Abstract
In 2015, the Health Office of Banyumas Regency records 7 cases of maternal deaths, 243 cases of infant deaths, and 41 cases of under-five deaths. Compared to 2015, maternal mortality increases in the first three months of 2016. This research aims to identify the causes of maternal deaths that occur in 2016 in Banyumas Regency using the Health Belief Model conceptual framework. The results show that the cause of maternal death in Banyumas Regency is the lack of antenatal services due to the lack of knowledge and awareness of mothers, social status of women in the community, availability of health facilities, vulnerabilities received, benefits of antenatal services, barriers to access to health services, and quality of health facilities and health workers. The problem solving plan is based on the HBM concept framework that can be prepared consisting of stakeholder advocacy, health promotion programs through counseling for pregnant women, programs to improve access to health facilities, and intervention programs for health workers.
Highlights
The high maternal mortality rate (MMR) in an area is capable of representing a low degree of public health and has the potential for economic and social setbacks from the household, community to national arrangements
The Health Office of Banyumas Regency recorded 75 cases of maternal and toddler deaths based on reports up to March 2016 with details that there were 8 cases of maternal death, 50 cases of infant mortality aged 0-12 months, and 17 cases of infant mortality under the age of 1 - 5 years
This study uses the Health Belief Model theory to determine the behavior of pregnant women that can trigger maternal deaths in Banyumas Regency
Summary
The high maternal mortality rate (MMR) in an area is capable of representing a low degree of public health and has the potential for economic and social setbacks from the household, community to national arrangements. Research conducted by Rahmayani et al (2016) shows that low knowledge and beliefs cause pregnant women not to seek treatment at a health facility (Rahmayani, Bahar and Nirmala, 2016).
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