scholarly journals Konteks Lembaga dalam Implementasi Kebijakan Pengurangan Kematian Bayi di Kabupaten Kupang

2019 ◽  
Vol 15 (3) ◽  
pp. 333-352
Author(s):  
Mariayani Rene ◽  
Kismartini Kismartini ◽  
Hartuti Purnaweni
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Policy Implementation ◽  
Local Community ◽  
Institutional Context ◽  
High Rate ◽  
Complex Process ◽  
Reduce Infant Mortality ◽  
Qualitative Descriptive ◽  
And Child Health

Policy implementation is a complex process because there are many conditions affect in the process. One of them is the institutional context, as a corridor which policy must travel. Maternal and child health is an important policy in Indonesia, this is related to the high rate of infant mortality in Indonesia. One of the highst infrant Mortality rate in Indonesia is Kupang Regency, therefore the regencyal government made a Regional Regulation (Perda) No 3 of 2016 for reduce mother and infrant mortality. The purpose of this study is to analyze the institutional context in implementing of Perda No. 3 Tahun 2016 for reduce infant mortality in Kupang Regency by Najam (1995). This study use qualitative descriptive. The results show the problem of institutional context in policy implementation for reduce infrant moratlity in Kupang Regency are: the subdistrict head and headman are less active in carrying out their duties, lack of society participation. Another problem in institutional context in this policy is conditions of environmental in Kupang Regency, such as geographical conditions, Poor Education, poor sanitation, and also the traditional festival Se'i by the Local Community. Keywords: Policy Implementation, Institutional Context, Infant Mortality Abstrak Implementasi kebijakan merupakan suatu proses yang kompleks, karena ada berbagai kondisi yang turut berpengaruh dalam prosesnya, salah satunya adalah konteks lembaga, sebagai prosedur operasi yang harus dilalui sebuah kebijakan dalam proses implementasinya. Kebijakan kesehatan ibu dan anak merupakan sebuah kebijakan yang penting di Indonesia, hal ini berkenaan dengan tingginya Angka KematianBayi (AKB) Indonesia. Salah satu daerah di Indonesia yang memiliki AKB yang tinggi ialah Kabupaten Kupang, oleh karena itu pemerintah Kabupaten Kupang membuat sebuah kebijakan berupa Perda No. 3 Tahun 2016 tentang KIBBLA untuk mengurangi kematian ibu dan khususnya kematian bayi. Tujuan penelitian ini ialah untuk menganalisis konteks dalam implementasi kebijakan Perda No. 3 tahun 2016, dengan mengacu pada teori model implementasi Najam (1995). Metode penelitian adalah deskriptif kualitatif. Hasil penelitian menunjukkan permasalahan yang muncul pada konteks lembaga dalam implementasi kebijaka pengurangan kematian bayi ialah kurangnya peran aktif dari Lurah dan Kepala desa dalam melaksanakan apa yang menjadi tanggung jawab mereka dalam implementasi kebijakan, serta kurangnya partisipasi aktif dari masyarakat. Realitas lingkungan Kabupaten Kupang, berupa kondisi geografis, tingkat pendidikan, buruknya sanitasi, dan juga tradisi Se’i oleh masyarakat setempat juga menjadi hambatan dalam implementasi kebijakan. Kata Kunci: Implementasi Kebijakan, Konteks Lembaga, Angka Kematian Bayi

scholarly journals Cultural Value Factors That Affect Mother and Child Health

2019 ◽  
Vol 24 (3) ◽  
pp. 165
Author(s):  
Inang Winarso ◽  
Ressa Ria Lestari
Keyword(s):  
Mortality Rate ◽  
Child Health ◽  
Infant Mortality ◽  
Cultural Values ◽  
Child Mortality ◽  
Infant Mortality Rate ◽  
Cultural Elements ◽  
Mother And Child Health ◽  
Mother And Child ◽  
And Child Health

