scholarly journals Learning and Impact Assessment of Water and Access Projects on Community Health: La Garrucha, Guatemala

Author(s):  
Michael Paddock

While many infrastructure projects fail, many succeed.  Unfortunately, we may never learn the important lessons to be gained because we fail to evaluate them many years after implementation.  This study assesses two engineering projects implemented by the Engineers Without Borders USA, Marquette University Chapter projects: 1) a vehicular bridge that enhances access to health care, education and markets; and 2) a potable water distribution system that provides clean water to 1300 community members. The community’s primary goal for the program was to improve the health of its citizens, which they self-identified as “a crisis”. The assessment reviewed the pre-implementation and ten-year post implementation data for infant mortality, maternal mortality and school absences due to water borne diseases. The results show dramatic improvements in all three areas with the infant mortality rate per 1000 births being reduced from 38 to 2; the maternal mortality rate per 1000 births being reduced from 15 to 0 and the school absences per month moving from 310 to 2. The “best practices” of the program’s implementation and 10-year review are documented to assist other organizations implementing similar programs. 

2018 ◽  
Vol 73 ◽  
pp. 12002
Author(s):  
Alan Prahutama ◽  
Budi Warsito ◽  
MochAbdul Mukid

Maternal mortality and infant mortality rate is an interrelated issue. Therefore, maternal and infant mortality modeling can be done bivariate. One method used to model the relationship between response variables and predictor variables is regression. The regression approach that does not use the assumption is spline regression. Spline regression is a regression method based on spline function. Spline function is a polynomial piece that has high flexibility. In this study the response variable used is bivariate, the maternal mortality rate and infant mortality rate, while the predictor variable used is the percentage of slum households. The weighting used is based on the value of the covariance variant. Determination of point knots using Mean Square Error (MSE). The results obtained modeling maternal and infant mortality rates based on the percentage of slum households resulted inMAPE 55.55%. Number of knots obtained as much as 5 point knots with linear order.


2019 ◽  
Vol 6 (1) ◽  
pp. 32-37
Author(s):  
Tri Budi Rahayu

Background : High maternal mortality rate is a problem and a concern for all countries due to the impact effect on the economy, politics and policy development. As one of the efforts to reduce maternal mortality and infant mortality rate in Indonesia, KIA book as means of integration of maternal and child health services. Lack of knowledge of pregnant women about the KIA books utilization can increase the risk of maternal and infant mortality. Objective : This study aimed to determine the level of knowledge about the utilization of KIA book in pregnant women. Methods : This research was descriptive quantitative with cross sectional data collection. Univariat analysis was used for the data analysis. The sampling technique was total sampling with the number of 48 pregnant women. Results : The result of univariate analysis showed that 65% pregnant women had enough knowledge about the utilization of KIA book. Conclusion : The level of knowledge about the utilization of KIA book is categorized into enough category. Keywords : Knowledge, KIA book


2021 ◽  
Vol 1 (1) ◽  
pp. 13-21
Author(s):  
Ratih Ruhayati

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to assess the health status of the community. Based on the Indonesian Demographic and Health Survey 2017 IDHS, the maternal mortality rate in Indonesia is still high at 302 per 100,000 live births, while the infant mortality rate is 24 per 1000 live births. The decline in MMR and IMR cannot be separated from the role of community empowerment, one of which is carried out through the implementation of the Childbirth Planning and Complications Prevention Program (P4K). Most mothers, husbands, and families have less active role in the implementation of P4K, even though there is an effect of implementing P4K on neonatal mortality. This happens because the mother's knowledge about P4K is still lacking, so her attitude is still not positive. The purpose of this study was to determine the relationship between knowledge and attitudes of pregnant women towards the implementation of the Childbirth Planning and Complications Prevention (P4K) Program. The research design used "analytic descriptive" cross-sectional, with a total population of 126 pregnant women, while the sample was taken using purposive sampling technique, with a total sample of 96 respondents. The results of statistical analysis with the Chi-Square test showed that for the knowledge variable, the results of the P value = 0.005 concluded that there was a significant relationship between the level of knowledge and the implementation of P4K, while for the attitude variable the P value = 0.001 concluded that there was a significant relationship between attitudes with the implementation of P4K.


