scholarly journals Strengthening Collaborative Governance in Efforts to Reduce The Mortality Rate of Mother and Baby

2020 ◽  
pp. 320
Author(s):  
Farida Nurani
Keyword(s):  
Mortality Rate ◽  
Good Governance ◽  
Collaborative Governance ◽  
Infant Mortality Rate ◽  
Cultural Themes ◽  
Policy Program ◽  
Governance Roles ◽  
To Come ◽  
Audit Team

This research aims to learn the role of each government agency and community involved in the policy program for reducing maternal and infant mortality rate in Jember district. Then hope to come up with recommendations for strengthening the role of stakeholders in an effort to realize good governance. Given that in 2012, Jember district was listed as the district with the highest IMR and MMR in East Java. One of the collaborative policy programs launched to reduce the high IMR and MMR in Jember Regency is the Copy of Decision of Jember Regent Number: 188.45 / 101.1 / 012/2015 About Perinatal Maternal Audit Team of Jember Regency Year 2015. The descriptive qualitative research method used (before the C19 pandemic) was in-depth interviews, three FGDs with stakeholders. Data analysis by Spreadly analysis (taxonomic analysis, component analysis and cultural themes). The results showed that the ego-centricity  of each government  institution was  still very prominent,  and  community participation was still mobilizing. Thus, efforts to strengthen collaborative governance roles are needed through the role of leading actors who are strongly committed to directing, controlling and monitoring policy programs that have been made.

Political Economy of Infant Mortality Rate: Role of Democracy Versus Good Governance

2018 ◽  
Vol 48 (3) ◽  
pp. 435-460 ◽  
Author(s):  
Dina Y. Rosenberg
Keyword(s):  
Social Sciences ◽  
Public Health ◽  
Political Economy ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Good Governance ◽  
Infant Mortality Rate ◽  
Political Regime ◽  
First Time

Despite numerous studies on whether democracy reduces the infant mortality rate (IMR), the empirical results remain mixed at best. In this article, I perform several theoretical and empirical exercises that help explain why and under what conditions we should expect politics to matter most for a decrease in IMR. First, I capitalize on the epidemiological view that IMR – the most commonly used indicator of health in social sciences – is better suited to reflect public health micromanagement than overall social development. Second, I theorize that autocrats have incentives to invest in health up to a certain point, which could lead to a reduction in IMR. Third, I introduce an omitted variable – good governance – that trumps the importance of a political regime for IMR: (1) it directly affects public health micromanagement, and (2) many autocrats made inroads in achieving good governance. Finally, for the first time in such research, I use a disaggregated IMR approach to corroborate my hypotheses.

scholarly journals The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India

Geographies ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 47-62
Author(s):  
Ujjwal Das ◽  
Barkha Chaplot ◽  
Hazi Mohammad Azamathulla
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Public Hospitals ◽  
Infant Mortality Rate ◽  
Private Institutions ◽  
Public And Private ◽  
Place Of Delivery ◽  
At Home

Skilled birth attendance and institutional delivery have been advocated for reducing maternal, neonatal mortality and infant mortality (NMR and IMR). This paper examines the role of place of delivery with respect to neo-natal and infant mortality in India using four rounds of the Indian National Family Health Survey conducted in 2015–2016. The place of birth has been categorized as “at home” or “public and private institution.” The role of place of delivery on neo-natal and infant mortality was examined by using multivariate hazard regression models adjusted for clus-tering and relevant maternal, socio-economic, pregnancy and new-born characteristics. There were 141,028 deliveries recorded in public institutions and 54,338 in private institutions. The esti-mated neonatal mortality rate in public and private institutions during this period was 27 and 26 per 1000 live births respectively. The study shows that when the mother delivers child at home, the chances of neonatal mortality risks are higher than the mortality among children born at the health facility centers. Regression analysis also indicates that a professionally qualified provider′s antenatal treatment and assistance greatly decreases the risks of neonatal mortality. The results of the study illustrate the importance of the provision of institutional facilities and proper pregnancy in the prevention of neonatal and infant deaths. To improve the quality of care during and imme-diately after delivery in health facilities, particularly in public hospitals and in rural areas, accel-erated strengthening is required.

scholarly journals Pengaruh Penerapan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) terhadap Kematian Neonatal

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Homsiatur Rohmatin ◽  
Agustina Widayati
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Sampling Technique ◽  
Active Role ◽  
Infant Mortality Rate ◽  
Neonatal Mortality Rate ◽  
Cross Sectional ◽  
Newborn Mortality ◽  
Maternal And Newborn

