REFERAT ANGKA KEMATIAN IBU DI INDONESIA
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BAGIAN OBSTETRI0GINEKOOGI OBSTETRI0GINEKOOGI FAKUTAS KEDOKTERAN UNI2ERSITAS KRISTEN MARANAT3A RUMA3 SAKIT IMMANUE BANDUNG *15 DAFTAR DAFTAR ISI I SI
JUDUL................................................................................................................i DAFTAR ISI.......................................................................................................ii DAFTAR DAFTAR TABEL............................................................. TABEL............................................................. ................................... iii DAFTAR GAMBAR..........................................................................................iv
BAB I PENDAHULUAN...................................................................................1 BAB II ANGKA KEMATIAN IBU 2.1. Definisi.............................................................................. .....................3 ..................... 3 2.2. Angk Ke!"in I#$ %i Asen.................................................. ............. ........ .....3 3 2.3. Angk Ke!"in I#$ %i In%&nesi.... In%&nesi.......... ............. .............. ............. .......................... ...........................' .......' 2.'. Fk"&( Pen)e## Ke!"in I#$.................................................. I#$..............................................................* ............* 2.'.1. Pen)e## +ngs$ng........................... .......................................... .............................. ............................. ......................* ........* 2.'.2. Pen)e## "i%k +ngs$ng ..............................................................., 2.*. U-) Pen$($nn Pen$($nn Ke!"in Ke!"in I#$.......... I#$................. .............. ............. ............. ................... ....................... ........... 2.,. Pathway 2.,. Pathway "e(/%in) ke!"in i#$...........................................................1' 2.. 0-in P(&g(!..................................................... ............................... 1* 2.. Renn Aksi Nsi&n+..................................................... ................. ........ ............. ....1 1 2..1. T$/$n............................ ........................................... ............................. ............................. .............................. ............................ ............. 1 2..2. Tn"ngn Tn"ngn s"("egi %n P(&g(! U"!............................................1 2.4. In%ik"&( Ke#e(5si+n............................ ........................................... ............................. ..................................... ....................... 2' 2.4.1. Pen-in -(&g(! -e(e-"n -en$($nn ngk ke!"in i#$. .2' .2'
BAB III KESIMPULAN.....................................................................................2, DAFTAR PUSTAKA..........................................................................................2
DAFTAR TABE
T#e+ 1. Angk Ke!"in I#$ %i Neg( Asen
'
T#e+ 2. D" K$+i"s APN
1
T#e+ 3. D" K$+i"s AN0
1
DAFTAR GAMBAR
G!#( 1. Angk Ke!"in I#$ 6AKI7 "5$n 144182912
*
G!#( 2. Pen)e## Ke!"in I#$ T5$n 291282913
,
G!#( 3. 0k$-n Pe("&+&ngn Pe(s+inn &+e5 Teng Kese5"n %i In%&nesi T5$n 299'82913
G!#( '. P(&-&(si Ke+5i(n Be(%s(kn Te!-" Be(s+in %i In%&nesi
4
G!#( *. Contraceptive Prevalence Rate 60PR7 Se!$ 0( 0( M&%e(n %n Total Fertility Rate 6TFR7 -% Pe(e!-$n Menik5 Usi 1*8'4 T5$n T5$n 144182912. G!#( ,. Ke(ngk K&nse- P"5:) Te(/%in) Ke!"in I#$
19 1'
G!#( . P(&-&(si I#$ )ng !en%-" -en/e+sn "n% #5) ke5!i+n 2919
1
BAB I )ENDA3UUAN
1-1 a#a( Belakan,
+#$ %+5 s&s&k -e(e!-$n )ng -+ing #e(/s %+! ke5i%$-n se&(ng
nk
"e(!s$k ki". Ksi5 i#$ se-n/ng !s #egi"$+5 -e(i#5s )ng ki" ken+ $n"$k !engg!#(kn #e"- #es(n) ksi5 s)ng i#$ $n"$k nkn) "k % -e($!-!n sein%5 - -$n !$ngkin )ng se#n%ing %engn (e+i" ksi5 s)ng )ng i#$ #e(ikn %engn "$+$s ke-% ki". +#$ %+5 ngg&"
ke+$(g )ng
#e(-e(n -en"ing %+! !eng"$( se!$ "e(ki" $($sn ($!5 "ngg
-en%i%ikn
nk %n kese5"n se+$($5 ke+$(g. D+! -en)e+engg(n $-) kese5"n ke+$(g )ng -e(+$ !en%-"kn
i#$ %n nk !e($-kn ngg&"
-(i&(i"s. Ke!"in i#$ "en"$ kn !e!#:
%!-" )ng sng" #es( "e(5%- ke+$(g )ng %i"ingg+kn "e($"! nkn). ;+e5 k(en +"$ $-) -eningk"n kese5"n i#$ %n nk !en%-" -e(5"in k5$s$s. Peni+in "e(5%- s""$s kese5"n %n kine(/ $-) kese5"n i#$ -en"ing $n"$k %i+k$kn -e!n"$n. Angk Ke!"in +#$ 6AKI7 !e($-kn s+5 s"$ in%ik"&( )ng -ek %+! !engg!#(kn kese/5"e(n !s)(k" %i s$"$ neg(. Ms+5 ke!"in i#$ sen%i(i !e($-kn !s+5 in"e(nsi&n+. Se"i- neg( se5($sn) !e!i+iki "ngg$ng /:# $n"$k !enngg$+ngi %n !eneg5 #e("!#5n) ke!"in i#$ %i !s ke5!i+n %n -e(s+innn). Ten"$n) kes%(n %n ke-e%$+in !s)(k" "e(5%- !s+5 ini sng"+5 -en"ing. K&n%isi Angk Ke!"in I#$ 6AKI7 %i In%&nesi ken)"nn) !si5 "inggi %i#n%ingkn %engn neg( "e"ngg se-e("i M+)si %n Sing-$(. Be(%s(kn S$(vei De!&g(fi %n Kese5"n In%&nesi 6SDKI7 "5$n 29123 ngk ke!"in i#$ %i In%&nesi !si5 "inggi se#es( 3*4 -e( 199.999
ke+5i(n
5i%$-. Angk ini
se%iki" !en$($n /ik %i#n%ingkn %engn SDKI "5$n 1441 )i"$ se#es( 349 -e(
199.999 ke+5i(n 5i%$- %n SDKI "5$n 299 )i"$ se#es( 22 -e( 199.999 ke+5i(n 5i%$-. <+$-$n %e!ikin -en$($nn )ng % "i%k+5 signifikn %n ses$i %engn "(ge" )ng %. T(ge" g+&#+ MDGs (Millenium Development Goals) ke8* %+5 !en$($nkn Angk Ke!"in +#$ 6AKI7 !en/%i 192 -e( 199.999 ke+5i(n 5i%$ -% "5$n 291*. ;+e5 k(en i"$ g( %-" !en-i "(ge" MDGs ke8* )i"$ !en$($nkn AKI %i-e(+$kn $-) )ng se(i$s %n s$ngg$58s$ngg$5 %(i se!$ k+ngn #ik -e!e(in"5 "eng !e%is %n !s)(k". Di5(-kn se!$ -i5k !!-$ %n %-" !e!5!i #e(#gi -en)e## ke!"in i#$ %n $-) )ng %-" %i+k$kn $n"$k !eneg5 ke!"in i#$.
