STRATEGI MPS (MAKE PREGNANCY SAFER) DALAM UPAYA PENINGKATAN KESEHATAN MATERNAL DAN NEONATAL DI KABUPATEN HALMAHERA SELATAN PROPINSI MALUKU UTARA

ari subowo


Abstract


The leading cause of Maternal and early neonatal death are mostly
preventable with early recognition and access to skilled care. Although antenatal
care coverage is high, the quality of care is reported to be poor and the percentage
of delivery by skilled providers is only 66% despite targeted government efforts.
Thousand of womens lives could be saved if pregnant women were attended by
skilled health personnel during delivery and were able to access obstetric services
for complications. Insufficient quality of care during pregnancy and delivery and
in the context of the economic crisis, payment for maternity services, especially
emergency services, has become a major obstacle to service utilization. Access
and utilization hinge both upon transport and a range of economic, sosial, cultural
and behavioral faktors including womens ability to decide when and where to
seek care. To address specifically some of these problems, the President of the
Republic of Indonesia launched Making Pregnancy Safer (MPS), a healthfocused
initiative, in October 2000. A National Strategy for MPS was developed
and launched in November 2001. The MPS strategy focuses on what the health
sektor, working in collaboration with other partners and sektors, can do to ensure
that all pregnancies are wanted, that women can go safely through pregnancy
and childbirth, and that infants are born alive and healthy.

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