Issues in training for essential maternal health care in Indonesia

Abdul B. Saifuddin
1997 Medical Journal of Indonesia  
Abstrak Anglca Kematian lbu di Indonesia masih tinggi, yaitu sekitar 390 per 100.000 kelahiran hidup pada tahun 1994. Perkiraan AKI dari beberapa penehrtan sejak 1978-1994 menunjukkan penurunan yang lamban, walaupun telah dicanangkan bahwa pada akhir Repelin VI angla kematian ibu diharaplun dapat ,nenjadi 225 per 100.000 kelahiran hidup. Upaya penurunan AKI di Indonesia telah banyak dilakukan. Diurailcan. tentang kerangka l<onseptual dari McCarthy dan Maine yang terdii atas determinan jauh,
more » ... eterminan jauh, determinan antara, dan keluaran. Keluaran meliputi proses kehannilan, komplilcasi kehamilan dan persalinan, dan kematian/disabilitas. Determinan antara rneliputi status kesehatan, status reproduksi, al<ses pada pelayanan kesehatan, dan perilaht/pemanfaatan pelayanan kesehatan, serta faktor-faktor yang tidak terduga. Determinan jauh melipurt stutus wanitct, status keluarga, dan status masyarakat. Pada bagian terakhir ditinjau tentang peran pelatihan pada Gerakan Safe Motherhood, meliputi pendidil<an tenaga kesehatan dan pelntihnn laniutan tenaga kesehatan. Peranan Jaingan Nasional Pelatihan Klinikyang dipeloport okh POGI yang memperkenalkan Pelartlnn Berdasar Kompetensi dalam bidong Keluarga Berencana dan Kesehatan Reproduksi sangat berarti. Abstract The Matemal Mortality Ratio (MMR) in Indonesia remains high, i.e. approximately 390 per 100,000 live births. The esrtmated MMR obtained from the studies from 1978 to 1994 suggests a sbw reduction, although it has been determined that by the end of Five Year Plan VI, the MMR is expected to be reduced to 225 per 100,000 live births. The efforts to reduce the MMR in Indonesia have been reasonably made. The conceptualframeworkfromMcCartlry andMaine, consisrtng of distant determinants, intermediate determinants, and outcomc will be outlined. The outcome includes the process of pregnancy, complication of pregnancy and labor, and mortality/disability. The intermediate determinants include health status, reproductive status, access to health services, health care behavior, and unknown/unpredictedfactors. The distant determilwnts encompasses womm's status, family's status in community, and cotntnunity's status. The last section of this paper reviews the role of the trainings in safe motherhood movement, covering the education of health personnel and the subsequent continuing education. The role of the National Clinical Training Network initiated by POGI, which introduces the Competency Based Training in Family Plnnning and Reproductive Health is very significant.
doi:10.13181/mji.v6i3.817 fatcat:yfuovaf7tbfmzj7me2ztm7g6ou