The Contribution of Public Health Center to Reducing Maternal Mortality

Backgroud: The health problems can be described on the number of Maternal Mortality (MMR), the higher of MMR to indication of so many health problems. Maternal mortality is closely related to access of quality health care. Quality access will provide opportunities for mothers to get prenatal care, aid delivery, and good treatment. Public health care is health facilities early referral of maternal care in villages, and then Public health care will be referred to a PONEK hospital if necessary. Objective: To knows the difference that maternal health services are carried out in PONED and non PONED Public health centers. Methods: To combine datas of Village Potential 2011, Maternal Mortality Follow-Up Study of Population Census 2012 and Research Health Facilities 2011 for analysis. Field confirmation in two health centers and two hospitals in Bekasi and Bogor cities for cases maternal death of during pregnancy, during childbirth, miscarriage, and after birth (postnatal). Results: The hospitals can prevent maternal death during pregnancy or during childbirth. At public health care, the risk for maternal death during childbirth is higher than postnatal OR = 1.9 (CI: 1.22 to 3.0), maternal death during pregnancy and miscarriage in PONED is higher than Non PONED but not signifi cant (p > 0.05). At public health care not PONED, birth attendants is a factor in the recommendation to referral (p < 0.05). Conclution: The hospital facilities are able to PONEK the best services for mothers who need obstetric treatment. The midwives are important to reducing maternal mortality, they should be closer access to birth attendants and to perform appropriate referrals. Recommendation: The hospitals are need to be reinforced services capable PONEK and within easy reach from public health centers.