BAB II ANGKA KEMATIAN IBU *-1- De'inisi
Ke!"in i#$ !en$($" %efinisi
ke5!i+n3
se!$ se## )ng "e(ki"
%engn "$ %i-e(#e(" &+e5 ke5!i+n "$ -enngnnn) "e"-i #$kn %ise##kn &+e5 kee+kn=e%e(.
*-*- An,ka Kema#ian I+u di Asean
Angk ke!"in i#$ !si5 !en/%i !s+5 %i #e#e(- Neg( "e(+i5" %(i !si5 "inggin) ngk ke!"in i#$. Di Neg( ng&" ASEAN -% "5$n 291' -+ing "inggi ngk ke!"in i#$ % %i Neg( L&s )i"$ 229=199.999 ke+5i(n 5i%$- %is$s$+ &+e5 M)n!( 299=199.999 ke+5i(n 5i%$- In%&nesi 149=199.999 ke+5i(n 5i%$- K!#&/ 19=199.999 ke+5i(n 5i%$- Fi+i-in 129=199.999 ke+5i(n 5i%$- %n )ng -+ing (en%5 )i"$ Sing-$( ,=199.999 -en%$%$k. In%&nesi #e(% %i$($"n ke83 "e("inggi.
Ne,a(a
1%%
1%%5
*
*5
*1&
B(unei
2,
2*
2'
2*
2
Fili/ina
119
139
129
139
129
Indonesia
'39
3,9
319
2*9
149
Kam+o4a
1299
,9
*'9
329
19
aos
1199
39
,99
'19
229
Malasia
*,
'*
'9
3,
24
Manma(
*9
'9
3,9
2,9
299
Sin,a/u(a
14
19
,
Thailand
'2
3
'9
3'
2,
2ie#nam
1'9
119
2
,9
'4
T#e+ 1. Angk Ke!"in I#$ %i Neg( Asen "5$n 2913 S$!#e( > Maternal Mortality 1990!01"# $stimates %y &'# *+C$F# *FP,# The &orl- .an/ an- the nite- *ation Population Division
*-&- An,ka Kema#ian I+u di Indonesia
Be(%s(kn S$(vei De!&g(fi %n Kese5"n In%&nesi 6SDKI7 "5$n 2912 ngk ke!"in i#$ %i In%&nesi !si5 "inggi se#es( 3*4 -e( 199.999 ke+5i(n 5i%$-. Angk ini se%iki" !en$($n /ik %i#n%ingkn %engn SDKI "5$n 1441 )i"$ se#es( 349 -e( 199.999 ke+5i(n 5i%$-. Angk ini se%iki" !en$($n !eski-$n "i%k "e(++$ signifikn. T(ge" g+&#+ MDGs 6Mi++eni$! Deve+&-!en" G&+s7 ke8* %+5 !en$($nkn Angk Ke!"in +#$ 6AKI7 !en/%i 192 -e( 199.999 ke+5i(n 5i%$- -% "5$n 291*. Meng$ %(i k&n%isi s" ini -&"ensi $n"$k !en-i "(ge" MDGs ke8* $n"$k !en$($nkn AKI %+5 &ff"(k ("in) %i-e(+$kn ke(/ ke(s%n s$ngg$58s$ngg$5 $n"$k !en-in). Pe!e(in"5 #e(s! !s)(k" #e("ngg$ng /:# $n"$k !en/!in #5: se"ii#$ !e!i+iki kses "e(5%- -e+)nn kese5"n i#$ )ng #e(k$+i"s !$+i %(i s" 5!i+ -e("&+&ngn -e(s+inn &+e5 "eng kese5"n "e(+"i5 %n -e(:"n -s-e(s+inn #gi i#$ %n #)i -e(:"n k5$s$s %n ($/$kn /ik "e(/%i k&!-+iksi se(" kses "e(5%- ke+$(g #e(enn. Di s!-ing i"$ -en"ingn) !e+k$kn in"e(vensi +e#i5 ke 5$+$ )kni ke-% ke+&!-&k (e!/ %n %e:s !$% %+! $-) -e(e-"n -en$($nn AKI.
G!#( 1. Angk Ke!"in I#$ 6AKI7 T5$n 144182912 S$!#e(> S;K= 144182912
*-!- Fak#o( )ene+a+ Kema#ian I+u
P% %s(n) ke!"in i#$ %-" %ise##kn &+e5 2 fk"&( )kni -en)e## +ngs$ng %n -en)e## "i%k +ngs$ng>
*-!-1- )ene+a+ lan,sun,
Pen)e## ke!"in i#$ se( +ngs$ng sng" #e(ki"n %engn !e%is #e(5$#$ngn %engn k&!-+iksi &#s"e"(ik se+! !s ke5!i+n -e(s+inn %n !s nifs 6-&s" -("$!7. Be(#gi 5si+ -ene+i"in %ike"e!$kn #5: -en)e## ke!"in i#$ "e(#n)k ki#" %(i -en%(5n. Be#e(- -en)e## ke!"in i#$ %+5 Pen%(5n ek+!si -("$s +! k&!-+iksi #&(si %n infeksi.
G!#( 2. Pen)e## Ke!"in I#$ T5$n 291282913 S$!#e(> Di(ek"&(" Kese5"n +#$ 291982913
Be(%s(kn G!#( 2 "e(+i5" #5: -en)e## "e(#es( ke!"in i#$ se+! "5$n 291982913 !si5 "e"- s! )i"$ -e(%(5n. Se%ngkn -("$s +! !e($-kn -en)$!#ng ke!"in i#$ "e(en%5. Se!en"( i"$ -en)e## +in8+in /$g #e(-e(n $k$- #es( %+! !en)e##kn ke!"in i#$. ?ng %i!ks$% %engn -en)e## +in8 +in %+5 -en)e## ke!"in i#$ se( "i%k +ngs$ng se-e("i k&n%isi -en)ki" knke( gin/+ /n"$ng "$#e(k$+&sis "$ -en)ki" +in )ng %i%e(i" i#$. Tinggin) ke!"in i#$ ki#" -en)e## +in8+in !en$n"$" -e(n #es( ($!5 ski" %+! !enngni -en)e## "e(se#$".