2021 ◽  
Vol 7 (1) ◽  
pp. 19-23
Author(s):  
Khairani

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are health indicators of a country. Data of the 2012 Demographic Health Survey of Indonesia (DHSI) indicates that the maternal mortality rate increased by 359 deaths per 100,000 live births. Such rate was higher than the data of 2015DHSI, i.e. 228 deaths per 100,000 live births. The 2012 DHSI indicates IMR of 32 deaths  ​​per 1,000 live births, slightly lower than the 2007 DHSI indicating 34 deaths per 1,000 live births. One of the efforts to reduce MMR and IMR is through the Delivery Planning and Complication Prevention Program (PCPP). Midwives’ motivation about PCPP belonged to the category of moderate motivation (79.4%). The implementation of PCPP sticker program was mostly as planned (74.6%). There was a correlation between midwives’ motivation about PCPP and the implementation of PCPP sticker for pregnant women in the Imelda Hospital in 2020 with p-value = 0.013


SOEPRA ◽  
2017 ◽  
Vol 2 (2) ◽  
pp. 217
Author(s):  
. Sariyati ◽  
Endang Wahyati Y ◽  
C. Tjahjono Kuntjoro

The role of midwives in service delivery assurance in dr. H. Soewondo Kendal based on Permenkes No. 2562/MENKES /PER/XII/2011 on Technical Guidelines for Labor Warranty. The aim is to implement the appropriate authority midwifery services, with the ultimate goal of reducing the MMR (Maternal Mortality Rate) and IMR (Infant Mortality Rate). If viewed from Permenkes 1464/Menkes /Per/X/2010 number of licenses and the implementation of midwifery practice, it is not really appropriate authority for the role of the midwife in the hospital to service delivery is a delivery service assurance of advanced midwives in hospitals. The scope of service includes pregnant women, maternity (risti), childbirth, newborns, family planning and treatment of complications in obstetrics. So based on the authority role of the midwife in the hospital should not be for the scope of services for maternity delivery guarantee (risti) and treatment of complications in obstetrics


2019 ◽  
Vol 2 (2) ◽  
pp. 84-92
Author(s):  
Muhammad Guzali Tafalas

This study aims to analyze the positive association of government expenditure on health (PK) with Maternal Mortality Rate (AKIM) and Infant Mortality Rate (IMR) with government expenditure on education in East Java Province. Analysis of the data in this study uses the analysis of ARIMA multivariate time series models. The ARIMA model has three modeling parameters, namely: (1) Autoregressive or AR processes, (2) Integrated or I processes, and (3) Moving Average or MA processes. The results showed that the reduction in infant mortality rate (IMR) was positively associated with the East Java Provincial government spending on health (PBK) and government spending on health was not significantly associated with the reduction in maternal mortality (AKIM).


2011 ◽  
Vol 5 (6) ◽  
pp. 243
Author(s):  
Ulvi Mariati ◽  
Z Agus ◽  
D Sulin ◽  
Masrul Masrul ◽  
Z Amri ◽  
...  

Salah satu tujuan yang hendak dicapai oleh World Health Organization pada tahun 2000 adalah health for all by year 2000. Beberapa indikator digunakan untuk mengukur pencapaian tersebut, diantaranya angka kematian bayi (AKB) dan angka kematian ibu (AKI). Dinas Kesehatan Sumatera Barat telah berhasil menurunkan AKB dan AKI selama 5 tahun terakhir, akan tetapi angka-angka tersebut tidak menggambarkan angka yang sebenarnya karena hanya diperoleh berdasarkan prediksi perhitungan statistik kependudukan. Angka tersebut juga tidak dapat memperlihatkan disparitas antarwilayah dan kelompok sosial ekonomi di Sumatera Barat. Penelitian ini dilakukan untuk mendapatkan AKB dan AKI yang tepat serta mengetahuifaktor determinan dan permasalahannya di Sumatera Barat pada tahun 2007. Desain penelitian adalah Direct Household Survey Method dengan pendekatan prospektif. Penelitian dilakukan di 19 kabupaten/kota di Provinsi Sumatera Barat dari tanggal 1 Januari sampai 31 Desember 2007. Hasil penelitian menunjukkan AKB dan AKI Sumatera Barat tahun 2007 berkisar 28,4 per 1.000 kelahiran hidup dan 211,9 per 100.000 kelahiran hidup. Asfiksia dan perdarahan postpartum merupakan penyebab kematian utama ibu dan bayi. Dinas Kesehatan Sumatera Barat dan pemerintahannya harus mempunyai komitmen yang kuat untuk membangun jaringan kerja yang efektif untuk menurunkan AKB dan AKI di Sumatera Barat.Kata kunci: Angka kematian bayi, angka kematian ibu, asfiksia, postpartumAbstractOne of the main goals that WHO wants to reach in 2000 is Health for All Year 2000. Some of indicators have been using to measure the goals, such as infant mortality rate (IMR) and maternal mortality rate (MMR). West Sumatera Health Office had been successed reducing IMR and MMR for over 5 years, but the score was not mentioned the exact number becausethis measurement just using national statistic measurement. It also could not describe the disparity between the area and sosial group in West Sumatera. This research aim is to get the exact number of IMR and MMR, determinat factors and its problems in West Sumatera in 2007. The study desain was Direct Household Survey Method with prospective approach. The research was done in 19 different government district in West Sumatera from January 1st until December 31st 2007. Result of this research found IMR and MMR of West Sumatera in 2007 is 28,4 per 1.000 birth life and 211,9 per 100.000 birth life. Asphyxia and postpartum bleeding is the main cause of infant and maternal death. West Sumatera Health Office and its government should have a strong commitment to build effective networking to reduce IMR and MMR in West Sumatera.Key words: Infant mortality rate, maternal mortality rate, asphyxia, postpartum