 Abstrak Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) merupakan program pemerintah dalam penurunan angka kematian ibu dan bayi baru lahir. Angka kematian bayi (AKB) di Indonesia masih tinggi dimana Kabupaten Probolinggo merupakan salah satu penyumbang tertinggi. P4K merupakan tanggung jawab bidan, ibu hamil, suami, dan keluarga. Masih tingginya kematian neonatal di Kabupaten Probolinggo, diduga karena kurangnya peran aktif ibu, suami, dan keluarga dalam penerapan P4K. Penelitian ini bertujuan menganalisis pengaruh penerapan P4K terhadap kematian neonatal di Kabupaten Probolinggo. Rancang bangun penelitian adalah crossectional dengan populasi seluruh ibu yang mempunyai bayi lahir hidup atau mati (usia 0-28 hari) yang mendapatkan stiker P4K. Teknik sampling menggunakan accidental sampling. Sampel penelitian ini adalah sebagian ibu yang mempunyai bayi lahir hidup atau mati (usia 0-28 hari) yang mendapatkan stiker P4K. Pengumpulan data menggunakan kuesioner dan wawancara. Uunivariat, bivariat dan multivariat digunakan dalam menganalisis data. Hasil penelitian menginformasikan sebagian besar ibu, suami, dan keluarga kurang berperan aktif. Sehingga ada pengaruh penerapan P4K terhadap kematian neonatal. Untuk itu, diperlukan peran aktif kader posyandu dalam memotivasi dan mendampingi ibu, suami dan keluarga dalam penerapan P4K sebagai upaya menurunkan kematian neonatal.  Kata kunci  : P4K, kematian neonatal, stiker  Abstract           The Maternity and Complication Prevention Planning Program (P4K) is a government program in reducing maternal and newborn mortality. The infant mortality rate (IMR) in Indonesia is still high where Probolinggo District is one of the highest contributors. P4K is the responsibility of midwives, pregnant women, husbands and families. The high neonatal mortality rate in Probolinggo Regency is allegedly due to the lack of active role of mothers, husbands, and families in implementing P4K. This study aimed to analyze the effect of P4K application on neonatal mortality in Probolinggo District. The research design was cross-sectional with the population of all mothers who had live or dead babies (aged 0-28 days) who received P4K stickers. The sampling technique used accidental sampling. The sample of this study was that some mothers who have babies born alive or dead (age 0-28 days) who got P4K stickers. Data collection used questionnaires and interviews. Univariate, bivariate and multivariate were used to analyze the data. The results of the study informed that most mothers, husbands, and families were less active. Therefore, there was an effect of applying P4K to neonatal mortality. It is suggested for posyandu cadres to have an active role in motivating and assisting mothers, husbands and families in implementing P4K as an effort to reduce neonatal mortality.Keywords    : P4K, neonatal mortality, sticker

scholarly journals GAMBARAN PERAN KADER DALAM PELAKSANAAN PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) DI WILAYAH KERJA PUSKESMAS PADURESO KABUPATEN KEBUMEN

2015 ◽  
Vol 11 (3) ◽  
Author(s):  
K Kusumastuti ◽  
Eka Novyriana ◽  
Dwi Utami
Keyword(s):  
Mortality Rate ◽  
Simple Random Sampling ◽  
Infant Mortality Rate ◽  
Religious Leaders ◽  
Planning Program ◽  
Mortality And Morbidity ◽  
Descriptive Research ◽  
Monitoring Result ◽  
The Family

Mortality and morbidity is a big problem in a developing  country such as Indonesia. Minister of Health in 2007 planned a program of labor Planning and Complications Prevention (Indonesian=P4K) by using stickers as efforts to accelerate the decline in infant mortality rate (IMR) and maternal mortality rate (MMR). By implementation of this Program, there should be a good role of midwives, kader, religious leaders, community leaders, husbands, pregnant women and families.This study is to find out the overview of kader’s role in labor planning program and complication Prevention in Padureso Kebumen.This is a descriptive research using observasional design. There are 37 respondents as the samples research by using simple random sampling. The instruments are questioner and interview.The  overview of kader’s role in labor planning program and complication Prevention in Padureso Kebumen is categorized good (43.2%), kader’s role in filling sticker format is categorized bad (27.0%), kader’s role in facilitating the family is categorized good (32.4%), kader’s role in gaining agreement is categorized (54.1%), monitoring result is categorized bad (62.2%), kader’s role in evaluating result is categorized bad (67.6%), and kader’s role in performing report is categorized bad (59%). Keywords:    kader’s role, labor planning program and complication Prevention implementation

scholarly journals ANALISIS PROMOSI KESEHATAN DI PUSKESMAS KALIJUDAN TERHADAP PHBS RUMAH TANGGA IBU HAMIL

2017 ◽  
Vol 3 (2) ◽  
pp. 159
Author(s):  
Intan Indah Kartika Sari ◽  
Muji Sulistyowati
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Health Status ◽  
Mortality Rate ◽  
Pregnant Women ◽  
Pearson Correlation ◽  
Sampling Technique ◽  
Health Centers ◽  
Infant Mortality Rate

