The Role of Community Health Workers in Maternal and Child Health Surveillance to Optimize Maternal and Child Health in Pasuruan District, East Java

Authors

  • Ninil Dwi Pangestu Masters Program in Public Health, Sebelas Maret University
  • Hermanu Joebagio Faculty of Teaching and Educational Sciences, Sebelas Maret University
  • Setyo Sri Rahardjo Faculty of Medicine, Universitas Sebelas Maret

Abstract

Background: Maternal mortality ratio, infant mortality rate, and underfive mortality rate are still high in Indonesia. Pasuruan is one of the districts in East Java with the highest infant mortality rate. One of the public health interventions that has been undertaken to address this issue is maternal and child health surveillance program with community health workers being the leading implementers. This study aimed to describe the role of community health workers in maternal and child health surveillance to optimize maternal and child health care services in Pasuruan District, East Java.

Subjects and Method: This was a qualitative study using case study approach. It was conducted in Pasuruan, East Java. Key informants were selected by criterion sampling. The data were collected by in-depth interview, focus group discussion, observation, and document review. Data validity was checked by triangulation.

Results: Community based maternal and child health surveillance program has been implemented for 4 years. However, only some of all community health workes have been trained in this program. The tasks of these community health workers included advocacy and monitoring of maternal and child health in the areas of posyandu. The implementation of these surveillance program had some obstacles, including low insentive of community health worker, inactive community health worker, lack of awareness among community members on maternal and child health issues, and medical factors of pregnant mothers that caused mortality.

Conclusion: Community health workers help improve the quality of maternal and child health care by surveillance program, although their performances have yet to be enhanced.

Keyword: maternal mortality rate, infant mortality rate, community health workers

Correspondence: Ninil Dwi Pangestu. Masters Program in Public Health, Sebelas Maret University,  Jl. Ir. Sutami No. 36A Surakarta 57126, Jawa Tengah. E-mail: pangestu.ninil@gmail.com. Mobile +62856553737.

Journal of Health Policy and Management (2017), 2(2): 128-136
https://doi.org/10.26911/thejhpm.2017.02.02.04

References

Alyyuddin M (2017). Evaluasi Pelaksanaan Program Kader Asuh di Kabupaten Pasuruan. Jurnal Ilmu Kesehatan 3 (1): 36-44.

Aticeh, Maryaticeanah SS (2015). Pengetahuan Kader Meningkatkan Motivasi dalam Melakukan Deteksi Dini Tumbuh Kembang Balita, Jurnal Ilmu dan Teknologi Kesehatan, 2(2): 71–76.

Badan Pusat Statistik Jawa Timur. 2014. Angka Kematian Bayi. https://jatim.bps.go.id/linkTabelStatis/view/id/151

Chasanah SU (2015). Peran Petugas Kesehatan Masyarakat dalam Upaya Penurunan Angka Kematian Ibu Pasca MDGs. Kesehatan Masyarakat Andalas, 9(2): 73–79.

Dinas Kesehatan Kabupaten Pasuruan. 2013. Petunjuk Teknis Program Kader Asuh. Pasuruan: Dinas Kesehatan Kabupaten Pasuruan.

Dinas Kesehatan Kabupaten Pasuruan. Data AKI, AKB dan AKABA di Kabupaten Pasuruan. Pasuruan: Dinas Kesehatan Kabupaten Pasuruan.

Dwi N, Andy A, Nurhusna H (2014). Kata Kunci: kegiatan posyandu, peran aktif kader, kegiatan terintegrasi. Pendahuluan, Jurnal Pengabdian Masyarakat, 29(4): 43–53.

Fitrayeni, Suryati, Faranti RM (2015). Penyebab Rendahnya Kelengkapan Kunjungan Antenatal Care Ibu Hamil Di Wilayah Kerja Puskesmas Pegam-biran, 10(1): 101–107.

Haver J, Brieger W, Zoungrana J, Ansari N, Kagoma J (2015). Experiences engaging community health workers to provide maternal and newborn health services: Implementation of four programs. International Journal of Gynecology and Obstetrics. Elsevier BV. 130(S2): S32–S39. doi: 10.1016/j.ijgo. 2015. 03. 006.

Hidayah L, Handayani OID (2016). Public Health Perspective. Public Health Perspective Journal, 1(1): 36–43.

Karjono M, Wulandari LPL, Suryadhi NT (2013). Pengetahuan sebagai determinan dalam pengambilan keputusan penolong persalinan ibu hamil di Puskesmas Taliwang tahun 2013. 1(1): 63–69.

Kementerian Kesehatan (2015). Profil Kesehatan Indonesia 2014, Kementerian Kesehatan Republik Indonesia. doi: 10.1037/0022-3514. 51.6.1173.

Lema IA, Sando D, Magesa L, Machumi L, Mungure S, Sando MM, Geldsetzer P, et al (2014). Community health workers to improve antenatal care and PMTCT uptake in Dar es Salaam, Tanzania: a quantitative performance evaluation. Journal of acquired immune deficiency syndromes (1999). 67(4): S195-201. doi: 10.1097/QAI.s000000000000037.

Nurrizka RH, Saputra W (2013). Arah dan Strategi Kebijakan Penurunan Angka Kematian Ibu (AKI), Angka Kematian Bayi (AKB) dan Angka Kematian Balita (AKABA) di Indonesia Arah dan Strategi Kebijakan Penurunan Angka Kematian Ibu, Prakarsa Policy Update.

Perez F, Ba H, Dastagire SG, Altman M (2009). The role of community health workers in improving child health programmes in Mali. BMC International Health and Human Rights, 9(1): 28. doi: 10.1186/1472-698X-9-28.

Pranata S, Pratiwi NL and Rahanto S (2011). Pemberdayaan Masyarakat Di Bidang Kesehatan: Gambaran Peran Kader Posyandu Dalam Upaya Penurunan Angka Kematian Ibu dan Bayi Di Kota Manado dan Palangkaraya, Buletin Penelitian Sistem Kesehatan, 14(2): 174–182.

Setyaningsih R, Adriyani PUM (2016). Kehamilan Di Kabupaten Banyumas, Jurnal Pengabdian Kepada Masyarakat, 22(3): 135–139.

Wilianarti PF, Aryunani and Sumarliyah E (2016). Determinan faktor partisipasi ibu balita dalam kegiatan posyandu di Desa Kejawan Putih, Tambak, Kecamatan Mulyorejo, 1(1): 15–22.

World Health Organization (2015). Maternal Mortality Data Base in World. http://www.who.int/gho/maternal_health/mortality/maternal/en/.

Yanti SV and Hasballah K (2016). Studi Komparatif Kinerja Kader Posyandu wilayah kerja Puskesmas Blang Bintang, 4(2): 1–11.

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Published

12-01-2018

How to Cite

Pangestu, N. D., Joebagio, H., & Rahardjo, S. S. (2018). The Role of Community Health Workers in Maternal and Child Health Surveillance to Optimize Maternal and Child Health in Pasuruan District, East Java. Journal of Health Policy and Management, 2(2), 128–136. Retrieved from https://thejhpm.com/index.php/thejhpm/article/view/37

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