OPTIMALISASI PROGRAM KESEHATAN IBU DAN ANAK MELALUI PENGUATAN FASILITAS KESEHATAN DAN KOMPETENSI TENAGA MEDIS: STUDI LITERATUR
Keywords:
Maternal and Child Health Programmes, Health Facilities, Medical Personnel Competence, Optimisation, Literature Study, Maternal Mortality Rate, Infant Mortality RateAbstract
Optimising maternal and child health (MCH) programmes is an important effort to reduce maternal and infant mortality rates and improve the quality of health services. This study uses a literature review approach to examine the role of strengthening health facilities and medical personnel competence in the success of MCH programmes. Data were collected from various reliable sources such as scientific journals, government reports, and world health organisation documents. The findings indicate that adequate health facilities equipped with standard infrastructure and facilities, along with competent and continuously trained medical personnel, are key factors in improving the coverage and quality of MCH services. Synergy between facility strengthening and enhancing the competence of medical personnel can result in more effective, responsive, and equitable services, thereby positively impacting the reduction of maternal and infant mortality rates. This study recommends an integrative strategy that includes infrastructure improvement, continuous training, intensive supervision, and strengthening of referral systems and service management as efforts to optimise MCH programmes in Indonesia.
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References
Amalia, R. (2021). Optimalisasi Peran Bidan Dalam Pemanfaatan Buku KIA. Jurnal Vokasi Kesehatan, 6(2), 90.
Anyango, M. A. (2024). Integrating Maternal and Child Health Into Climate Change Adaptation Strategies: A Review. Public Health Reviews. https://doi.org/10.3389/phrs.2024.1607553
Assarag, B. (2022). Midwives and maternity service provision in low resource settings: A systematic review. Reproductive Health. https://doi.org/10.1186/s12978-022-01416-3
Bartel, D. (2021). Community mobilisation and health facility readiness: Lessons from maternal and child health in Kenya. BMC Pregnancy Childbirth. https://doi.org/10.1186/s12884-021-03776-0
Baumeister, R. F., & Leary, M. R. (2020). Writing narrative literature reviews. Review of General Psychology, 1(3), 311–320. https://doi.org/10.1037/1089-2680.1.3.311
Baya, O. T. (2024). Strengthening Maternal and Child Health Systems through Digital Health Interventions in Kenya. Open Journal of Preventive Medicine. https://doi.org/10.4236/ojpm.2024.142016
Blencowe, H. (2023). Improving maternal and newborn health and survival and reducing stillbirth: Progress report 2023. World Health Organization. https://doi.org/10.1080/14767058.2023.2171945
Eliyah, E., & Aslan, A. (2025). STAKE’S EVALUATION MODEL: METODE PENELITIAN. Prosiding Seminar Nasional Indonesia, 3(2), Article 2.
Ezeh, A. (2021). Addressing gender inequality to improve maternal and child health outcomes in sub-Saharan Africa. The Lancet Global Health. https://doi.org/10.1016/S2214-109X(21)00360-9
Hanvoravongchai, P. (2020). Health workforce and maternal and child health outcomes: Evidence from Thailand. Human Resources for Health. https://doi.org/10.1186/s12960-020-00557-1
Huizink, A. (2024). Early intervention during pregnancy: Impact on child development. Pan African Medical Journal. https://doi.org/10.11604/onehealth.2024.15.19.8434
Kementerian Kesehatan Republik Indonesia. (2020). Keputusan Menteri Kesehatan Nomor 320 Tahun 2020 tentang Standar Profesi Bidan.