Infectious and non-infectious disease, Infant Mortality Rate (IMR) and Maternal Mortality Rate (MMR) are indicators of health status that their achievements have not been satisfactory. Various problems are closely related to behavioral factors. Behaviors that have a role in maintaining and improving health status is a Clean and Healthy Behavior (PHBS). However, the successful achievement of indicators PHBS is still far from the expected target. The aim of this study was to analyze the role of health promotion in the public health centers with the achievement of PHBS in pregnant women’s households. This study was an observational analytic with quantitative and qualitative approach. Quantitative approach with a sample of pregnant women, whereas qualitative informant was health promotion staff. Sampling was simple random sampling technique. This study used Pearson correlation test on quantitative data indicate that there was a relationship between health promotion of public health centers with the achievements of PHBS. Signifi cant value was 0.000 (α = 0.05). Qualitative study foundthat the role of health promotion in the health centers with PHBS achievement were realized through a series of health promotion programs, namely home visits, empowerment through partnerships, as well as organizing through UKBM.Keywords: health promotion, PHBS, pregnant women

scholarly journals PERAN BIDAN DALAM PELAKSANAAN PERMENKES NOMOR 631/MENKES/ PER/III/2011 SEBAGAIMANA TELAH DIUBAH DENGAN PERMENKES NOMOR 2562/MENKES/PER/XII/2011 TENTANG PETUNJUK TEKNIS JAMINAN PERSALINAN (Studi Kasus Pelayanan Kebidanan Di RSUD dr. H. Soewondo Kendal

SOEPRA ◽  
2017 ◽  
Vol 2 (2) ◽  
pp. 217
Author(s):  
. Sariyati ◽  
Endang Wahyati Y ◽  
C. Tjahjono Kuntjoro
Keyword(s):  
Family Planning ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Service Delivery ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Infant Mortality Rate ◽  
Delivery Service ◽  
Service Assurance

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

The role of national rural health mission in reducing infant mortality rate in India

2019 ◽  
Vol 24 (1) ◽  
pp. 56-65 ◽  
Author(s):  
Ashutosh Pandey ◽  
Arvind Mohan
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Rural Health ◽  
Rural Areas ◽  
Infant Mortality Rate ◽  
National Rural Health Mission ◽  
Control Group ◽  
Content Type ◽  
The Impact

Purpose The purpose of this paper is to assess the role of National Rural Health Mission (NRHM) in reducing Infant Mortality in India. The study will help the government in deciding its future course of action regarding the infant mortality rate (IMR) reduction in India. Design/methodology/approach This paper adopts the interrupted time series analysis (ITSA) approach with a control group to study the role of NRHM in reducing the IMR in India. The authors examined infant mortality in rural areas of India for the level and trend change before and after the implementation of NRHM. The authors then applied a suitable ARMA model to estimate the coefficients of the regression model. From the estimated results, the study predicts the counterfactuals for both the rural IMR and urban IMR and plots the results. Findings The study found the evidence supporting the hypotheses that the NRHM has led to a reduction in the difference between urban IMR and rural IMR. The research shows that the rural IMR declined at steeper rates in the post-NRHM period (2005–2015). Originality/value None of the existing studies analyses the impact of a social scheme like NRHM on the reduction of IMR in India by applying the ITSA. The study is unique as it estimates the counterfactuals and plots the results which show the impact of NRHM on reducing IMR.

