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Key Activities and currentissue on progressing MCH
related MDGs
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Objective
MDGs Reduce by three-quarters,
between 1900 and 2015,the maternal mortality
ratio
RPJMN Depkes 2009
Life Expectancy Rate from66,2 years 70,6 years
Infant Mortality Ratio from
35/1000 Live Birth 26/1000
Maternal Mortality Ratiofrom 307/100.000
226/100.000 Malnutrition among under
5 Prevalence from 25,8% 20%
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Indicators
1. Maternal Mortality Ratio
2. Percentage of births attended by
skilled health personnel3. Contraceptive prevalence rate
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Maternal Mortality Ratio
There are huge disparity between provinces(Central Java 248/100.000 live birth andPapua 1025/100.000 live birth)
Indonesian MDGs target is hard to achieved.Needs breakthrough activities to accelerateMMR decline.
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390
334307
125
0
50100
150
200
250300
350
400
450500
1980 1985 1990 1995 2000 2005 2010 2015 2020
SDKI Target Linear (SDKI)
Maternal Mortality RatioSDKI 1994, 1997, 2002
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Cause of Maternal DeathSKRT 2001
Others
12%
Infection
12%
Eklamsia
25%
Bleeding
30%
Abortus
5%
Puerperium
complication
8%
Prolonged Labour
5%
Emboli obst
3%
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Jumlah BumilJumlah Bulin
Jumlah Bayi
Cakupan K 1
Cakupan K 4Cakupan Linakes
Cakupan K N
PONED
Bidan Desa
Kematian Ibu
Kematian Neonatus
5.136.325 jiwa4.757.653 jiwa
4.630.244 jiwa
88,09 %
77 %74,27 %
58.4 %
56 %
61 %
3.525 jiwa
15.258 jiwa
Current Situation:
Indicators of Maternal and Neonatal Health
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0
10
20
30
40
50
60
70
80
90
100
K 1 K 4 P N K N
20012002
2003
2004
Target 04
Trend of Maternal Health Service
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3 Key Massages of MPS
Birth attendance by Skilled Health Personal
Adequate Health Services for everyobstetric and neonatal complication
WORA have access to unwantedpregnancy prevention and post abortioncare
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MPS strategies
Improve access to and coverage of quality careBuild effective partnerships through intra
sector, inter sector and other partner-collaborations
Encourage women and family empowermentthrough improving their knowledge to ensureappropriate practices and utilization MNH services
Encourage community involvementinensuring the provision and utilization of MNHservices
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Maternal Health Focus
Maternalhealth
Supply Side
Demand Side
Deliveryby HealthProvider
Obst-NeoComplication Service
PostAbortionCare
ANCDeliveryPost Natal ServComplication ServFamily PlanningMPR-MPS
MCH Hand Book BPCRBirth Preparedness
Management
4
S
TRATEGy
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Supply Side
Improve Quality Services of ANC, Delivery, PostDelivery, Complication, Family Planning
Provide Competence Health Provider (Comm.
Midwives, Midwives, Doctor in Health Center &Hospital)
Provide of Supplies (Equipment, Facilities, Drugs)
Strengthen MCH Referral System from Family
Integrated Post Maternity Huts/Polindes HealthCenter District Hospital
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Demand Side
Improve knowledge of Family andCommunity Regarding Birth Preparednessand Complication Readiness (BPCR)
Increase MCH Hand Book Used, in order toincrease coverage of MCH Program
Establish and Strengthen of Village Alert onMCH
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Management
Planning Through DTPS - MPS
Advocacy
SocializationSupervision
Monev
Mapping
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The role of Central MOH
Development and socialization of guidelinesand standards.
Technical assistance
Advocacy
Starting from 2006: Provision of Dekon
funds for MCH activities:+ 500 billion Rps
All Provinces and Districts
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SIMPUL KEGIATAN
PADA SIKLUSKEHAMILAN
PUSPASANGAN USIA SUBUR
KEHAMILAN
PERSALINAN
NIFAS
Pre Pregnancy Package : STATUS KESEHATAN
PENYAKIT YANG DIDERITA
PERILAKU REPRODUKSI SEHAT (KB)
PERSIAPAN KEHAMILAN
Ante Natal Care : PERENCANAAN PERSALINAN
INFO PERILAKU SEHAT (BUKU KIA)
FREKUENSI KONTAK DENGAN PETUGAS
STATUS KESEHATAN & KEHAMILAN
( GIZI, IMMUNISASI, PENYAKIT)
Pertolongan Persalinan:
KOMPETENSI (Tenaga & Sarana)
KOMPLIKASI (Notifikasi-Siaga)
SISTEM RUJUKAN (PONED-PONEK)
Kunjungan Nifas FREKUENSI KONTAK DENGAN PETUGAS
KOMPLIKASI IBU & NEONATUS
YAN KB PASCA SALIN
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DI RUMAH
DI PERJALANAN
DI PUSKESMAS
1. KEPUTUSAN KELUARGA
PENGETAHUAN
KETERSEDIAAN BIAYA
KESIBUKAN KELUARGA
SOSIAL BUDAYA
2. KETERSEDIAAN TRANSPORTASI
1. SARANA TRANSPORTASI
2. TINGKAT KESULITAN
3. WAKTU TEMPUH
1. KESIAPAN PETUGAS
2. KETERSEDIAAN BAHAN & ALAT
3. SIKAP PETUGAS
KEMUNGKINAN TERJADINYA
KEMATIAN IBU
DALAM PERSALINAN
DI RUMAH SAKIT
1. KESIAPAN PETUGAS
2. KETERSEDIAAN BAHAN & ALAT
3. SIKAP PETUGAS
4. BIAYA ??
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Jalan Menuju Keselamatan
Tdk Hamil
Kemungkinanhidup >
DO
PPGDON
PONED
PONEK
K1
K4
Pn
CFR < 1%
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Sekian
Terima Kasih
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