Evaluation Of Maternal Perinatal Audit Activities (AMP) In The Decrease

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Evaluation of Maternal Perinatal Audit Activities (AMP) in the Decrease: A Study on the Effectiveness of AMP in Reducing Maternal and Infant Mortality in Langkat Regency

Introduction

The health condition of mothers and children in Indonesia, including in Langkat Regency, is still a pressing concern. In 2013, Langkat Regency recorded a maternal mortality rate (MMR) of 41.03 per 100,000 live births and infant mortality (AKB) of 2.46 per 1,000 live births. These alarming rates highlight the need for effective interventions to reduce maternal and infant mortality. In response to this challenge, the Maternal Perinatal Audit (AMP) concept was introduced at the district/city level. AMP is a series of activities aimed at identifying the causes of maternal and infant deaths to prevent similar events in the future.

Background

The Maternal Perinatal Audit (AMP) is a critical component of maternal and child health programs. AMP involves a comprehensive review of maternal and infant deaths to identify the underlying causes and develop strategies to prevent similar deaths in the future. The AMP program is designed to improve the quality of care provided to mothers and infants, reduce maternal and infant mortality, and promote better health outcomes.

Methodology

This study employed a descriptive qualitative approach to evaluate the effectiveness of AMP activities in reducing MMR and AKB in Langkat Regency. The study involved conducting in-depth interviews with 11 informants in Langkat Regency during the period January to August 2014. The informants included healthcare providers, administrators, and other stakeholders involved in the AMP program.

Results

The results of this study showed that the implementation of AMP activities in Langkat Regency was still not optimal. Some of the weaknesses identified include:

Frequency of AMP Activities

  • AMP activities were only carried out twice a year, which is too rare to monitor and evaluate effectively.
  • This infrequent implementation of AMP activities hinders the ability to identify and address the underlying causes of maternal and infant deaths.

AMP Method

  • The method used in the implementation of AMP has not been fully in accordance with the established AMP guidelines.
  • This deviation from the guidelines may compromise the accuracy and effectiveness of the AMP program.

Facilities and Infrastructure

  • Facilities and infrastructure available for AMP activities are still limited.
  • The lack of adequate facilities and infrastructure hinders the ability to conduct thorough and effective AMP activities.

Coordination between Institutions

  • There are deficiencies in coordination between Tanjung Pura Regional Hospital and Langkat Regency Health Office in the implementation of AMP.
  • Poor coordination between institutions may lead to duplication of efforts, inefficiencies, and a lack of effective communication.

Limited Funds

  • Funding for AMP activities from the APBD is still minimal.
  • Insufficient funding may limit the scope and effectiveness of the AMP program.

Discussion

The results of this evaluation indicate that the implementation of AMP activities in Langkat Regency still requires some improvements to achieve maximum results. The identified weaknesses highlight the need for a more comprehensive and effective AMP program. Some recommendations that need to be considered to increase the effectiveness of the AMP program in Langkat Regency include:

Health Office and Puskesmas

  • Ensuring the implementation of AMP in accordance with the 2010 AMP Guidelines.
  • Increasing the frequency of implementation of activities to at least quarterly.

Hospital

  • Increasing commitment to report cases of maternal and child death to the Health Office completely and on time.
  • Ensuring that all cases of maternal and infant deaths are thoroughly investigated and documented.

Health Office

  • Conducting AMP Program Socialization and AMP Decree that has been approved by the Langkat Regency Regional Government to all related stakeholders.
  • Ensuring that all stakeholders are aware of the importance and benefits of the AMP program.

Conclusion

By improving the existing deficiencies and applying the recommendations given, it is hoped that AMP activities in Langkat Regency can be more effective in reducing the MMR and AKB, so that the realization of better maternal and child health in Langkat Regency. The AMP program has the potential to improve the quality of care provided to mothers and infants, reduce maternal and infant mortality, and promote better health outcomes. However, the program requires a more comprehensive and effective implementation to achieve its full potential.

Recommendations

Based on the findings of this study, the following recommendations are made:

  • The Health Office and Puskesmas should ensure the implementation of AMP in accordance with the 2010 AMP Guidelines and increase the frequency of implementation of activities.
  • The Hospital should increase commitment to report cases of maternal and child death to the Health Office completely and on time.
  • The Health Office should conduct AMP Program Socialization and AMP Decree that has been approved by the Langkat Regency Regional Government to all related stakeholders.
  • The Langkat Regency Regional Government should provide adequate funding for AMP activities to ensure the program's effectiveness.

