makalah perinatal 2

Oktober 18, 2012 MAKALAH ANGKA KEMATIAN BAYI DAN BALITA BAB I PENDAHULUAN 1.1. Latar Belaka! T"#"a Pe$ba!"a M%le%"$ ata" M%lle%"$ De&elo'$et Goal( )MDG(* a+ala Deklara(% M%le%"$ a(%l ke(e'akata ke'ala e!ara +a 'er-ak%la +ar% 18 e!ara Per(er%kata Ba!(a/ba!(a )PBB* a! $"la% +%#alaka 'a+a e'te$ber 2000, ber"'a +ela'a b"t%r t"#"a "t"k +%a'a% 'a+a ta" 2013. Tar!eta a+ala tera'a% ke(e#ateraa rakat +a 'e$ba!"a $a(arakat 'a+a 2013. Tar!et %% $er"'aka tata!a "ta$a +ala$ 'e$ba!"a +% (el"r" +"%a a! ter"ra% +ala$ Deklara(% M%le%"$, +a +%a+o'(% ole 18 e!ara (erta +%ta+ata!a% ole 145 ke'ala 'e$er%taa +a ke'ala e!ara 'a+a (aat Ko6ere(% T%!kat T%!!% )KTT* M%le%"$ +% Ne- York 'a+a b"la e'te$ber 2000 ter(eb"t. Pe$er%ta I+oe(%a t"r"t $e!a+%r% Perte$"a P"ak M%le%"$ +% Ne- York ter(eb"t +a $ea+ata!a% Deklara(% M%le%"$ %t". Deklara(% ber%(% ko$%t$e e!ara $a(%!/$a(%! +a ko$"%ta( %tera(%oal "t"k $ea'a% 8 b"a (a(ara 'e$ba!"a +ala$ M%le%"$ %% )MDG*, (eba!a% (at" 'aket t"#"a a! ter"k"r "t"k 'e$ba!"a +a 'e!eta(a ke$%(k%a. Pea+ata!aa +eklara(% %% $er"'aka ko$%t$e +ar% 'e$%$'%/'e$%$'% +"%a "t"k $e!"ra!% leb% +ar% (e'ar" ora!/ora! a! $e+er%ta ak%bat kela'ara, $e#a$% (e$"a aak "t"k $eele(a%ka 'e+%+%ka +a(ara, $e!eta(ka ke(e#a!a #e+er 'a+a (e$"a t%!kat 'e+%+%ka, $e!"ra!% ke$at%a aak bal%ta %!!a 27 , +a $e!"ra!% %!!a (e'ar" #"$la ora! a! t%+ak $e$%l%k% ak(e( a%r ber(% 'a+a ta" 2013. A!ka ke$at%a ba% $er"'aka (ala (at" %+%kator (e(%t%6 "t"k $e!eta"% +era#at ke(eata ("at" e!ara baka "t"k $e!"k"r t%!kat ke$a#"a ("at" ba!(a. Dala$ 'elaaa keb%+aa )ob(tetr%*, (ela% A!ka Ke$at%a Materal7Ib" )AKM* ter+a'at A!ka Ke$at%a Per%atal )AKP* a! +a'at +%!"aka (eba!a% 'ara$eter kebera(%la 'elaaa. Na$", kebera(%la $e"r"ka A!ka Ke$at%a Ib" )AKI* +% e!ara/e!ara $a#" (aat %% $e!a!!a' A!ka Ke$at%a Per%atal )AKP* $er"'aka 'ara$eter a! leb% ba%k +a leb% 'eka "t"k $e%la% k"al%ta( 'elaaa keb%+aa. Hal %% $e!