*-!-*- )ene+a+ #idak lan,sun,
Fk"&( -en)e## "i%k +ngs$ng ke!"in i#$ %iki#"kn &+e5 -en)ki" )ng %i%e(i" &+e5 si i#$ "$ -en)ki" )ng "i!#$+ se+! ke5!i+n %n "i%k % ki"nn) %engn -en)e## +ngs$ng &#s"e"(ik "-i -en)ki" "e(se#$" %i-e(#e(" &+e5 efek fisi&+&gik ke5!i+n. Be#e(- -en)e## ke!"in i#$ "i%k +ngs$ng %+5>
1. S""$s -e(e!-$n %+! ke+$(g. Pe(e!-$n -% s""$s &(ng ke %$ (/onco win/in) #isn) "i%k kn sngg$- !enge+$(kn ke+$5n8ke+$5n )ng #e(ki"n %engn "i!#$+n) (s ski"=ke+inn )ng % %i %+! %i(i se5$#$ngn %engn ke5!i+nn) )ng kn !en)e##kn "e(5%- ke"e(+!#"n %+! -enngn !e%is. 2. Ke#e(%n nk. Ke#e(%n nk )ng s"$ %engn )ng +in "e(++$ %ek" kn !eni!#$+kn -e(:"n=-e(5"in nk "i%k !ksi!+ )ng 5+ ini kn !eng$(ngi -e(5"in "e(5%- %i(i se&(ng i#$ %engn ke5!i+nn). 3. S&si+ #$%). S&si+ #$%) )ng !e!(gin+kn -e(e!-$n kn !e!-e(s$+i" -e(e!-$n 6i#$7 %+! !eng!#i+ inisi"if $n"$k !e+k$kn "in%kn )ng kn #e(ki#" -% ke"e(+!#"n -enngn !e%is. '. Pen%i%ikn. Pen%i%ikn )ng (en%5 #e(%!-k "e(5%- -enge"5$n )ng (en%5 "e(5%5+ ik5:+ ke5!i+n %n -e(s+inn. *. S&si+ ek&n&!i. Peng5si+n )ng (en%5 "en"$ kn #e(ki#" -% #n)k 5+ se-e("i -e!en$5n gi@i i#$ 5!i+ -e(:"n i#$ 5!i+ %n -e(s+inn %++. ,. Ge&g(fis %e(5. Le"k k+inik )ng /$5 %n s$+i" "e(/ngk$ kn #e(ki#" "e(5%- ke"e(+!#" -e("&+&ngn -e+)nn kese5"n i#$ 5!i+=#e(s+in.
*-5- U/aa )enu(unan Kema#ian I+u
Se/k &"&n&!i %e(5 %$k$ngn -e!e(in"5 %e(5 -% -(&g(! KB !e!ng /$5 !en$($n. ;+e5 se## i"$ :/( s/ +n/$" Ag$ng /ik ngk ke!"in i#$ !e+&n/k. Pe!kin !e"&%e KB 6Ke+$(g Be(enn7 /ngk -n/ng 5n) se#es( 19,
-e(sen. (Men/o esra2 ,un 3a/sono4 http255nasional4sin-onews4com -i a/ses tl 9 nov4 !01")
U-) %i"e!-$5 !e++$i MPS 6Mking P(egnn) Sfe(7. A% "ig -esn k$ni %+! MPS )ng -e(+$ %i-e(5"ikn> 1. Se"i- -e(s+inn %i"&+&ng &+e5 "eng kese5"n )ng "e(+"i5 2. Se"i- k&!-+iksi &#s"e"(ik %n ne&n"+ !en%-" -e+)nn )ng %ek$" 6!e!%i7. 3. Se"i- :ni" $si s$#$( !e!-$n)i kses "e(5%- -eneg5n ke5!i+n )ng "i%k %iinginkn %n -enngnn k&!-+iksi keg$g$(n. Un"$k !enekn ngk ke!"in i#$ )ng %ise##kn se( +ngs$ng 6!e%is7 -e!e(in"5 #e($-) $n"$k !en%ek"kn -e+)nn i#$ )ng #e(k$+i"s ke-% !s)(k". A%-$n $-) )ng "e+5 %n se%ng %i"e!-$5 %+5> 1
Pene(-n ke#i/kn -e("&+&ngn -e(s+inn &+e5 "eng kese5"n n"( +in #e($- -en)e%in fsi+i"s -e("&+&ngn -e(s+inn -% -&+in%es -&+ik+inik kese5"n %es -$skes!s -e!#n"$ se(" !eningk"kn ke!i"(n #i%n %n %$k$n #)i.
G!#( 3. 0k$-n Pe("&+&ngn Pe(s+inn &+e5 Teng Kese5"n %i In%&nesi "5$n 299'82913.
P% G!#( 3 "e(+i5" #5: -in in%ik"&( ini %+! 19 "5$n "e(k5i( !en$n/$kkn keen%e($ngn -eningk"n )i"$ %(i '2 -% "5$n 299' !en/%i
49 -% "5$n 2913. Angk ini s$%5 !en-i "(ge" MDGs -% "5$n 291* se#es( 49. 0k$-n -e(s+inn &+e5 "eng kese5"n )ng $k$- "inggi -% "5$n 2913 )i"$ se#es( 49 n!$n #e+$! "en"$ se!$ -e(s+inn "e(se#$" #e("e!-" %i fsi+i"s -e+)nn kese5"n. G!#( ' . P(&-&(si Ke+5i(n Be(%s(kn Te!-" Be(s+in %i In%&nesi S$!#e(> Riskes%s2913B%n Li"#ngkes
2
Pe+"i5n #gi -e"$gs kese5"n %+! (ngk !eningk"kn ke"(!-i+n %n k$+i"s -e+)nn kese5"n #eke(/s! %engn LSM n"( +in ;(gnissi
3
P(&fesi IBI PKBI IDI P2KS %n P2KP. Pen)e%in -e+)nn keg:" %($("n &#s"e"(ik )ng #e(k$+i"s ses$i s"n%(" %n k&!-e"ensin) n"( +in %i P&+iki+inik Kese5"n Des &+e5 Bi%n P$skes!s Pe!#n"$ P$skes!s P;NED 6Pe+)nn ;#s"e"(i Ne&n"+ E!e(gen) Ds(7 %n ($!5 ski" P;NEK 6Pe+)nn ;#s"e("(ik Ne&n"+
'
E!e(gen) K$+i"s7 2' /!. Meneg5 "e(/%in) ke5!i+n )ng "i%k %iinginkn !e++$i -e+)nn ke+$(g #e(enn 6KB7 %n -enngnn k&!-+iksi keg$g$(n se(" !e!#e(ikn -e+)nn #&(si )ng !n ses$i -e("$(n )ng #e(+k$. (ntun Praptohar-6o -//)
G!#( *. Contraceptive Prevalence Rate 60PR7 Se!$ 0( 0( M&%e(n %n Total Fertility Rate 6TFR7 -% Pe(e!-$n Menik5 Usi 1*8'4 T5$n T5$n 144182912.