Limitations

This study has some limitations that should be acknowledged. The study employed a descriptive qualitative approach, which may not provide a comprehensive understanding of the AMP program's effectiveness. Additionally, the study was conducted in a single district, Langkat Regency, which may not be representative of other districts in Indonesia. Further studies are needed to validate the findings of this study and explore the effectiveness of the AMP program in other contexts.

Future Research Directions

Future research should focus on evaluating the effectiveness of the AMP program in other districts and provinces in Indonesia. Additionally, studies should explore the impact of the AMP program on maternal and infant health outcomes, as well as the program's sustainability and scalability. By addressing these research gaps, policymakers and healthcare providers can develop more effective strategies to reduce maternal and infant mortality and promote better health outcomes in Indonesia.
Frequently Asked Questions (FAQs) about Maternal Perinatal Audit (AMP) Activities

Introduction

The Maternal Perinatal Audit (AMP) program is a critical component of maternal and child health initiatives. However, there are many questions and concerns about the program's implementation, effectiveness, and impact on maternal and infant health outcomes. This article aims to address some of the frequently asked questions (FAQs) about AMP activities.

Q1: What is the Maternal Perinatal Audit (AMP) program?

A1: The AMP program is a series of activities aimed at identifying the causes of maternal and infant deaths to prevent similar events in the future. The program involves a comprehensive review of maternal and infant deaths to develop strategies to improve the quality of care provided to mothers and infants.

Q2: What are the goals of the AMP program?

A2: The primary goals of the AMP program are to:

  • Reduce maternal and infant mortality rates
  • Improve the quality of care provided to mothers and infants
  • Promote better health outcomes for mothers and infants

Q3: How is the AMP program implemented?

A3: The AMP program is implemented at the district/city level, and it involves a series of activities, including:

  • Conducting thorough investigations of maternal and infant deaths
  • Identifying the underlying causes of deaths
  • Developing strategies to prevent similar deaths in the future
  • Implementing quality improvement initiatives to improve the quality of care provided to mothers and infants

Q4: What are the benefits of the AMP program?

A4: The AMP program has several benefits, including:

  • Improved quality of care provided to mothers and infants
  • Reduced maternal and infant mortality rates
  • Better health outcomes for mothers and infants
  • Enhanced collaboration and coordination between healthcare providers and institutions

Q5: What are the challenges of implementing the AMP program?

A5: Some of the challenges of implementing the AMP program include:

  • Limited resources and funding
  • Inadequate infrastructure and facilities
  • Poor coordination and collaboration between healthcare providers and institutions
  • Limited awareness and understanding of the program's importance and benefits

Q6: How can the AMP program be improved?

A6: The AMP program can be improved by:

  • Increasing funding and resources for the program
  • Enhancing infrastructure and facilities
  • Improving coordination and collaboration between healthcare providers and institutions
  • Increasing awareness and understanding of the program's importance and benefits

Q7: What is the role of healthcare providers in the AMP program?

A7: Healthcare providers play a critical role in the AMP program by:

  • Conducting thorough investigations of maternal and infant deaths
  • Identifying the underlying causes of deaths
  • Developing strategies to prevent similar deaths in the future
  • Implementing quality improvement initiatives to improve the quality of care provided to mothers and infants

Q8: What is the role of healthcare institutions in the AMP program?

A8: Healthcare institutions play a critical role in the AMP program by:

  • Providing resources and support for the program
  • Ensuring that healthcare providers are trained and equipped to implement the program
  • Collaborating with other healthcare institutions and providers to improve the quality of care provided to mothers and infants

Q9: How can the AMP program be sustained and scaled up?

A9: The AMP program can be sustained and scaled up by:

  • Increasing funding and resources for the program
  • Enhancing infrastructure and facilities
  • Improving coordination and collaboration between healthcare providers and institutions
  • Increasing awareness and understanding of the program's importance and benefits

Q10: What is the future of the AMP program?

A10: The future of the AMP program is promising, with many countries and organizations recognizing the program's importance and benefits. The program is expected to continue to evolve and improve, with a focus on reducing maternal and infant mortality rates and promoting better health outcomes for mothers and infants.

Conclusion

The Maternal Perinatal Audit (AMP) program is a critical component of maternal and child health initiatives. The program has several benefits, including improved quality of care provided to mothers and infants, reduced maternal and infant mortality rates, and better health outcomes for mothers and infants. However, the program also faces several challenges, including limited resources and funding, inadequate infrastructure and facilities, and poor coordination and collaboration between healthcare providers and institutions. By addressing these challenges and improving the program's implementation, the AMP program can be sustained and scaled up to achieve its full potential.