scholarly journals Literatur Review: Kebijakan dan Strategi Pemberdayaan Masyarakat Dalam Menurunkan Angka Kematian Ibu dan Bayi

2021 ◽  
Vol 12 (1) ◽  
pp. 135-148
Author(s):  
Shermina Oruh

Implikasi hasil sensus penduduk 2020 terhadap kebijakan pembangunan kependudukan menunjukkan bahwa angka kematian ibu dan bayi di Inonesia masih cukup tinggi saat ini. Tahun 2015 tercatat 305 kematian per 100 ribu kelahiran dan tahun 2017 dengan 177 kematian per 100 ribu kelahiran. Untuk Tahun 2030 yakni kurang dari 70 per 100 ribu kelahiran. Indonesia menempati posisi ke tiga diantara 10 negara ASEAN. Literature review ini bertujuan untuk mendeskripsikan kebijakan dan strategi kemitraan bidan dan dukun serta mengajukan konsep pemberdayaan masyarakat dalam mendukung penurunan angka kematian ibu dan bayi di Indonesia. Metode yang digunakan dengan pencarian database melalui ProQuest, Scilit, Pubmed, Worldcat dan DOI. Sementara kata kunci yang digunakan dalam pencarian artikel antara lain midwife, traditional birth attendant, birth, social health, social and maternal health. Terdapat 12 artikel yang diperoleh dan 5 artikel yang dianalisis melalui analisis kesesuaian topik, tujuan, metode yang digunakan, ukuran sampel, dan hasil dari setiap artikel serta keterbatasan yang terjadi.Terdapat dua (2) artikel yang menyoroti tentang pemberdayaan masyarakat tanpa konsep yang konkrit. Disarankan konsep Sistem AGIL dapat dijadikan strategi pemberdayaan masyarakat untuk menurunkan angka kematian ibu dan bayi di Indonesia.

2017 ◽  
Vol 11 (2) ◽  
pp. 8-14
Author(s):  
Sujianti Sujianti

Indonesia is one of the developing countries with the highest maternal mortality and infant. The infant mortality cases in 2015 asmany as 33,278 cases decreased compared to the year 2015 of 32,007 and in 2017 in the first semester as many as 10,294 cases.One of the causes is the incidence of Low Birth Weight (LBW) of 38.85%. LBW is the birth weight less than 2,500 grams. The reviewof LBW is done by literature review from DOAJ, Pubmed, Scholar and Garuda portal. The literature search using several keywords is"Low Birth Weight ", "risk factors" with four literature publications from 2007-2017. LBW incidence is influenced from maternaldemography status, maternal health status, condition of pregnancy and baby. The four journals DOAJ, Pubmed, Scholar andGaruda portal described risk factors of LBW occurrence include sociodemography (maternal age <18 years and> 34 years,education level, occupation type, family income, kin), maternal health status obstetric history, parity, birth spacing, anemia, history ofdiabetes, malaria, baby malpresentation history, Premature Rupture Of The Membrane, maternal nutritional status, infections,diseases and complications of pregnancy), status of ANC (frequency and quality of care, health worker, site of pregnancyexamination, history of unchecked pregnancy, irregular ANC).


2020 ◽  
Vol 97 (6) ◽  
pp. 899-911 ◽  
Author(s):  
Louis Rice ◽  
Mark Drane

AbstractThe design of the built environment plays an important role as a determinant of health. As a society, we are spending an increasing proportion of our time indoors and now spend over 80% of our life inside, so the design of buildings can greatly impact on human health. Accordingly, architecture health indices (AHIs) are used to evidence the effects on human health associated with the design of buildings. AHIs provide quantitative and empirical data upon which architects, clients, users and other stakeholders might monitor and evaluate the healthiness (or otherwise) of architectural design. A systematic literature review was conducted to reveal the current state of knowledge, reveal gaps, explore potential usage and highlight best practice in this area. Whilst there are a number of different health indicators for the built/urban environments more generally, the scope of this review is limited to the scale of a building and specifically those aspects within the remit of a professional architect. In order to examine the range and characteristics of AHIs currently in use, this review explored three electronic bibliographic databases from January 2008 to January 2019. A two-stage selection was undertaken and screening against eligibility criteria checklist carried out. From 15 included studies, 127 documents were identified, and these included 101 AHI. A sample of the most commonly used AHIs was then analysed at an item level. The review reveals that most AHIs are limited to measuring communicable diseases that directly affect physical health through e.g. air quality or water quality. There are very few indicators focusing on factors affecting mental and social health; given the increase in mental and social health problems, greater focus on AHIs related to these health issues should be included. Furthermore, the research reveals an absence of AHIs that address non-communicable diseases (NCDs). As the majority of all poor health outcomes globally are now related to NCDs, and many are associated with the design of the built environment, there is an urgent need to address this situation.


2017 ◽  
Vol 2 (2) ◽  
pp. 195-213 ◽  
Author(s):  
Ranjit Kumar Dehury ◽  
Suhita Chopra Chatterjee

Janani Suraksha Yojna (JSY), implemented under the National Rural Health Mission (NRHM) since 2005, focused on strengthening accredited social health activists (called ASHAs) to improve maternal health in the community. The purpose of this paper is to identify various issues and challenges faced by the ASHAs in pregnancy care under JSY. Focus group discussions and in-depth interviews were conducted with ASHAs employed in tribal pockets of Jaleswar block, which may be considered a vulnerable area due to its demographic profile and inaccessible terrain. Data were analysed and grouped thematically based on government operational guidelines. The study shows ASHAs face challenges in various stages of pregnancy care, particularly during antenatal and natal stages. There are considerable limitations in identifying target groups, assisting pregnant women and in providing counseling. Many of them stem from their poor capacity to operate in vulnerable communities, thereby, showing inadequate training and capacity building of the ASHAs. The paper concludes by proposing a model for improving competency of ASHAs by taking into account both administrative as well as community inputs.


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