Analysis of maternal mortality rate based on maternal and child health (KIA) Coverage program in Aceh from 2015 to 2017
Abstract
Abstract. Maternal Mortality Rate (AKI) in Aceh from 2012 to 2015 experienced a significant decline, but in 2016 AKI increased again to 167 per 100,000 live births. In an effort to reduce AKI, the recording and reporting system is a very important component. The results of the monitoring and evaluation are very important for decision making at a higher level that it can impact the health status of the community. This study aims to analyze maternal mortality rates with the coverage of KIA program in Aceh from 2015 to 2017. The type of research used ecological studies or population correlation studies which is a study between two or more variables without any attempt to influence these variables so there is no variable manipulation. The study was conducted at the Aceh Health Office in the Public Health and Nutrition Health Section. Sources of data in this study were all PWS KIA data from 2015 to 2017 derived from reports from 23 Districts / Cities Health Offices. The unit of analysis was District / City in 2015 to 2017 (N = 69). Data analysis was done using Pearson correlation test and linear regression using computer program. The results showed that there was a significant relationship between K1 visits (p value: 0.001), K4 visits (p value: 0.01), administration of Fe1 (p value: 0.001), administration of Fe3 (p value: 0.0002), delivery assistance by health workers (p value: 0.049), postpartum KF1 visits (p value: 0.044) and postpartum visit KF2 (p value: 0.032). Multivariate Test results obtained K4 visits (p value 0.007) which were most significantly related to maternal mortality. Improving the quality of service to mothers from pregnancy to childbirth, starting from examinations during K1 and K4 visits to postpartum KF1 postpartum visits, thus they can be detected and treated immediately / referred if there are health problems for pregnant / postpartum women, maternal death can be prevented.
Keyword. AKI, PWS KIA, K1, K4
References
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DOI: 10.24815/jks.v0i0.29633
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