%!at ke(eata +a ke(ela$ata #a% +ala$ ra%$ (a!at ter!at"! 'a+a kea+aa (erta ke(e$'"raa beker#aa (%(te$ +ala$ t"b" %b", a! $e$'"a% 6"!(% "t"k $e"$b"ka a(%l ko(e'(% +ar% $"+%!a $e#a+% #a% "k"' b"la. Ke$at%a 'er%atal )'er%atal $ortal%t* a+ala #"$la ba% la%r/$at% +a ke$at%a ba% +ala$ t"#" ar% 'erta$a (e("+a la%r )earl eoatal* a! ter#a+% +ar% $a(a kea$%la %b" 28 $%!!" ata" leb%. A+a'" a!ka ke$at%a 'er%atal a+ala #"$la la%r $at% )"$"r kea$%la %b" 28 $%!!"* +%ta$ba #"$la ke$at%a eoatal +%% )"$"r ba% 0 � 5 ar%* 'er #"$la kela%ra %+"' 'a+a ta" a! (a$a +%kal% 1000 )9%k#o(a(tro, 200:*. Me"r"t ;are )200:*, k"ra! leb% 8 #"ta ke$at%a 'er%atal +% +"%a ter#a+% (et%a' ta". Dar% #"$la %%, (ek%tar 83 < ke$at%a ba% bar" la%r ter#a+% ak%bat %6ek(%, a(6%k(%a 'a+a (aat la%r, +a e+era (aat la%r. Ber+a(arka kelo$'ok ker#a 9orl+ Healt Or!a%tat%o )9HO* A'r%l 14, +ar% 8,1 #"ta ke$at%a ba% +% +"%a, 48 < a+ala ke$at%a eoatal. Dar% (el"r" ke$at%a eoatal (ek%tar :0 < $er"'aka ke$at%a ba% ber"$"r k"ra! +ar% 5 ar% )'er%atal* +a ke$at%a ba% "$"r leb% +ar% 5 ar% ak%bat !a!!"a 'a+a $a(a 'er%atal. Pola 'eak%t 'eebab ke$at%a ba% +ar% a(%l "r&e Ke(eata ="$a Ta!!a )K=T* 13 a+ala 'eak%t (%(te$ 'era6a(a 0 <, !a!!"a 'er%atal 2 <, +%are 14 <, 'eak%t (%(te$ (ara6 1: <, teta"( eoator"$ 4 <, +a %6ek(% ata" 'ara(%t la%a 4 <. B%la +%ba+%!ka a(%l "r&e Ke(eata ="$a Ta!!a 12 +e!a a(%l "r&e Ke(eata ="$a Ta!!a 13, !a!!"a 'er%atal a%k +ar% "r"ta kel%$a $e#a+% ke+"a (eba!a% 'eebab ke$at%a ba% )Ao%$, 2008*. Ha(%l "r&e% De$o!ra6% Ke(eata I+oe(%a )DKI* 200, +%'erole +ata 371000 kela%ra %+"' "t"k a!ka ke$at%a ba% +a 2071000 kela%ra %+"' "t"k a!ka