<p>Mother and child health as a key indicator of community welfare is measured by the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). But why have efforts to reduce MMR and IMR not yet reached the target? This research answers this question by using an approach of cultural values in mother and child health. The focus of this research is on the human life cycle starting from marriage, pregnancy, birth and death in Situbondo Regency, East Java and Ngada Regency, NTT. Research has found four cultural elements that predominantly influence health beliefs, family and community decisions in dealing with maternal and infant health problems. These cultural elements are the religious system, the kinship system, the knowledge system and the livelihood system. These four systems can increase or decrease the risk of maternal and infant mortality. The government must consider the cultural values of the community in making health policies. First, strengthen factors that reduce the risk of maternal and child mortality. Second, reduce the factors that increase the risk of maternal and child mortality.</p>

scholarly journals INOVASI PELAYANAN KESEHATAN ‘BUMIL RISTI’ SEBAGAI UPAYA MENURUNKAN ANGKA KEMATIAN IBU DAN BAYI DI PUSKESMAS SEMPU KECAMATAN SEMPU KABUPATEN BANYUWANGI

2021 ◽  
Vol 6 (1) ◽  
pp. 1-13
Author(s):  
Yusticia Tria Parwita
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Health Center ◽  
Public Service ◽  
Death Rate ◽  
Health Sector ◽  
Service Innovation ◽  
Mortality Rates ◽  
High Rate ◽  
Research Findings

Abstract This paper aims to describe the innovation of public services in the health sector through the Bumil Risti program at the Sempu Health Center, Sempu District, Banyuwangi Regency. Puskesmas Sempu face a problem, namely the high rate of maternal and infant mortality in Banyuwangi. The high mortality rate in this region occurs due to the slow service of pregnant women. Puskesmas Sempu create innovations in their services to be able to overcome the problems that are in the spotlight. The research findings show that the Bumil Risti service innovation carried out by Puskesmas Sempu is effective and efficient in reducing maternal and infant mortality rates in its operational areas. Innovations are made by providing services that end access, which can be obtained inside and outside the health center. By implementing this innovation, Puskesmas Sempu succeeded in eliminating the death rate in 2014 and 2015.Keywords: Innovation, Public Service, Bumil RistiAbstrak Tulisan ini bertujuan untuk mendeskripsikan inovasi pelayanan publik dibidang kesehatan melalui program Bumil Risti di Puskesmas Sempu, Kecamatan Sempu, Kabupaten Banyuwangi. Puskesmas Sempu menghadapi masalah yaitu tingginya jumlah angka kematian ibu dan bayi tertinggi di Banyuwangi. Tingginya angka kematian di wilayah ini terjadi karena lambatnya pelayanan ibu hamil. Puskesmas Sempu menciptakan inovasi dalam layanan mereka untuk dapat mengatasi masalah yang menjadi sorotan. Temuan penelitian menunjukkan bahwa inovasi layanan Bumil Risti yang dilakukan oleh Puskesmas Sempu efektif dan efisien dalam menurunkan angka kematian ibu dan bayi di wilayah operasinya. Inovasi yang dilakukan dengan memberikan pelayanan yang menekankan kemudahan akses, yang dapat diperoleh di dalam dan di luar pusat kesehatan. Dengan menerapkan inovasi ini, Puskesmas Sempu berhasil meniadakan tingkat kematian pada tahun 2014 dan 2015.Kata Kunci : Inovasi, Pelayanan Publik, Bumil Risti

PUBLIC HEALTH, NURSING AND MEDICAL SOCIAL WORK

PEDIATRICS ◽  
1954 ◽  
Vol 13 (6) ◽  
pp. 588-589
Author(s):  
MYRON E. WEGMAN
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Death Rate ◽  
Vital Statistics ◽  
Sampling Procedure ◽  
Infant Mortality Rate ◽  
High Rate ◽  
Birth Certificates ◽  
Slight Variation ◽  
High Level

