"...and then she died" : Indonesia Maternal Health Assessment

Maternal health remains one of the top priorities of the Government of Indonesia (GoI) and the Ministry of Health (MoH) because reductions in maternal mortality have been slows. The current Maternal Mortality Ratio (MMR) for Indonesia is 228 but with existing programs and interventions the government does not believe it will be able to achieve its stated millennium development goal of 102 maternal deaths per 100,000 live births by 2015. There are positive trends in an increased use of skilled birth attendants, almost universal access to some level of antenatal care and continued use of family planning but these are not enough to stem the tide of maternal death. Interventions by the skilled birth attendants in many cases are not in line with existing standards and prove to be ineffective in trying to address the emergence of complications. Antenatal care is important, but it is not where gains in decreased mortality will be obtained. The continued use of traditional birth attendants (TBA) and delivering at home are contributory factors to maternal mortality in Indonesia. In collecting data from verbal autopsies in three districts, (a widely used government initiative to determine the causes of maternal death) 63 out of 76 deaths occurred in home births that had been assisted by a TBA. In order to improve the access of the poor and the near poor to health services, the government is implementing the social insurance scheme, Jamkesmas. Approximately 104 million people should qualify for assistance but there are presently only 76.4 million people covered by this social health insurance (SHI) plan. Even those who are covered are not always able to afford care because of external expenses such as transportation charges which must be paid up front.

