"...and then she died" : Indonesia Maternal Health Assessment
Maternal health remains one of the top priorities of the Government of Indonesia (GoI) and the Ministry of Health (MoH) because reductions in maternal mortality have been slows. The current Maternal Mortality Ratio (MMR) for Indonesia is 228 but wi...
| Main Author: | |
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| Format: | Health Sector Review |
| Language: | English |
| Published: |
World Bank
2012
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| Subjects: | |
| Online Access: | http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20100331020254 http://hdl.handle.net/10986/2837 |
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okr-10986-2837 |
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| recordtype |
oai_dc |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
ABORTION ABORTION SERVICES ACCESS TO HEALTH CARE ADOLESCENT GIRLS ADOLESCENTS AGE OF MARRIAGE ANESTHESIA ANTENATAL CARE BABIES BABY BASIC EDUCATION BIRTH ATTENDANT BIRTH ATTENDANTS BIRTH COMPLICATIONS BREAST-FEEDING C-SECTION C-SECTIONS CAUSES OF DEATH CESAREAN SECTION CHILD HEALTH CHILDBIRTH CHILDHOOD DISEASES CLINICS COMMUNITY HEALTH COMPLICATIONS CONSEQUENCES OF ABORTION CONTRACEPTION CONTRACEPTIVE AVAILABILITY CONTRACEPTIVE PREVALENCE CONTRACEPTIVE SERVICES CONTRACEPTIVE SUPPLIES CONTRACEPTIVES DECISION MAKING DELIVERY CARE DISEASE DOCTORS DOUBLE BURDEN DRUGS ECONOMIC STATUS EFFECTIVE ACTION EMERGENCIES EMERGENCY OBSTETRIC CARE EMERGENCY OBSTETRICAL CARE FAMILIES FAMILY INCOME FAMILY PLANNING FAMILY PLANNING FIELD FAMILY PLANNING METHODS FAMILY PLANNING PROGRAM FAMILY PLANNING PROGRAMS FEES FOR SERVICES FEMALES FERTILITY FERTILITY RATE FERTILITY RATES FIRST MARRIAGE FORMAL EDUCATION GOVERNMENT POLICIES GOVERNMENT RESPONSE GOVERNMENT SUPPORT GYNECOLOGY HEALTH CARE HEALTH CENTERS HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH POLICY HEALTH PROFESSIONAL HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEPATITIS B HOME AFFAIRS HOSPITAL HOSPITALS HUMAN RIGHTS IMMUNIZATION IMMUNIZATIONS INEQUITIES INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEMS INSERVICE TRAINING INSURANCE SCHEMES IRON ISOLATION IUD IUDS JOB SECURITY LEADING CAUSES LEADING CAUSES OF DEATH LEGAL STATUS LEGAL STATUS OF ABORTION LEVEL OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS LOCAL COMMUNITY MARITAL STATUS MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL HEALTH INTERVENTIONS MATERNAL HEALTH SERVICES MATERNAL MORBIDITY MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MATERNAL MORTALITY REDUCTION MATERNITY CARE MATERNITY HOSPITALS MEDICAL EQUIPMENT MEDICAL PROFESSIONALS MEDICAL SERVICES MEDICAL TREATMENT MIDWIFE MIDWIFERY MIDWIVES MILLENNIUM DEVELOPMENT GOAL MINISTRY OF HEALTH MODERN FAMILY MODERN FAMILY PLANNING MORBIDITY MORTALITY MOTHER MOTHER FRIENDLY MOVEMENT NATIONAL