scholarly journals STRATEGI PEMERINTAH DALAM MENGURANGI ANGKA KEMATIAN IBU (AKI) MELAHIRKAN DI KABUPATEN ENREKANG

2020 ◽  
Vol 2 (2) ◽  
pp. 101-109
Author(s):  
Ainun Irada Darungan ◽  
Abdul Kadir ◽  
Nasrul Haq
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Workers ◽  
Community Empowerment ◽  
Leadership Roles ◽  
Maternal Mortality Rate ◽  
Interactive Analysis ◽  
The Government

This study purposed to find out how the institutionalization of government strategy in reducing maternal mortality rate (AKI)  and how to operationalize the government strategy in reducing maternal mortality rate (AKI)  in Enrekang Regency. This study used descriptive qualitative research .  Data collection techniques were observation, interviews with 5 informants and documentation. Data analysis used interactive analysis models and used 3 types of triangulation in data validation. The results of this study showed that the role of public health midwives in reducing maternal mortality was very important, especially in the role of community empowerment, optimizing Integrated Healthcare Center  activities, and leadership roles in public health and health cadres were expected to be able to encourage the community to carry out self-help activities in  improving health status. The role of community health workers in empowering cadres was very important by increasing the ability of community knowledge and awareness regarding prevention of maternal mortality in Enrekang Regency

scholarly journals PENGETAHUAN DAN SIKAP BIDAN MENGENAI PENGGUNAAN PARTOGRAF DALAM PERSALINAN DI PUSKESMAS PONED KOTA MANADO

e-CliniC ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Jacqueline P. Toemandoek ◽  
Freddy Wagey ◽  
Maria Loho
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Center ◽  
Positive Attitude ◽  
Health Workers ◽  
Good Knowledge ◽  
Poor Knowledge ◽  
Public Health Center ◽  
Knowledge And Attitude

Abstract: The high maternal mortality rate is mostly due to pregnancies and labours. Health workers who can help labour are inter alia midwives. A health center that has the facilities and the ability to provide 24-hours services to cope emergency cases of obstetric and neonatal care is called PONED Public Health Center (PHC). This study aimed to obtain the knowledge and attitude of midwives about partograph in PONED PHCs in Manado. There were 33 respondents of 6 PONED PHCs in Manado. The results showed that most of the midmives (90.9%) in PONED PHCs had good knowledge about the usage of pantograph in labour; 2 respondents (6.1%) had fair knowledge, and 1 respondent (3.0%) had poor knowledge. All midwives (100%) had positive attitude about the usage of partograph. Conclusion: Most midwives in PONED PHC in Manado had good knowledge and positive attitude about the usage of partograph in labour.Keywords: midwives, PONED Public Health Center, partographAbstrak: Tingginya angka kematian ibu terutama pada saat kehamilan dan persalinan. Tenaga kesehatan yang dapat menolong persalinan yaitu salah satunya bidan. Puskesmas yang memiliki fasilitas dan kemampuan memberikan pelayanan untuk menanggulangi kasus kegawatdaruratan obstetrik dan neonatal selama 24 jam yaitu puskesmas PONED. Pada penelitian ini terdapat 33 responden dari 6 puskesmas PONED di Kota Manado. Hasil penelitian memperlihatkan bahwa tingkat pengetahuan bidan tentang penggunaan partograf dalam persalinan di Puskesmas PONED Kota Manado umumnya (90,9%) baik, 2 responden (6,1%) cukup, dan 1 responden (3,0%) kurang. Mengenai distribusi sikap, semua bidan (100%) mempunyai sikap positif. Simpulan: Umumnya bidan di puskesmas PONED Kota Manado mempunyai pengetahuan yang baik dan sikap yang positif mengenai penggunaan partograf dalam persalinan.Kata kunci: bidan, puskesmas PONED, partograf

scholarly journals Bottleneck Pelayanan Nifas pada Upaya Penurunan Risiko Kejadian Kematian Ibu di Wilayah Dinas Kesehatan Kota Semarang

