Pencapaian Dan Tantangan Status Kesehatan Maternal Di Indonesia

Maternal health is a key for the next generation. Maternal death is an indicator for maternal health status. Some maternal health services indicator such as Antenatal Care (ANC) and delivery assistant, while pregnancy/delivery complications and Maternal Mortality Ratio (MMRatio) are the key indicators that reflect maternal health condition. The objections of this article are discussing the achievement of maternal health status such as ANC, birth attendant, place delivery, pregnancy/delivery complications and cause of maternal death. Analyze of trend of coverage maternal health service programme and maternalmorbidity used the Indonesia Demography Health Survey (IDHS) 1991-2007 data. The analyzed of MMRatio used 2002-03 and 2007 IDHS data which are calculated with Proportion of Maternal of Death Female (PMDF) approach. The analysis of maternal cause of death used mortality data from Household Health Survey in 2001 and Baseline Health Survey data in 2007. The result in 16 years, showed that the antenatal care of pregnant women in first trimester has been increased twice. Delivery in home decreased from 79% to 53%. The most pregnancy complication is haemorrage and the most delivery complication is long labor. The MMRatio with PMDF calculation in 2003 is 413 per 100.000 live birth and in 2007 is 270 per 100.000 live birth. To come up the MMRatio that targeted 125 per 100.000 in 2010, the Basic Emergency Obstetric Neonatal Care (BEONC) and Comprehensive Emergency Obstetric Neonatal Care (CEONC) implementation must be done in good quality and there is no tie up to reach the closest health facility