S+5 s"$ ( $n"$k !eneg5 ke5!i+n %+5 #e(8KB. Seki"( 3 :ni" $si s$#$( "i%k !engg$nkn KB 6-% "5$n 29137 se5ingg +e#i5 #e(-e+$ng 5!i+ %n !eningg+ ke"ik !e+5i(kn. P% G!#( * %-" %i+i5" k&n%isi TFR %(i "5$n 144182912 %+! k$($n :k"$ "e(se#$" -en$($nn ngkn) sng"+5 +!#" 5n) se#es( 9'. Dengn !eningk"n) k$-n Contraceptive
Prevalence Rate 60PR7
%n !en$($nknn) ngk Total Fertility Rate 6TFR7 !k %-" !e!-e(kei+ Angk Ke!"in +#$ 6AKI7. D(i sisi I#$ !k $-) !eng5in%(i ke!"in i#$ %+5 %engn k&!i"!en )ng "inggi $n"$k %-" !eng5in%(i ' "e(++$ )kni> 1
Te(++$ M$% !e+5i(kn )kni !eng5in%(i 5!i+=!e+5i(kn %i#:5 $si 29 "5.
2
Te(++$ T$ $si !e+5i(kn )kni !eng5in%(i 5!i+=!e+5i(kn %i "s $si 3* "5.
3
Te(++$ Dek"
/(k ke+5i(n )kni !eng5in%(i /(k ke+5i(n nk )ng
s"$ %engn )ng +in %i #:5 3 "5.
'
Te(++$ Bn)k !e+5i(kn )kni !eng5in%(i !e+5i(kn +e#i5 %(i 3 nk.
Dn /$g -( i#$ #ese(" ke+$(g %-" !engn"isi-si /ngn s!-i "e(/%i 3 "e(+!#" )i"$ >
1. Te(+!#" !eng!#i+ ke-$"$sn %-" %ise##kn 5+ #e(ik$" ini > •
I#$ "e(+!#" !en(i -e("&+&ngn "eng kese5"n :+$-$n kses "e(5%- "eng kese5"n "e(se%i 2'= 62' /! %+! se5(i %n 5(i %+! se!ingg$7 &+e5 k(en !s+5 "(%isi=ke-e()n %+! -eng!#i+n ke-$"$sn %i ke+$(g %n ke"i%k !!-$n !en)e%ikn #i) n&n8!e%is %n #i) !e%is +inn) 6&#" /enis "e("en"$ -e!e(iksn g&+&ngn %(5 "(ns-&(" $n"$k !en(i %(5=&#" %++7.
•
Ke+$(g "e(+!#" !e($/$k k(en "i%k !enge("i "n% #5) )ng !engn! /i: i#$.
•
Teng
kese5"n
"e(+!#"
!e+k$kn
-eneg5n
%n="$
!engi%en"ifiksi k&!-+iksi se( %ini 8 )ng %ise##kn &+e5 k(en k&!-e"ensi "eng kese5"n "i%k &-"i!+ n"( +in ke!!-$n %+! !e+k$kn APN 6As$5n Pe(s+inn N&(!+7 ses$i s"n%( %n -enngnn -e("! ke%n GD;N 6G:" D($(" ;#s"e"(i %n Ne&n"+7. •
Teng kese5"n "i%k !!-$ !engC%v&ksiC -sien %n ke+$(gn) !engeni -en"ingn) !e($/$k "e-" :k"$ $n"$k !en)e+!"kn /i: i#$.
2. Te(+!#" !engn"( ke "e!-" -e(s+inn )ng %-" %ise##kn &+e5 5+ #e(ik$" >
•
Ms+5 ge&g(fis
•
Ke"e(se%in +" "(ns-&("si
•
S"#i+issi -sien k&!-+iksi 6!is+n) -(e8s)&k7 "i%k "e(/%i="i%k efek"if 8 k(en ke"e(!-i+n "eng kese5"n )g k$(ng &-"i!+ %n="$ &#"=+" k$(ng +engk-
•
M&ni"&(ing -sien se+! ($/$kn "i%k %i+k$kn "$ %i+k$kn "e"-i "i%k %i"in%k +n/$"i.
3. Te(+!#" !en%-" -enngnn -e(s+inn %-" %ise##kn &+e5 > •
Sis"e! %!inis"("if -e+)nn ks$s g:" %($(" %i RS "i%k efek"if.
•
Teng kese5"n )ng %i#$"$5kn 6SP;G Anes"esi Ank %++7 "i%k "e(se%i.
•
Teng Kese5"n k$(ng "e(!-i+ :+$-$n kses "e(5%- "eng "e(se%i.
•
S(n %n -(s(n "i%k +engk-="i%k "e(se%i "e(!s$k ($ng -e(:"n ($ng "in%kn -e(+"n %n &#".
•
D(5 "i%k sege( "e(se%i.
•
Psien "i# %i RS %engn k&n%isi !e%is )ng s$+i" %ise+!"knC.
•
K$(ng /e+sn) Peng"$(n -ene(i!n ks$s %($(" g( "i%k "e(/%i -en&+kn -sien "$ g( -sien %i+i5kn ke RS +in se( efek"if.
•
K$(ngn) inf&(!si %i !s)(k" "en"ng
ke!!-$n s(n
-e+)nn kese5"n )ng %i($/$k %+! -enngnn keg:" %($("n
!"e(n+ %n #)i #($ +5i( se5ingg -e+)nn %ek$" "i%k %i-e(&+e5. D(i $(in "e(se#$" %i "s %-" %isi!-$+kn #5: $n"$k !enekn ngk ke!"in i#$ 6AKI7 -e(+$ %n) $-) )ng se(i$s %(i #e(#gi k+ngn #ik %(i -e!e(in"5 "eng !e%is %n !s)(k". Se!$ -i5k g( %-" !e!5!i #e(#gi -en)e## ke!"in i#$. Be(-e%&!n ke-% ' "e(++$ %n 3 "e(+!#" kn sng" #e(("i %+! !eng5in%(i ke!"in i#$ %+! !e+5i(kn.
*-6- Pathway #e(4adina kema#ian i+u
Keluarga Berencana
G!#( ,. Ke(ngk K&nse- Pathway Te(/%in) Ke!"in I#$
Di-e(ki(kn 1* ke5!i+n %n -e(s+inn kn !eng+!i k&!-+iksi. Se#gin k&!-+iksi ini %-" !engn! /i: "e"-i se#gin #es( k&!-+iksi %-" %ieg5 %n %i"ngni #i+> 7 I#$ sege( !en(i -e("&+&ngn ke"eng kese5"n #7 Teng kese5"n !e+k$kn -(&se%$( -enngnn )ng ses$i n"( +in -engg$nn -("&g(f $n"$k !e!n"$ -e(ke!#ngn -e(s+inn %n -e+ksnn !n/e!en k"if k+ III 6MAK III7 $n"$k !eneg5 -e(%(5n -s8s+in 7 Teng kese5"n !!-$ !e+k$kn i%en"ifiksi %ini k&!-+iksi %7 A-#i+ k&!-+iksi "e(/%i "eng kese5"n %-" !e!#e(ikn -e("&+&ngn -e("! %n !e+k$kn "in%kn s"#i+issi -sien se#e+$! !e+k$kn ($/$kn e7 P(&ses ($/$kn efek"if f7 Pe+)nn %i RS )ng e-" %n "e-" g$n.
