Factors Contributing to Maternal Mortality in Bekasi Regency, Indonesia

摘要

Maternal mortality can still be prevented mainly if it is followed by changing patient behavior, quality health services by institutional providers, or health service system policies. Factors that cause maternal mortality that can still be prevented are patient factors, factors of health personnel, facilities and infrastructure factors, and referral factors. The number of maternal mortality in Bekasi District in 2015 was 36 cases. The purpose of this study was to analyze the causal factors that contribute to maternal mortality. The research design was descriptive analytic with a cross-sectional method. The research sample was obtained from 32 samples of OVM and RMM documents. The results of bivariate analysis using chi-square, the factors of maternal characteristics indicated that maternal age, parity, the distance of pregnancy, comorbidities did not contribute to maternal mortality that can be prevented. The level of education showed p value = 0.02 means that the level of maternal education contributes to maternal mortality which can be prevented. In the factor of health personnel, did not contribute to maternal mortality that can be prevented. In the referral factor; the referral case with a p value = 0.012 and the referral delay with a p value = 0.007 mean that the referral factor contributes to preventing maternal mortality. In terms of facilities and infrastructure; the place of delivery and availability of health facilities did not contribute to preventable maternal mortality. Cross-sectoral cooperation and strengthening of health service systems from various lines and community empowerment systems were essential to reduce maternal mortality in the future.