ACTION NATIONAL ACTION PLAN NATIONAL DEVELOPMENT NATIONAL DEVELOPMENT PLAN NATIONAL POLICY NEED FOR FAMILY PLANNING NEONATAL CARE NEWBORN NEWBORN CARE NEWBORNS NORMAL DELIVERIES NURSE NURSES NURSING NUTRITION OBSTETRIC COMPLICATIONS OBSTETRICS OLDER WOMEN PATIENT PATIENT EDUCATION PERSONAL COMMUNICATION PHYSICIANS PILL PILOT PROJECTS POLICY MAKERS POOR FAMILIES POPULATION EXPLOSION POPULATION GROUPS POPULATION GROWTH POSTABORTION POSTABORTION CARE POSTNATAL CARE PREGNANCY PREGNANCY TERMINATION PREGNANT WOMEN PRENATAL CARE PRIMARY SCHOOL PROGRESS PROVISION OF ASSISTANCE PUBLIC HEALTH PUBLIC HOSPITALS QUALITY IMPROVEMENT QUALITY OF CARE QUALITY OF SERVICES RAPE REDUCING MATERNAL MORTALITY REFERRAL SYSTEM REPRODUCTIVE AGE REPRODUCTIVE HEALTH RISK FACTORS RURAL AREAS RURAL GIRLS SAFE ABORTION SAFE MOTHERHOOD SAFETY NET SECONDARY EDUCATION SECONDARY SCHOOL SELF-RELIANCE SERVICE DELIVERY SERVICE PROVIDER SERVICE QUALITY SEXUALLY ACTIVE SHORT SUPPLY SKILL LEVEL SKILLED ATTENDANT SKILLED BIRTH ATTENDANTS SKILLED CARE SKILLED HEALTH PROVIDER SOCIAL HEALTH INSURANCE SOCIAL STATUS SPECIALISTS STERILIZATION SURGERY TETANUS TOLERANCE TRADITIONAL BIRTH ATTENDANT TRADITIONAL BIRTH ATTENDANTS TRANSPORTATION UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL ACCESS UNSAFE ABORTIONS UNWANTED PREGNANCY URBAN AREAS URBAN CENTERS USE OF FAMILY PLANNING VACCINES WASTE WHITE RIBBON ALLIANCE WOMAN WORKERS WORKFORCE WORLD HEALTH ORGANIZATION |
| spellingShingle |
ABORTION ABORTION SERVICES ACCESS TO HEALTH CARE ADOLESCENT GIRLS ADOLESCENTS AGE OF MARRIAGE ANESTHESIA ANTENATAL CARE BABIES BABY BASIC EDUCATION BIRTH ATTENDANT BIRTH ATTENDANTS BIRTH COMPLICATIONS BREAST-FEEDING C-SECTION C-SECTIONS CAUSES OF DEATH CESAREAN SECTION CHILD HEALTH CHILDBIRTH CHILDHOOD DISEASES CLINICS COMMUNITY HEALTH COMPLICATIONS CONSEQUENCES OF ABORTION CONTRACEPTION CONTRACEPTIVE AVAILABILITY CONTRACEPTIVE PREVALENCE CONTRACEPTIVE SERVICES CONTRACEPTIVE SUPPLIES CONTRACEPTIVES DECISION MAKING DELIVERY CARE DISEASE DOCTORS DOUBLE BURDEN DRUGS ECONOMIC STATUS EFFECTIVE ACTION EMERGENCIES EMERGENCY OBSTETRIC CARE EMERGENCY OBSTETRICAL CARE FAMILIES FAMILY INCOME FAMILY PLANNING FAMILY PLANNING FIELD FAMILY PLANNING METHODS FAMILY PLANNING PROGRAM FAMILY PLANNING PROGRAMS FEES FOR SERVICES FEMALES FERTILITY FERTILITY RATE FERTILITY RATES FIRST MARRIAGE FORMAL EDUCATION GOVERNMENT POLICIES GOVERNMENT RESPONSE GOVERNMENT SUPPORT GYNECOLOGY HEALTH CARE HEALTH CENTERS HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH POLICY HEALTH PROFESSIONAL HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEPATITIS B HOME AFFAIRS HOSPITAL HOSPITALS HUMAN RIGHTS IMMUNIZATION IMMUNIZATIONS INEQUITIES INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEMS INSERVICE TRAINING INSURANCE SCHEMES IRON ISOLATION IUD IUDS JOB SECURITY LEADING CAUSES LEADING CAUSES OF DEATH LEGAL STATUS