The Role of Village Midwives in Maintaining the Quality of Maternal Health Data to Reduce Maternal Mortality in Semarang, Central Java

2018 ◽  
Author(s):  
Maryani Setyowati ◽  
Keyword(s):  
Maternal Health ◽  
Maternal Mortality ◽  
Health Data ◽  
Central Java

scholarly journals Utilization of solar and wind energy to improve the quality of life for rural communities in Blora Regency – Indonesia: from triple helix to quadruple helix

2021 ◽  
Vol 916 (1) ◽  
pp. 012036
Author(s):  
A Y Asmara ◽  
A R T Hidayat ◽  
H Ohgaki ◽  
T Mitsufuji ◽  
J C Caballero
Keyword(s):  
Rural Communities ◽  
Wind Energy ◽  
Rural Areas ◽  
Triple Helix ◽  
Electrical Energy ◽  
Quadruple Helix ◽  
Central Java ◽  
Sustainability Issue

Abstract Studies of triple helix field indicated that involvement of academician, business, government (ABG) were leading players in bringing up invention to be innovation. In the current decade, society actor served as the new actor added in the ABG-S frame concerning to the sustainability issue of innovation. This study aimed to present the role of the concerned actors in proposing an innovative product of a combined solar and wind energy generator installed in rural areas of Blora Regency. Blora was one of the regions in the Central Java Province that utilized electrical energy sourced from non-fossil. A Qualitative research method was utilized in this study to disclose the involvement of each actor in Blora’s case. The study reported that ABG-S actors’ involvement in implementing a combined solar and wind energy generator to the villages.

scholarly journals Reducing Maternal Mortality: A Qualitative Study of Health Workers’ Expectation in Urban Area, Indonesia

2021 ◽  
Vol 9 (T4) ◽  
pp. 18-26
Author(s):  
Arlina Dewi ◽  
Sri Sundari ◽  
Nursetiawan Nursetiawan ◽  
Supriyatiningsih Supriyatiningsih ◽  
Dianita Sugiyo ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Maternal Mortality ◽  
Urban Area ◽  
Urban Areas ◽  
Health Workers ◽  
Maternal Health Services ◽  
Health Facilities ◽  
Integrated System

BACKGROUND: Maternal mortality is a sentinel event used globally to monitor maternal health and the overall quality of reproductive health care. Globally, maternal mortality is mostly due to direct causes; apparently, it is not limited by the setting or geographic region. However, Indonesia has failed to achieve the Millenium Development Goals (MDGs) target for maternal mortality. AIM: This study aims to explore health workers' and stakeholders' expectations in maternal health services to reduce maternal mortality in urban areas. METHODS: It is qualitative research through naturalistic, conducted in one of the regencies in Indonesia, the urban area with the highest Maternal Mortality Rate (MMR) in one province by 2019. Data were obtained in the form of information from Focus Group Discussions (FGDs). FGDs were carried out with stakeholders at the Health Service level (n=3), first-level health facilities or public health centres (n=3), and advanced health facilities or hospitals (n=7). Data analysis in this study employed software (Nvivo Release 1.0) to utilise transcripts in coding and categorising. RESULTS: The expectations that emerged from health workers' perspectives in the field were an integrated system of collaboration between health facilities, affordability of Hospital with Comprehensive Emergency Obstetric Care (CEmOC) in action for maternal-neonatal referral urgency, and the skilled health workers as a golden opportunity. CONCLUSION: Health workers’ expectations can improve the quality of maternal health services in urban areas, thereby reducing the MMR with a system of collaboration between health facilities, the affordability of maternal-neonatal emergency referral facilities, and the availability of Obstetricians who standby.

scholarly journals “…This facility has all that is Required for Safe Baby Delivery in Case of An Emergency There is a Theater…” Exploring Experiences and Perceptions of Quality of Maternity Care in a Rural Sub-County. A Qualitative Study

2020 ◽  
Author(s):  
Jackline Akinyi Oluoch-Aridi ◽  
Francis Wafula ◽  
Gilbert O Kokwaro ◽  
Mary B Adam
Keyword(s):  
Quality Of Care ◽  
Maternal Health ◽  
Health Services ◽  
Maternal Mortality ◽  
Maternal Health Services ◽  
Health Facilities ◽  
Primary Health ◽  
Delivery Services ◽  
Primary Health Facilities

