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Kesiapan Puskesmas Poned (Pelayanan Obstetri Neonatal Emergensi Dasar) di Lima Regional Indonesia
Roles of primary health care center (HC) are very important to achieve Maternal Mortality Rate (MMR) target in Indonesia. The Ministry of Health Indonesia provides Basic Emergency Obstetric Care (BEmOC), in which the HC is capable with appropriate facilities (trained personnel, equipment, logistics, drugs, and transportation) to carry out basic emergency maternity and 24-hours neonatal services.
The data obtained from The Indonesian Health Facility Survey 2011 (Rifaskes 2011). All variables were grouped based on 5 regions in Indonesia (Sumatera, Jawa-Bali, Kalimantan, Sulawesi, and Eastern Region). There are 1,446 Basic Emergency Obstetrict Care (BEmOCs). As much as 1,283 (88.7%) BEmOCs have been carrying out 24-hours service. Service in BEmOC has involved the doctors (79.9%), the midwives (96.1%), and the nurses (32.8%). As much as 53.3% of BEmOC have mobile health care, 43.0% have ambulance, and only 3.7% have motor boat. There are variations of 24-hours service, trained personnel, drugs, equipment, and transportation in BEmOC based on five regions in Indonesia. Java-Bali region is more prepared compared to others. Attention and intervention are needed to improve availability and adequacy of equipment and drugs, involvement of nurse and midwife in BEmOC services, as well as providing of well functioned mobile health care and ambulance.
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