https://doi.org/10.26751/jikk.v15i1.2156
Widyawati, W. (2018). Performance of Midwives in Providing Antenatal Care Services and Influencing Factors. Journal of Public Health Sciences, 7(01), 15-24. https://doi.org/10.33221/jikm.v7i01.48
World Health Organization. (2022). State of the World's Midwifery 2022: Building a Healthier Future for Women and Newborns.
Wulan Yulianik Mulyowati, C., & Winarsih, R. (2024). LEGAL PROTECTION FOR MIDWIVES IN CLINICS BASED ON LAW NUMBER 17 OF 2023 CONCERNING MIDWIFERY. Justicia Journal, 13(1), 28-38. https://doi.org/10.32492/jj.v13i1.13104
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Katmi, Katno, Yuyut Prayuti

This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish their manuscripts in this journal agree to the following conditions:
- The copyright on each article belongs to the author(s).
- The author acknowledges that the Journal of Law, Poliitic and Humanities (JLPH) has the right to be the first to publish with a Creative Commons Attribution 4.0 International license (Attribution 4.0 International (CC BY 4.0).
- Authors can submit articles separately, arrange for the non-exclusive distribution of manuscripts that have been published in this journal into other versions (e.g., sent to the author's institutional repository, publication into books, etc.), by acknowledging that the manuscript has been published for the first time in the Journal of Law, Poliitic and Humanities (JLPH).