LEGAL STATUS OF ABORTION LEVEL OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS LOCAL COMMUNITY MARITAL STATUS MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL HEALTH INTERVENTIONS MATERNAL HEALTH SERVICES MATERNAL MORBIDITY MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MATERNAL MORTALITY REDUCTION MATERNITY CARE MATERNITY HOSPITALS MEDICAL EQUIPMENT MEDICAL PROFESSIONALS MEDICAL SERVICES MEDICAL TREATMENT MIDWIFE MIDWIFERY MIDWIVES MILLENNIUM DEVELOPMENT GOAL MINISTRY OF HEALTH MODERN FAMILY MODERN FAMILY PLANNING MORBIDITY MORTALITY MOTHER MOTHER FRIENDLY MOVEMENT NATIONAL ACTION NATIONAL ACTION PLAN NATIONAL DEVELOPMENT NATIONAL DEVELOPMENT PLAN NATIONAL POLICY NEED FOR FAMILY PLANNING NEONATAL CARE NEWBORN NEWBORN CARE NEWBORNS NORMAL DELIVERIES NURSE NURSES NURSING NUTRITION OBSTETRIC COMPLICATIONS OBSTETRICS OLDER WOMEN PATIENT PATIENT EDUCATION PERSONAL COMMUNICATION PHYSICIANS PILL PILOT PROJECTS POLICY MAKERS POOR FAMILIES POPULATION EXPLOSION POPULATION GROUPS POPULATION GROWTH POSTABORTION POSTABORTION CARE POSTNATAL CARE PREGNANCY PREGNANCY TERMINATION PREGNANT WOMEN PRENATAL CARE PRIMARY SCHOOL PROGRESS PROVISION OF ASSISTANCE PUBLIC HEALTH PUBLIC HOSPITALS QUALITY IMPROVEMENT QUALITY OF CARE QUALITY OF SERVICES RAPE REDUCING MATERNAL MORTALITY REFERRAL SYSTEM REPRODUCTIVE AGE REPRODUCTIVE HEALTH RISK FACTORS RURAL AREAS RURAL GIRLS SAFE ABORTION SAFE MOTHERHOOD SAFETY NET SECONDARY EDUCATION SECONDARY SCHOOL SELF-RELIANCE SERVICE DELIVERY SERVICE PROVIDER SERVICE QUALITY SEXUALLY ACTIVE SHORT SUPPLY SKILL LEVEL SKILLED ATTENDANT SKILLED BIRTH ATTENDANTS SKILLED CARE SKILLED HEALTH PROVIDER SOCIAL HEALTH INSURANCE SOCIAL STATUS SPECIALISTS STERILIZATION SURGERY TETANUS TOLERANCE TRADITIONAL BIRTH ATTENDANT TRADITIONAL BIRTH ATTENDANTS TRANSPORTATION UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL ACCESS UNSAFE ABORTIONS UNWANTED PREGNANCY URBAN AREAS URBAN CENTERS USE OF FAMILY PLANNING VACCINES WASTE WHITE RIBBON ALLIANCE WOMAN WORKERS WORKFORCE WORLD HEALTH ORGANIZATION World Bank "...and then she died" : Indonesia Maternal Health Assessment |
| geographic_facet |
East Asia and Pacific Southeast Asia Asia Indonesia |
| description |
Maternal health remains one of the top
priorities of the Government of Indonesia (GoI) and the
Ministry of Health (MoH) because reductions in maternal
mortality have been slows. The current Maternal Mortality
Ratio (MMR) for Indonesia is 228 but with existing programs
and interventions the government does not believe it will be
able to achieve its stated millennium development goal of
102 maternal deaths per 100,000 live births by 2015. There
are positive trends in an increased use of skilled birth
attendants, almost universal access to some level of
antenatal care and continued use of family planning but
these are not enough to stem the tide of maternal death.