2017 ◽  
Vol 5 (3) ◽  
pp. 28-35
Author(s):  
Ike Johan Prihatini ◽  
Sri Achadi Nugraheni ◽  
Sutopo Patria Jati
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Health Services ◽  
Maternal Mortality ◽  
Risk Reduction ◽  
Post Partum ◽  
Scale Up ◽  
Monitoring And Evaluation ◽  
Maternal Mortality Rate

Maternal and child health was a priority of health program in Indonesia. Maternal Mortality Rate in Semarang was ranked second highest in Central Java. The highest proportion of maternal deaths occurred during puerperium. That’s indicates, there was a problem in a process of maternal health services during puerperium period in health facilities. This study was conducted to examine constraints on health systems that limit range of interventions or health services that were important for postpartum, bottlenecks related to postpartum services in Public Health Center (PHC), especially infrastructure, human resources, access to PHC, post partum visits (KF1 and KF3), as well as quality of post partum services on risk reduction of maternal mortality. This case study used a qualitative approach. Data collection through interviews to five midwives as main informants, 5 midwives coordinator and 5 heads of PHC as informant triangulation. Data analsyis used content analysis method, then assigned priority bottleneck through MCUA (Multiple Criteria Utility Assessment) techniques. WHO's scale-up BNA plan to analyze bottleneck causes. Results showed, there was a bottleneck on childbirth services in PHC. The causes of bottleneck risk reduction efforts of maternal mortality incidence in puerperium period has never been analyzed workload of health personnel in PHC, lack of monitoring and evaluation of an availability infrastructure facilities in PHC, there has not been regular training, especially on delivery until puerperium services, and PHC has not received more detailed and operational information about puerperium so their maternal knowledge about puerperium has not increased much and couldn’t raise mother's awareness to do so. Semarang Public Health Office (Dinas Kesehatan Kota Semarang) needs to conduct periodic monitoring and evaluation implementation of postpartum services and improve quality of childbirth services in PHC.Keywords: Bottleneck analysis, health services, post partum, Primary Health Care, Puskesmas, Maternal Mortality Rate

scholarly journals Mengenal Tanda-Tanda Bahaya Kehamilan di Puskesmas Pakuan Baru Kota Jambi

2021 ◽  
Vol 3 (1) ◽  
pp. 52
Author(s):  
Ria Febrina
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Community Service ◽  
Health Workers ◽  
Obstetric Complications ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Danger Signs

Maternal Mortality Rate (MMR) in Indonesia is still high compared to other ASEAN countries. MMR in Indonesia according to the 2017 Indonesian Demographic and Health Survey (IDHS) is 305 per 100,000 live births. The global target of SDGs (Suitainable Development Goals) is to reduce the Maternal Mortality Rate (MMR) to 70 per 100,000 live births. While in Jambi Province in 2017 recorded maternal deaths were 29 cases. Maternal deaths that occur during 90% of pregnancy are caused by obstetric complications. Direct obstetric complications are bleeding, infection and eclampsia. Indirectly maternal mortality is also influenced by delays at the family level in recognizing danger signs of pregnancy and making decisions to immediately seek help. Delay in reaching health facilities and assistance in health service facilities. Pregnancy danger signs must be recognized and detected early so that they can be handled properly because any danger signs of pregnancy can lead to pregnancy complications. Therefore it is necessary to provide counseling to improve the knowledge of pregnant women about the danger signs of pregnancy. This community service activity was carried out by Pakuan Baru Kota Jambi Public Health Center. The time of implementation in April 2020. The target is pregnant women. Community service methods include a survey and lecture approach. The results obtained are pregnant women able to understand the danger signs of pregnancy. It is recommended for health workers to continue to provide education related to pregnancy to pregnant women

scholarly journals An Impact of Socio-Cultural Practices on Maternal Mortality in Masasi District, Tanzania

2017 ◽  
Vol 4 (1) ◽  
pp. 47-58
Author(s):  
Robert Ngelela Shole
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Cultural Practices ◽  
Good Health ◽  
Research Approach ◽  
Maternal Mortality Rate ◽  
Mother And Child ◽  
The Government ◽  
The Impact