Role of the environment in the decline of infant mortality: an analysis of the 1911 Census of England and Wales

1986 ◽  
Vol 18 (4) ◽  
pp. 457-470 ◽  
Author(s):  
Patricia A. Watterson
Keyword(s):  
Multivariate Analysis ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Significant Proportion ◽  
Infant Mortality Rate ◽  
Poverty Level ◽  
Explanatory Variables ◽  
Retrospective Reports ◽  
The Subject

SummaryThis study tests the proposition that the contribution of environmental factors to the reduction of infant mortality early in the twentieth century was greater than that made by the alleviation of poverty. The estimates were obtained from retrospective reports of women enumerated at the 1911 Census, and covered the period from approximately 1895 to 1910. Infant mortality by father's occupation underwent an average decline of 35% from a peak infant mortality rate (IMR) of 132, with wide variation. The removal of poor (usually urban) residential conditions was probably associated with the decline, but, except at the extremes, income did not explain the differences. In the 97 great towns, the subject of this study, where the average decline in IMR was also 35% from a peak of 146, the rate of urbanization over 20 years accounted for a significant proportion of the differential decline, and measures of poverty added little to the explanation. This conclusion survived multivariate analysis using urban development and poverty level as explanatory variables, and controlling for fertility decline and selective migration.

EFEKTIFITAS KONSELING LAKTASI PADA IBU HAMIL TRIMESTER III TERHADAP PELAKSANAAN MENYUSUI

2019 ◽  
Vol 11 (1) ◽  
pp. 41-50
Author(s):  
Heni Purwaningsih ◽  
Umi Aniroh ◽  
Eko Mardiyaningsih
Keyword(s):  
Mortality Rate ◽  
Pregnant Women ◽  
Body Position ◽  
Development Program ◽  
Optimal Growth ◽  
Infant Mortality Rate ◽  
P Value ◽  
Time Data ◽  
Emotional Bonding ◽  
Post Test

Program pembangunan kesehatan di Indonesia masih berfokus pada upaya peningkatan derajat kesehatan ibu dan anak terutama pada masa prenatal. Hal ini disebabkan masih tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). ASI yang diberikan sejak usia dini dan dilanjutkan dengan ASI eksklusif selama 6 bulan dapat menurunkan angka kesakitan dan angka kematian bayi serta meningkatkan tumbuh kembang bayi secara optimal.  Penelitian ini bertujuan untuk mengetahui efektifitas pemberian konseling laktasi terhadap pelaksanaan menyusui pada ibu hamil trimester III. Desain penelitian menggunakan quasi eksperimen dengan rancangan One Group Pre-test dan  Post-test Desain. Populasi dalam penelitian ini adalah ibu hamil trimester III dan sampel yang diambil adalah 18 ibu hamil. Alat penggumpulan data menggunakan lembar observasi BREAST (body position, respons, emotional bonding, anatomy dan sucking time). Analisis data menggunakan wilcoxon.Hasil penelitian didapatkan pelaksanaan menyusui sebelum dilakukan konseling laktasi dalam kategori kurang (72,2%) sedangkan pelaksanaan menyusui setelah dilakukan konseling laktasi (77,8%) dalam kategori baik. Konseling laktasi efektif dilakukan untuk meningkatkan pelaksanaan menyusui denganp-value 0,003 (p<0,005).Konseling laktasi seharusnya diberikan pada masa prenatal sehingga pada saat postpartum, ibu sudah mampu memberikan asi secara maksimal. Pendampingan terhadap ibu hamil juga berperan dalam pelaksanaan pemberian ASI.   Kata kunci : Konseling laktasi, ASI, pelaksanaan menyusui   THE EFFECTIVENESS OF LACTATION COUNSELING IN THE 3rd TRIMESTER PREGNANT WOMEN ON BREASTFEEDING IMPLEMENTATION   ABSTRACT Indonesia's health development program still focuses on improving mother and child health, especially at the prenatal stage. It is due to the high maternal mortality rate (MMR) and Infant Mortality Rate (IMR). Breastmilk given from an early age and continued with exclusive breastfeeding for six months can reduce infants morbidity and mortality rate and increase their optimal growth. The purpose is to investigate the effectiveness of lactation counseling to the implementation of breastfeeding in third-trimester. The study design used quasi experiments with one group pre-test and post-test. Population was the 3rd-trimester pregnant mothers, and the samples were 18 mothers. The data collection tool used BREAST observation sheets (body position, response, emotional bonding, anatomy and sucking time). Data analysis used Wilcoxon. The result of the research shows that breastfeeding before lactation counseling is in less category (72,2%) while breastfeeding after lactation counseling (77,8%) is in a goodcategory. Effective lactation counseling is performed to improve the implementation of breastfeeding with p-value 0.003 (p <0.005). Lactation counseling should be given during the prenatal period so that at the time of postpartum, the mother has been able to give breastmilk maximally. Mentoring for pregnant women also plays a role in the implementation of breastfeeding Keywords: lactation counseling, breast milk, breastfeeding implementation

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