ke$at%a eoatal. I+oe(%a bel"$ bera(%l $ea'a% tar!et 'e"r"a ke$at%a 'er%atal )earl eoatal*. D%$aa I+oe(%a, $elal"% 'ro!ra$ ke(eata ba% bar" la%r terak"' +% +ala$ 'ro!ra$ ke(eata %b". Dala$ reaa (trate!% a(%oal Mak%! Pre!a a6er, tar!et +ar% +a$'ak ke(eata "t"k ba% bar" la%r a+ala $e"r"ka a!ka ke$at%a eoatal $e#a+% 13 'er 1000 kela%ra %+"' )D#a#a, 200*. Ha(%l "r&e% Ke(eata ="$a Ta!!a )K=T* 2001, ke$at%a eoatal )0 � 28 ar% * a+ala 180 ka("(. Ka("( la%r $at% ber#"$la 113 ka("(. >"$la (el"r" ke$at%a ba% a+ala 4:: ka("(. D%(tr%b"(% ke$at%a eoatal (eba!%a be(ar +% -%laa >a-a Bal% )::,5<* +a +% +aera 'e+e(aa )38,:<*. Me"r"t "$"r ke$at%a, 5,4< +ar% ke$at%a eoatal ter#a+% 'a+a "(%a 0 � 5 ar% ak% 'a+a $a(a 'er%atal )earl eoatal*, +a 20,:< ter#a+% 'a+a "(%a 8/28 ar%. t"+% Mortal%ta( K=T 2001 $e"#"kka 'eebab "ta$a ke$at%a 'er%atal +ar% 6aktor ba% a+ala a(6%k(%a 4<, 're$at"r +a Berat Ba+a La%r =e+a )BBL=*  < )D#a#a, 200*. D% Pro&%(% "la-e(% Te!!ara (e+%r%, ber+a(arka 'ro6%l ke(eata 'ro&%(% "la-e(% Te!!ara ta" 200:, ka("( ke$at%a 'er%atal e+er"! $e!ala$% 'e%!kata, ak% 'a+a ta" 2003 ter+a'at 52 ka("( la%r $at% )'er%atal* +a 81 ke$at%a ba% +ar% 2.00: kela%ra, +%$aa ter+a'at 1 ka("( Teta"( Neoat"r"$ +a 8 ka("( berat ba+a la%r re+a (erta 23 teratat (eba!a% 'eebab la%. Pa+a ta" 200: $e!ala$% 'e%!kata $e#a+% 80 ka("( la%r $at% +a 23 "t"k ke$at%a ba% +ar% 43.32 kela%ra, +%$aa ter+a'at 1 ka("( teta"( eoat"r"$ +a 100 ka("( berat ba+a la%r re+a (erta 118 teratat (eba!a% 'eebab la%. Pa+a ta" 2005 $e%!kat $e#a+% 4:3 ka("(, +%$aa +%(%$'"lka ba-a 'eebab ke$at%a +%+o$%a(% karea berat ba+a la%r re+a +a a(6%k(%a, al %% +%(ebabka karea (eba!%a 'ertolo!a 'er(al%a $a(% a+a +%tolo! ole +"k" ba% (erta ketera$'%la b%+a +a 'eralata a! k"ra! $e$a+a% )La'ora Pelak(aaa Pe$ba!"a Ke(eata Pro&. "ltra, 2005*. Berat ba+a la%r re+a )k"ra! +ar% 2300 !ra$* $er"'aka (ala (at" 6aktor "ta$a a! berkotr%b"(% tera+a' ke$at%a 'er%atal +a eoatal. Berat ba+a la%r re+a )BBL=* +%be+aka +ala$ 2 kata!or% a%t"? BBL= karea 're$at"re )"(%a ka+"!a k"ra! +ar% 5 $%!!"* ata" BBL= karea %tra"ter%e !ro-t retar+at%o )IUG=* a%t" ba% "k"' b"la teta'% berat k"ra! "t"k "(%aa. Baak BBL= +% e!ara berke$ba! +e!a IUG= (eba!a% ak%bat %b" +e!a (tat"( !%@% b"r"k, ae$%a, $alar%a, +a $e+er%ta 'eak%t $e"lar (ek("al )PM* (ebel"$ ko(e'(% ata" ket%ka a$%l, a$" +ar% a(%l ("r&e% 'ro'or(% ke$at%a BBL= +e!a IUG= aa 1,4< )D#a#a, 200*. Ber+a(arka (t"+% 'e+a"l"a +% +%'erole +ata ba-a 'a+a -%laa ker#a +%a( ke(eata Kab"'ate Koa-e, 'a+a ta" 200: ter+a'at 1 ka("( ke$at%a 'er%atal +ar% :2:8 kela%ra, +%$aa ka("( la%r $at% (ebaak 31 ka("( +a ke$at%a 'a+a "(%a 0 � 5 ar% (ebaak 40 ka("( ata" ter+a'at ka("( ke$at%a 'er%atal 1471000 kela%ra %+"', ke$"+%a $e"r" 'a+a ta" 2005, ak% ter+a'at 38 ka("( ke$at%a 'er%atal +ar% :35 kela%ra, +%$aa ka("( la%r $at% (ebaak 5 ka("( +a ke$at%a 'a+a "(%a 0 � 5 ar% ter+a'at 21 ka("( ata" ter+a'at ka("( ke$at%a 'er%atal (ebaak 71000 kela%ra %+"'. Da 'a+a ta" 2008 $e%!kat $e#a+% :0 ka("( ke$at%a 'er%atal +ar% 4813 kela%ra, +%$aa ter+a'at 0 ka("( la%r $at% +a ke$at%a 0 � 5 ar% ter+a'at 0 ka("( ata" ter+a'at ka("( ke$at%a 'er%atal (ebaak 1271000 kela%ra %+"' )D%ke( Kab. Koa-e, 2008*. 1.2. ="$"(a Ma(ala  A+a'" r"$"(a $a(ala $akala %% a%t"? 1. A'a (a#a a! $e#a+% I+%kator Global7Na(%oal "t"k Me$ata" Pea'a%a Tar!et 2. A'a (a#a %+%kator Lokal "t"k Me$ata" Ke$a#"a Kab"'ate +a Kea$ata tera+a' 'e"r"a a!ka ke$at%a aak . A'a Peebab Ke$at%a ba% +a Bal%ta 1.. T"#"a +ar% 1. Ut"k 2. Ut"k