This study was about to find out the impact of socio-cultural practices on maternal mortality rate in Tanzania by using Masasi District as the case study. The study involved 3 sample hospital namely Mkomaindo, Maendeleo, and Mkapa Road. The data obtained from 30 total respondents namely clinical officers, maternal mothers, and midwives. The study used mixed research approach under Explanatory Design in which data collection were done by questionnaire and interview. Data was processed by a computer to obtain tabulation, simple figures, Percentages and content analysis. Findings showed that the impact of socio-cultural practices on maternal mortality rate was loss of blood, miscarriage, difficulties during the time of giving birth, lack of good health to the maternal mother and child. Researcher recommended some ways on how to reduce the problem of socio-culture practices on maternal mortality rate include the provision of education to maternal mother. Also, the government should enact strict law against those who still practice bad traditional to maternal mother also the government should ensure services to maternal mother are cheap so that they can be able to go to the hospital.

scholarly journals Gambaran Determinan Kematian Ibu di Kota Surabaya Tahun 2015-2017

2019 ◽  
Vol 7 (2) ◽  
pp. 178
Author(s):  
Hazar Rochmatin
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Workers ◽  
Early Recognition ◽  
Secondary Data ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Second Child ◽  
History Of ◽  
High Level

Maternal mortality rate is one of indicator in assessing the welfare of the community in a region. The high level of Maternal Mortality Rate is a low level signals of public health. Data on maternal mortality in the city of Surabaya shows a decrease in the last 6 years from 144.66 in 2012 to 79.40 in 2017. Although it has shown a decline in progress, this figure still puts Surabaya as the second largest contributor to maternal deaths in East Java in 2017. The study aims to describe the determinants of maternal mortality in Surabaya based on contextual, intermediate and proxy determinants for 2015-2017. This research is descriptive by using secondary data in the form of recapitulation of Maternal Verbal Autopsy (OVM) data on maternal deaths at Surabaya City Health Office The results showed that based on education, the majority of mothers who died had secondary education of 52.29% (57 people). Based on work, the majority of mothers have jobs as housewives of 68.81% (75 people). Based on the age of the mother, the majority of deaths occurred in women aged 20-34 years with a percentage of 66.97% (73 people). According to parity, the majority of mothers who died occurred during pregnancy of the second child by 31.19% (34 people). Based on the period of death, the majority occurred in the puerperium with a percentage of 66.97% (70 people). According to the cause of single death, the majority of maternal deaths were caused by pre-eclampsia/eclampsia with a percentage of 26.61% (29 people). This study recommends the need for early recognition of mothers about antenatal care and danger during pregnancy, childbirth and the puerperium period and increased alertness of health workers to complications of pregnancy, especially in mothers with a history of disease.

OPTIMALISASI PERSALINAN NORMAL MELALUI “BIRTH PREPARATION CENTRE” DI KLINIK BERSALIN KOTA MEDAN TAHUN 2018

2019 ◽  
Vol 4 (1) ◽  
pp. 18
Author(s):  
Febrina Oktavinola Kaban ◽  
Farida Linda Sari Siregar ◽  
Evi Indriani Br Karo
Keyword(s):  
Back Pain ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Normal Delivery ◽  
Maternal Mortality Rate ◽  
Birth Preparation ◽  
The Government ◽  
Maternity Clinic ◽  
Activity Optimization

Various programs attempt to reduce the maternal mortality rate implemented by the government to pregnant women. The activity "Optimization of Normal Delivery Through Birth Preparation Center" in the Medan City Maternity Clinic" was carried out in two partners. This service partner were Klinik Bidan Eka in Medan Denai and  Klinik Pratama Serasi Medan Helvetia. As many as 80% of pregnant women are afraid of giving birth normally, for reasons of fear of pain that will be experienced later in labor. 85% of pregnant women are negatively pregnant. As many as 90% of pregnant women do not prepare physically. As many as 55% of pregnant women experience hip pain, back pain, and cramps in the legs during pregnancy. 90% of husbands do not motivate their wives. 90% of pregnant women and husbands are anxious about facing childbirth. The methods used are education, hypnobirthing and prenatal yoga. The activities at the Pratama Serasi Clinic were held twice, on 10 and 11 April 2018, this activity was attended by 20 pregnant women. The activities in the second partner were in the Bidan Eka, on May 5, 2018, and was attended by 17 pregnant women. Activities went well and smoothly, publication of activities in Post media massa Sumatera Utara, and Youtube.Keywords: birth preparation, hipnobirthing, yoga prenatal