Interventions by the skilled birth attendants in many cases
are not in line with existing standards and prove to be
ineffective in trying to address the emergence of
complications. Antenatal care is important, but it is not
where gains in decreased mortality will be obtained. The
continued use of traditional birth attendants (TBA) and
delivering at home are contributory factors to maternal
mortality in Indonesia. In collecting data from verbal
autopsies in three districts, (a widely used government
initiative to determine the causes of maternal death) 63 out
of 76 deaths occurred in home births that had been assisted
by a TBA. In order to improve the access of the poor and the
near poor to health services, the government is implementing
the social insurance scheme, Jamkesmas. Approximately 104
million people should qualify for assistance but there are
presently only 76.4 million people covered by this social
health insurance (SHI) plan. Even those who are covered are
not always able to afford care because of external expenses
such as transportation charges which must be paid up front. |
| format |
Economic & Sector Work :: Health Sector Review |
| author |
World Bank |
| author_facet |
World Bank |
| author_sort |
World Bank |
| title |
"...and then she died" : Indonesia Maternal Health Assessment |
| title_short |
"...and then she died" : Indonesia Maternal Health Assessment |
| title_full |
"...and then she died" : Indonesia Maternal Health Assessment |
| title_fullStr |
"...and then she died" : Indonesia Maternal Health Assessment |
| title_full_unstemmed |
"...and then she died" : Indonesia Maternal Health Assessment |
| title_sort |
"...and then she died" : indonesia maternal health assessment |
| publisher |
World Bank |
| publishDate |
2012 |
| url |
http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20100331020254 http://hdl.handle.net/10986/2837 |
| _version_ |
1764386029042663424 |
| spelling |
okr-10986-28372021-04-23T14:02:04Z "...and then she died" : Indonesia Maternal Health Assessment World Bank ABORTION ABORTION SERVICES ACCESS TO HEALTH CARE ADOLESCENT GIRLS ADOLESCENTS AGE OF MARRIAGE ANESTHESIA ANTENATAL CARE BABIES BABY BASIC EDUCATION BIRTH ATTENDANT BIRTH ATTENDANTS BIRTH COMPLICATIONS BREAST-FEEDING C-SECTION C-SECTIONS CAUSES OF DEATH CESAREAN SECTION CHILD HEALTH CHILDBIRTH CHILDHOOD DISEASES CLINICS COMMUNITY HEALTH COMPLICATIONS CONSEQUENCES OF ABORTION CONTRACEPTION CONTRACEPTIVE AVAILABILITY CONTRACEPTIVE PREVALENCE CONTRACEPTIVE SERVICES CONTRACEPTIVE SUPPLIES CONTRACEPTIVES DECISION MAKING DELIVERY CARE DISEASE DOCTORS DOUBLE BURDEN DRUGS ECONOMIC STATUS EFFECTIVE ACTION EMERGENCIES EMERGENCY OBSTETRIC CARE EMERGENCY OBSTETRICAL CARE FAMILIES FAMILY INCOME FAMILY PLANNING FAMILY PLANNING FIELD FAMILY PLANNING METHODS FAMILY PLANNING PROGRAM FAMILY PLANNING PROGRAMS FEES FOR SERVICES FEMALES FERTILITY FERTILITY RATE FERTILITY RATES FIRST MARRIAGE FORMAL EDUCATION GOVERNMENT POLICIES GOVERNMENT RESPONSE GOVERNMENT SUPPORT GYNECOLOGY HEALTH CARE HEALTH CENTERS HEALTH INSURANCE HEALTH INTERVENTIONS HEALTH POLICY HEALTH PROFESSIONAL HEALTH PROFESSIONALS HEALTH PROVIDERS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HEALTH WORKERS HEPATITIS B HOME AFFAIRS HOSPITAL HOSPITALS HUMAN RIGHTS IMMUNIZATION IMMUNIZATIONS INEQUITIES INFANT INFANT MORTALITY INFECTIOUS DISEASES INFORMATION SYSTEMS INSERVICE TRAINING INSURANCE SCHEMES IRON ISOLATION IUD IUDS JOB SECURITY LEADING CAUSES LEADING CAUSES OF DEATH LEGAL STATUS LEGAL STATUS OF ABORTION LEVEL OF EDUCATION LIFE EXPECTANCY LIVE BIRTHS LOCAL COMMUNITY MARITAL STATUS MATERNAL DEATH MATERNAL DEATHS MATERNAL HEALTH MATERNAL HEALTH CARE MATERNAL HEALTH INTERVENTIONS MATERNAL HEALTH SERVICES MATERNAL MORBIDITY MATERNAL MORTALITY MATERNAL MORTALITY RATES MATERNAL MORTALITY RATIO MATERNAL MORTALITY