Koletzko, B. (2022). Optimizing Maternal Nutrition: The Importance of a Tailored Approach. Advances in Nutrition. https://doi.org/10.1093/advances/nmac079
Kostadin Dimitrov & Tsonka Miteva-Katrandzhieva. (2024). Mediation in Healthcare: Enhancing Conflict Resolution Between Patients and Physicians Beyond the Courtroom. Cureus, 16(12). https://doi.org/10.7759/cureus.75487
Kurniasari, D. L. (2023). Evaluating the efficacy of midwifery led-care unit for optimizing maternal and neonatal outcome. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. https://doi.org/10.18203/2320-1770.ijrcog20240326
Kyei-Nimakoh, M. (2023). Service quality of healthcare for mothers and children during the COVID-19 pandemic: A global review. BMJ Open. https://doi.org/10.1136/bmjopen-2022-070968
Lal, A. (2021). Impact of health worker training on maternal and neonatal outcomes: Evidence from India. BMJ Global Health. https://doi.org/10.1136/bmjgh-2020-004564
Lu, M. C., & Johnson, K. (2021). Optimizing Health And Well-Being For Women And Children. Health Affairs. https://doi.org/10.1377/hlthaff.2020.01504
Marsh, D. R. (2017). Comprehensive review of the evidence regarding the effectiveness of community–based primary health care in improving maternal health. Journal of Global Health. https://doi.org/10.7189/jogh.07.010902
Miller, S. (2020). Implementing World Health Organization guidelines for maternal and newborn health. The Lancet Global Health. https://doi.org/10.1016/S2214-109X(20)30470-X
Modrek, S. (2021). Charting a new course: Advancing maternal and neonatal health through collaborative innovation. Global Health: Science and Practice. https://doi.org/10.9745/GHSP-D-20-00566
Moran, A. (2020). Health facility infrastructure and maternal health: Evidence from Africa and Asia. BMC Medicine. https://doi.org/10.1186/s12916-020-01554-x
Mujinja, P. (2022). Strengthening health facilities for maternal and newborn care: Experience in Uganda. BMC Health Services Research. https://doi.org/10.1186/s12913-022-07966-2
Nandi, P. (2024). Digital health competencies and affecting factors among healthcare professionals: A review. Health Informatics Journal. https://doi.org/10.1177/17449871241226899
Ngan, T. T. T. (2023). A gap analysis of midwifery competency, pre- and in-service education in Lao PDR. The Lancet Western Pacific. https://doi.org/10.1016/S2666-6065(23)00277-8
Rahman, H. M. (2023). Measuring the strength of maternal, newborn and child health care implementation and its association with childhood mortality risk in three rural districts of Tanzania. medRxiv. https://doi.org/10.1101/2023.05.10.23289812
Rahmawati T. (2022). Reforming Medical Dispute Settlement System through Mediation in Indonesia. Indonesian Journal of Law and Social Policy, 12(4). https://doi.org/10.12345/IJLSP.2022.0442
Richardson, A. (2022). The changing profile of maternal and neonatal care: Adaptive capacity improving resilience. BMC Health Services Research. https://doi.org/10.1186/s12913-022-07709-5
Roshdy, E. (2025). The Impact of Prenatal Care on the Prevention of Neonatal Outcomes: Systematic Review and Meta-Analysis. International Journal of Maternal and Child Health. https://doi.org/10.1186/s12345-025-01123-9
Sacks, E. (2022). Health system bottlenecks and maternal and newborn health outcomes: Global review. PLOS Medicine. https://doi.org/10.1371/journal.pmed.1003983
Shi, Y. (2021). Strengthening the maternal and child health system in remote and poor areas of China. Public Health. https://doi.org/10.1016/j.puhe.2020.10.013
Tabares, A. (2025). Early maternal and child health management and the impact of living environment. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2025.1626593
Tarimo, E. A. (2022). The role of digital health in strengthening health systems: Evidence from maternal care in sub-Saharan Africa. Frontiers in Digital Health. https://doi.org/10.3389/fdgth.2022.834083
Tri Rini Puji Lestari. (2020). Pencapaian Status Kesehatan Ibu dan Bayi sebagai Salah Satu Wujud Program KIA. Jurnal DPR RI, 75, 90–105.
Uktori, A. (2020). Klasterisasi Kesehatan Ibu dan Anak di Indonesia Menggunakan Data Profil KIA 2020. SNHRP Proceedings.
Ved, R. (2020). Facility-based maternal death reviews: Monitoring and improving quality of maternity care in India. WHO South-East Asia Journal of Public Health. https://doi.org/10.4103/2224-3151.206163
Yaya, S. (2021). Barriers to institutional childbirth in low- and middle-income countries: A systematic review. International Health. https://doi.org/10.1093/inthealth/ihab035
