Cultural Approach for Maternal Mortality Reduction in Indonesia; Need of Unusual Business Intervention

Abstract

Contents: Maternal mortality becomes a complicated issue in Indonesia even in the world. Various programs and policies have been implemented, ranging from safe motherhood, maternal movement, making pregnancy safe, to the GOLD program. Nevertheless, the decline target has not been achieved. Issue: Indonesia, Maternal mortality is still high, 305 per 100,000 born alive. There are various points of concern which the factor of the cause of death from year to year is relatively fixed, the distribution of each province with coverage rate exceeds the target average. Visits on medical services were also high (average performance above 79%). It means that even if health services have been provided, there are basic factors that need to be explored about the difference in distribution results in each region. Also, the maternal mortality and infant mortality causing factors, almost always the same from time to time, while strengthening Government rules and policies have been increasing. We need to examine, that there are important things that we must control for community empowerment to be a solution for the reduction of MMR in Indonesia. Lessons learned: Indonesia is an archipelago, where each region has different local wisdom. To be able to reducematernal mortality and infant mortality in Indonesia, health workers must be able to manage the program in the right way. A cultural approach to bargaining power in efforts to achieve the reduction of maternal mortality and infant mortality in Indonesia.