scholarly journals Analysis of Factors Affecting Pregnant Women to Perform Perineal Massage

2021 ◽  
Vol 1 (1) ◽  
pp. 121
Author(s):  
Aidha Rachmawati ◽  
Rizka Esty Safriana ◽  
Endah Mulyani ◽  
Siti Mudlikah ◽  
Luluk Yuliati
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Workers ◽  
Statistical Tests ◽  
Sampling Technique ◽  
P Value ◽  
Third Trimester ◽  
Maternal Mortality Rate ◽  
Perineal Massage

One of the fears that is often felt by third trimester pregnant women is perineal rupture during childbirth. Perineal rupture can be prevented by taking preventive measures during pregnancy, namely perineal massage which can be done by pregnant women from 34 weeks of gestation until nearing labour. In East Java, the maternal mortality rate in 2018 was 515 per year or 1 to 2 people per day. The cause of the high maternal mortality rate of 20.3% is due to postpartum haemorrhage. The purpose of this study was to analysis the factors that influence pregnant women to perform perineal massage. The total population was 120 pregnant women with a sample of 92 pregnant women in April-July 2019, the sampling technique used simple random sampling. The data analysis used multiple logistic regression statistical tests while the significance test used a 0.05 degree of error. The results of this study were the age factor with a low risk of affecting pregnant women, the p-value was 0.003 (<0.05). Knowledge and motivation factors have an effect together. Knowledge has an effect of 122.5 times while motivation has an effect of 13.14 times in doing perineal massage during the third trimester of pregnancy. Health workers are encouraged to increase socialization and approach to third trimester pregnant women so that they want to do perineal massage independently

scholarly journals STUDY OF MATERNAL MORTALITY IN A TERTIARY CARE CENTRE

2020 ◽  
pp. 30-32
Author(s):  
Anamika Anamika ◽  
Amrita Sharan
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Health Workers ◽  
Tertiary Care ◽  
World Health ◽  
Care Hospital ◽  
Contributing Factors ◽  
Tertiary Care Centre ◽  
Maternal Mortality Rate

BACKGROUND Maternal death or maternal mortality is defined by the World Health Organisation (WHO) as the “death of a women while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.” AIMS AND OBJECTIVES 1. To study the causes of maternal mortality, 2. To identify the deficits to decrease the current rate of maternal mortality. MATERIALS AND METHODS This was a retrospective study done by analyzing hospital records of maternal mortality occurring in the department of obstetrics and gynaecology of a tertiary care hospital of Bihar from January 2019 to December 2019. RESULTS A total of 126 deaths occurred in this period of 1 year. The total number of live births was 5568 in this year making the maternal mortality rate (MMR) to be 2262.93. This may be due to the fact that being a referral institute most of the cases were referred from the peripheries. 76.19% of the women were referred from outside. The most common age group to be affected was 20 to 29 years (79.36%). Multiparous women were more affected than primiparous women (61.9% V/s 38.10%). The most common cause of maternal mortality was eclampsia seen in 26.98% cases followed by PPH seen in 22.22% cases, anemia in 8.73%, medical complications in 7.94% cases , APH in 7.14% cases , rupture uterus in 7.14% cases. The most common type of delay was type 1 and 2. More number of women were from rural areas. More number of women were illiterates. Most of the women had no ANC. CONCLUSION Illiteracy, poverty, lack of knowledge, delayed referrals, lack of ANC are major contributing factors causing such high maternal mortality rate. Health education, strengthening of peripheral health care and availability of trained health workers and essential drugs should be enforced.

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