Abstract Background Maternal mortality still remains a big health system challenge in Kenya. Free maternity policy resulted in an increase in Facility-based delivery. However, this has not been accompanied with a reduction in maternal mortality. This research aims at establishing women’s experiences and perceptions with regard to the quality of maternal health services received at health facilities during delivery. This contextual knowledge will assist policy makers to better understand patterns of health system utilization critical for forging strategies for reducing inequities and providing high quality maternal care.Methods Women aged between 18 and 49 who had recently delivered and were attending six-week immunization clinics were purposively selected at six different health facilities and focus group discussions were conducted with the women. The data was analyzed using thematic content analysis. Verbatim excerpts from the women were provided to illustrate the themes identified. The WHO vision for quality of care was used to assess the themes on experiences of care described by the womenResults Six themes were identified as facilitators to access maternal health services 1) Perceived quality of delivery services 2) Financial access to delivery services 3) Referrals to public tertiary health facilities 4) Social influence 5) operation times at public primary health facilities 6) Distance to the health facility. A few barriers were identified under the perceived quality of services most prominent been the mistreatment of women by night-shift nurses and the operation time at the primary health facilitiesConclusion The findings suggest that the rural women tend to prefer tertiary maternity health facility and there are a number of factors related to quality of care based on their experiences that predispose their choices. Most prominent was the availability of equipment such as theatres for obstetric complications. Another emerging issue was respectful care during maternity services. Auxiliary costs still present a challenge despite the free maternity services. Future studies need to focus on ensuring in depth contextual understanding of women’s perceptions of the experience of care with regard to patient-centered care. Understanding these aspects will help in forging strategies to reduce inequities that are leading to high maternal mortality

scholarly journals ANALISIS PERAN FAKTOR PENYEBAB KEMATIAN MATERNAL YANG DAPAT DICEGAH TERHADAP KETERLAMBATAN RUJUKAN DAN PENANGANAN DI KABUPATEN KARAWANG PROVINSI JAWA BARAT

2019 ◽  
Vol 2 (2) ◽  
pp. 214-225
Author(s):  
Jasmi Ati ◽  
Firman F Wirakusumah ◽  
Hadyana Sukandar ◽  
Farid Husin ◽  
Yudi Mulyana Hidayat ◽  
...  
Keyword(s):  
Early Detection ◽  
Maternal Mortality ◽  
Mixed Method ◽  
Health Workers ◽  
Group Discussion ◽  
Health Facilities ◽  
Patient Factors ◽  
Cross Sectional

Maternal mortality rate is an important indicator of public health quality. Most of the causes of maternal mortality are preventable factors such as patients, health workers, health facilities and referral. The purpose of this study was to analyze of the role of factors maternal mortality could have been prevented to delays in referral and treatment. This is a sequential explanatory mixed method research. The first stage is carried out through quantitative cross sectional study with data capture as much as 65 maternal mortality could have been prevented retrieved from 2015’s Maternal Perinatal Audit (AMP) documents  in Karawang Regency. The second stage is through qualitative approach with Focused Group Discussion (FGD) and in-depth interviews.The results of quantitative research shows that the majority (52 cases or 80,0%) of maternal mortality could have been prevented with delays in referral and treatment and there is a significant role of patient factors, health workers, health facilities with delays in referral and treatment while the referral factor does not have a significant role. Qualitative research results indicate that maternal mortality is caused by patient factors such as mother’s attitude toward risk, delayed and/or refusing treatment; factors of health workers due to lack of early detection, poor quality of service, lack of skilled professionals and late treatment; health facilities factors due to poor facility; referral factors such as referral refusal, referral inaccuracies and referral delays due to patient’s financial factor and team coordination and cross-sectoral cooperation is also contributing factors. The failure of early detection and decision-making due to lack of capacity of health personnel to recognize and capture high-risk cases and failure to effectively provide information, education and communication (KIE) are factors that cause delays in referral and treatment. Therefore, active participation of society, stakeholders, health professionals and policy makers are required to improve the quality of obstetric care to reduce maternal mortality.   Kematian maternal menjadi indikator penting derajat kesehatan masyarakat. Sebagian besar penyebab kematian maternal dapat dicegah meliputi faktor pasien, tenaga kesehatan, fasilitas kesehatan dan rujukan. Tujuan penelitian ini adalah menganalisis peran faktor penyebab kematian maternal yang dapat dicegah terhadap keterlambatan rujukan dan penanganan. Desain penelitian menggunakan sequensial eksplanatory mixed method. Tahap pertama secara kuantitatif yaitu cross sectional dengan pengambilan data dari dokumen Audit Maternal Perinatal (AMP) tahun 2015 sebanyak 65 kematian maternal yang dapat dicegah di Kabupaten Karawang. Tahap kedua secara kualitatif melalui Focus Group Discussion (FGD) dan wawancara mendalam. Hasil penelitian kuantitatif menunjukkan sebagian besar kematian maternal yang dapat dicegah mengalami keterlambatan rujukan dan penanganan yaitu 52 kasus (80,0%) dan terdapat peran yang bermakna dari faktor pasien, tenaga kesehatan, fasilitas kesehatan terhadap keterlambatan rujukan dan penanganan sedangkan faktor rujukan tidak terdapat peran yang bermakna. Hasil penelitian kualitatif didapatkan penyebab dari faktor pasien karena karakteristik ibu berisiko, terlambat mencari penanganan dan menolak pengobatan, dari faktor tenaga kesehatan karena kurangnya deteksi dini dan kualitas pelayanan, kurangnya tenaga profesional dan terlambat penanganan, dari faktor fasilitas kesehatan karena kurang fasilitas, dari faktor rujukan karena menolak rujukan, kurang tepatnya rujukan dan keterlambatan rujukan terkait biaya dan koordinasi tim serta kerja sama lintas sektor juga merupakan faktor yang berperan. Keterlambatan deteksi dini dan pengambilan keputusan karena kurangnya kemampuan tenaga kesehatan mengenali dan menjaring kasus risiko tinggi serta tidak efektif memberikan komunikasi informasi dan edukasi (KIE) yang menyebabkan keterlambatan rujukan dan penanganan. Diperlukan peran serta masyarakat, stakeholder, tenaga kesehatan dan pengambil kebijakan dalam meningkatkan kualitas pelayanan kebidanan untuk menurunkan kematian maternal.