T"#"a $akala %% a+ala $e!eta"% I+%kator Global7Na(%oal "t"k Me$ata" Pea'a%a Tar!et $e!eta"% I+%kator Lokal "t"k Me$ata" Ke$a#"a Kab"'ate +a

Kea$ata . Ut"k $e!eta"% Peebab Ke$at%a ba% +a Bal%ta BAB II PEMBAHAAN 2.1. I+%kator Global7Na(%oal "t"k Me$ata" Pea'a%a Tar!et Ut"k $e$ata" $e"r"a a!ka ke$at%a bal%ta, MDG( $eeta'ka  %+%kator !lobal a%t" a!ka ke$at%a bal%ta, a!ka ke$at%a ba% +a 'ro'or(% %$"%(a(% a$'ak 'a+a aak a! ber"(%a 1 ta". De!a keterbata(a +ata a! ter(e+%a +% t%!kat -%laa ke%l t%+ak (e$"a +ar% t%!a %+%kator %% +a'at +%%t"! aa %+%kator teta! %$"%(a(% a$'ak a! $"!k% +%'erole. A!ar 'e$ata"a tera+a' 'ea'a%a tar!et MDG( "t"k t%!kat lokal kab"'ate7kota +a kea$ata +a'at +%lak"ka +%b"at %+%kator 'rok(% 2.1.1 A!ka Ke$at%a Bal%ta )Akaba* a. Ko(e' +a +e6%%(% Akaba a+ala #"$la aak a! +%la%rka 'a+a ta" tertet" +a $e%!!al (ebel"$ $ea'a% "(%a 3 ta", +%ataka (eba!a% a!ka 'er 1000 kela%ra %+"'. N%la% or$at%6 Akaba C 140 (a!at t%!!%, atara 51 � 140 (e+a! +a  20 re+a. b. Ma6aat I+%kator %% terka%t la!("! +e!a tar!et kela!("!a %+"' aak +a $ere6lek(%ka ko+%(% (o(%al, ekoo$% +a l%!k"!a aak/aak berte$'at t%!!al ter$a("k 'e$el%araa ke(eataa. Akaba kera' +%'aka% "t"k $e!%+et%6%ka(% ke("l%ta ekoo$% 'e+"+"k. Me!%!at ke!%ata re!%(tra(% 'e+"+"k +% I+oe(%a bel"$ (e$'"ra ("$ber +ata %% bel"$ +a'at +%'aka% "t"k $e!%t"! Akaba. eba!a% !at%a Akaba +%%t"! ber+a(arka e(t%$a(% t%+ak la!("! +ar% berba!a% ("r&e%. Bra((. . Meto+e Per%t"!a ="$"( a! +%!"aka? Akaba  Baaka 'e+"+"k a! $e%!!al 'a+a "(%a k"ra! +ar% 3 ta" F 1000 Baaka bal%ta "$ber +ata? BP )P, DKI, Kor "(ea(* +a De'arte$e Ke(eata

