As many as 76 percent of maternal deaths occur in the labor and postnatal phases. Risk factors for childbirth occur in the phase before and during pregnancy, such as sepsis or infection, hypertension, anemia, and other comorbidities. Meanwhile, more than 62 percent of maternal and infant deaths occur in hospitals, due to being referred late, or being referred to a hospital after a critical condition.
Director General of Health Services, Ministry of Health of the Republic of Indonesia, Abdul Kadir, said it was important for pregnant women to give birth in health service facilities (fasyankes), such as hospitals and health centers, to reduce maternal and infant mortality.
So far, many pregnant women are reluctant to give birth in health care facilities, so there is a risk of maternal and newborn mortality.
“To reduce maternal and infant mortality, we hope that all mothers who are about to give birth must give birth in health care facilities. Therefore, we have to open access to services,” he explained.
The Important Role of “Village Alert”
Abdul Kadir added that regional strengthening also plays an important role in efforts to save mothers and babies, by activating the Alert Village and active participation of professional organizations in the health sector.
“We have to activate Desa Siaga in order to fulfill the MSS for maternal and infant health. What does it mean, the village head must be able to record, carry out mapping, wherever there is a family with pregnant women, so that action can be taken immediately when there is a problem. Second, we improve coordination with professional (health) organizations. So we hope that POGI, IDI, PDUI, IBI can really participate by placing their members in all existing health centers or hospitals,” he explained.
During the COVID-19 pandemic, the Ministry of Health has also issued guidelines for general non-COVID-19 patient care, to minimize the risk of disease transmission to patients with common illnesses, as well as mothers and newborns.
“We have issued guidelines for the care of essential patients, or non-COVID-19 patients during this pandemic. So, indeed in hospitals we are obliged to do separation. So, at the hospital, there is already a kind of zoning, where there is a zoning for COVID-19 patients, because it is infectious, and there is zoning for non-COVID-19 patients. Therefore, in the service, whether it is in the outpatient room, or inpatient, and all operations are not mixed, they are separated,” said Abdul Kadir.
Medical Safety at the Hospital
The chairman of the National Patient Safety Committee, Bambang Tetuko, ensures the safety of going to hospitals for the community during the COVID-19 pandemic. General patients as well as mothers and newborns can continue to have their health checked at the hospital without worrying about contracting the corona virus.
“Those who enter this hospital are completely safe, and we also ensure that the health workers in this health facility are safe, because all health facility staff have been immunized (vaccines), and if they have contact (with positive COVID-19 people) ), we immediately do tracing, so that we dare to make sure that we who work in this hospital are safe for the patients who come, “explained Bambang Tetuko.
Efforts to reduce patient mortality during the pandemic, said Bambang Tetuko, can be done by the community through early detection and online health consultations with doctors. The medical action required by the presence of the patient in the hospital is still needed, by first conducting an online examination. Utilization of technology with telemedicine, e-prescribing, and an integrated referral system, are expected to become a new culture for the community to jointly increase patient safety rates.
“We also do through online, so patients who are still afraid to do AMC, maybe some of it we can do online. Maybe there are checks that we have to do at the hospital, or at other health facilities, but before that we can do it online, patients, both mothers and children, can meet with health workers online, and if there is data, laboratory data or photos, etc., we can also convey that online earlier,” he explained. [pr/em]