Menebar Rasa Sayang Pada Ibu

Indonesia maternal mortality rate is very high. It is the highest rank among Southeast Asia Countries. So many effort, have been done to decrease it, but the result has not satisfied yet. The maternal mortality rate decreases very slow. Thus, the integrative and synergy approach to decrease it must be done. Maternal mortality is not only medical matters, but also related to the social, economic and cultural problems.

Safe motherhood is one of an integrative and synergy government policy which tries to decrease maternal mortality rate (MMR) in Indonesia. However, this policy has not shown the real impact yet. As result, how safe motherhood implemented and conducted was using important to study.

This study aims to describe the implementation of safe motherhood in Ogan komering Ilir Regency, South Sumatera Province. The study method was combination of qualitative and quantitative approach. Data gathering techniques were structured interview, in-depth interview, and focused group discussion. Data were analyzed based on stratified level, namely: Regency, sub regency, and village level which include the program implementation, its agent/actors, and target group participation.

The result of the study shows that the implementation of safe motherhood in Ogan komering Ilir Regency has not been effectively implemented. Institutions and actors were very complex and recruitment process more structural approach than professional consideration with the work team more paternalistic-traditional. As a result, it is more hierarchical orientation than public services. This condition made the job description and its responsibilities were not clear, and the team work is not solid to achieve the program goal. Each worker more concentrates to their own interest and duties. Communication intensity is very rate, so it was hard to coordinate the program. These conditions were not only in the villages’ level, but also in the sub regency and regency.

Indonesia has motherhood activities were overlapping with the existed program such as; integrated services post (POSYANDU), Mother and infant health (KIA), and infant family services (BKB). Indonesia safe motherhood programs were not clear. The target is very general but the workers, political will, and economic resources were very limited. Funding resources are not clear. It’s burden of institution budget and also non government organization. The participation society is pseudo or symbolic participation. Mobilization process is still conducted to ask their participation.