2.1.2 A!ka ke$at%a ba% )AKB* a. Ko(e' +a +e6%%(% AKB a+ala baaka ba% a! $e%!!al (ebel"$ $ea'a% "(%a 1 ta" AKB 'er 1000 kela%ra %+"' 'a+a ta" a! (a$a. N%la% or$at%6 AKB k"ra! +ar% 40 (a!at ("l%t +%"'aaka 'e"r"aa )ar+ rok*, atara 40/50 ter!olo! (e+a! a$" ("l%t "t"k +%t"r"ka, +a leb% be(ar +ar% 50 ter!olo! $"+a "t"k +%t"r"ka. b. Ma6aat I+%kator %% terka%t la!("! +e!a tar!et kela!("!a %+"' aak +a $ere6lek(%ka ko+%(% (o(%al, ekoo$% +a l%!k"!a aak/aak berte$'at t%!!al ter$a("k 'e$el%araa ke(eataa. AKB e+er"! leb% $e!!a$barka ke(eata re'ro+"k(% +ar% 'a+a Akaba. Me(k%'" tar!et 'ro!ra$ terka%t k"("( +e!a ke$at%a bal%ta, AKB rele&a +%'aka% "t"k $e$o%tor 'ea'a%a tar!et 'ro!ra$ karea $e-ak%l% ko$'oe 'et%! 'a+a ke$at%a bal%ta. Bra((. . Meto+e Per%t"!a ="$"( a! +%!"aka? AKB  Baaka ke$at%a ba% )+% ba-a 1 ta"* (ela$a ta" tertet" F 1000 Baaka kela%ra %+"'

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2.1. Pro'or(% %$"%(a(% a$'ak )PI* 'a+a aak a! ber"(%a 1 ta" )12/2 b"la* a. Ko(e' +a +e6%%(% PI a+ala 'erba+%!a atara baaka aak ber"$"r 1 ta" a! tela $eer%$a 'al%! (e+%k%t (at" kal% %$"%(a(% a$'ak tera+a' #"$la aak ber"$"r 1 ta", +a +%ataka +ala$ 'er(eta(e. b. Ma6aat I+%kator %% $er"'aka ("at" "k"ra ak"'a +a k"al%ta( (%(te$ 'e$el%araa ke(eata aak +% ("at" -%laa. I$"%(a(% a+ala "("r 'et%! "t"k $e!"ra!% ke$at%a bal%ta. . Meto+e Per%t"!a ="$"( a! +%!"aka? PI  Baaka aak "(%a 12/2 b"la a! tela +%%$"%(a(% a$'ak (ek"ra!/k"ra!a 1 kal% F 100< >"$la aak a! ber"$"r 12/2 b"la "$ber +ata?BP )DKI, Kor "(ea(*, +a De'arte$e Ke(eata 2.2 I+%kator Lokal "t"k Me$ata" Ke$a#"a Kab"'ate +a Kea$ata A!ka ke$at%a aak +a a!ka ke$at%a ba% "t"k t%!kat kea$ata t%+ak te'at #%ka +%'erole +ar% ("r&e a! ber(kala a(%oal, karea raa!a (a$'el +%'er"t"kka "t"k $e!!a$barka a!ka ke$at%a aak +a ba% t%!kat kab"'ate +a ata" t%!kat 'ro'%(% Karea %t" a!ka ke$at%a aak +a a!ka ke$at%a ba% +%+ekat% +e!a %+%kator 'ro!ra$ a! +%lak(aaka +ala$ "'aa $e"r"ka a!ka ke$at%a bal%ta +a a!ka ke$at%a ba%, atara la% 'er(eta(e BBL=, ak"'a k"#"!a ba%, 'er(eta(e 'e$ber%a &%ta$% A,+a ak"'a 'e$ber%a AI ekl"(%6, Ber%k"t %% a+ala +e6%%(% o'era(%oal, r"$"( +a ("$ber +ata %+%kator/%+%kator ter(eb"t.

2.2.1 Per(eta(e Ba% +e!a Berat Ba+a La%r =e+a )BBL=* a. De6%%(% Ba% +e!a BBL=, a+ala ba% a! la%r +e!a berat ba+a )BB*  2300 !ra$ 'a+a (aat la%r ata" ar% ke/5 (etela la%r. b. ="$"(? Per(eta(% ba% BBL=  >"$la ba% a! +%t%$ba! +e!a berat k"ra! +ar% 2300 !ra$ F 100< >"$la ba% la%r %+"' 2.2.2. Pre(eta(e Bal%ta +e!a BGM )Ba-a Gar%( Mera* a. De6%%(% Bal%ta +e!a BGM a+ala Bal%ta +e!a berat ba+a $e"r"t "$"r )BB7U* bera+a 'a+a +a +% ba-a !ar%( $era 'a+a KM. b. ="$"(? Per(eta(% bal%ta BGM  >"$la bal%ta BGM F 100< >"$la (el"r" bal%ta a! +%t%$ba!

