The safeguard triangle with a discussion approach can be use as a strategy in the effort to accelerate maternal mortality rate. This triangle was a recommendation of a study in Sampang and Pamekasan Districts in East Java Province through 2003-2004. The triangle consists of the village midwife, the mentor and the pregnant woman with her family in each of its corners. Through interaction of the triangle's corners the process of discussion approach was conducted. This safeguard triangle was stated as a holistic service because the pregnant woman was involved as a subject not as an object in the discussion approach which assured woman a safe pregnancy and birth. This safeguard triangle which was conducted at the village level should be supported by the supra system in the role of stewards hipness. The discussion approach should be taken into consideration of a coordination process which was formulated to achieve a self care community for a healthy living.Keywords: safeguard triangle strategy, discussion approach, accelerate maternal mortality rate
The high infant mortality rate (IMR) and Maternal Mortality Rate (MMR) in Surabaya and the increased participation of Labor Women become a major problem for the city of Surabaya to be able to achieve the national target Scope of exclusive breastfeeding of 80%. In 2012 enacted Government Regulation No. 33 Year 2012 on Exclusive Breastfeeding to be able to increase the scope of exclusive breastfeeding in Indonesia. Aims of the study so that implementation of this policy is to explain how the synergy between the stakeholders in the implementation of Government Regulation No. 33 Year 2012 on Exclusive Breastfeeding in District Rungkut Surabaya.The theory is used to measure synergy between stakeholders is the elaboration of the theory of public policy implementation and partnerships. To be able to measure the synergy then determined from five aspects: the effectiveness of coordination, communication effectiveness, confidence, awareness of the contributions and also equality between stakeholders.This research was carried out is by using the method mix method or methods of qualitative and quantitative mix of the types of concurrent triangulation. The Concurrent triangulation technique in which researchers collect qualitative and quantitative data concurrently (one time). Then, the data analysis of qualitative and quantitative data analysis. After that, blending or fusing the data analysis, qualitative and quantitative (mixing analysis data). Mixing data analysis performed to obtain the results of the research are substantive conclusions and validated The conclusion of this study indicate that the synergy between stakeholder policy of exclusive breastfeeding in District Rungkut Surabaya is synergy. Of the five aspects of the assessment, one aspect he does not succeed, namely the effectiveness of coordination and four aspects that can be said to be successful, that the effectiveness of communication, confidence, awareness of the contribution and equity between stakeholders in the District Rungkut Surabaya. Only private company stakeholder and Formula Milk Company is still in synergy with other stakeholders in the District Rungkut Surabaya.
is a form of community participation in the early detection, monitoring and early follow-up of PTM risk factors independently and continuously. One of the factors influencing the low level of Posbindu PTM visits is the community's knowledge about the use of Posbindu PTM. If the public's knowledge is less about Posbindu PTM, it will result in an increase in mortality due to PTM. To analyze the relationship between the level of knowledge and the compliance of the productive age community in the use of Posbindu PTM. This study used a descriptive correlational method with a cross sectional approach conducted on 93 samples using a sampling technique that is non probability sampling with a purposive sampling technique. Results: Most of the productive age community in Busung Yeh Kauh had less knowledge level with less compliance level, as many as 50 people (53.8%). The Spearman Rank statistical test results obtained p = 0,000 (<0.05) with a correlation coefficient of 0.855 which means that there is a very strong relationship between the level of knowledge with the compliance of the productive age community in the use of Posbindu PTM. Public knowledge about Posbindu PTM influences compliance with the use of Posbindu PTM. Efforts should be made to increase public education about the importance of utilizing Posbindu non-communicable diseases to reduce mortality due to non-communicable diseases. ; Posbindu PTM adalah wujud peran serta masyarakat dalam kegiatan deteksi dini, monitoring dan tindak lanjut dini faktor risiko PTM secara mandiri dan berkesinambung. Salah satu faktor yang mempengaruhi rendahnya kunjungan Posbindu PTM adalah pengetahuan masyarakat tentang pemanfaatan Posbindu PTM. Pengetahuan tersebut nantinya akan membentuk sikap seseorang baik kearah yang negatif maupun positif, apabila pengetahuan masyarakat kurang mengenai Posbindu PTM maka akan mengakibatkan meningkatnya angka kematian akibat PTM. Untuk menganalisis hubungan tingkat pengetahuan dengan kepatuhan masyarakat usia produktif dalam pemanfaatan Posbindu penyakit tidak menular. Penelitian ini menggunakan metode deskriptif korelasional dengan pendekatan cross sectional yang dilakukan terhadap 93 sampel yang menggunakan teknik sampling yaitu non probability sampling dengan teknik purposive sampling. Sebagian besar masyarakat usia produktif di Banjar Busung Yeh Kauh memiliki tingkat pengetahuan kurang dengan tingkat kepatuhan kurang yaitu sebanyak 50 orang (53,8%). Hasil uji statistik Rank Spearman didapatkan hasil p=0,000 (<0,05) dengan nilai koefisien korelasi 0,855 yang berarti terdapat hubungan yang sangat kuat antara tingkat pengetahuan dengan kepatuhan masyarakat usia produktif dalam pemanfaatan Posbindu penyakit tidak menular. Pengetahuan masyarakat tentang Posbindu PTM mempengaruhi kepatuhan dalam pemanfaatan Posbindu PTM, upaya yang harus dilakukan sebaiknya meningkatkan penyuluhan kepada masyarakat tentang pentingnya memanfaatkan pelayanan Posbindu penyakit tidak menular untuk mengurangi angka kematian yang disebabkan oleh penyakit tidak menular
