ACTORS CONTRIBUTING IN THE DECLINE OF MATERNAL MORTALITY AND LABOR SERVICES PROBLEMS

Abstract: The targeted 102 per 100,000 live births maternal mortality rate (AKI) in Semarang has not been achieved yet. In the era of childbirth insurance program in 2011, AKI reached 119.9 per 100,000. Then, in the era of National Health Insurance (JKN) by Social Security Administrator (BPJS), the AKI in 2004 was 109,2 per 100.000 live births. The study design was qualitative with grounded theory approach. There were 4 research focuses: 1) actors who contribute in labor services; 2) referral delay; 3) Community Health Center (Puskesmas) with basic essential obstetric–neonatal service (Poned); 4) profile of each obstetric services level in Semarang. The results showed that there were 2 groups of actors who contributed to prevention of maternal death. The first group were obstetrics and gynecologists, health surveyors, and professional organizations. The second group were family and society, including husband, mother, in-laws, and public figures. Many maternal death occurred in referral hospitals. There are three types of delay that often occur in Semarang, namely delay in decision-making, delay in accessing health services, and delay in acquiring health services.

Keywords: Maternal Mortality Rate, Actor, Referral Delay

Author: Dewi Sari Rochmayani

Journal Code: jpkesmasgg180012

Artikel Terkait :

Jp Kesmas gg 2018

• The application of probability method to estimate micronutrient deficiencies prevalence of Indonesian adults
• Nutritional status of exclusive compared to non exclusive breastfeeding mother
• Potential of okra (Abelmoschus esculentus L.) extract to reduce blood glucose and malondialdehyde (MDA) liver in streptozotocin-induced diabetic rats
• Application of alternate healthy eating index to assess diet quality in male workers
• Hydration status and liver function of young men before and after Ramadan fasting
• The safety evaluation of ethanol extract of torbangun leaves (Coleus amboinicus Lour.) on mouse fetal development
• Effectiveness Leadership and Optimalization of Local Potential in Nutrition Status Improvement Effort
• Efficacy of Propolis Supplementation to Accelerate Healing Process and Body Weight Recovery of Pulmonary Tuberculosis Patients
• Relationship between Oral Hygiene and Dietary Behaviour and Dental Caries Status in Primary School Children
• Usage of Fruit-Infused Water for Prevention of Dehydration Due to Endurance Exercise
• IMPROVING ELDERLY’S QUALITY OF LIFE THROUGH FAMILY ROLE
• The Potency of Polygamy Behavior in Aedes aegypti Mosquitoes by Venereal Transmission Dengue Virus
• Effect of Climatic Factors and Habitat Characteristics on Anopheles Larval Density
• Effectiveness of Smartphone Application “Nutriatlet” in Increasing Energy Intake of Martial Arts Athletes
• Benefit of Childbirth Care Counseling for Mood of Postpartum Period
• Effects of Areca Catechu L. Seed Extract on Mortality Anopheles Vagus Larvae
• Effectiveness of Virgin Coconut Oil and Virgin Olive Oil on Perineal Laceration
• The Combination of Probiotic and Calcium Carbonate Decrease Monocyte Count of End-Stage Renal Disease Patient
• Development Model of Household Contacts as a Peer Support to Decrease the Prevalence of Pulmonary Tuberculosis
• Midwife’s Knowledge and Attitude in Kangaroo Mother Care To Premature Neonatal in the Public Health Centre in Batang
• Family Structure and Early Marriage on Women in Indramayu Regency
• Soil Transmitted Helminths Infection in Elementary School Students in Highland and Lowland Areas of Gianyar Regency
• The Description of Larva Free Index as COMBI (Communication for Behavioral Impact) Dengue Hemorrhagic Fever Prevention Indicator
• The Impact of Environmental Changes Caused by Earthquake Toward Emotional Problems of Preschool Children