2.2. Pe$ata"a Pert"$b"a Me!!"aka Data KDN  a+ala el"r" bal%ta a! a+a +% -%laa ker#a. K a+ala #"$la bal%ta a! ter+a6tar +a $e$%l%k% KM ata" b"k" KIA. D a+ala #"$la (el"r" bal%ta a! D%t%$ba!. N a+ala bal%ta a! Na%k berat ba+aa (e("a% +e!a !ar%( 'ert"$b"a. ="$"( Pre(eta(e D7  >"$la bal%ta a! +ata! +%t%$ba! )D* F 100< >"$la (a(ara bal%ta a! a+a +% -%laa ker#a Pre(eta(e K7  >"$la bal%ta a! ter+a6tar +a $e$'"a% KM )K* F 100< >"$la (a(ara bal%ta a! a+a +% -%laa ker#a Pre(eta(e N7D  >"$la bal%ta a! a%k berat ba+aa )N* F 100< >"$la bal%ta a! +%t%$ba! 2.2.4 ak"'a K"#"!a Ba% a. De6%%(% K"#"!a ba% a+ala k"#"!a ba% )"$"r 1/12 b"la* ter$a("k eoat"( )"$"r 1/28 ar%* "t"k $e$'erole 'elaaa ke(eata (e("a% +e!a (ta+ar ole +okter, b%+a, ata" 'era-at a! $e$%l%k% ko$'ete(% kl%%( ke(eata, 'al%! (e+%k%t 4 kal% )ba%*, 2 kal% )eoat"(* +% (at" -%laa ker#a 'a+a k"r" -akt" tertet". K"#"!a eoat"( a+ala k"#"!a eoat"( )"$"r 1/28 ar%* "t"k $e$'erole 'elaaa ke(eata (e("a% +e!a (ta+ar ole +okter, b%+a, ata" 'era-at a! $e$%l%k% ko$'ete(% kl%%( ke(eata, 'al%! (e+%k%t 2 kal% +% (at" -%laa ker#a 'a+a k"r" -akt" tertet". 2.2.3 ak"'a Pe$ber%a ;%ta$% A 'a+a Bal%ta a. De6%%(% Bal%ta $e+a'at ka'("l &%t. A, 2 kal%7ta", a+ala ba% "$"r :/11 b"la a! $e+a'at ka'("l &%ta$% A (at" kal% +a aak "$"r 12/3 b"la $e+a'at ka'("l &%ta$% A +o(%( t%!!% +"a kal% 'er ta" +% ("at" -%laa ker#a 'a+a k"r" -akt" tertet". b. ="$"(? ak"'a Bal%ta $e+a'at ka'("l &%t. A  2 kal% 'er ta" >"$la bal%ta $e+a'at ka'("l &%ta$% A +o(%( t%!!% +% (at" -%laa ker#a 'a+a k"r" -akt" tertet" F 100< >"$la bal%ta a! a+a +% (at" -%laa ker#a 'a+a k"r" -akt" ! (a$a

2.2.: Per(eta(e Pe$ber%a A%r "(" Ib" )AI* Ek(kl"(%6 a. De6%%(% Pe$ber%a AI ek(l"(%6 a+ala 'e$ber%a aa a%r ("(" %b" (a#a ke'a+a ba% (e#ak la%r (a$'a% ber"$"r : b"la ta'a $akaa ata" $%"$a la%, ke"al% obat, &%ta$%

+a $%eral. Per(eta(e AI Ek(l"(%6  >"$la ba% "$"r 0/: b"la a! +%ber% aa AI (a#a F 100< >"$la ba% "$"r 0/: b"la +% ("at" -%laa