THROUGH the sampling procedure developed by the National Office of Vital Statistics, preliminary estimates were made early in 1954 of the most important statistical indices for 1953. These estimates have been shown to be quite accurate and when the final actual figures are available there is only slight variation. Presented below are the graphs and figures illustrating the data for 1953 and 1952 on Birth Rate, Marriage License Rate, Death Rate, and Infant Mortality Rate, as shown in Monthly Vital Statistics Report, Volume 2, No. 12, Feb. 17, 1954. Little change is to be seen between the two years, although it is gratifying to note continuation, even though slight, of the decline in Infant Mortality Rate. Births continue at a supnisingly high level with the rate showing no signs of the long predicted fall. The figure of over 3.9 million births refers to registered births and is the highest ever recorded. Furthermore, if we take into account those which occurred but for which birth certificates were not filed, the total number of births in the U.S.A. in 1953 probably exceeded 3,970,000. [SEE GRAPH 1 IN SOURCE PDF.] Marriages also continued at a high rate, but in the last two months of the year there was a suggestion of a slight turndown, with the December 1953 rate being 7.5% under the December 1952 rate. Reports in 1954 will determine whether this trend remains in evidence. Seasonal variations, both in marriages and births, show the same pattern as in previous years. While the total Death Rate shows no change, this is due to a rather sharp increase in the first two months of the year with 1953 showing better rates than 1952 for most of the year.

scholarly journals Routing of pregnant women as one of the ways to reduce infant mortality

2021 ◽  
Vol 2 (3) ◽  
pp. 17-23
Author(s):  
Valery V. Gorev ◽  
Anna A. Anna
Keyword(s):  
Birth Weight ◽  
Survival Rate ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Low Birth Weight ◽  
Pregnant Women ◽  
Infant Mortality Rate ◽  
Extremely Low Birth Weight ◽  
Federal State ◽  
Reduce Infant Mortality

One of the most important tasks that healthcare providers face is to reduce infant mortality. The purpose of our study was to assess the effects of routing of pregnant women with preterm birth on the infant mortality rate. Materials and methods: оperating data of the Federal State Statistics Service (Rosstat), operational notifications about death of young children under the age of 1, monthly reports of obstetric hospitals subordinate to Moscow Healthcare Department, annual reports of hospital departments providing neonatal care in medical organizations of Moscow Healthcare Department, and statistical data analysis. Results and discussion. The infant mortality rate in Moscow has been declining in recent decades and has been less than 6‰ annually since 2016. The share of newborns with extremely low birth weight is insignificant in overall rate. At the same time, extremely low birth weight is one of the main causes of infant mortality. As this category of newborns requires specific care, it is better to deliver such babies in perinatal centers that provide high quality medical care. Within 5 years, the share of children with ELBW born in perinatal centers and specialized obstetric hospitals has almost doubled. At the same time, there is an increase in the survival rate of children with extremely low birth weight by the age of one year in obstetric hospitals. Conclusion. Well-planned routing of patient within the large system of obstetric hospitals in Moscow could reduce death rate, increase the survival rate of children with extremely low birth weight and contribute to reducing infant mortality in the region.

scholarly journals Association of maternal and child health related variables with decline in infant mortality rate in Punjab, India

2017 ◽  
Vol 4 (12) ◽  
pp. 4558
Author(s):  
Harjot Kaur ◽  
Tarundeep Singh ◽  
PVM Lakshmi
Keyword(s):  
Mortality Rate ◽  
Child Health ◽  
Infant Mortality ◽  
Maternal And Child Health ◽  
Health Indicators ◽  
Infant Mortality Rate ◽  
Rapid Decline ◽  
Live Births ◽  
Children Ever Born ◽  
And Child Health

Background: Infant mortality rate (IMR) is a sensitive indicator for monitoring child health and survival. Punjab state in North India is performing better than most of the other states in various health indicators. Punjab’s IMR has shown a rapid decline from 38/1000 live births in 2008 (Sample registration system (SRS) 2008) to 24/1000 live births in 2014 (SRS 2014). This study was planned to assess which of the maternal and child health services is associated with rapid decline in infant mortality rate. Methods: Association between various components of prenatal care, intranatal care and postnatal care, and child healthcare and socio demographic variables (taken from secondary data of District Level Household Surveys) and Infant Mortality Rate (taken from SRS) of Punjab was studied. Spearman correlation coefficient was calculated to measure the association between the variables. Results: Total fertility rate (TFR), women who had institutional deliveries, safe deliveries and mean children ever born are statistically significantly associated with decline in infant mortality rate. Conclusions: In Punjab, maternal and child health indicators are directly or indirectly associated with decline in infant mortality rate. Findings of the study demonstrate that the recent rapid decline in IMR of Punjab is strongly associated with increase in institutional deliveries and decline in TFR and the mean number of children ever born. 

