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“Revolusi KIA” A Promising Strategy to Improve Maternal and Child Health in NTT Province, Indonesia

This presentation was prepared by NTT Province Indonesia, Provincial Health Office. It is a summary of their findings from the TRAction-funded project related to Equitable Healthcare Access.  The purpose of the research was to determine the facilitating factors and barriers to facility delivery in NTT Province.

Improving the Planning Process for Vulnerable Areas: Case Study on the Evidence-Based Planning and Budgeting for Maternal Child Health in Papua Province, Indonesia

This presentation was prepared by University Gadjah Mada Indonesia. It is a summary of their findings from the TRAction-funded project related to Equitable Healthcare Access.  The purpose of the research was to determine to what extent the evidence-based planning (EBP) approach influenced district level health budget allocation to promote equity in MNCH programming.

Identifying Barriers and Facilitators to Skilled Care Seeking

Research Overview

Despite efforts to improve healthcare access in remote areas of Indonesia, access to basic health services has remained low. The district of Jayawijaya in the Papua province is particularly burdened by high rates of maternal, newborn, and child mortality. The present study seeks to identify the barriers to and factors supporting appropriate care seeking in a setting with low health service coverage and poor maternal and newborn health outcomes.

Indonesia

Inequities in access to quality healthcare have created significant barriers for mothers and children across Indonesia. Specifically, the coverage of maternal health service delivery such as antenatal care and facility-based delivery shows huge disparities between the eastern and the western province. In Indonesia, the average maternal mortality rate (MMR) was 228 deaths per 100,000 live births in 2007 (DHS 2007). However, the MMR varies between provinces in Indonesia.

Evidence-based Planning and Budgeting to Improve Equity

Research Overview

Health inequities occur when health services are not accessible or utilized by certain people, based on their gender, socio-economic status, ethnicity, geographic residence, or other characteristic. These inequities can result from a lack of resources required to meet the needs of vulnerable populations. The majority of health expenditures support hospitals and tertiary care; less than 25% of health expenditures reach the primary level, where most marginalized populations seek care.

Facility Improvement and Promotion to Improve Equity

Research Overview

Health inequities occur when health services are not accessible or utilized by certain people due to their gender, socio-economic status, ethnicity, geographic residence, or other characteristic. Because of this lack of access, disadvantaged populations are at much higher risk of adverse health outcomes. For example, the maternal mortality rate was 104 per 100,000 live births in Yogyakarta province, and was more than double that (216 per 100,000 live births) in the poor rural province of East Nusa Tenggara.

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