Strategi MPS (Make Pregnancy Safer) dalam upaya Peningkatan Kesehatan Maternal dan Neonatal di Kabupaten Halmahera Selatan Propinsi Maluku Utara

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 women's 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, social, cultural and behavioral factors including women's 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 health-focused initiative, in October 2000. A National Strategy for MPS was developed and launched in November 2001. The MPS strategy focuses on what the health sector, working in collaboration with other partners and sectors, 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