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Abstract

Based on 2021 data, from the results of problem identification, 16 health problems in Depok City were assessed. Maternal mortality was selected as a priority problem with 65 cases of maternal death or 155.58 per 100,000 live births. COVID-19 infection is the most common cause of maternal death. This study aims to provide an overview of maternal death circumstances in Depok because of prioritization following situation analysis of health problems. This situation analysis was conducted in Depok with a quantitative and qualitative approach analyzed using the PAHO-adapted Hanlon involving the participation of 17 respondents from the Health Office and the Head of the PHC in Depok. Primary and secondary quantitative data were collected using questionnaires, the Ministry of Health’s Strategic Plan 2020 2024, Regional Medium-Term Development Plan 2016-2021, and Health Profile 2021. Qualitative data was obtained through interviews with respondents. Maternal mortality got a PAHO score of 42.37. This disease is a priority health problem in Depok. Most pregnant women had a high risk due to a lack of knowledge about pregnancy and a lack of participation in attending pregnancy class programs and pregnancy checks. Lack of family support for the health of pregnant women and there are also challenges in recording and reporting which must be based on an identity card so that cases sometimes do not live in the area but are recorded in the area. There are still some challenges in controlling maternal mortality. Promotive, preventive efforts such as conducting refresher training for health workers and volunteers, counseling, and presenting exciting material in pregnant women’s classes to increase pregnant women’s knowledge and family support. Cross-sector coordination and community leaders must be concerned with all parties to support and assist in screening pregnant women.

References

  1. Undang-Undang Republik Indonesia Nomor 36 Tahun 2009. Accessed October 31, 2022. Https://Jdih.Kemenkeu.Go.Id/ Fulltext/2009/36tahun2009uu.Htm
  2. Neiger, B.l., Thackeray, R., Fagen, M.c. Basic Priority Rating Model 2.0: Current Applications for Priority Setting in Health Promotion Practice. Health Promot Pract. 2011;12(2):166 171. Doi:10.1177/1524839910393281
  3. Pan American Health Organization. Methodology For the Programmatic Priorities Stratification Framework of The Paho Strategic Plan. 2014;19(June):16-20. Http://Wphna.Org/ Wp-Content/Uploads/2014/06/2014-06-Paho-Plan-To-End Child-Adolescent-Obesity-English.Pdf
  4. World Health Organization. Situation Analysis of Health Sector. In: Schmets, Gerard; Rajan, Dheepa; Kadandale S, Ed. Strategizing National Health in The 21st Century: A Handbook. Who Library Cataloguing-In-Publication Data; 2016:64. Https://Apps.Who.Int/Iris/Handle/10665/250221
  5. William, R.d. Perencanaan Kesehatan untuk Meningkatkan Efektifitas Manajemen. Gadjah Mada University Press; 1994.
  6. Dinas Kesehatan Kota Depok. Profil Kesehatan Kota Depok Tahun 2021. Dinas Kesehatan Kota Depok; 2021.
  7. Pemerintah Kota Depok. Rencana Pembangunan Jangka Menengah Kota Depok Tahun 2021-2026. Published Online 2021.
  8. Pemerintah Kota Depok. Peraturan Daerah Kota Depok Nomor 7 Tahun 2016 Tentang Rencana Pembangunan Jangka Menengah Daerah (Rpjmd) Kota Depok Tahun 2016-2021. Published Online 2016.
  9. Peraturan Menteri Kesehatan Tentang Klasifikasi Dan Perizinan Rumah Sakit (Nomor 13 Tahun 2022. 16 Januari 2020. 2020;(3):1-592. Https://Peraturan.Bpk.Go.Id/Home/ Download/212694/Permenkes Nomor 13 Tahun 2022.Pdf
  10. Choi, B.C.K., Maza R.A., Mujica, O.J., et al. The Pan American Health Organization-Adapted Hanlon Method for Prioritization of Health Programs. Revista Panamericana De Salud Publica/Pan American Journal of Public Health. 2019; 43:1-8. Doi:10.26633/Rpsp.2019.61
  11. Kementerian Pemberdayaaan Perempuan dan Perlindungan Anak Republik Indonesia. Kajian Partisipasi Organisasi Perempuan dalam Menurunkan Angka Kematian Ibu di Provinsi Jawa Barat. Kementerian Pemberdayaaan Perempuan dan Perlindungan Anak Republik Indonesia; 2016. Https://www.kemenpppa.go.id/lib/uploads/list/ 1ebac-Kajian-Partisipasi-Organisasi-Perempuan-Dalam Menurunkan-Angka-Kematian-Ibu.Pdf
  12. World Health Organization. Icd-11 Reference Guide. Published 2022. Accessed March 26, 2023. Https:// Icdcdn.Who.Int/Icd11referenceguide/En/Html/ Index.Html#Maternal-Death
  13. Sinurat., Lasma, R.E., Sipayung, Rosetty, R., Simanjuntak, Y.T. Hubungan Dukungan Keluarga Dengan Keikutsertaan Kelas Ibu Hamil di Klinik Bidan Wanti. Jurnal Ilmu Keperawatan. 2021;1(2):141-150.
  14. Salim., Nur, S.P; Asriwati., Napitupulu, L.H. Faktor yang Memengaruhi Keikutsertaan Ibu Mengikuti Kelas Ibu Hamil di Puskesmas Hutarakyat Kabupaten Dairi Tahun 2019. Jurnal Kesehatan Masyarakat. 2020;8(1).
  15. Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN). Merenungkan Hari Kartini: Angka Kematian Ibu dan TFR di Masa Pandemi. Badan Kependudukan Dan Keluarga Berencana Nasional (BKKBN). Published 2022. Accessed February 3, 2023. Https://www.bkkbn.go.id/Berita Merenungkan-Hari-Kartini-Angka-Kematian-Ibu-Dan-Tfr-di Masa-Pandemi
  16. Wulandari, S., Januar, R.S., Noviadi, P. Analisis Hubungan Kecemasan Ibu Hamil dengan Kesiapan Menghadapi Persalinan di Masa Pandemi Covid-19 di Kota Palembang. Jambi Medical Journal. 2021;9(3):324-332.
  17. Abouchadi, S., Zhang, W.H., De Brouwere V. Underreporting of Deaths in The Maternal Deaths Surveillance System in One Region of Morocco. Plos One. 2018;13(1). Doi: 10.1371/ Journal.Pone.0188070
  18. Horon Il. Underreporting Of Maternal Deaths on Death Certificates and The Magnitude of The Problem of Maternal Mortality. Am J Public Health. 2005;95(3):478. Doi:10.2105/ Ajph.2004.040063
  19. Cheung Kw, Seto Mty, Wang W, Et Al. Characteristics of Maternal Mortality Missed by Vital Statistics in Hong Kong, 2000-2019. Jama Netw Open. 2023;6(2): E230429. Doi:10.1001/Jamanetworkopen.2023.0429

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