Dengn %e!ikin $n"$k k&!-+iksi )ng !e!#$"$5kn -e+)nn %i RS %i-e(+$kn -enngnn )ng #e(kesin!#$ngn 6continuum o7 care7 )i"$ %(i -e+)nn %i "ingk" %s( s!-i %i R$!5 Ski". Lngk5 1 s!-i %engn * %i"s "i%k kn #e(!nf" #i+ +ngk5 ke , "i%k %ek$". Se#+ikn) %n) -e+)nn %i RS )ng %ek$" "i%k kn #e(!nf" #i+ -sien )ng !eng+!i k&!-+iksi "i%k %i($/$k.
*-7- 8a/aian )(o,(am
S+5 s"$ $-) !sif -e!e(in"5 $n"$k !en$($nkn AKI %+5 P(&g(! -ene!-"n #i%n %i %es )ng "e+5 !$+i %i+ksnkn se/k "5$n 14498n. P(&g(! ini #e("$/$n $n"$k !en%ek"kn kses !s)(k" "e(5%- -e+)nn kese5"n i#$ %n #)i #($ +5i( "e($"! -% s" ke5!i+n %n -e(s+inn.
N!$n %e!ikin &+e5 k(en -en%i%ikn Bi%n %i+k$kn %+! :k"$ )ng -en%ek +e#i5 k$(ng *'.999 %+! , "5$n k$+i"s se#gin Bi%n !si5 -e(+$ %i"ingk"kn g( !e!en$5i s"n%( k&!-e"ensi. Be(%s(kn +-&(n ($"in kese5"n i#$ %(i %inkes -(&vinsi "5$n 2911 s!-i s" ini "e("" % ,,.''2 #i%n )ng #e("$gs %i %es n!$n 5n) seki"( *'.3,4 &(ng "$ 2 )ng "ingg+ %i %es. Se+in i"$ ke!!-$n #i%n %i %es %+! !e!#e(ikn -e("&+&ngn -e(s+inn ses$i s"n%( "e(ken%+ %engn s(n "e!-" "ingg+ )ng #e(g#$ng !en/%i P&skes%es. D" P(&fi+ Kese5"n In%&nesi T5$n 2911 !en$n/$kkn #5: /$!+5 P&skes%es -% 2911 #($ !en-i *3.1*2 P&skes%es. Se+in i"$ /$!+5 #i%n %es )ng "e+5 !en%-"kn -e+"i5n As$5n Pe(s+inn N&(!+ 6APN7 #($ !en-i 3*.3, &(ng 6*2,7. APN !e($-kn -e+"i5n -e(s+inn )ng s+5 s"$ k&!-&nenn) %+5 !n/e!en k"if k+ III 6MAK III7 $n"$k !eneg5 se#gin -e(%(5n -s8s+in %n -engg$nn P("&g(f $n"$k !en%e"eksi !s+5 %+! -(&ses -e(s+inn. ;+e5 k(en "i%k se!$ %es !e!-$n)i Bi%n %n 5n) se-($5 Bi%n "e+5 %i+"i5 g( !e!-$n)i ke"e(!-i+n )ng !e!%i 5+ ini !e!#e(ikn +sn #5: -e("&+&ngn -e(s+inn )ng !e!en$5i s"n%( %-" %i+k$kn %i fsi+i"s kese5"n 6P$skes!s Pe(:"n "$ P$skes!s P;NED7. Pe(s+inn %i fsi+i"s kese5"n !e!#e(ikn #e#e(- ke+e#i5n )i"$> "eng kese5"n "i%k sen%i(in !eng5%-i -e(s+inn "e($"! #i+ "e(/%i k&!-+iksi k(en % "eng +e#i5 %(i s"$ &(ng !k !&ni"&(ing -sien %-" %i+k$kn %engn +e#i5 in"ensif se( #e(gn"in !eng"si kek$(ngn Bi%n k(en %-" %i+k$kn (&"si -en$gsn %i fsi+i"s kese5"n k(en #$kn %i ($!5 -sien !k "eknn ke+$(g %n k&n%isi ($!5 -sien )ng k$(ng k&n%$sif #gi Bi%n %-" %i5in%(knke+engk-n +" %n &#" %i fsi+i"s kese5"n +e#i5 "e(/!in%n #isn) fsi+i"s kese5"n #e(% %i +&ksi )ng +e#i5 !$%5 $n"$k !en-i RS. Pene(-n s"n%( APN %i -e+)nn %s( "e+5 ses$i %engn 5(-n %engn !en$($nn) -(&-&(si -e(%(5n %n infeksi. N!$n %e!ikin k$+i"s s$5n -e(s+inn /$g !si5 -e(+$ %i"ingk"kn. Hsi+ Ases!en K$+i"s Pe+)nn Kese5"n M"e(n+ "5$n 2912 %i 29 K#$-"en=k&" %i In%&nesi !en$n/$kkn
#5: ke-"$5n -e"$gs kese5"n %+! !engg$nkn P("&g(f !e+k$kn -e!e(iksn fisik se(" !en%&k$!en"sikn 5si+ -e!e(iksn !si5 (en%5 -%5+ -e!e(iksn fisik )ng "e+i"i se(" -engg$nn P("&g(f )ng #en( %-" !eneg5 "e(/%in) k&!-+iksi -e(s+inn.
Asuhan )e(salinan No(mal
RS
)uskesmas
Me+engk-i (i:)" !e%is
,,
,1'
Me+engk-i -e!e(iksn fisik $!$! %n &#s"e"(ik
*21
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'19
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Mengg$nkn k(%i&"&k&g(fi 60TG7
149
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Me+k$kn -e(:"n k+ s"$ -e(s+inn
3
3
Me+i5" "n% %n ge/+ k+ %$
99
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299
'2*
T#e+ 2.D" K$+i"s APN 6As$5n Pe(s+inn N&(!+7 6S$!#e( Asses!en" k$+i"s -e+)nn kese5"n !"e(n+ Ke!kes 8
Asuhan An#ena#al Me+engk-i (i:)" !e%is Me+engk-i -e!e(iksn fisik $!$! %n &#s"e"(ik Me+k$kn k&nse+ing %n e%$ksi Me+k$kn -e!e(iksn -en$n/ng ($"in Me+k$kn -e!e(iksn -en$n/ng #i+ % in%iksi Me!#e(ikn s$-+e!en %n i!$nissi
RS 33, *999 2'1 343 '499 ,2*9
)uskesmas '*2 *43 '*99 14,4 *2*9 313
T#e+ 3. D" k$+i"s AN0 6S$!#e(> Ases!en k$+i"s -e+)nn kese5"n !"e(n+ Ke!kes8
G!#( . P(&-&(si I#$ )ng !en%-" -en/e+sn "n% #5) ke5!i+n 2919
Hsi+ Riskes%s 2919 !en$n/$kkn #5: seki"( '* ke+$(g )ng !engk$ !en%-" -en/e+sn "n% #5) ke5!i+n s" AN0 6G!#( 7. H+ ini %i-e(k$" %engn 5si+ Ases!en K$+i"s Pe+)nn M"e(n+ "5$n 2912 )ng !en$n/$kkn #5: 5n) 2' RS %n '* P$skes!s )ng !e+k$kn k&nse+ing %n e%$ksi ses$i s"n%( -% s" AN0. Ke%$ 5+ ini !en$n/$kkn #5: -e(n "eng kese5"n $n"$k !e!#e(ikn inf&(!si %n %v&ksi ke-% i#$ %n ke+$(g -% s" AN0 !si5 +e!5 se5ingg -enge"5$n ke+$(g %n !s)(k" $n"$k !e!#$" -e(ennn -e(s+inn /$g (en%5 6T#e+ 27.
