Since July 1997, Indonesia has suffered a monetary crisis that has led to a high rate of inflation and economic recession. This situation has inflicted an impact on the individual at two levels that is through the family and then the government role. Economic recession ean also have a direct and indirect influence on the degree of public health. There is a phenomenon of epidemiological polarization, which has a bigger impact on handling public health issues during recession. Without a program and more effective and efficient activities compared with the previous years, the current economic crisis will endanger the pattern of the declining death rate and increasing life expectancy at birth. Although various studies indicate that recession and economic fluctuation does notalways lead to a stagnationand decline inpublic health, the economic conditions in Indonesia arefundamentally different from those in other countries going through a similar experience. Efforts to maintain a momentum in reducing death rate and increasing life expectancy require reinventingpublic health policy.
From a number of studies there are evidences of the existence of integration between "demography variables" and the development process. In this case it is important to understand that the population policies have been formulated for the continuity of development process, mainly by paying attention to the integration between people (inhabitants) and their environment. In this case, the government's policy is to stabilize economic development, distributing it evenly and maintain the environment in accordance with the global Population Action Program. The problems caused by changes related to the demographic transition can be considered the material for the future demographic policies.
Implementation of district level "four children better" family planning policy in MalinauPurposeThis study aimed to analyze the implementation of family planning program policy in Malinau.MethodsA case study was conducted through in-depth interviews with 18 participants.ResultsThe policy of the government in Malinau is 'four children are better'. Differences in perceptions between stakeholders, providers, and users about family planning affecting social, economic, cultural, beliefs have an impact on contraceptive use in Malinau. The use of contraception is not prohibited for people with medical indications for using contraception, but people should access the contraception independently in the private sector.ConclusionThe policy of the Malinau government to stop the supply of contraceptives to government health facilities since 2012 is an effort by local governments to increase the number of inland and border populations. The unavailability of contraceptives in government health facilities and the limitations of family planning information, communication and education lead to differences in perceptions between stakeholders, service providers, and users. Therefore, the researcher recommends that the relevant regional apparatus unit does advocacy to legislative and executive boards in Malinau. The local government shall ensure the availability and quality of family planning services for the community on the basis of reproductive health rights. ; Tujuan: Penelitian ini menganalisis pelaksanaan kebijakan program keluarga berencana di Kabupaten Malinau.Metode: Studi kasus melalui wawancara mendalam pada 18 responden.Hasil: Kebijakan pemerintah daerah Malinau adalah empat anak lebih baik. Perbedaan persepsi antara stakeholder, provider dan user mengenai KB dapat mempengaruhi sosial, ekonomi, budaya, keyakinan berdampak terhadap penggunaan kontrasepsi di Malinau. Penggunaan kontrasepsi tidak dilarang bagi masyarakat yang memiliki indikasi medis untuk ber KB, namun masyarakat harus mengakses kontrasepsi secara mandiri di sektor swasta.Implikasi praktis: Pemerintah daerah wajib menjamin ketersediaan dan pelayanan KB yang berkualitas bagi masyarakat atas dasar hak kesehatan reproduksi.Keaslian: Kebijakan pemerintah daerah Malinau dalam menghentikan suplai alokon ke fasilitas kesehatan pemerintah sejak tahun 2012 merupakan upaya pemerintah daerah untuk meningkatkan jumlah penduduk di wilayah pedalaman dan perbatasan. Ketidaktersediaan alat kontrasepsi di fasilitas kesehatan pemerintah dan terbatasnya pemberian KIE KB menimbulkan persepsi yang berbeda antara stakeholder, provider, dan user. SKPD perlu mengadvokasi kepada DPRD Malinau dan Bupati.
This is a case-control study about the relationship between the qualities of midwifery care, other factors, and the incidence of maternal mortality in the hospitals. Information collected were midwives placement, midwives working environment, and material support in the hospitals. Unmatched midwives placement leads to maternal mortality by 3.86 times compared to the matched midwives placement. Unmatched quality of midwifery care causes maternal mortality by 6.74 times compared to the matched quality midwifery care. Unmatched midwives working leads to maternal mortality by 1.11 times compared to the matched working environment. Also, unmatched support materials causes maternal mortality by 1.55 times compared to the matched support material. There is a relationship between midwives placement and maternal mortality with p< 0.05. There is also a significant relationship of quality of midwifery care to maternal mortality with p< 0.001 in the government-owned hospitals.
