QUALITATIVE STUDY OF THE SITUATION ANALYSIS IN ACCELERATION OF MATERNAL MORTALITY RATE IN BATANG DISTRICT : CYCLE BASED HEALTH PROBLEM SOLVING

Abstract

Maternal mortality in Batang Regency is still a health problem that supports immediately, because the level of maternal and child health is an indicator of a country's public health status which determines the country's health status. A high degree of maternal and child health indirectly indicates good health services and a good level of welfare. The new habit period changed the budgeting pattern and the pattern of health interventions, so that this also affected the MMR reduction acceleration program in Batang Regency. Situation analysis of the acceleration program for the decrease in MMR in Batang Regency was carried out with the aim of assessing the situation of the accelerated decrease in MMR in Batang Regency in the last three years as the first step in the MMR problem step with the 10-step PSC (Problem solving cycle) approach. The research method used was a research design using an exploratory research design with a qualitative approach. The research subjects for qualitative data included the main informants, namely the holders of the MCH program in all puskesmas in Batang district with a total of 21 respondents, the accompanying informants, namely the holders of the MCH program at the Batang District Health Office, with a total of 2 respondents. The sampling technique used purposive sampling. The research instrument used in-depth interviews containing 16 questions. Collecting data using in-depth interviews which are analyzed with qualitative data processing by drawing pattern answers (pattern matching). The results showed that MMR (Maternal Mortality Rate) is still a major issue in Batang Regency, even though it is in the context of a pandemic. The MMR case in Batang Regency was caused by severe PEB / pre-eclampsia, the acceleration program was carried out through activating pregnant women classes, handling adolescent anemia through the offering of smart smart pills, PIK-R. Cross-sectoral collaboration is still being pursued by cooperating with the Ministry of Communication and Information (to provide health interventions with a cultural approach, besides collaborating with the Village Government to implement an independent mother class program. Obstacles to the accelerated reduction in MMR in Batang Regency are Funding and Refocusing on pandemic financing. Suggestions for activating pregnant women classes, initiating independent village classes for pregnant women, and holding pregnant women classes as adaptation of the new era