scholarly journals Analisis Determinan Berat Badan Lahir Rendah (BBLR) Di Provinsi Nusa Tenggara Timur Tahun 2017

2020 ◽  
Vol 2 (2) ◽  
pp. 233-239
Author(s):  
Elina Mayasari ◽  
Geraldi Putra Prasetya Balebu ◽  
Latifah Hasanah ◽  
Rizka Wulandari ◽  
Rani Nooraeni
Keyword(s):  
Developing Countries ◽  
Logistic Regression ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Low Birthweight ◽  
Education Level ◽  
Infant Mortality Rate ◽  
High Rate ◽  
Human Beings ◽  
Average Case

Health is one of the essential needs for human beings, and even became a major issue that indicates achievement of a country or a region. Health can also be viewed from the condition of the infants, which can be measure from Infant Mortality Rate (IMR). This indicator shows a high rate especially because of low birthweight. The cases of low birthweight is one of the highest case that occurred in developing countries, including Indonesia. Nusa Tenggara Timur (NTT) province in Indonesia, is one of the most common places where this case is most likely to happened. The percentage of the low birthweight case is higher than the average case in Indonesia. Therefore, this research paper aim to investigate variables which are responsible for causing low birthweight case in such a high number in NTT on 2017. The method used for analysis is logistic regression. The result indicate that mother’s education level is significantly affecting low birthweight cases in NTT.

scholarly journals Knowledge, attitude, and behavior of pregnant women on early initiation of breastfeeding

2014 ◽  
Vol 54 (3) ◽  
pp. 174
Author(s):  
Yoke Ayukarningsih ◽  
Sutedja Sutedja ◽  
Anna Mardiyah
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Pregnant Women ◽  
Positive Attitude ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
Early Initiation Of Breastfeeding ◽  
Adequate Knowledge ◽  
Reduce Infant Mortality ◽  
Initiation Of Breastfeeding

Background Infant mortality rate is an indicator of the degree ofhealth in society. In Indonesia, the infant mortality rate remainshigh, with most deaths occurring in the first 24 hours of life.Breastfeeding has been shown to reduce infant mortality, especiallyif undertaken in the first hour of life. This practice is knownas early initiation of breastfeeding (EIB). According to variousstudies, EIB implementation may be influen ced by many factorssuch as knowledge, attitude, behavior, and health care facilities.Objective To assess the level of knowledge, attitude, and behaviorof pregnant women towards EIB.Methods We conducted a descriptive study using questionnaireson 74 pregnant women in the outpatient clinic of Obstetrics andGynecology Department, Dustira Hospital, Cimahi, West Java,Indonesia from November to December 2012.Results Out of 74 respondents, 21 % had a good level of knowledgeon EIB, 23% had an adequate knowledge, and 56% had less thanadequate knowledge on EIB. A positive attitude towards EIBwas found in 65% of the respondents, while 35% had a negativeattitude. With regards to behavior conducive to EIB, 8% ofrespondents had good behavior, 57% had moderate behaviot; and35%had less than adequate behavior.Conclusion Majority of pregnant women have less than adequateknowledge on EIB, a positive attitude towards EIB, and moderateto less than adequate behavior conducive to EIB.

Health Services in the Home

PEDIATRICS ◽  
1974 ◽  
Vol 54 (3) ◽  
pp. 382-382
Author(s):  
Lewis L. Bock
Keyword(s):  
Health Care ◽  
Child Health ◽  
Infant Mortality ◽  
Maternal And Child Health ◽  
Maternal Care ◽  
Memorial Lecture ◽  
Child Health Care ◽  
Mortality And Morbidity ◽  
Reduce Infant Mortality ◽  
And Child Health

The Blackfan Memorial Lecture by Dr. Cicely Williams1 was read with keen interest and agreement. Pediatrics should be commended for its publication. I trust that the increased rumbling that one hears, reads about and senses in maternal and child health care in our country will gather momentum and volume until we actually do implement the programs that will reduce infant mortality and morbidity and improve maternal care so that infants will be born into a society with far fewer deficiencies, deprivation and dependence.

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