ACTORS CONTRIBUTING IN THE DECLINE OF MATERNAL MORTALITY AND LABOR SERVICES PROBLEMS
Abstract: The targeted 102 per
100,000 live births maternal mortality rate (AKI) in Semarang has not been
achieved yet. In the era of childbirth insurance program in 2011, AKI reached
119.9 per 100,000. Then, in the era of National Health Insurance (JKN) by
Social Security Administrator (BPJS), the AKI in 2004 was 109,2 per 100.000
live births. The study design was qualitative with grounded theory approach.
There were 4 research focuses: 1) actors who contribute in labor services; 2)
referral delay; 3) Community Health Center (Puskesmas) with basic essential
obstetric–neonatal service (Poned); 4) profile of each obstetric services level
in Semarang. The results showed that there were 2 groups of actors who
contributed to prevention of maternal death. The first group were obstetrics
and gynecologists, health surveyors, and professional organizations. The second
group were family and society, including husband, mother, in-laws, and public
figures. Many maternal death occurred in referral hospitals. There are three
types of delay that often occur in Semarang, namely delay in decision-making,
delay in accessing health services, and delay in acquiring health services.
Keywords: Maternal
Mortality Rate, Actor, Referral Delay
Author: Dewi Sari Rochmayani
Journal Code: jpkesmasgg180012
