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Maternal Mortality and Health Services in Indonesia Demographic and Health Survey-1994 (Kematian Maternal dan Pelayanan Kesehatan, Survei Demografi dan Kesehatan Indonesia, 1994)
In the Demographic and Health Survey, the life pregnancy histories of adult sisters were collected from respondents, and the sisterhood method was used to estimate the life time risks and maternal mortality rations, referring to the time period of 12 years before the survey. Maternal mortality level in Indonesia is found to be high as compared to other ASEAN countries although the family planning programme has managed to control population fertility, but the maternal mortality ratio as well as the life time risk of maternal deaths have not declined. Maternal mortality level in the outer Java-Bali region is higher than in Java-Bali region. Maternal health programmes have been improved and the provision of health care services are located closer to the community, so that emergency cases have better access for health care. Among eligable women, 85-95 percent have access to the nearest health center or village health post within less than 1 hour traveling time, and 65-55 percent have access to the nearest hospital or maternity hospital within less than 1 hour traveling time. In 1993, 97 percent of hospitals and 56 percent of health centers reported than they have assisted deliveries in the last one year period, and 73 percent of hospitals have ever performed cesarean section in 1993. In general every midwife has assisted 40 deliveries in the last 6 months period. Complications were reported by 28 percent delivering mothers in the last five years period. The major cause of complication was prolonged labour.
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