RATIOS MATERNAL MORTALITY REDUCTION MATERNITY CARE MATERNITY HOSPITALS MEDICAL EQUIPMENT MEDICAL PROFESSIONALS MEDICAL SERVICES MEDICAL TREATMENT MIDWIFE MIDWIFERY MIDWIVES MILLENNIUM DEVELOPMENT GOAL MINISTRY OF HEALTH MODERN FAMILY MODERN FAMILY PLANNING MORBIDITY MORTALITY MOTHER MOTHER FRIENDLY MOVEMENT NATIONAL ACTION NATIONAL ACTION PLAN NATIONAL DEVELOPMENT NATIONAL DEVELOPMENT PLAN NATIONAL POLICY NEED FOR FAMILY PLANNING NEONATAL CARE NEWBORN NEWBORN CARE NEWBORNS NORMAL DELIVERIES NURSE NURSES NURSING NUTRITION OBSTETRIC COMPLICATIONS OBSTETRICS OLDER WOMEN PATIENT PATIENT EDUCATION PERSONAL COMMUNICATION PHYSICIANS PILL PILOT PROJECTS POLICY MAKERS POOR FAMILIES POPULATION EXPLOSION POPULATION GROUPS POPULATION GROWTH POSTABORTION POSTABORTION CARE POSTNATAL CARE PREGNANCY PREGNANCY TERMINATION PREGNANT WOMEN PRENATAL CARE PRIMARY SCHOOL PROGRESS PROVISION OF ASSISTANCE PUBLIC HEALTH PUBLIC HOSPITALS QUALITY IMPROVEMENT QUALITY OF CARE QUALITY OF SERVICES RAPE REDUCING MATERNAL MORTALITY REFERRAL SYSTEM REPRODUCTIVE AGE REPRODUCTIVE HEALTH RISK FACTORS RURAL AREAS RURAL GIRLS SAFE ABORTION SAFE MOTHERHOOD SAFETY NET SECONDARY EDUCATION SECONDARY SCHOOL SELF-RELIANCE SERVICE DELIVERY SERVICE PROVIDER SERVICE QUALITY SEXUALLY ACTIVE SHORT SUPPLY SKILL LEVEL SKILLED ATTENDANT SKILLED BIRTH ATTENDANTS SKILLED CARE SKILLED HEALTH PROVIDER SOCIAL HEALTH INSURANCE SOCIAL STATUS SPECIALISTS STERILIZATION SURGERY TETANUS TOLERANCE TRADITIONAL BIRTH ATTENDANT TRADITIONAL BIRTH ATTENDANTS TRANSPORTATION UNFPA UNITED NATIONS POPULATION FUND UNIVERSAL ACCESS UNSAFE ABORTIONS UNWANTED PREGNANCY URBAN AREAS URBAN CENTERS USE OF FAMILY PLANNING VACCINES WASTE WHITE RIBBON ALLIANCE WOMAN WORKERS WORKFORCE WORLD HEALTH ORGANIZATION Maternal health remains one of the top priorities of the Government of Indonesia (GoI) and the Ministry of Health (MoH) because reductions in maternal mortality have been slows. The current Maternal Mortality Ratio (MMR) for Indonesia is 228 but with existing programs and interventions the government does not believe it will be able to achieve its stated millennium development goal of 102 maternal deaths per 100,000 live births by 2015. There are positive trends in an increased use of skilled birth attendants, almost universal access to some level of antenatal care and continued use of family planning but these are not enough to stem the tide of maternal death. Interventions by the skilled birth attendants in many cases are not in line with existing standards and prove to be ineffective in trying to address the emergence of complications. Antenatal care is important, but it is not where gains in decreased mortality will be obtained. The continued use of traditional birth attendants (TBA) and delivering at home are contributory factors to maternal mortality in Indonesia. In collecting data from verbal autopsies in three districts, (a widely used government initiative to determine the causes of maternal death) 63 out of 76 deaths occurred in home births that had been assisted by a TBA. In order to improve the access of the poor and the near poor to health services, the government is implementing the social insurance scheme, Jamkesmas. Approximately 104 million people should qualify for assistance but there are presently only 76.4 million people covered by this social health insurance (SHI) plan. Even those who are covered are not always able to afford care because of external expenses such as transportation charges which must be paid up front. 2012-03-19T10:22:16Z 2012-03-19T10:22:16Z 2010-02-01 http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333038_20100331020254 http://hdl.handle.net/10986/2837 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank Economic & Sector Work :: Health Sector Review East Asia and Pacific Southeast Asia Asia Indonesia |