Indonesia Health Profile 2010

. Delivery Attendance by Midwifery Skilled Health Personnel (Pn)Delivery is a maternal period having big contribution to Maternal MortalityRate (MMR) in Indonesia. Mortality during delivery and within one week afterdelivery is estimated 60% of all maternal mortality (Maternal Mortality: who, when,where and why; Lancet 2006). In MDG’s target, one effort to improve maternalhealth is by reducing maternal mortality rate to 102 per 100,000 live births in2015 from 425 per 100,000 live births in 1992 (SKRT) and by increasing coverageof delivery attendance by skilled health personnel to 90% in 2015 from 40.7% in1992 (BPS). Delivery attendance by skilled health personnel is a safe deliveryservice by health personnel with midwifery competency.Gambar 4.5 shows coverage of delivery attendace by skilled healthpersonnel since 2004 to 2010 tending to increase. In 2010, the coverage inIndonesia was 84.78%.GRAPH 4.5COVERAGE OF DELIVERY ATTENDANCE BY HEALTH PERSONNELIN INDONESIA, 2004 – 201076Source: DG of Nutrition and Maternal and Child Health, MoH RIAchievement of 84.78% delivery attendance by skilled health personnel in2010 describes that Indonesia had successfully met target of MoH strategicplanning 2010 of 84%. From Graph 4.6, three provinces with highest coveragewere Bali with 98.8%, East Java with 95.04% and Central Java with 91.9%.Meanwhile three provinces with the lowest coverage of Pn were Papua with25.2%, Riau Islands with 64.61% and West Papua with 65.97%.During 2010, 15 provinces in Indonesia met target of delivery attendanceby skilled health personnel (84%). There are some efforts to improve deliverycoverage through maternal health priority program, such as partnership ofmidwife and traditional birth attendant (Kemitraan Bidan Dukun), improvement ofdelivery in health facilities through delivery program insurance, model rumahtunggu (a place near health facilities where pregnant woman can stay until thetime to delivery) in districts and Puskesmas (health center) in remote areas toprevent delivery complications, revitalization of coordinator midwife (Bidan