2. Peebab Ke$at%a ba% +a Bal%ta Baak 6aktor a! +%ka%tka +e!a ke$at%a ba%. eara !ar%( be(ar, +ar% (%(% 'eebaba, ke$at%a ba% a+a +"a $aa$ a%t" e+o!e +a ek(o!e. Ke$at%a ba% e+o!e ata" a! "$"$ +%(eb"t +e!a ke$at%a eoatal a+ala ke$at%a ba% a! ter#a+% 'a+a b"la 'erta$a (etela +%la%rka, +a "$"$a +%(ebabka ole 6aktor/6aktor a! +%ba-a aak (e#ak la%r, a! +%'erole +ar% ora! t"aa 'a+a (aat ko(e'(% ata" +%+a'at (ela$a kea$%la. Ke$at%a ba% ek(o!e ata" ke$at%a 'o(t eo/atal, a+ala ke$at%a ba% a! ter#a+% (etela "(%a (at" b"la (a$'a% $e#ela! "(%a (at" ta" a! +%(ebabka ole 6aktor/6aktor a! bertal%a +e!a 'e!ar" l%!k"!a l"ar T%!a 'eebab "ta$a ba% $e%!!al a+ala ak%bat berat ba+a re+a (ebe(ar 2 'er(e, $e!ala$% !a!!"a 'era'a(a (ebe(ar 25 'er(e +a $a(ala "tr%(% (ebe(ar 10 'er(e, "!ka' +r Ba+r%"l He!ar 'A)K*, Ket"a Ikata Dokter Aak I+oe(%a )TDAI*, +ala$ aara talk(o- D% Bal%k Ke$at%a Ba% +a Bal%ta +ala$ =a!ka Har% Ke(eata Na(%oal 200 +% >akarta o&et%o eter >"$at )4712*.

BAB III PENUTUP .1 Ke(%$'"la Ut"k $e$ata" $e"r"a a!ka ke$at%a bal%ta, MDG( $eeta'ka  %+%kator !lobal a%t" a!ka ke$at%a bal%ta, a!ka ke$at%a ba% +a 'ro'or(% %$"%(a(% a$'ak 'a+a aak a! ber"(%a 1 ta". De!a keterbata(a +ata a! ter(e+%a +% t%!kat -%laa ke%l t%+ak (e$"a +ar% t%!a %+%kator %% +a'at +%%t"! aa %+%kator teta! %$"%(a(% a$'ak a! $"!k% +%'erole. A!ar 'e$ata"a tera+a' 'ea'a%a tar!et MDG( "t"k t%!kat lokal kab"'ate7kota +a kea$ata +a'at +%lak"ka +%b"at %+%kator 'rok(% A!ka ke$at%a aak +a a!ka ke$at%a ba% "t"k t%!kat kea$ata t%+ak te'at #%ka +%'erole +ar% ("r&e a! ber(kala a(%oal, karea raa!a (a$'el +%'er"t"kka "t"k $e!!a$barka a!ka ke$at%a aak +a ba% t%!kat kab"'ate +a ata" t%!kat 'ro'%(% Karea %t" a!ka ke$at%a aak +a a!ka ke$at%a ba% +%+ekat% +e!a %+%kator 'ro!ra$ a! +%lak(aaka +ala$ "'aa $e"r"ka a!ka ke$at%a bal%ta +a a!ka ke$at%a ba%, atara la% 'er(eta(e BBL=, ak"'a k"#"!a ba%, 'er(eta(e 'e$ber%a &%ta$% A,+a ak"'a 'e$ber%a AI ekl"(%6, Ber%k"t %% a+ala +e6%%(% o'era(%oal, r"$"( +a ("$ber +ata %+%kator/%+%kator ter(eb"t. Baak 6aktor a! +%ka%tka +e!a ke$at%a ba%. eara !ar%( be(ar, +ar% (%(% 'eebaba, ke$at%a ba% a+a +"a $aa$ a%t" e+o!e +a ek(o!e.Ke$at%a ba% e+o!e ata" a! "$"$ +%(eb"t +e!a ke$at%a eoatal a+ala ke$at%a ba% a! ter#a+% 'a+a b"la 'erta$a (etela +%la%rka, +a "$"$a +%(ebabka ole 6aktor/ 6aktor a! +%ba-a aak (e#ak la%r, a! +%'erole +ar% ora! t"aa 'a+a (aat ko(e'(% ata" +%+a'at (ela$a kea$%la. e+a!ka Ke$at%a ba% ek(o!e ata"

ke$at%a 'o(t eo/atal, a+ala ke$at%a ba% a! ter#a+% (etela "(%a (at" b"la (a$'a% $e#ela! "(%a (at" ta" a! +%(ebabka ole 6aktor/6aktor a! bertal%a +e!a 'e!ar" l%!k"!a l"ar