Title:
MATERNAL MORTALITY IN INDONESIA: Barriers and Interventions for Preventing
Authors:
Apriliyanti, Riska
Publisher:
KIT - Royal Tropical Institute
Year:
2016
PAGE:
x, 47
Language:
En
Subject:
Maternal Health – Lessons Learned
Keywords:
Maternal Mortality, Indonesia, Barrier, Intervention, Three Delays Model
Abstract:
Background: Indonesia is one of the countries which high maternal mortality. In 2012, there were 359 maternal deaths per 100.000 live births (95% CI: 239-478) in 2012 (SDKI 2012). Objective: This study aims to explore barriers in reducing maternal mortality and reviewing the effectiveness of health interventions in Indonesia. Methods: This study uses the Three Delay Model by Thaddaeus and Maine (1994) to identify the barriers in reducing maternal mortality in Indonesia. This study is a literature review study. Data were compiled through journals, reports, online search engines, and academic national/international websites. The Findings: the study shows that all areas of Three Delays Model contributed to maternal mortality especially the third delay. Cultural factors, such as perception of need of health care, unsafe abortion, women’s status, education, perceived accessibility, and perceived quality of care, were still influenced women deciding to seek health care (first delay). Reaching health facilities (second delay) were affecting by accessibility of health facilities like health care centers distribution, infrastructures, and costs that made difficulty for rural populations. Receiving adequate and appropriate treatment in time (third delay) is affected by quality of care include staff and equipment in health facilities that unadequate in Indonesia. Both government and community already handled delays even though more improvements are still needed. Recommendation: This study recommends improving quality of care to strengthen health system especially maternal health. Development of Poverty reduction and multisectoral approaches are also important to reduce maternal mortality in Indonesia.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT - Royal Tropical Institute
Country:
Indonesia
Region:
South east Asia
Training:
Master in International Health
Category:
research
Right:
@ 2016 Apriliyanti
Document type:
Thesis/dissertation
File:
BV1Zdeqjac_2017111915555706.pdf