In the 1970s,Indonesiais one of thepoorest countries inAsia. In 1976, 54million people in Indonesia(40% of the population) belong to the categoryof poor. In1980-1990anperiodis a period ofhigh economic growth. High economicgrowthis closely linkedwithpoverty reductiondrasticallywhere the numberof poor peoplefell by almost50% from40millionto 22million peoplein 1981s/d1996.In the year2010 the numberof poor peopleamounted to31.02 million people, or about 13:33% andthe poverty ratein March2009 amounted to32.53million, or about 14:15% (BPS). LastBPS dataperSeptember 2013shows that there are28.59millionor11.66% ofthe totalpopulationinIndonesia.PovertyinIndonesia hasdecreasedsignificantlysincethe reformera. Acceleration ofpoverty reductionprogramsinIndonesiais donewithgoodsynergywork programsatnational and local levels. Poverty reduction programscurrently dividedinseveralclusters: Cluster(1) Direct AidSociety(BLM). Thisclusterincludes theSchool Operational Assistance(BOS), Community Health Insurance(Assurance), Ricefor the Poor(Raskin), Family Hope Program(PKH). Cluster1goalistoreducepovertyandimprove thequality ofhuman resources, especiallythe poor.Cluster (2) is the national community empowerment Program (PNPM) independently. The purpose of PNPM Mandiri is to increase prosperity and employment opportunities of the poor independently. Cluster (3) people's business credit (KUR) is a people's business credit is given to the poor without collateral to the community a certain amount. Purpose to provide and strengthening economic access for businessmen of small and micro-scale. An important aspect in strengthening is giving them freely to access of the poor to be able to try and improve the quality of life.In 2011 the Government carry out a Cluster of clusters of four. This Cluster includes: (1) the provision of the House very cheap, (2) a cheap public transport Vehicles, (3) clean water to the people, (4) enhancement of Life for fishermen, (5) improvement of Urban Edge Community Life. The 4 Cluster in the framework of poverty reduction and the achievement of the Millennium Development Goals (the Millennium Development Goals (MDGs), so the expected goal of the Millennium Development Goals (the Millennium Development Goals (MDGs) by 2015 is reached. As it known that the millennium development goals (the Millennium Development Goals (MDGs) is an attempt to meet the basic needs of the rights of man through a joint commitment between the 189 UN Member States to implement the 8 (eight) Millennium development goals, namely (1) tackling poverty and hunger, (2) achieve primary education for all, (3) encourage gender equality and the empowerment of women, (4) reduce child mortality, (5) improve maternal health, (6) fight against spread of HIVAIDS, malaria and other contagious diseases, (7) Living and Sustainability (8) global partnership in development. Eight of these targets as measurable goals for a single package of development and poverty reduction.In September 2000, the United Nations Millennium Summit, where world leaders agreed on eight development goals that are specific and measurable global called the Millennium Development Goals (MDGs). The first seven goals focus on eradication of extreme poverty and hunger, achieve universal primary education, promoting gender equality and empowering women, reducing child mortality; In September 2000, the United Nations improve maternal health, combat HIV-AIDS, malaria and other diseases, and ensuring environmental sustainability. Whereas the eighth goal calls for the establishment of a global partnership for development, with targets for aid, trade and debt relief.However approach the year 2015, global world will experience the transformation of the global development of the Millennium Development Goals (MDGs) into Sustainable Development Goals (SDGs). The shifting of the MDGs to the SDGs doesn't mean the goal contained in the MDGs fail is reached. Quite the contrary, many world records that reveal the success in various countries, there is a remarkable improvement experienced by the poor countries in the ranking of HDI (human development index) the lowest. In the last 40 years, the State- countries that are in the lowest rank of 25 percent experienced improved HDI to 82. The IMF report in the 2013 Global Monitoring Report also explain the positive trend in the achievement of the MDGs. reduction of half of the world's poor population, reduction of half of the population without access to clean water, the Elimination of gender inequality in primary education in 2015, and the improvement of life in a hundred million slums by 2020 was reached more quickly, i.e. in 2010. ADB, a number of countries in Asia also experienced progress in achieving the millennium development goals. The number of poor population has decreased significantly in Malaysia, Viet Nam and China. In Thailand and Malaysia, long-term policies to overcome poverty coupled with their concern for the environment has made the countries that are in the lowest rank of 25 percent experienced improved HDI to 82. The IMF report, these countries are on a sustainable growth path. But not so the case with Indonesia, a country with a diversity of biodiversity in forests is raining but the risorsis contained therein are not managed sustainably and fairly.Programme of the Millennium Development Goals (MDGs) will be forwarded to Suistanable Development Goals (SDGs). The MDGs will expire in 2015, but until now there has been no final draft which will forward the MDGs program. to that end, scientists and many quarters trying to deepen the concept of SDGs as successor to the MDGs. Keywords: Millennium Development Goals (MDGs), Sustainable Development Goals (SDGs), primary education, maternal health, clean water.
