Reducing Maternal Mortality: A Qualitative Study of Health Workers’ Expectations in Urban Area, Indonesia
Maternal mortality is a sentinel event used globally to monitor maternal health and the overall quality of reproductive health care. Globally, maternal mortality is mostly due to direct causes; apparently, it is not limited by the setting or geographic region. Indonesia failed to achieve the MDGs target to maternal mortality. This study aims to explore health workers' expectations and stakeholders in maternal health services to reduce maternal mortality in urban areas. This is qualitative research through naturalistic conducted in Indonesia in one of the regencies, which is the urban area with the highest MMR in one province by 2019. Data is obtained in the form of pieces of information from Focus Group Discussions (FGDs). FGDs are conducted with stakeholders at the Health Service level (n=3), first-level health facilities, or public health center (n=3), and advanced health facilities or hospitals (n=7). Data analysis in this study uses software (Nvivo Release 1.0) to utilize transcripts in coding and categorizing. The expectations that emerged from health workers' perspectives in the field, namely an integrated system of collaboration between health facilities, affordability Hospital Comprehensive Emergency Obstetric Care (CEmOC) in action for maternal-neonatal referral urgency, and the skills of health workers as a golden opportunity. Health workers’ expectations can improve the quality of maternal health services in urban areas, thereby reducing the MMR with a system of collaboration between health facilities, taffordability of maternal-neonatal emergency referral facilities, and the availability of Obstetricians who stand by.