Program Bidan

7/30/2019 Program Bidan

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PROGRAM BIDAN DELIMAImproving Quality Care of

Private Sector Midwives

Damaryanti Suryaningsih, MPH

Abt Associates USAID/ HSP34th Annual Global Health Conference

Washington, DC, USA,May 31, 2007


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What is the Bidan Delima

program? Program to improve quality of service

delivery and family planning in privatesector

Certifies high quality midwives asBidan Delima

Promotes brand recognition among thegeneral public

Implemented by Indonesian Midwives

Association


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Source: Bull World Health Organ v.79 n.3 Geneva, IDHS 2002/3

World Health Report 2005

The Millennium Development Goals (MDGs):Progress Report in the context of health

Indonesia: 307

Thailand: 129Malaysia: 39

Singapore: 6


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Hemorrhage

28%

Infection11%Eclampsia

24%

Unsafe abortion

5%Obstructed labor

5%

Obstetric Embolism 3%

5%

PuerperiumComplication

8%

Others

11%

Obstetric Trauma

Causes of Maternal Mortality

Every 2 hoursEvery 2 hours

1 Maternal Death1 Maternal Death

Source Household survey 2001


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Excessive bleeding: 46% (67% after delivery)

Induced abortion: 14 % Anemia: 51% (when pregnant)

45% (after delivery)

Protein malnutrition: 4.8% Chronic under nutrition: 21.2%

Causes of Maternal Mortality

in Indonesia


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Why private sector?

Home

Private

Public

Place of Delivery

31%

9%

59%


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Delivery Assistant

TBA

Doctor

Midwife

Other

50% by midwife

53,468 midwivesin Indonesia

26,662 privatemidwives

50%

12%

32%

5%


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Growing role for private sector

8%

15%

31%

19%

9%

9%8%

12%

1%

6%

11%

16%

21%

26%

31%

36%

1991 1994 1997 2002/03

% of deliveries in private and public sector Source: IIDHS series

Private sector

Public Sector


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Work relationshipUSAID provides technical assistance to the Indonesian Midwives

Association (IBI):

Support start up activities in 11 provinces (2003 2009) Working with IBI to develop:

- Management of Bidan Delima guidelines- Quality assurance instruments- Facilitator training package

- Promotion Materials- Bidan Delima kits- Management Information System

Develop capacity of IBI management in workshop facilitation and

facilitator training


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Bidan Delima Process

Registration/Pre-qualifications

Self Learningtools

Validation(external)Recognition

QualityAssurance


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FamilyPlanning

InfectionPrevention

Informed choice poster (3 Set)

sticker

Brochure

10 Messages for mother and midwife

MNH

Signage

Apron andpin

Bidan Delima Kit

Decision Making tool FP


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Pre qualificationSelf Assessment

Facilitator tools:Validation tools

Facilitator guidelineMonitoring tools

Guidelines and instruments

Management Guidelines:Management guidelines forcentral, provinces anddistricts levelFinancial guideline

Facilitator trainingpackage:- Reference book- Trainers guideline- Participant book


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Where are we now


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394

2,190

606

1,108

712

5,535

2,503

1,012

1,543

4,824

6,364

PrivateMidwives

Total

Banten

Aceh

Yogyakarta

South Sumatera

Bali

West Java

North Sumatera

Jakarta

South Sulawesi

Central Java

East Java

Province

6,2961,0005,2562,807

202011.

202010.

17233139469.

684915931068.

403603432267.

1,2981421.1565686.

19686123305.

20230172344.

5011383635123.

1,2472021,0454212.

1,5402181,3228241.

FacilitatorBDCandidateof BD

Total BD

Amount

No

Coverage (data as of May 07)


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Challenges

Improve fee collection rates Maintain Quality Assurance

systems

Ensure that the benefitpackage for BD member isvalued by bidans

Improve Businessmanagement in IBI andprivate clinics


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Bidan Delima website: www.bidan-delima.org My e-mail address: [email protected]

Documents

Program Bidan