Prevalensi Rasio Pelayanan Kesehatan Maternal dan Ketersediaan Fasilitas Kesehatan di ERAJKN/KIS di Indonesia

https://doi.org/10.22146/jkki.v5i2.30785

Niniek Lely Pratiwi(1*), Hari Basuki(2)

(1) Pusat Humaniora Kebijakan Kesehatan dan Pemberdayaan Masyarakat, Badanlitbangkes Kementerian Kesehatan RI
(2) Fakultas Kesehatan Masyarakat Universitas Airlangga
(*) Corresponding Author

Abstract


ABSTRACT

Background: Indonesia is one country that is feared to may not reach the MDG targets by 2015. According to WHO data, as many as 99 percent of maternal deaths due to labor problems or births occured in developing countries. The maternal mortality ratio in developing countries is the highest with 450 maternal deaths per 100 thousand live births compared to the ratio of maternal deaths in nine developed countries and 51 Commonwealth countries.

Methods: This study is a further analysis of Riskesdas in 2010, 2013 and Rifaskes in 2011 to assess the magnitude of the prevalence of maternal health ratio in relation to the availability of health facilities.

Results: Examination of the first trimester ANC services by doctors has a higher prevalence ratio approaching a value of one, and has statistically significant value compared to ANC by a midwife. A greater tendency prevalence of ANC first examination at the gestational age aging in rural area is observed, compared to the urban areas. Some did not even know the age of their pregnancy when they are getting their first ANC, as high as 10.7% in rural areas.

Conclusion: There should be a regional policy regarding the competence of midwives, and systematically involving professional organizations IBI, IDI on improving midwife practice. Empowering people in the village has not been working as expected, shown by the lack of knowledge about the importance of ANC with health workers.

 

Keywords: Midwives, MDGs, Accessibility Maternal of Health

 

ABSTRAK

Latar Belakang: Indonesia merupakan salah satu negara yang dikhawatirkan tidak dapat mencapai target sasaran MDGs pada tahun 2015. Menurut data WHO, sebanyak 99 persen kematian ibu akibat masalah persalinan atau kelahiran terjadi di negara- negara berkembang. Rasio kematian ibu di negara-negara berkembang merupakan yang tertinggi dengan 450 kematian ibu per 100 ribu kelahiran bayi hidup jika dibandingkan dengan rasio kematian ibu di sembilan negara maju dan 51 negara persemakmuran.

Metode:Penelitian ini merupakan analisis lanjut Riskesdas tahun 2010, 2013 dan Rifaskes tahun 2011 untuk mengkaji besaran prevalensi rasio kesehatan maternal terhadap ketersediaan fasilitas kesehatan.

Hasil: Pemeriksaan ANC trimester 1 pelayanan oleh tenaga dokter lebih tinggi prevalensi rasio mendekati nilai satu dan mempunyai nilai yang bermakna secara statistik dibandingkan pelayanan ANC oleh bidan desa. Terlihat kecenderungan semakin besar prevalensi pemeriksaan ANC pertamakali pada umur kehamilan yang semakin tua di pedesaan dibandingkan perkotaan bahkan yang menjawab tidak tahu umur kehamilan saat ANC pertamakali pun di pedesaan 10,7%.

Kesimpulan: Perlu kebijakan daerah tentang kompetensi bidan secara konkrit, dan sistematis melibatkan organisasi profesi IBI, IDI tentang bidan layak praktek. Pemberdayaan masyarakat di desa belum berfungsi terbukti dengan rendahnya pengetahuan masyarakat tentang pentingnya pemeriksaan ANC pada tenaga kesehatan.

 

Kata kunci: Bidan, MDGs, Aksesibilitas Kesehatan Maternal


Keywords


Bidan, MDGs, Aksesibilitas Kesehatan Maternal

Full Text:

PDF


References

Kementerian Kesehatan RI, Percepatan Penurunan AKI dan AKB. Mediakom edisi 29 April 2011, Jakarta, 2011.

Barbara G, Calvin M, Reaching unreachable groups and Crossing Cultural barriers in Communicating Health Promotion, in book Communiting Health strategies for Health promotionFirst published, reprinted 2008, ISBN 978-1-4129 24023, Sage Publication Asia pacific Pte Ltd 33 Pekin street far East Square Singapore P 53-72

Kementerian Kesehatan RI, Menkes Beberkan Program Prioritas Kemenkes 2011. Press Release. (http://www.depkes.go.id, diakses 2 Januari 2012).

Pratiwi NL, Yunita F, Fachmi, Yudi, Syaiful, 2012. Buku Seri Etnografi Kesehatan Ibu dan Anak, Etnik Gayo Desa Tetinggi Kecamatan

Blang Pegayon Kabupaten Gayo Lues Provinsi Nangroe Aceh Darussalam. Surabaya, 2012.

Dunn W, Pengantar Analisis Kebijakan Publik, Gadjah Mada University Press, Yogyakarta, 2000.

McDermott RJ, 1999. Inside The Academy: Profiling Dr. Lawrence W. Green. American Journal of Health Behavior, 1999; 23, 3-6.

Corcoran N, Sue C, Social and Psychological factors in communication, in book Communiting Health strategies for Health promotion First published, reprinted 2008, ISBN 978-1-4129 24023, Sage Publication Asia pacific Pte Ltd 33 Pekin street far East Square Singapore P 32-52.

Kementerian Kesehatan RI, Rencana Strategis Kementerian Kesehatan RI, Jakarta, 2014.

Dasuki Djaswadi, Kematian maternal dan peri- natal: masalah, tantangan dan upaya pemecahan. Dalam buku Reorientasi kebijakan kependudukan, Pusat Penelitian dan Kependudukan Universitas Gadjah mada Yogyakarta, Yogyakarta, 2001.

Gulliford, Martin, Jose FM, Myfanwy M, David H, Barry G, Roger B, Meryl H, 2002. What does ‘access to health care’ mean? Journal of Health Services Research and Policy, 2002; 7 (3).

Badan Pusat Statistik RI, Survei Demografi dan Kesehatan: Kesehatan reproduksi Remaja, Badan kependudukan dan Keluarga Berencana Nasional Badan Pusat statistik. Measure DHS, ICF International, Jakarta. 2012.

World Healh Organization (WHO), 2012, Adolescent pregnancy:cultural complex issue:diunduh 2 juni 2015 tersedia di http:// www.who.int/buletin/volume/87/6/09020609/en



DOI: https://doi.org/10.22146/jkki.v5i2.30785

Article Metrics

Abstract views : 369 | views : 3636

Refbacks

  • There are currently no refbacks.


Copyright (c) 2017 Jurnal Kebijakan Kesehatan Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

The Jurnal Kebijakan Kesehatan Indonesia : JKKI [ISSN 2089 2624 (print); ISSN 2620 4703 (online)] is published by Center for Health Policy and Management (CHPM). This website is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Built on the Public Knowledge Project's OJS 2.4.8.1.
 Web
Analytics View My Stats