scholarly journals COVID-19 Effect on Access to Maternal Health Services in Kenya

2020 ◽  
Vol 1 ◽  
Author(s):  
Jackline Oluoch-Aridi ◽  
Tecla Chelagat ◽  
Mary M. Nyikuri ◽  
Joseph Onyango ◽  
Danice Guzman ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Maternal Health ◽  
Health Services ◽  
Maternal Mortality ◽  
Informal Settlements ◽  
Safety Net ◽  
Mitigation Strategies ◽  
Access To Health ◽  
The Impact

Introduction: Maternal mortality continues to be one of the biggest challenges of the health system in Kenya. Informal settlements in Kenya have been known to have higher rates of maternal mortality and also receive maternity services of varied quality. Data assessing progress on key maternal health indicators within informal settlements are also often scarce. The COVID-19 pandemic hit Kenya in March this year and so far, the impact of the pandemic on access to maternal health has not been established. This study aims to add to the body of knowledge by investigating the effects of the COVID-19 pandemic and mitigation strategies on access to health care services in informal settlements.Methods: Qualitative methods using in-depth interviews were used to assess women's experiences of maternity care during the COVID-19 era and the impact of proposed mitigation strategies such as the lockdown and the curfew. Other aspects of the maternity experience such as women's knowledge of COVID-19, their perceived risk of infection, access to health facilities, perceived quality of care were assessed. Challenges that women facing as a result of the lockdown and curfew with respect to maternal health access and quality were also assessed.Results: Our findings illustrate that there was a high awareness of the symptoms and preventative measures for COVID-19 amongst women in informal settlements. Our findings also show that women's perception of risk to themselves was high, whereas risk to family and friends, and in their neighborhood was perceived as low. Less than half of women reported reduced access due to fear of contracting Coronavirus, Deprioritization of health services, economic constraints, and psychosocial effects were reported due to the imposed lockdown and curfew. Most respondents perceived improvements in quality of care due to short-waiting times, hygiene measures, and responsive health personnel. However, this was only reported for the outpatient services and not in-patient services.Conclusion: The most important recommendation was for the Government to provide food followed by financial support and other basic amenities. This has implications for the Government's mitigation measures that are focused on public health measures and lack social safety-net approaches for the most vulnerable communities.

scholarly journals Pembuatan Aplikasi Sistem Informasi Kesehatan (SIFKES) untuk Meningkatkan Integrasi Data Puskesmas di Kota Jambi Berbasis Web Service

2018 ◽  
Vol 6 (2) ◽  
pp. 150-156
Author(s):  
Lailyn Puad ◽  
Windy Adriana
Keyword(s):  
Artificial Intelligence ◽  
Quality Of Service ◽  
Web Service ◽  
Health Data ◽  
Health Centers ◽  
Classic Problem ◽  
Health Institutions ◽  
The Web

Health is one parameter that is often used as a measure of the welfare of a region. Jambi City has 20 health centers spread across 8 sub-districts and has a duty to serve the entire community of Jambi City. The classic problem that always arises in the integration of data raises a mature unsuitability to the accuracy of the patient's diagnosis. Web services are the perfect answer to use as a data centralization medium, with their superiority in terms of capacity, speed and security of the web service very apt to be implemented in the integration of crucial data such as health data. Supported by artificial intelligence applied to be used as an assistant to the role of a physician in the diagnosis process, this application is suitable for use on every line of health institutions as a step to improve the quality of service to the community.

scholarly journals Assessment of the Effects of the Free Maternal Health Policy on Maternal Health: A Case Study of New Juaben Municipality, Koforidua, Ghana.

