ORIGINAL ARTICLE

Maternal mortality audit based on district maternal health performance in East Java Province, Indonesia

Budi Prasetyo , Hanifa Erlin Damayanti, Rizki Pranadyan, Pandu Hanindito Habibie, AC Romdhoni, Dian Islami

Budi Prasetyo
Staff at Obginsos Division Obstetric and Gynecology Department - Dr. Soetomo General Hospital Surabaya, Indonesia Researcher, The Australia - Indonesia Centre (AIC). Email: budi-p@fk.unair.ac.id

Hanifa Erlin Damayanti
Staff at Obginsos Division Obstetric and Gynecology Department - Dr. Soetomo General Hospital Surabaya, Indonesia Researcher, The Australia - Indonesia Centre (AIC)

Rizki Pranadyan
Staff at Obginsos Division Obstetric and Gynecology Department - Dr. Soetomo General Hospital Surabaya, Indonesia Researcher, The Australia - Indonesia Centre (AIC)

Pandu Hanindito Habibie
Resident at Obstetric and Gynecology of Medical Faculty Airlangga University - Dr. Soetomo General Hospital Surabaya, Indonesia

AC Romdhoni
Researcher, The Australia - Indonesia Centre (AIC)

Dian Islami
Health Care Division East Java Provincial Health Office
Online First: April 02, 2018 | Cite this Article
Prasetyo, B., Damayanti, H., Pranadyan, R., Habibie, P., Romdhoni, A., Islami, D. 2018. Maternal mortality audit based on district maternal health performance in East Java Province, Indonesia. Bali Medical Journal 7(1): 61-67. DOI:10.15562/bmj.v7i1.761


Background: Maternal mortality rate (MMR) in Indonesia is still high, including in East Java Province. Although the successful decline in MMR has been achieved, more action still needed to maintain and accelerate the process. Several factors that affect the maternal mortality, especially referral factor, and districts maternal health services quality, need to analyze. This study was conducted to analyze the correlation between maternal mortality with labour referral and maternal health service quality in 10 regencies/cities in East Java Province, Indonesia. 

Methods: The case-control study among 2 groups of 5 regencies/cities with the highest and lowest MMR in East Java Province in 2015. The indicators used, were maternal referral relay in maternal mortality report, frequencies of antenatal care, labor by health care provider, puerperal health care, obstetric complication management, detection of high-risk pregnancy by community and healthcare personnel, and family planning program.

Results: Total number of maternal mortality in East Java province in 2015 was 531, with MMR were 89,6/100.000 living birth. From the comparative study, we found a significant difference in indicators of high-risk pregnancy detection by healthcare personnel (p=0,035) and obstetrics complications management (p=0,006). There were no significant differences in frequencies of antenatal care, labor by health care provider, puerperal health care, detection of high-risk pregnancy by the community, and family planning program in 10 regencies/cities in East Java Province, Indonesia. 

Conclusion: High-risk pregnancy detection by healthcare personnel and obstetrics complications management were related with MMR in 10 districts in East Java province, Indonesia.

References

Bappenas, BPS & UNFPA. 2013. Proyeksi Penduduk Indonesia 2010-2035. In: STATISTIK, B. P. (ed.). Jakarta: Badan Pusat Statistik.

BPS Jatim. 2015. Laporan Eksekutif Statistik Pendidikan Provinsi Jawa Timur 2015. Available: http://jatim.bps.go.id/4dm!n/pdf_publikasi/Laporan-Eksekutif--Statistik-Pendidikan-Provinsi-Jawa-Timur-2015.pdf [Accessed 17 January 2017].

Depkes RI 2008. Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia Tahun 2007. Departemen Kesehatan Indonesia.

Dinkes Provinsi Jawa Timur. 2016. Kematian Ibu dan Bayi di Jawa Timur. Surabaya: Dinkes Provinsi Jawa Timur.

Islami, D. 2016. Faktor Yang Mempengaruhi Kepatuhan Bidan Terhadap Pelaksanaan SOP Deteksi Dini Pre Eklampsia Di Puskesmas Kota Surabaya. Master Degree. Universitas Airlangga.

Kemenkes RI. 2010. Pedoman Pemantauan Wilayah Setempat Kesehatan Ibu dan Anak (PWS-KIA). Jakarta: Kementerian Kesehatan RI.

Kemenkes RI. 2016. Profil Kesehatan Indonesia 2015. Jakarta: Departemen Kesehatan RI.

NAS & AIPI. 2013. Reducing Maternal and Neonatal Mortality in Indonesia: Saving Lives, Saving the Future. In: Adashi, E., Oey-Gardiner, M., Adriaansz, G., Berman, P., Goldenberg, R. L., Sastroasmoro, S., Shankar, A. & Soemantri, S. (Eds.). Washington, DC: The National Academies Press

UNFPA. 2004. SAFE Research study and impacts. Maternal mortality update 2004, delivery into good hands. New York, UNFPA.

UNFPA. 2014. Setting standards for emergency obstetric and newborn care. Available: http://www.unfpa.org/resources/setting-standards-emergency-obstetric-and-newborn-care [Accessed 14 December 2016].

USAID. 2014. Report of the Mid‐Term Evaluation ‐ Expanding Maternal and Newborn Survival (EMAS) Program. Available: http://pdf.usaid.gov/pdf_docs/PA00JZ5Q.pdf [Accessed 12 December 2016].

WHO. 2000. Making pregnancy safer, a health sector strategy for reducing maternal and perinatal morbidity and mortality. New Delhi: WHO-SEARO.

WHO. 2003. Maternal mortality in 2000. Department of Reproductive Health and Research WHO.

WHO. 2007. Maternal Mortality 2007. Center For Maternal And Child Enquiries (CMACE).

WHO. 2014. Trends in maternal mortality: 1990 to 2013 : estimates by WHO, UNICEF, UNFPA. The World Bank and the United Nations Population Division: executive summary.

WHO. 2015. Trends in Maternal Mortality : 1990 to 2015 estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization.

WHO. 2015. Strategies toward ending preventable maternal mortality (EPMM). Available:http://apps.who.int/iris/bitstream/10665/153540/1/WHO_RHR_15.03_eng.pdf [Accessed 17 January 2017].


No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0