Niniek Lely Pratiwi, NLP and Hari Basuki Notobroto, - (2016) PREVALENSI RASIO PELAYANAN KESEHATAN MATERNAL DAN KETERSEDIAAN FASILITAS KESEHATAN DI ERA JKN/KIS DI INDONESIA. Jurnal Kebijakan Kesehatan Indonesia, 5 (2). pp. 42-52. ISSN 26204703

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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.

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