A SOCIAL ECOLOGICAL PERSPECTIVE ON THE INDONESIAN MATERNAL MORTALITY PROBLEM; AN ANNOTATED BIBILIOGRAPHY

2017-11-05

en

Conference or Workshop Item

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The Indonesian government has attempted to reduce maternal mortality, including the placement of midwives in the villages, infrastructure development, and the provision of health insurance to the poor. However, the maternal mortality rate is still astonishingly high, with over 15,000 women per year dying from complications of pregnancy and childbirth. The purpose of this study is to use a social ecological perspective – which systematically considers influences at multiple levels from individual and interpersonal, up through community, institutional, and policy – to understand the root of the maternal mortality problem in Indonesia. The study is a literature review structured around the social ecological model, presenting findings at each level. The researches were obtained from variety of publish literature in 2009 until 2015. They were taken from several databases like Pub Med, Google Scholar, and Science Direct. Result: In intrapersonal level; culture, customs, stigma, and belief are the root of causes.In the interpersonal level, in addition to her husband and family, midwives and dukun have an important role in this stage. In the community level, several programs that have been taken by the government seem have good impact, although many things need to be repaired. Conclusion: In every level of social ecological perspective, there are problems that need to be addressed. The collaboration from individual, community and government is important to reduce the maternal mortality problem in Indonesia. Keywords: Indonesia, maternal mortality, social ecological perspective.