"...and then she died" : Indonesia Maternal Health Assessment

World Bank

dc.creator	World Bank
dc.date	2012-03-19T10:22:16Z
dc.date	2012-03-19T10:22:16Z
dc.date	2010-02-01
dc.date.accessioned	2023-02-17T20:42:35Z
dc.date.available	2023-02-17T20:42:35Z
dc.identifier	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
dc.identifier	http://hdl.handle.net/10986/2837
dc.identifier.uri	http://localhost:8080/xmlui/handle/CUHPOERS/243198
dc.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.
dc.language	English
dc.publisher	World Bank
dc.rights	CC BY 3.0 IGO
dc.rights	http://creativecommons.org/licenses/by/3.0/igo/
dc.rights	World Bank
dc.subject	ABORTION
dc.subject	ABORTION SERVICES
dc.subject	ACCESS TO HEALTH CARE
dc.subject	ADOLESCENT GIRLS
dc.subject	ADOLESCENTS
dc.subject	AGE OF MARRIAGE
dc.subject	ANESTHESIA
dc.subject	ANTENATAL CARE
dc.subject	BABIES
dc.subject	BABY
dc.subject	BASIC EDUCATION
dc.subject	BIRTH ATTENDANT
dc.subject	BIRTH ATTENDANTS
dc.subject	BIRTH COMPLICATIONS
dc.subject	BREAST-FEEDING
dc.subject	C-SECTION
dc.subject	C-SECTIONS
dc.subject	CAUSES OF DEATH
dc.subject	CESAREAN SECTION
dc.subject	CHILD HEALTH
dc.subject	CHILDBIRTH
dc.subject	CHILDHOOD DISEASES
dc.subject	CLINICS
dc.subject	COMMUNITY HEALTH
dc.subject	COMPLICATIONS
dc.subject	CONSEQUENCES OF ABORTION
dc.subject	CONTRACEPTION
dc.subject	CONTRACEPTIVE AVAILABILITY
dc.subject	CONTRACEPTIVE PREVALENCE
dc.subject	CONTRACEPTIVE SERVICES
dc.subject	CONTRACEPTIVE SUPPLIES
dc.subject	CONTRACEPTIVES
dc.subject	DECISION MAKING
dc.subject	DELIVERY CARE
dc.subject	DISEASE
dc.subject	DOCTORS
dc.subject	DOUBLE BURDEN
dc.subject	DRUGS
dc.subject	ECONOMIC STATUS
dc.subject	EFFECTIVE ACTION
dc.subject	EMERGENCIES
dc.subject	EMERGENCY OBSTETRIC CARE
dc.subject	EMERGENCY OBSTETRICAL CARE
dc.subject	FAMILIES
dc.subject	FAMILY INCOME
dc.subject	FAMILY PLANNING
dc.subject	FAMILY PLANNING FIELD
dc.subject	FAMILY PLANNING METHODS
dc.subject	FAMILY PLANNING PROGRAM
dc.subject	FAMILY PLANNING PROGRAMS
dc.subject	FEES FOR SERVICES
dc.subject	FEMALES
dc.subject	FERTILITY
dc.subject	FERTILITY RATE
dc.subject	FERTILITY RATES
dc.subject	FIRST MARRIAGE
dc.subject	FORMAL EDUCATION
dc.subject	GOVERNMENT POLICIES
dc.subject	GOVERNMENT RESPONSE
dc.subject	GOVERNMENT SUPPORT
dc.subject	GYNECOLOGY
dc.subject	HEALTH CARE
dc.subject	HEALTH CENTERS
dc.subject	HEALTH INSURANCE
dc.subject	HEALTH INTERVENTIONS
dc.subject	HEALTH POLICY
dc.subject	HEALTH PROFESSIONAL
dc.subject	HEALTH PROFESSIONALS
dc.subject	HEALTH PROVIDERS
dc.subject	HEALTH SECTOR
dc.subject	HEALTH SERVICE
dc.subject	HEALTH SERVICES
dc.subject	HEALTH SYSTEM
dc.subject	HEALTH SYSTEMS
dc.subject	HEALTH WORKERS
dc.subject	HEPATITIS B
dc.subject	HOME AFFAIRS
dc.subject	HOSPITAL
dc.subject	HOSPITALS
dc.subject	HUMAN RIGHTS
dc.subject	IMMUNIZATION
dc.subject	IMMUNIZATIONS
dc.subject	INEQUITIES
dc.subject	INFANT
dc.subject	INFANT MORTALITY
dc.subject	INFECTIOUS DISEASES
dc.subject	INFORMATION SYSTEMS
dc.subject	INSERVICE TRAINING
dc.subject	INSURANCE SCHEMES
dc.subject	IRON
dc.subject	ISOLATION
dc.subject	IUD
dc.subject	IUDS
dc.subject	JOB SECURITY
dc.subject	LEADING CAUSES
dc.subject	LEADING CAUSES OF DEATH
dc.subject	LEGAL STATUS
dc.subject	LEGAL STATUS OF ABORTION
dc.subject	LEVEL OF EDUCATION
dc.subject	LIFE EXPECTANCY
dc.subject	LIVE BIRTHS
dc.subject	LOCAL COMMUNITY
dc.subject	MARITAL STATUS
dc.subject	MATERNAL DEATH
dc.subject	MATERNAL DEATHS
dc.subject	MATERNAL HEALTH
