Galvanizing Collective Action to Accelerate Reductions in Maternal and Newborn Mortality and Prevention of Stillbirths

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

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Kebijakan Partisipatif Pemerintah dalam Rangka memenuhi Visi Terwujudnya Kabupaten Pasuruan yang Sejahtera, Maslahat dan Berdaya Saing

SKETSA BISNIS ◽

10.35891/jsb.v7i2.2389 ◽

2020 ◽

Vol 7 (2) ◽

pp. 130-137

Author(s):

Khoirul Huda

Keyword(s):

Pregnant Woman ◽

Mortality Rate ◽

High Mortality ◽

Community Organizations ◽

The State ◽

Medium Term ◽

Newborn Mortality ◽

Referral Hospitals ◽

The Government ◽

Maternal And Newborn

One of the objectives of the state being established is to protect life and advance the welfare of the nation, so the government is obliged to help fulfill the basic rights of society. The high mortality rate for mothers and newborns is not just a matter of fate, but something that is done by humans. The maternal and newborn mortality rate in Indonesia is the highest compared to other countries in ASEAN. In response to this, the Pasuruan Regency Government responded by making a policy in the form of the establishment of the Penakib Forum which has a vision to make Pasuruan district a safe, safe and pleasant place for every pregnant woman. and newborns. This forum consists of all cross-sectoral components, namely consisting of the health office, referral hospitals, puskesmas, village midwives, health cadres, and community organizations in Pasuruan Regency. This vision is in accordance with the regional medium-term development plan (RPJMD) for 2018 - 2023 which carries the vision "The realization of a Prosperous, Maslahat and competitive Pasuruan Regency". ______________________________________________________________________ Negara didirikan salah satu tujuannya adalah untuk melindungi kehidupan dan memajukan kesejahteraan bangsa, maka pemerintah berkewajiban membantu memenuhi hak-hak dasar dasar masyarakat. Tingginya angka kematian ibu dan bayi baru lahir bukan sekedar bicara takdir, namun ada suatu kesalahan yang dilakukan oleh manusia. Angka kematian ibu dan bayi baru lahir di Indonesia tertinggi dibandingkan dengan negaralain di ASEAN.menganggapi hal tersebut Pemerintah Kabupaten Pasuruan merespon dengan membuat kebijakan dalam bentuk pendirian Forum penakib yang memiliki visi untuk mewujudkan Kabupaten Pasuruan menjadi tempat yang aman, selamat dan menyenangkan bagi setiap ibu hamil dan bayi baru lahir. Forum ini terdiri dari seluruh komponen lintas sektoral, yaitu terdiri dari dinas kesehatan, rumah sakit rujukan, puskesmas, bidan desa, kader kesehatan, serta organisasi masyarakat yang ada di Kabupaten Pasuruan. Visi ini sesuai dengan rencana pembangunan jangka menengah daerah (RPJMD) tahun 2018 - 2023 yang mengusung Visi “ Terwujudnya Kabupaten Pasuruan yang Sejahtera, Maslahat dan berdaya saing”.

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I210 REDUCTION OF MATERNAL AND NEWBORN MORTALITY IN KOSOVO - LESSON LEARNED

International Journal of Gynecology & Obstetrics ◽

10.1016/s0020-7292(12)60240-9 ◽

2012 ◽

Vol 119 ◽

pp. S214-S214

Author(s):

A. Lila

Keyword(s):

Newborn Mortality ◽

Maternal And Newborn

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Reducing Nigeria’s high maternal and newborn mortality and morbidity

BJOG An International Journal of Obstetrics & Gynaecology ◽

10.1111/j.1471-0528.2007.01457.x ◽

2007 ◽

Vol 114 (9) ◽

pp. 1178-1178

Author(s):

KA Harrison

Keyword(s):

Mortality And Morbidity ◽

Newborn Mortality ◽

Maternal And Newborn

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Newborn Survival Case Study in Rwanda - Bottleneck Analysis and Projections in Key Maternal and Child Mortality Rates Using Lives Saved Tool (LiST)

International Journal of MCH and AIDS (IJMA) ◽

10.21106/ijma.214 ◽

2017 ◽

Vol 6 (2) ◽

pp. 93

Author(s):

Manpreet Singh Khurmi, MBBS, MPH ◽

Felix Sayinzoga, MD, MSc ◽

Atakilt Berhe, MD, MPH ◽

Tatien Bucyana MD, MPH ◽

Assumpta Kayinamura Mwali, MD, MPH, MMed ◽

...

