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    Maternal Health in Indonesia

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    Maternal Health in Indonesia

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    Maternal Health in Indonesia

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    retnayu-p

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    MATERNAL HEALTH

    IN INDONESIA

    RETNAYU PRADANIE
    Faculty of Nursing Universitas Airlangga
    2024
    Retnayu Pradanie, S.Kep., Ns., M.Kep
    Email : [email protected]
    Hp : +6281334226604
    Scopus ID : 57201190282; documents: 29; H-Index: 5
    Web of Science ID: ABC-3912-2020, documents: 10, H-Index: 2
    SINTA ID : 5981985 ; SINTA Score: 1329
    Google Schoolar : https://scholar.google.com/citations?
    hl=en&user=IPNwpHAAAAAJ; H-index: 14

    • Lecturer in Faculty of Nursing Universitas Airlangga since 2007-now


    • Editor of Jurnal Ners Universitas Airlangga (Scopus Q3) since 2008 – now
    • Student affairs lecturer since 2020 - now
    • Research interests: maternity nursing, women’s health, nursing management
    Why Maternal Health is Important?

     Foundation for Healthy Societies – Healthy


    mothers  healthy children  healthy family 
    healthy society
     Improving maternal health directly contributes to
    reducing mortality rates
     Breaking the Cycle of Poverty
     Promoting Gender Equality
     Achieving Sustainable Development Goals (SDGs):
     Goal 3 (Good Health and Well-being),
     Goal 4 (Quality Education),
     Goal 5 (Gender Equality),
     Goal 10 (Reduced Inequalities).
    Current Maternal Health Status in Indonesia
    Antenatal Care (ANC) Coverage : The
    Maternal Mortality Ratio (MMR)
    percentage of pregnant women receiving at
    the MMR is 177 per 100,000 live births in
    least one ANC visit from a skilled provider.
    2024 while Sustainable Development Goals
    According to the Indonesia Health Profile
    aim to reduce the global MMR to less than
    2023, 88% of pregnant women received
    70 deaths per 100 000 live births and no
    complete ANC (K1-K4) from a skilled provider
    country should have an MMR greater than
    while the target is 90%. The ANC coverage
    140 per 100 000.
    varies across regions.
    Postnatal Care:. According to the Indonesia
    Skilled Birth
    Health Profile 2023, 87% of mothers and
    Attendance: The
    newborns received postnatal care. Access to
    proportion of births
    postnatal care services is particularly limited in
    attended by skilled health
    rural and remote areas.
    personnel. It has improved
    by 92% in 2023 compared
    to 81% in 2017.
    Access to Healthcare Services: Access to quality healthcare
    services remains a challenge, especially in remote and
    underserved areas where healthcare infrastructure and
    human resources may be inadequate.
    Factors Influencing Maternal Health Problems in Indonesia:

    Limited access to quality healthcare


    1

    Poverty and socioeconomic inequality


    2

    Inadequate healthcare infrastructure and resources


    3

    Limited awareness and education, Cultural beliefs, traditional practices, and social norms
    4

    High fertility rates and unintended pregnancies


    5
    Nutritional deficiencies: Poor nutrition, including deficiencies in essential micronutrients
    6 such as iron, folic acid, and vitamin A

    Infectious diseases such as malaria, HIV/AIDS, and tuberculosis


    7
    Some of my publications about
    maternal health:
    • Family decision making for Madurese women with pregnancy
    complications: A qualitative study. (2024) British Journal of
    Midwifery, 32 (4), pp. 172-179.
    • Choosing intrauterine device of mothers in rural area, Indonesia:
    Based on Health Belief Model Theory. (2021) Enfermeria Clinica,
    31, pp. S343-S347.
    • Staffing characteristics and their associations with the severe
    maternal outcomes at indonesian tertiary hospitals.
    (2020) Kontakt, 22 (1), pp. 40-46.
    • Factors Affecting Husband Participation in Antenatal Care
    Attendance and Delivery. (2018) IOP Conference Series: Earth
    and Environmental Science, 116 (1), art. no. 012012.
    Strategies to Improve Maternal Health

    Community empowerment through Providing basic emergency obstetric Comprehensive obstetrics and
    Posyandu (a health care facility carried and neonatal (PONED) services at neonatology services at the hospital
    out by, for and from the community Puskesmas (community health centre at (PONEK) should provide stabilization of
    guided by health practitioner) and each the first level facility) as well as emergency condition, laparotomy and
    region should have 1 Rumah Tunggu increasing the capacity of general Caesarian Section, maternal and child
    Persalinan. Activities in Posyandu are health practitioners including doctors, intensive care unit, and high risk
    focusing on MCH education and nurses, and midwives. pregnancy management
    prevention of complication.
    INTRANATAL CARE
    series of activities aimed at mothers since start of labor up to
    6 (six) hours after giving birth

    Requirements of Normal Childbirth Care: 7 aspects of Intranatal care

    1. Carried out in a health service facility 1. making clinical decisions;


    2. Personnel are a team of birth attendants, 2. maternal and child health care,
    consisting of doctors, midwives and including Early Breastfeeding Initiation
    nurses, if there are limited access and (IMD) and newborn resuscitation;
    medical personnel, delivery is carried out 3. prevention of infection;
    by a team of at least 2 health workers 4. prevention of disease transmission
    consisting of midwives, or nurse- from mother to child;
    midwives. 5. clean and safe delivery;
    3. The birth attendant is able to carry out
    6. maternity care medical records; and
    initial management of maternal and
    7. referrals in cases of complications
    neonatal emergencies.
    Family Planning Services
    These services are provided through various
    healthcare facilities, community-based organizations,
    and government initiatives, with the goal of promoting
    reproductive health and rights, reducing maternal and
    infant mortality, and empowering individuals to plan
    their families according to their own preferences and
    circumstances.

    1. Pre-Services
    Health promotion and Counseling, screening, and
    informed consent
    2. Services
    Interval period, postpartum period (0-42 days),
    post miscarriage (0-14 days), and emergency
    contraception (3-5 days after unprotected coitus)
    3. Post-Services
    Follow up visit and management of side effects
    and complications
    “Investing maternal
    and child health
    means saving the
    future generations”

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