2017 ◽  
Vol 4 (1) ◽  
pp. 5
Author(s):  
Endang Yuswatiningsih

The purpose of this study was to analyze the relationship between maternal and infant mortality by influenced factors and the factors most closely associated with maternal and infant mortality rates in the province of East Java in 2012. This research uses canonical correlation method that aims to determine the relationship between two variables and identify the dimensions between two groups of variables. The results showed that the variable factors that affect maternal mortality and infant mortality has a strong positive correlation to variable maternal mortality and infant mortality rate. Highest impact of the independent variables for maternal mortality is pregnancy, postpartum maternal, neonatal visits, visiting the baby and toddler care was the infant mortality rate is the delivery by the shaman, neonatal visits and infant visits.;Keywords : canonical correlation, maternal mortality rates, infant mortality rates.


Author(s):  
Desfira Ahya ◽  
Inas Salsabila ◽  
Miftahuddin

Angka Kematian Bayi/ Infant Mortality Rate (IMR) merupakan indikator penting dalam mengukur keberhasilan pengembangan kesehatan. Nilai IMR juga dapat digunakan untuk mengetahui tingkat kesehatan ibu, kondisi kesehatan lingkungan dan secara umum, tingkat pengembangan sosio-ekonomi masyarakat. Penelitian ini bertujuan untuk memperoleh model IMR terbaik menggunakan tiga pendekatan: Model Linear, Model Linear Tergeneralisir dan Model Aditif Tergeneralisir dengan basis P-spline. Sebagai tambahan, berdasarkan model tersebut akan terlihat variabel yang mempengaruhi tingkat kematian bayi di provinsi Aceh. Penelitian ini menggunakan data jumlah kematian bayi di tahun 2013-2015. Data dalam penelitian ini diperoleh dari Profil Kesehatan Aceh. Hasil menunjukkan bahwa model terbaik dalam menjelaskan angka kematian bayi di provinsi Aceh tahun 2013-2015 ialah Model Linear Tergeneralisir dengan basis P-spline menggunakan parameter penghalusan 100 dan titik knots 8. Faktor yang sangat mempengaruhi angka kematian ialah jumlah pekerja yang sehat.   Infant mortality rate (IMR) is an important indicator in measuring the success of health development. IMR also can be used to knowing the level of maternal health, environmental health conditions and generally the level of socio-economic development in community. This research aims to get the best model of infant mortality data using three approaches: Linear Model, Generalized Linear Model and Generalized Additive Model with Penalized Spline (P-spline) base. In addition, based on the model can be seen the variables that affect to infant mortality in Aceh Province. This research uses data number of infant mortality in Aceh Province period 2013-2015. The data in this research were obtained from Aceh’s Health Profile. The results show that the best model can be explain infant mortality rate in Aceh Province period 2013-2015 is GAM model with P-spline base using smoothing parameter 100 and knots 8. Factor that high effect to infant mortality is number of health workers.


Sign in / Sign up

Export Citation Format

Share Document