Analisa Kesehatan Ibu Dan Neonatal Kabupaten Gianyar, 2010

Abstract

Despite the tremendous overall improvement on maternal mortality and infant mortality still there is significant public health issue, commands and enormous amount of attention of these subjects in Indonesia. One of the main issues is how to provide high-quality services to the community in order toreduce maternal mortality and infant mortality including neonatal mortality. This article is to analyse problem related to issue on maternal and infant services in Gianyar District in 2010. The data sources are from the 2010 Health Profile of Gianyar, cause of death registration mechanism that have been implemented since 2010 in Gianyar and from the 1994, 1997, 2002-2003 and 2007 Indonesia Demographic and Health Survey. This study reveals that antenatal care and health provider birth attendance have been reaching the target, more than 90%. However, there are two high risk of maternal deaths; one is due to too young (age 19 years old) and the other one is due to too old (age 39 year old) of pregnancy. The direct causes of both are pre-eclampsia of the young mother and decompensasi cordis of the old mother. Finding also shows that the main cause of neonatal death is asphyxia and unfortunately the death mostly occured at the hospitals. It seems that health providers require knowledge and skills addressed primarily through training. Continued skills support through refresher training, magang and supervision can help strengthen skills in order to maintain competency and proficiency. Also the community need to be educated by introducing high risk factors related to the pregnancy and women right for avoiding unwanted pregnancy