Evaluation Of Maternal Class Activities In An Effort To Reduce The Number Of Maternal Deaths And The Number Of Infant Deaths In The Rantau Health Center In Aceh Tamiang Regency In 2016

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Evaluation of Maternal Class Activities in an Effort to Reduce Maternal Deaths and Infant Deaths in the Rantau Health Center in Aceh Tamiang Regency in 2016

Introduction

Maternal mortality and infant mortality are significant public health concerns in many parts of the world, including Aceh Tamiang Regency in Indonesia. The Rantau Health Center, located in this region, has implemented a maternal class program aimed at increasing the knowledge of pregnant women and breastfeeding mothers through joint learning guided by a facilitator. This study aims to evaluate the effectiveness of the maternal class in reducing maternal mortality (MMR) and infant mortality rates (AKB) in 2016.

Background

The maternal class program is an educational initiative that targets pregnant women and breastfeeding mothers in the Rantau Health Center's catchment area. The program's primary objective is to enhance the knowledge and skills of these women, enabling them to make informed decisions about their health and the health of their children. The program's success depends on various factors, including the facilitator's capacity, the involvement of participants, and the availability of resources.

Methodology

This qualitative research employed a combination of interview methods, observation, and documentation studies to gather data. The informants consisted of the Head of the Health Office, the Head of the Puskesmas, the Mother's Class Facilitator, the Cadre, the Mother's Class Participants, the Husband/Family, and the Village Head. The data collected were analyzed to evaluate the effectiveness of the maternal class program.

Input Evaluation

The input evaluation assesses the availability and accessibility of resources required for the program's implementation. The results of the input evaluation are as follows:

  • Facilitator: The facilitator was available and spread throughout the village, ensuring that the program reached a wider audience.
  • Participants: Not all pregnant women and mothers with children under five participated in the program, indicating a need for increased awareness and outreach efforts.
  • Cadres: The cadres were available and spread throughout the village, providing support to the facilitator and participants.
  • Facilities and Infrastructure: The facilities and infrastructure available for the program were inadequate, hindering the program's effectiveness.

Process Evaluation

The process evaluation assesses the program's implementation, including the facilitator's capacity, planning, and source of funds. The results of the process evaluation are as follows:

  • Facilitator capacity: The facilitator's capacity to motivate participants to be active was limited, indicating a need for training and capacity building.
  • Planning: There was no meeting to plan and identify learning activities, suggesting a lack of coordination and planning.
  • Source of funds: The program's source of funds was sourced from BOK (Health Operational Assistance), which may not be sufficient to support the program's needs.

Output Evaluation

The output evaluation assesses the program's outcomes, including the achievement of targets. The results of the output evaluation are as follows:

  • Target Achievement: The program's target achievement was not in accordance with national targets, indicating a need for improvement.

Outcome Evaluation

The outcome evaluation assesses the program's impact on maternal mortality and infant mortality rates. The results of the outcome evaluation are as follows:

  • Maternal Mortality: There was no maternal death recorded during the program's implementation.
  • Infant Mortality: One baby death was recorded, indicating a need for improvement in the program's effectiveness.

Analysis and Recommendations

The evaluation results show that the maternal class program has great potential in reducing maternal mortality and infant mortality rates. However, some obstacles need to be overcome, including the involvement of the husband/family, facilitator capacity, and planning. Some recommendations for increasing the effectiveness of the maternal class program are as follows:

  • Cooperation Cross-Sector: Involve various parties such as the Department of Education, Religion, and Community Empowerment to strengthen the program.
  • Increasing the number of classes: Reaching more pregnant women and breastfeeding mothers.
  • Training and Refresh Facilitators and Cadres: Increasing knowledge and skills.

Conclusion

Improving the quality and number of classes of mothers, as well as support from various parties, is expected to contribute to reducing the MMR and AKB in Aceh Tamiang Regency. The maternal class program has the potential to make a significant impact on maternal and infant health outcomes, but it requires careful planning, coordination, and resources to achieve its objectives.
Frequently Asked Questions (FAQs) about Maternal Class Activities in Reducing Maternal Deaths and Infant Deaths

Introduction

The maternal class program is an educational initiative aimed at increasing the knowledge of pregnant women and breastfeeding mothers through joint learning guided by a facilitator. This program has been implemented in the Rantau Health Center in Aceh Tamiang Regency, Indonesia, with the goal of reducing maternal mortality and infant mortality rates. In this article, we will address some frequently asked questions (FAQs) about the maternal class program.

Q: What is the purpose of the maternal class program?

A: The primary objective of the maternal class program is to enhance the knowledge and skills of pregnant women and breastfeeding mothers, enabling them to make informed decisions about their health and the health of their children.

Q: Who are the target participants of the maternal class program?

A: The target participants of the maternal class program are pregnant women and breastfeeding mothers in the Rantau Health Center's catchment area.

Q: What are the benefits of the maternal class program?

A: The benefits of the maternal class program include:

  • Increased knowledge and skills of pregnant women and breastfeeding mothers
  • Improved health outcomes for mothers and children
  • Reduced maternal mortality and infant mortality rates
  • Enhanced community participation and empowerment

Q: What are the challenges faced by the maternal class program?

A: The challenges faced by the maternal class program include:

  • Limited facilitator capacity and training
  • Inadequate facilities and infrastructure
  • Limited participation of pregnant women and breastfeeding mothers
  • Limited involvement of the husband/family

Q: How can the effectiveness of the maternal class program be improved?

A: The effectiveness of the maternal class program can be improved by:

  • Increasing the number of classes and reaching more pregnant women and breastfeeding mothers
  • Providing training and capacity building for facilitators and cadres
  • Improving the quality and number of classes of mothers
  • Enhancing community participation and empowerment

Q: What role can the community play in supporting the maternal class program?

A: The community can play a significant role in supporting the maternal class program by:

  • Participating in the program and encouraging others to do so
  • Providing resources and support for the program
  • Advocating for the program and its benefits
  • Building partnerships with other organizations and stakeholders

Q: What are the long-term goals of the maternal class program?

A: The long-term goals of the maternal class program include:

  • Reducing maternal mortality and infant mortality rates to zero
  • Improving the health and well-being of mothers and children
  • Enhancing community participation and empowerment
  • Building a sustainable and self-reliant community

Conclusion

The maternal class program has the potential to make a significant impact on maternal and infant health outcomes in Aceh Tamiang Regency, Indonesia. By addressing the challenges and improving the effectiveness of the program, we can work towards achieving the long-term goals of reducing maternal mortality and infant mortality rates to zero.