EVALUASI KEBIJAKAN RUMAH TUNGGU KELAHIRAN (RTK) DI KABUPATEN KONAWE PROVINSI SULAWESI TENGGARA TAHUN 2016

EVALUATION THE POLICY OF MATERNITY WAITING HOMES (MWH) IN KONAWE DISTRICT OF SOUTHEAST SULAWESI PROVINCE IN 2016

Abstract

Background: The high maternal mortality rate (MMR) in Indonesia

prompted the government to issue a Jampersal fund policy. One of

the objectives of Jampersal fund is to provide budget for operational

activities of Maternity Waiting Home (MWH) Program, a government

strategy to facilitate access of pregnant mother to get health service

to overcome pregnant, childbirth and childbirth problems as an effort

to decrease maternal MMR in Indonesia.

Objective: To describe the implementation of MWH policy as an

effort to facilitate pregnant women, childbirth, and postpartum to get

access to health service in Konawe Regency of Southeast Sulawesi Province.

Methods: The study was descriptive using qualitative design with

case study approach focusing on developing in-depth description

and analysis of cases also studying MWH program.

Results: MWH Program in Konawe Regency has been running for

one year but there was still one Puskesmas that has not run the

MWH program because the location of Puskesmas is far from the

citizen’s residence. MWH is not only used by pregnant women who

are far from the health facility and have a high risk but also used

for all pregnant women who will give birth. MWH already meets the

criteria set by the Ministry of Health. The operational cost of the

waiting house guarantees all the costs of pregnant and family needs

during their stay. The obstacles to MWH programs were disbursement of funds, rejection of pregnant women to the waiting house and difficult road access.

Conclusion: MWH Program has been effective because it has

been used by all pregnant women who have risk and who will give

birth are placed in the waiting house of birth. The barriers that exist

during the MWH program runs were disbursement of funds, the

rejection of pregnant women into waiting homes and difficult road access.