Analisis Kebijakan Pelayanan Kesehatan dalam Percepatan Penurunan Aki dan Akb di 5 Kabupaten/kota di Provinsi Sulawesi Utara

Abstract

Background : The targets to reach decressing Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). The government and district has the important role, especially nationally policies implementation. Objective : This study aimed to analyze policies issued by North Sulawesi Province in efforts to decrease MMR and /MR, because the SDKI data in 2002-2003 shows that MMR in North Sulawesi Province are 192 per 100.000 mortal birth and IMR 28 per 1000 mortal birth, is lower than enough in comparasion to other provinces. Method : It was a descriptive study that retrospectively analyzed policies issued in the past and are still in use The researches are qualitative and quantitative. Qualitative method developed by direct mterview to get the information about policies issued by the District Governments that have a direct association to decrease the MMR and IMR. Quantitative method used to get data that support the qualitative method. The researches samples taken purposively in 5 District in North Sulawesi Province. Result : In five research District North Sulawesi Province, there are 2 District that have not yet issued the health policies that supporting the decrease of MMR and IMR, that is North Minahasa and Tomohon, which is the developments District Government of North Mmahasa and South Minahasa. And the three other Districts have issued the policies in Decision Letter of Major about Mothercare Program started since 1997/ 1998. Generally, all of 5 researches District Government in North Sulawest Province have not yet develop Making Pregnancy Safer (MPS) Strategy. Conclusion : In order to accelerate decreasing the MMR and IMR is needed not only the budget allocation between district government and national government, but also Memorandum of Understanding (MOU) between district government and legislative so the program will be continuosly. Key words: policy analyze, policies implementation, maternal mortality rate and infant mortality rate