2016 ◽  
Vol 6 (7) ◽  
pp. 51
Author(s):  
Nicholas Apreh Siaw ◽  
Samuel Kwofie
Keyword(s):  
Health Policy ◽  
Quality Of Care ◽  
Maternal Health ◽  
Maternal Mortality ◽  
Secondary Sources ◽  
Child Bearing ◽  
Maternal Health Policy ◽  
Sampling Procedures ◽  
Free Maternal Health Policy

<p>The main objective of the study was to verify the effect of the free maternal care policy on maternal health in the New Juaben Municipality, Ghana. The population for the study encompassed women of the child bearing age (10-49) in the New Juaben Municipality. Both primary and secondary sources of data were employed for this study. Purposive and accidental sampling procedures were used to select the respondents. The sample size was two hundred (200). This study used trend analysis as its main approach of analyzing the available data. The findings show that antenatal attendance has been increasing over the years. This is attributed to the introduction of the free maternal health policy. However, quality of care remains a problem due to the enormous attendance. It was also recommended that there is still a great need to introduce other measures to reduce maternal mortality in the municipality. It was also recommended that quality of care must be addressed and also more efforts should be made in the services that have provided to the patients. It was concluded that, although the policy has not eradicated maternal mortality completely yet it has contributed to its significant reduction in the region.</p>

scholarly journals A study of maternal near miss at a district teaching hospital: a retrospective observational study

2018 ◽  
Vol 7 (4) ◽  
pp. 1421 ◽  
Author(s):  
Manjunatha S. ◽  
Harsha T. N. ◽  
Damayanthi H. R.
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Maternal Mortality ◽  
Maternal Mortality Ratio ◽  
Near Miss ◽  
Maternal Near Miss ◽  
Who Criteria ◽  
Live Births ◽  
Mortality Ratio

Background: Maternal health is an integral part of health care system. Maternal mortality is an indicator of maternal health and health care delivery system. Severe morbid conditions require comprehensive approach. Hence the concept of Maternal Near Miss (MNM) has emerged. The data of maternal near miss helps to reduce the maternal death and helps to achieve the goals related to reduce the maternal mortality rate of the country as well as the world and to improve the quality of life of the woman population by a quality care. Objectives of present study were to identify and analyze the strategies undertaken in the management of maternal near miss and outcome, measures to improve the quality of care and to assess the various indicators of MNM.Methods: With the permission from the hospital administrators and after taking the ethical clearance from the institutional ethical committee, a retrospective observational study was conducted for the period of one year between January 2016 to December 2016 at district teaching hospital of Kodagu Institute of Medical Sciences, Madikeri, by collecting data from hospital records. Admissions to the ICU as well as wards which fit in to the WHO maternal near miss criteria were included and studied.Results: WHO criteria for the MNM was followed. In present study, there were 25 MNM cases and four Maternal Deaths out of 3347 live births giving a maternal mortality ratio of 119/100000 live births (LB), Maternal Near Miss ratio of 7.46/1000LB, MNM:1MD ratio is 6.25 and mortality index (MI) is 13.79%. Twenty five cases of obstetric emergencies with serious concerns for maternal health were selected out of 97 cases who met the WHO criteria for MNM (25.77%). Twelve cases (48%) received multiple blood-transfusions, 8 cases (32%) of sepsis, 7 (28%) of PPH, and 5 (20%) of hypertensive disorder of pregnancy (pre-eclampsia, eclampsia). There were 12 cases (48%) that had more than one inclusion criteria. Surgical intervention was required in 8 (32%) i.e. 2 peripartum hysterectomies, 2 laparotomies, 1 manual removal of placenta, 1 uterine reposition and 2 traumatic PPH repair.Conclusions: Maternal-Near-Miss (MNM/SAMM) and its relation to maternal mortality contribute as sensitive measures of pregnancy outcome than mortality alone. Proper documentation is of paramount importance in analysis of data, to make conclusions and recommendation. Prospective structured study is required to get a clear picture and to suggest corrective measures which can be taken as far as obstetric care is concerned, to reduce maternal mortality and to achieve the sustainable developmental Goal (SDG) of maternal mortality ratio <70/100000 LB by 2030.

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