*-"- Ren9ana Aksi Nasional *-"-1- Tu4uan
Me!-e(e-" Pen$($nn Keski"n %n Ke!"in I#$ %n B)i B($ L5i( %i In%&nesi.
*-"-*- Tan#an,an. S#(a#e,i dan )(o,(am U#ama
RAN %i+ksnkn %+! k&n"eks %esen"(+issi %+! #en"$k Renn Aksi De(5 6RAD7 )ng !en/!in in"eg(si )ng !n"- %+! -e(ennn -e!#ng$nn kese5"n se(" -(&ses +&ksi ngg(n %engn f&k$s -% -e+)nn kese5"n i#$ %n #)i #($ +5i( ses$i s"n%( &s"8effe"ive %n #e(%s(kn #$k"i -% se!$ "ingk" -e+)nn %n ($/$kn kese5"n #ik %i sek"&( -e!e(in"5 !$-$n s:s".
a- Tan#an,an
Tig "n"ngn $"! -e(e-"n -en$($nn AKI %+5 !si5 k$(ng &-"i!+n) kses "e(5%- -e+)nn %i fsi+i"s kese5"n )ng #e(k$+i"s "e(#"sn) s$!#e( %) s"("egis $n"$k kese5"n i#$ %n ne&n"+ se(" (en%5n) -enge"5$n %n kes%(n !s)(k" "en"ng kese5"n i#$. Tig "n"ngn $"! ini )ng ke!$%in !en%s(i -enen"$n "ig s"("egi %n -e!i+i5n -(&g(! $"!.
+- S#(a#e,i an, di,unakan dalam men9a/ai #a(,e# AKI #ahun *15 adalah :
1-
)enin,ka#an
9aku/an
dan
kuali#as
/elaanan
keseha#an i+u
B$k"i #$k"i sng" k$" !en$n/$kkn #5: kese+!"n n): i#$ 5!i+ #e(s+in %n nifs sng" %i-eng($5i &+e5 ksesn) se"i- s" "e(5%- -e+)nn ke#i%nn )ng #e(k$+i"s "e($"! k(en se"i- ke5!i+n %n -e(s+inn !e!-$n)i (esik& !eng+!i k&!-+iksi )ng !engn! /i:. K&nse- -e+)nn ke#i%nn #e(kesin!#$ngn )ng %is!-ikn %i ## se#e+$!n) !en%s(i sng" -en"ingn) -eningk"n k$-n %n k$+i"s -e+)nn se%e!ikin ($- se5ingg se"i- i#$ 5!i+ %n #e(s+in )ng !eng+!i k&!-+iksi !e!-$n)i kses ke -e+)nn kese5"n #e(k$+i"s se( "e-" :k"$ %n "e-" g$n. Pe+)nn #e(kesin!#$ngn ini "e($"! sng" -en"ing -%
-e(i&%e -(&ses -e(s+inn %n %+! 2' /! -e("! -s8s+in &+e5 k(en %i %+! :k"$ )ng sng" -en%ek "e(se#$" se#gin #es( ke!"in i#$ "e(/%i. Akses "e(5%- -e+)nn $n"$k ks$s8ks$s "e("en"$ )ng %-" !e!-e(#$($k k&n%isi i#$ 5!i+ #e(s+in %n nifs %n ks$s8ks$s )ng !e!-$n)i i!-+iksi kese5"n %n s&si+ )ng +$s %i !s !en%"ng )i"$ Ane!i M+(i %i %e(5 en%e!is HI=AIDS As$5n Psk Keg$g$(n %n ke5!i+n -% (e!/ sng" -e(+$ !en%-"kn -e(5"in.
G!#( . 0k$-n Pe+)nn Kese5"n I#$ H!i+ K1 K' %n Pe(s+inn ;+e5 Teng Kese5"n %i In%&nesi T5$n 29982913
D(i G!#( #e(ik$" %-" %i+i5" #5: !eski k$-n -e+)nn i#$ 5!i+ K' se( nsi&n+ !eng+!i -en$($nn n!$n k$-n -e("&+&ngn -e(s+inn &+e5 "eng kese5"n !eng+!i kenikn. Pe(sen"sen) #5kn !e+e#i5i k$-n K'. H+ ini !en/%i "n"ngn "e(sen%i(i #gi Pe!e(in"5. Pe+)nn n"en"+ !e!i+iki -e(nn )ng sng" -en"ing %i n"(n) g( %-" %i+k$kn %e"eksi %n "" +ksn %ini k&!-+iksi )ng %-" "i!#$+ -% s" -e(s+inn. A-#i+ se&(ng i#$ %"ng +ngs$ng $n"$k #e(s+in %i "eng kese5"n "n- %n) (i:)" -e+)nn n"en"+ se#e+$!n) !k fk"&( (isik& %n ke!$ngkinn k&!-+iksi s" -e(s+inn kn +e#i5 s$+i" %in"isi-si. Un"$k ke %e-nn) %i5(-kn %efinisi &-e(si&n+ K+ 5n) !engg$nkn K+ !$(ni #$kn K+ kses se5ingg k$-n K+ %n K' "i%k #n)k #e(#e%. K&n%isi s" ini %i!n #e+$! se!$ k$n/$ngn K+
%+5 K+ !$(ni se5ingg /ik %i"e!$kn ke+inn -% s" An"e N"+ 0(e 6AN07 !k "i%k $k$- :k"$ $n"$k -enge+&+n ke+inn "e(se#$". Di s!-ing K+ n) #$kn K+ !$(ni -% s" -e(s+inn %&k"e( "i%k "e(+i#" /$g -% s" AN0 !k -enge+&+n ke+innn) "i%k $k$- :k"$. 0&n"&5n) -enngnn 5i-e("ensi -% s" AN0 s!-i s" !e+5i(kn. Ke#i/kn )ng %i#$" se5($sn) !en%$k$ng -e(s+inn &+e5 e!-" "ngn. Mini!+ "e(%-" %$ &(ng "eng kese5"n )ng !e!#n"$ -e(s+inn g( -% s" -e(s+inn i#$ %n nk s!8s! "e("ngni.