Bibliographic Details

Main Author:	World Bank
Format:	Health Sector Review biblioteca
Language:	English
Published:	World Bank 2010-02-01
Subjects:	ABORTION, ABORTION SERVICES, ACCESS TO HEALTH CARE, ADOLESCENT GIRLS, ADOLESCENTS, AGE OF MARRIAGE, ANESTHESIA, ANTENATAL CARE, BABIES, BABY, BASIC EDUCATION, BIRTH ATTENDANT, BIRTH ATTENDANTS, BIRTH COMPLICATIONS, BREAST-FEEDING, C-SECTION, C-SECTIONS, CAUSES OF DEATH, CESAREAN SECTION, CHILD HEALTH, CHILDBIRTH, CHILDHOOD DISEASES, CLINICS, COMMUNITY HEALTH, COMPLICATIONS, CONSEQUENCES OF ABORTION, CONTRACEPTION, CONTRACEPTIVE AVAILABILITY, CONTRACEPTIVE PREVALENCE, CONTRACEPTIVE SERVICES, CONTRACEPTIVE SUPPLIES, CONTRACEPTIVES, DECISION MAKING, DELIVERY CARE, DISEASE, DOCTORS, DOUBLE BURDEN, DRUGS, ECONOMIC STATUS, EFFECTIVE ACTION, EMERGENCIES, EMERGENCY OBSTETRIC CARE, EMERGENCY OBSTETRICAL CARE, FAMILIES, FAMILY INCOME, FAMILY PLANNING, FAMILY PLANNING FIELD, FAMILY PLANNING METHODS, FAMILY PLANNING PROGRAM, FAMILY PLANNING PROGRAMS, FEES FOR SERVICES, FEMALES, FERTILITY, FERTILITY RATE, FERTILITY RATES, FIRST MARRIAGE, FORMAL EDUCATION, GOVERNMENT POLICIES, GOVERNMENT RESPONSE, GOVERNMENT SUPPORT, GYNECOLOGY, HEALTH CARE, HEALTH CENTERS, HEALTH INSURANCE, HEALTH INTERVENTIONS, HEALTH POLICY, HEALTH PROFESSIONAL, HEALTH PROFESSIONALS, HEALTH PROVIDERS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH WORKERS, HEPATITIS B, HOME AFFAIRS, HOSPITAL, HOSPITALS, HUMAN RIGHTS, IMMUNIZATION, IMMUNIZATIONS, INEQUITIES, INFANT, INFANT MORTALITY, INFECTIOUS DISEASES, INFORMATION SYSTEMS, INSERVICE TRAINING, INSURANCE SCHEMES, IRON, ISOLATION, IUD, IUDS, JOB SECURITY, LEADING CAUSES, LEADING CAUSES OF DEATH, LEGAL STATUS, LEGAL STATUS OF ABORTION, LEVEL OF EDUCATION, LIFE EXPECTANCY, LIVE BIRTHS, LOCAL COMMUNITY, MARITAL STATUS, MATERNAL DEATH, MATERNAL DEATHS, MATERNAL HEALTH, MATERNAL HEALTH CARE, MATERNAL HEALTH INTERVENTIONS, MATERNAL HEALTH SERVICES, MATERNAL MORBIDITY, MATERNAL MORTALITY, MATERNAL MORTALITY RATES, MATERNAL MORTALITY RATIO, MATERNAL MORTALITY RATIOS, MATERNAL MORTALITY REDUCTION, MATERNITY CARE, MATERNITY HOSPITALS, MEDICAL EQUIPMENT, MEDICAL PROFESSIONALS, MEDICAL SERVICES, MEDICAL TREATMENT, MIDWIFE, MIDWIFERY, MIDWIVES, MILLENNIUM DEVELOPMENT GOAL, MINISTRY OF HEALTH, MODERN FAMILY, MODERN FAMILY PLANNING, MORBIDITY, MORTALITY, MOTHER, MOTHER FRIENDLY MOVEMENT, NATIONAL ACTION, NATIONAL ACTION PLAN, NATIONAL DEVELOPMENT, NATIONAL DEVELOPMENT PLAN, NATIONAL POLICY, NEED FOR FAMILY PLANNING, NEONATAL CARE, NEWBORN, NEWBORN CARE, NEWBORNS, NORMAL DELIVERIES, NURSE, NURSES, NURSING, NUTRITION, OBSTETRIC COMPLICATIONS, OBSTETRICS, OLDER WOMEN, PATIENT, PATIENT EDUCATION, PERSONAL COMMUNICATION, PHYSICIANS, PILL, PILOT PROJECTS, POLICY MAKERS, POOR FAMILIES, POPULATION EXPLOSION, POPULATION GROUPS, POPULATION GROWTH, POSTABORTION, POSTABORTION CARE, POSTNATAL CARE, PREGNANCY, PREGNANCY TERMINATION, PREGNANT WOMEN, PRENATAL CARE, PRIMARY SCHOOL, PROGRESS, PROVISION OF ASSISTANCE, PUBLIC HEALTH, PUBLIC HOSPITALS, QUALITY IMPROVEMENT, QUALITY OF CARE, QUALITY OF SERVICES, RAPE, REDUCING MATERNAL MORTALITY, REFERRAL SYSTEM, REPRODUCTIVE AGE, REPRODUCTIVE HEALTH, RISK FACTORS, RURAL AREAS, RURAL GIRLS, SAFE ABORTION, SAFE MOTHERHOOD, SAFETY NET, SECONDARY EDUCATION, SECONDARY SCHOOL, SELF-RELIANCE, SERVICE DELIVERY, SERVICE PROVIDER, SERVICE QUALITY, SEXUALLY ACTIVE, SHORT SUPPLY, SKILL LEVEL, SKILLED ATTENDANT, SKILLED BIRTH ATTENDANTS, SKILLED CARE, SKILLED HEALTH PROVIDER, SOCIAL HEALTH INSURANCE, SOCIAL STATUS, SPECIALISTS, STERILIZATION, SURGERY, TETANUS, TOLERANCE, TRADITIONAL BIRTH ATTENDANT, TRADITIONAL BIRTH ATTENDANTS, TRANSPORTATION, UNFPA, UNITED NATIONS POPULATION FUND, UNIVERSAL ACCESS, UNSAFE ABORTIONS, UNWANTED PREGNANCY, URBAN AREAS, URBAN CENTERS, USE OF FAMILY PLANNING, VACCINES, WASTE, WHITE RIBBON ALLIANCE, WOMAN, WORKERS, WORKFORCE, WORLD HEALTH ORGANIZATION,
Online Access:	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20100331020254 http://hdl.handle.net/10986/2837
Tags:	Add Tag No Tags, Be the first to tag this record!