Keyword(s):

Newborn Health ◽

Maternal And Newborn Health ◽

Evidence Based ◽

Mixed Method Research ◽

Newborn Mortality ◽

Bottleneck Analysis ◽

Lives Saved Tool ◽

Maternal And Newborn ◽

Survival Case

Background and Objective: The Newborn Survival Case study in Rwanda provides an analysis of the newborn health and survival situation in the country. It reviews evidence-based interventions and coverage levels already implemented in the country; identifies key issues and bottlenecks in service delivery and uptake of services by community/beneficiaries, and provides key recommendations aimed at faster reduction in newborn mortality rate.Methods: This study utilized mixed method research including qualitative and quantitative analyses of various maternal and newborn health programs implemented in the country. This included interviewing key stakeholders at each level, field visits and also interviewing beneficiaries for assessment of uptake of services. Monitoring systems such as Health Management Information Systems (HMIS), maternal and newborn death audits were reviewed and data analyzed to aid these analyses.Results: Policies, protocols, various guidelines and tools for monitoring are already in place however, implementation of these remains a challenge e.g. infection control practices to reduce deaths due to sepsis. Although existing staff are quite knowledgeable and are highly motivated, however, shortage of health personnel especially doctors in an issue. New facilities are being operationalized e.g. at Gisenyi, however, the existing facilities needs expansion.Conclusion and Global Health Implications: It is essential to implement high impact evidence based interventions but coverage levels need to be significantly high in order to achieve higher reduction in newborn mortality rate. Equity approach should be considered in planning so that the services are better implemented and the poor and needy can get the benefits of public health programs.Key words: Bottleneck Analysis • Lives Saved Tool • Rwanda • Maternal and Newborn Health • Neonatal MortalityCopyright © 2017 Khurmi et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Impact of the early COVID-19 pandemic on outcomes in a rural Ugandan neonatal unit: A retrospective cohort study

PLoS ONE ◽

10.1371/journal.pone.0260006 ◽

2021 ◽

Vol 16 (12) ◽

pp. e0260006

Author(s):

Anna Hedstrom ◽

Paul Mubiri ◽

James Nyonyintono ◽

Josephine Nakakande ◽

Brooke Magnusson ◽

...

Keyword(s):

Excess Mortality ◽

Birth Asphyxia ◽

Relative Increase ◽

Regional Health ◽

Percent Change ◽

Newborn Mortality ◽

One Year ◽

Expected Mortality ◽

Maternal And Newborn

Background During the early COVID-19 pandemic travel in Uganda was tightly restricted which affected demand for and access to care for pregnant women and small and sick newborns. In this study we describe changes to neonatal outcomes in one rural central Ugandan newborn unit before and during the early phase of the COVID-19 pandemic. Methods We report outcomes from admissions captured in an electronic dataset of a well-established newborn unit before (September 2019 to March 2020) and during the early COVID-19 period (April–September 2020) as well as two seasonally matched periods one year prior. We report excess mortality as the percent change in mortality over what was expected based on seasonal trends. Findings The study included 2,494 patients, 567 of whom were admitted during the early COVID-19 period. During the pandemic admissions decreased by 14%. Patients born outside the facility were older on admission than previously (median 1 day of age vs. admission on the day of birth). There was an increase in admissions with birth asphyxia (22% vs. 15% of patients). Mortality was higher during COVID-19 than previously [16% vs. 11%, p = 0.017]. Patients born outside the facility had a relative increase of 55% above seasonal expected mortality (21% vs. 14%, p = 0.028). During this period patients had decreased antenatal care, restricted transport and difficulty with expenses and support. The hospital had difficulty with maternity staffing and supplies. There was significant community and staff fear of COVID-19. Interpretation Increased newborn mortality during the early COVID-19 pandemic at this facility was likely attributed to disruptions affecting maternal and newborn demand for, access to and quality of perinatal healthcare. Lockdown conditions and restrictions to public transit were significant barriers to maternal and newborn wellbeing, and require further focus by national and regional health officials.

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