*-)enin,ka#an )e(an )eme(in#ah Dae(ah #e(hada/ )e(a#u(an an, da/a# mendukun, se9a(a e'ek#i' /elaksanaan )(o,(am
Sis"e! -e+)nn kese5"n !e($-kn #gin %(i sis"e! -e+)nn -$#+ik +inn) )ng -eng"$(nn) %+! #e#e(- s-ek sng" %i"en"$kn &+e5 ke#i/kn %n -e("$(n %e(5 6PERDA7 se-e("i -en)e%in %n -ene!-"n "eng kese5"n %n "eng -en$n/ng kese5"n se(" -en)e%in s(n %n -(s(n kese5"n. Teng kese5"n !e($-kn $/$ng "&!#k %(i -e+ksnn -(&g(! -e+)nn kese5"n. ;+e5 k(en i"$ ke#i/kn -ene!-"n "eng kese5"n !e!-$n)i -&sisi )ng sng" s"("egis se5ingg -e(+$ %i"$( se( /e+s %n "egs. Ke#i/kn -e(+$ %i+engk-i %engn -ene(-n (e:(% %n -5$nis5!en" )ng /e+s #ik "e(5%- "eng s-esi+is %&k"e( #i%n %n "eng "e(ki" kese5"n +inn). ;+e5 k(en 5si+ -e+)nn kese5"n )ng &-"i!+ sng" %i-eng($5i &+e5 k$+i"s -e+)nn !k -en/!inn k&!-e"ensi "eng kese5"n
-e(+$
!en%-"kn -e(5"in !e++$i #e(#gi $-) )ng !e+i-$"i -en%i%ikn -(ese(vie )ng %ek$" -e+"i5n $n"$k !eningk"kn k&!-e"ensi "eng kese5"n )ng "e+5 #eke(/ 6in8se(vie "(ining7 -ene(-n ke:enngn "eng kese5"n )ng ses$i se("ifiksi "eng %n fsi+i"s kese5"n -e!#e(in i/in -(k"ek "eng kese5"n %n $-) $%i" -e+)nn "e(5%- "eng kese5"n !$-$n fsi+i"s kese5"n. Pe(n PEMDA %n Pe!e(in"5 P$s" %+! -eng"$(n
ke"e(se%in %n k$+i"s "eng kese5"n sng" %i5(-kn $n"$k %-" #e(f$ngsi %engn efek"if. Ke"e(se%in "eng )ng k&!-e"en s/ "i%k $k$- "n- %i%$k$ng &+e5 s(n %n -(s(n )ng !e!%i "e(!s$k ke"e(se%in %(5 2'=. Pe(+$ %i+k$kn k&&(%insi )ng #ik n"( UTD RSUD %engn PMI UTD RS )ng +e#i5 "inggi 6-(&vinsi7 %n UTD RS s:s" %+! -en)e%in %(5 $n"$k -sien. Peng$"n sis"e! ($/$kn -e(+$ !en%-"kn %$k$ngn )ng k$" %(i PEMDA %n -e!ngk$ ke-en"ingn +inn) se%e!ikin ($- se5ingg -sien )ng %i($/$k sege( !en%-"kn -e("&+&ngn. D$k$ngn sng" %i-e(+$kn !enging" -(&ses ($/$kn !e!e(+$kn ke"e(+i#"n #e(#gi -i5k )i"$ !s)(k" "eng %n fsi+i"s kese5"n %i "ingk" -e+)nn kese5"n %s( R$!5 Ski" 6-e!e(in"5 !$-$n s:s"7 "e(!s$k UTD RS %n PMI. Pe(+$ %i-e("i!#ngkn $-)8$-) (egi&n+issi %e(5 )ng %ises$ikn %engn k&n%isi %e(5 !sing8!sing g( % ke/e+sn %+! "$/$n "e!-" ($/$kn. U-) (egi&n-issi "e(se#$" n"( +in k+s"e( -$+$ k+s"e( %e(5 -n"i k+s"e( :i+)5 k&" %engn k#$-"en "e(%ek" %s#.Un"$k 5+ ini %$k$ngn !e++$i Pe("$(n G$#e(n$( !$ngkin %-" !e!#n"$ !e!-e(!$%5 $-) (egi&n+issi ($/$kn. D+! -e+ksnnn) $n"$k !e!#e(ikn -e+)nn ke-% !s)(k" -e(n sek"&( s:s" "i%k %-" %i#ikn !enging" k-si"s fsi+i"s kese5"n -e!e(in"5 )ng "e(#"s %n k5i( k5i( ini !s)(k" s$%5 !$+i en%e($ng !e!i+i5 -e+)nn kese5"n s:s" "e($"! %i -e(k&"n. ;+e5 k(en i"$ sek"&( s:s" 5($s !e!-$n)i -e(n k"if $n"$k #e(s!8s! se( "e(k&&(%insi !e!#e(ikn -e+)nn kese5"n "e(#ik ses$i ke#$"$5n !s)(k" %engn %i"$( &+e5 PERDA. Pen/e+sn %i"s !engin%iksikn -e(n k$" Pe!e(in"5 De(5 $n"$k !eng"$( "e(se+engg(n) -e+)nn kese5"n se( &-"i!+ ke-% !s)(k" sng" esensi+ "e(!s$k -eng"$(n -e(n #e(#gi sek"&( -e!e(in"5 -e(n &(gnissi !s)(k" %n -e(n -i5k s:s". Pe(n sek"&( -e!e(in"5 "ingk" P$s" -e(+$ %ik&&(%insikn g( s+ing !e+engk-i $n"$k "e(se+engg(n) -e+)nn kese5"n )ng #ik %i %e(5
&-)em+e(daaan kelua(,a dan masa(aka#
Peng"$(n ke5!i+n %n -e(s+inn se5($sn) !e($-kn ke-$"$sn )ng %i#$" #e(s!8s! n"( se&(ng +&n i#$ %engn s$!i %n ke+$(gn) #$kn !e($-kn ke-$"$sn )ng "i%k %iinginkn &+e5 i#$ #ik &+e5 k(en +sn kese5"n "$-$n +sn8+sn kesi-n +inn). Ke+$(g -e(+$ !e!-$n)i -enge("in #5: se"i- ke5!i+n 5($s !e($-kn ke5!i+n )ng %iinginkn &+e5 i#$n) "e(!s$k k-n ke5!i+n %ike5en%ki %n #e(- /$!+5 nk )ng %iinginkn. Se+in i"$ -e(+$ %i+k$kn $-)8$-) -eningk"n -enge"5$n %n sikke+$(g %n !s)(k" -% $!$!n) !engeni -en"ingn) !e!5!i #5: se"i- ke5!i+n #e(esik& !eng+!i k&!-+iksi )ng !engn! /i: &+e5 k(enn) -e(+$ !e+k$kn -e(ennn -e(s+inn %engn #ik %n -e(ennn $n"$k !e+k$kn -eneg5n %n -en(in -e("&+&ngn sege( #i+ k&!-+iksi "e(/%i 6kesi-n "(ns-&("si %n %n +&n %&n&( %(57.