dc.subject	MATERNAL HEALTH CARE
dc.subject	MATERNAL HEALTH INTERVENTIONS
dc.subject	MATERNAL HEALTH SERVICES
dc.subject	MATERNAL MORBIDITY
dc.subject	MATERNAL MORTALITY
dc.subject	MATERNAL MORTALITY RATES
dc.subject	MATERNAL MORTALITY RATIO
dc.subject	MATERNAL MORTALITY RATIOS
dc.subject	MATERNAL MORTALITY REDUCTION
dc.subject	MATERNITY CARE
dc.subject	MATERNITY HOSPITALS
dc.subject	MEDICAL EQUIPMENT
dc.subject	MEDICAL PROFESSIONALS
dc.subject	MEDICAL SERVICES
dc.subject	MEDICAL TREATMENT
dc.subject	MIDWIFE
dc.subject	MIDWIFERY
dc.subject	MIDWIVES
dc.subject	MILLENNIUM DEVELOPMENT GOAL
dc.subject	MINISTRY OF HEALTH
dc.subject	MODERN FAMILY
dc.subject	MODERN FAMILY PLANNING
dc.subject	MORBIDITY
dc.subject	MORTALITY
dc.subject	MOTHER
dc.subject	MOTHER FRIENDLY MOVEMENT
dc.subject	NATIONAL ACTION
dc.subject	NATIONAL ACTION PLAN
dc.subject	NATIONAL DEVELOPMENT
dc.subject	NATIONAL DEVELOPMENT PLAN
dc.subject	NATIONAL POLICY
dc.subject	NEED FOR FAMILY PLANNING
dc.subject	NEONATAL CARE
dc.subject	NEWBORN
dc.subject	NEWBORN CARE
dc.subject	NEWBORNS
dc.subject	NORMAL DELIVERIES
dc.subject	NURSE
dc.subject	NURSES
dc.subject	NURSING
dc.subject	NUTRITION
dc.subject	OBSTETRIC COMPLICATIONS
dc.subject	OBSTETRICS
dc.subject	OLDER WOMEN
dc.subject	PATIENT
dc.subject	PATIENT EDUCATION
dc.subject	PERSONAL COMMUNICATION
dc.subject	PHYSICIANS
dc.subject	PILL
dc.subject	PILOT PROJECTS
dc.subject	POLICY MAKERS
dc.subject	POOR FAMILIES
dc.subject	POPULATION EXPLOSION
dc.subject	POPULATION GROUPS
dc.subject	POPULATION GROWTH
dc.subject	POSTABORTION
dc.subject	POSTABORTION CARE
dc.subject	POSTNATAL CARE
dc.subject	PREGNANCY
dc.subject	PREGNANCY TERMINATION
dc.subject	PREGNANT WOMEN
dc.subject	PRENATAL CARE
dc.subject	PRIMARY SCHOOL
dc.subject	PROGRESS
dc.subject	PROVISION OF ASSISTANCE
dc.subject	PUBLIC HEALTH
dc.subject	PUBLIC HOSPITALS
dc.subject	QUALITY IMPROVEMENT
dc.subject	QUALITY OF CARE
dc.subject	QUALITY OF SERVICES
dc.subject	RAPE
dc.subject	REDUCING MATERNAL MORTALITY
dc.subject	REFERRAL SYSTEM
dc.subject	REPRODUCTIVE AGE
dc.subject	REPRODUCTIVE HEALTH
dc.subject	RISK FACTORS
dc.subject	RURAL AREAS
dc.subject	RURAL GIRLS
dc.subject	SAFE ABORTION
dc.subject	SAFE MOTHERHOOD
dc.subject	SAFETY NET
dc.subject	SECONDARY EDUCATION
dc.subject	SECONDARY SCHOOL
dc.subject	SELF-RELIANCE
dc.subject	SERVICE DELIVERY
dc.subject	SERVICE PROVIDER
dc.subject	SERVICE QUALITY
dc.subject	SEXUALLY ACTIVE
dc.subject	SHORT SUPPLY
dc.subject	SKILL LEVEL
dc.subject	SKILLED ATTENDANT
dc.subject	SKILLED BIRTH ATTENDANTS
dc.subject	SKILLED CARE
dc.subject	SKILLED HEALTH PROVIDER
dc.subject	SOCIAL HEALTH INSURANCE
dc.subject	SOCIAL STATUS
dc.subject	SPECIALISTS
dc.subject	STERILIZATION
dc.subject	SURGERY
dc.subject	TETANUS
dc.subject	TOLERANCE
dc.subject	TRADITIONAL BIRTH ATTENDANT
dc.subject	TRADITIONAL BIRTH ATTENDANTS
dc.subject	TRANSPORTATION
dc.subject	UNFPA
dc.subject	UNITED NATIONS POPULATION FUND
dc.subject	UNIVERSAL ACCESS
dc.subject	UNSAFE ABORTIONS
dc.subject	UNWANTED PREGNANCY
dc.subject	URBAN AREAS
dc.subject	URBAN CENTERS
dc.subject	USE OF FAMILY PLANNING
dc.subject	VACCINES
dc.subject	WASTE
dc.subject	WHITE RIBBON ALLIANCE
dc.subject	WOMAN
dc.subject	WORKERS
dc.subject	WORKFORCE
dc.subject	WORLD HEALTH ORGANIZATION
dc.title	"...and then she died" : Indonesia Maternal Health Assessment
dc.type	Economic & Sector Work :: Health Sector Review
dc.coverage	East Asia and Pacific
dc.coverage	Southeast Asia
dc.coverage	Asia
dc.coverage	Indonesia