9- )(o,(am U#ama
P(&g(! U"! "e(-i+i5 !e($-kn -(&g(! )ng %ingg- kn !e!-$n)i %) $ngki" )ng #es( %+! $-) -e(e-"n -en$($nn AKI &+e5 k(en !en/!in "e(se%in) -e+)nn #e(k$+i"s )ng %-" %ikses se"i- s" )ng !e+i-$"i> 1.
Pen)e%in -e+)nn KIA %i "ingk" %es ses$i s"n%(.
2.
Pen)e%in fs)nkes %i "ingk" %s( )ng !!-$ !e!#e(ikn
-e("&+&ngn -e(s+inn ses$i s"n%( se+! 2' /! 8 5( = !gg. 3.
Pen/!inn se+$($5 P$skes!s Pe(:"n P;NED %n RS
P;NEK 2' /! 8 5(i = !gg #e(f$ngsi ses$i s"n%(. '.
Pe+ksnn ($/$kn efek"if -% ks$s k&!-+iksi.
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.
Peningk"n -e($#5n -e(i+k$ %n -e!#e(%)n !s)(k"
!e++$i -e!5nn %n -e+ksnn P'K se(" P&s)n%$.
*-%- Indika#o( Ke+e(hasilan *-%-1- )en9a/aian /(o,(am )e(9e/a#an )enu(unan An,ka Kema#ian I+u
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AKI6Angk Ke!"in I#$7
J$!+5 se+$($5 ke!"in i#$ 6ses$i %engn %efinisi I0D 197 %i s$"$ :i+)5 %i#gi %engn /$!+5 se+$($5 ke+5i(n 5i%$- %i :i+)5 )ng s! %+! s"$ :k"$ "e("en"$. Din)"kn %+! s"$n -e( 199.999 ke+5i(n 5i%$-.
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Pe(s+inn &+e5 Teng Kese5"n
J$!+5 se+$($5 -e(s+inn )ng %i"&+&ng "eng kese5"n %i s$"$ :i+)5 %i#gi %engn /$!+5 se+$($5 -e(s+inn %i :i+)5 )ng s! %+! s"$ :k"$ "e("en"$. Din)"kn %+! -e(sen.
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Angk Ke+5i(n Re!/
J$!+5 ke+5i(n -% (e!/ -$"e(i %+! s$"$ :i+)5 %i#gi %engn /$!+5 se+$($5 (e!/ -$"e(i %i :i+)5 )ng s! %+! s"$ :k"$ "e("en"$. Din)"kn %+! -e(sen.
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K' 6k$n/$ngn AN0 ' k+i se+! ke5!i+n7
J$!+5 k$n/$ngn AN0 se#)k ' k+i %i s$"$ :i+)5 )i"$ se%iki"n) 1 k+i %+! T(i!es"e( 1 1 k+i %+! T(i!es"e( 2 %n 2 k+i %+! T(i!es"e( 3 %i#gi %engn /$!+5 se+$($5 ke5!i+n %i :i+)5 )ng s! %+! s"$ :k"$ "e("en"$. Din)"kn %+! -e(sen.
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Pe(s+inn %i fsi+i"s kese5"n
J$!+5 se+$($5 -e(s+inn )ng %i"&+&ng %i fsi+i"s kese5"n 6P$skes!s %n R$!5 Ski"7 %i s"$ :i+)5 %i#gi %engn se+$($5 -e(s+inn %i :i+)5 )ng s! %+! :k"$ "e("en"$. Din)"kn %+! -e(sen. Pe(+$ %i#e%kn n"( -e(s+inn %i fsi+i"s kese5"n n&n8RS %n -e(s+inn %i RS.
(Polin-es -an Pos/es-es ti-a/ -imasu//an /e-alam /ateori 7asilitas /esehatan oleh /arena 6enis pelayanan yan -apat -ila/u/an -i /e-ua 7asilitas ini ti-a/ sama -enan pelayanan -i Pus/esmas)
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P(&-&(si K&!-+iksi ke#i%nn )ng !en%-"kn -e+)nn %i R$!5 Ski" )ng !e!#e(ikn -e+)nn G:" D($(" Ke#i%nn %n Ne&n"+
BAB III KESIM)UAN
Angk ke!"in i#$ %i In%&nesi !si5 "ingi )i"$ se#es( 3*4 -e( 199.999 ke+5i(n 5i%$- !eski-$n ngk ini s$%5 !en$($n %(i "5$n 1441 se#es( 349 -e( 199.999 ke+5i(n 5i%$-. Msi5 /$5 %(i "(ge" MDGs ke8* )i"$ !en$($nkn ngk ke!"in i#$ !en/%i 192 -e( 199.999 ke+5i(n 5i%$- -% "5$n 291*. Pen)e## ke!"in i#$ -+ing #n)k )i"$ -en%(5n %iik$"i &+e5 -en)ki" -en)e(" -% i#$ 5!i+ 5i-e("ensi infeksi #&("$s %n )ng -+ing kei+ %+5 -("$s +!. Bn)k fk"&( -en)e## !si5 "inggin) ngk ke!"in i#$ %in"(n) )i"$ k$(ngn) k&nse+ing )ng %i+k$kn ke-% i#$ 5!i+ :ni" $si s$#$( %n k&nse+ing "en"ng KB. Se+in i"$ k$(ngn) -e!e("n "eng kese5"n %n fsi+i"s kese5"n %i se"i- %e(5 /$g #e(-eng($5 "e(5%- ngk ke!"in i#$. Tingk" kes%(n i#$ 5!i+ $n"$k !e!e(ikskn ke5!i+nn) se( ($"in ke fsi+i"s kese5"n %n -e(gi ke fsi+i"s kese5"n $n"$k #e(s+in /$g !si5 #e+$! !en-i "(ge" se5ingg "in%kn $n"$k !eneg5 k&!-+iksi -en)$+i" ke5!i+n s$+i" "e(:$/$%. Se5ingg ngk ke!"in i#$ %i In%&nesi #e+$! !en-i "(ge" MDGs 291*.
DAFTAR )USTAKA
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A#%. A+8(5i! U!(n P(&f. Is+! %n KB PT. Len"e( Bs(i"!
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Jk(" 144 J&5n < Sn"(&k Pe(ke!#ngn nk E(+ngg Jk(" 299 Un"$ng P(-"&5(%/& %kk Seki"( Ms+5 A#&(si %i In%&nesi PKBI
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J: Teng5 299 •
&'4 Tren-s in Maternal Mortality 2 1990 to !01". 291'
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Ke!enkes RI. Renn Aksi Pe(e-"n Pen$($nn Angk Ke!"in I#$ %i In%&nesi. Jk(" 2913
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Ke!enkes RI. Inf&DATIN M&"5e( D) Si"$si Kese5"n I#$. Jk(" 291'
