Evaluation of perinatal maternal audit program (AMP) in the Langsa City
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Mar 25, 2024
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Abstract
The government has established the Neonatal Maternal Audit (AMP) program to assess the provision of health services to mothers and children, aiming to address obstetric and neonatal emergencies. Despite the implementation of AMP in Langsa City, the rates of maternal and infant mortality remain high. This study aimed to evaluate the AMP program in Langsa City. A cross-sectional survey research design was used, conducted at the Langsa City Health Office. The subjects of the study included the Mother and Child Program Holders at Puskesmas and hospitals, as well as the Maternal Perinatal Audit Program Implementation team at the Health Office. The findings revealed that the implementing team had an average tenure of 5 years, an average age of 38 years, and a D3 Midwifery education. They had received training on AMP and AMP-SR, possessed an AMP implementation manual, and conducted verbal autopsies, but only a few performed medical records. Strengthening materials and training on AMP-SR for program implementers in Langsa City is necessary. The implementation of the AMP program in Langsa City has shown positive aspects in terms of manpower and case selection, but areas requiring attention and improvement were also identified. Increasing the number of concurrent positions and providing comprehensive materials to program implementers will enhance their capabilities and effectiveness.
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How to Cite
Fithriany, F., AS, E., Mutiah, C., Dewi, S., Harahap, L. K. S. and Rahayu, S. (2024) “Evaluation of perinatal maternal audit program (AMP) in the Langsa City”, Science Midwifery, 12(1), pp. 176-186. doi: 10.35335/midwifery.v12i1.1437.
References
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Apriani, L. (2019). Infection control and latent tuberculosis infection in health care workers in Indonesia. https://ourarchive.otago.ac.nz/handle/10523/9717
Biswas, A., Rahman, F., Eriksson, C., Halim, A., & Dalal, K. (2016). Social autopsy of maternal, neonatal deaths and stillbirths in rural Bangladesh: qualitative exploration of its effect and community acceptance. BMJ Open, 6(8). https://doi.org/10.1136/bmjopen-2015-010490
Biswas, A., Rahman, F., Halim, A., Eriksson, C., & Dalal, K. (2014). Maternal and Neonatal Death Review (MNDR): a useful approach to identifying appropriate and effective maternal and neonatal health initiatives in Bangladesh. Health, 6(14), 1669–1679. https://doi.org/10.4236/health.2014.614198
de Savigny, D., Riley, I., Chandramohan, D., Odhiambo, F., Nichols, E., Notzon, S., AbouZahr, C., Mitra, R., Muñoz, D. C., Firth, S., Mairea, N., Sankoh, O., Bronson, G., Setel, P., Byass, P., Jakob, R., Boerman, T., & Lopez, A. D. (2017). Integrating community-based verbal autopsy into civil registration and vital statistics (CRVS): system-level considerations. Global Health Action, 10(1), 1272882. https://doi.org/10.1080/16549716.2017.1272882
Dol, J., Hughes, B., Bonet, M., Dorey, R., Dorling, J., Grant, A., Langlois, E. V., Monaghan, J., Ollivier, R., Parker, R., Roos, N., Scott, H., Shin, H. D., & Curran, J. (2023). Timing of neonatal mortality and severe morbidity during the postnatal period: a systematic review. Jbi Evidence Synthesis, 21(1), 98. https://doi.org/10.11124/JBIES-21-00479
El-Shal, A., Mohieldin, M., & Moustafa, E. (2022). Indirect impact of health disasters on maternal and child mortality. Economic Analysis and Policy, 74, 477–493. https://doi.org/10.1016/J.EAP.2022.03.003
Fahmi, M. A. (2017). EVALUASI PROGRAM AUDIT MATERNAL PERINATAL (AMP) DI KABUPATEN TEMANGGUNG JAWA TENGAH. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 8(3), 109–115. https://doi.org/10.33846/%x
Gondwe, M. J., Mhango, J. M., Desmond, N., Aminu, M., & Allen, S. (2021). Approaches, enablers, barriers and outcomes of implementing facility-based stillbirth and neonatal death audit in LMICs: a systematic review. BMJ Open Quality, 10(1). https://doi.org/10.1136/BMJOQ-2020-001266
Gouda, H. N., Flaxman, A. D., Brolan, C. E., Joshi, R., Riley, I. D., AbouZahr, C., Firth, S., Rampatige, R., & Lopez, A. D. (2017). New challenges for verbal autopsy: Considering the ethical and social implications of verbal autopsy methods in routine health information systems. Social Science & Medicine, 184, 65–74. https://doi.org/10.1016/J.SOCSCIMED.2017.05.002
Greig, E., Ash, A., & Douiri, A. (2012). Maternal and neonatal outcomes following methadone substitution during pregnancy. Archives of Gynecology and Obstetrics, 286(4), 843–851. https://doi.org/10.1007/S00404-012-2372-9/TABLES/5
Handayani, D., & Achadi, A. (2018). ANALISIS IMPLEMENTASI PROGRAM PELAYANAN OBSTETRI NEONATAL EMERGENSI DASAR (PONED) DI PUSKESMAS MAMPU PONED KOTA DEPOK TAHUN 2017. Jurnal Kebijakan Kesehatan Indonesia : JKKI, 07.
Ilmu Kesehatan Masyarakat, J., Ilmu Keolahragaan, F., & Negeri Semarang, U. (2020). Program Antenatal Care Terpadu dalam Upaya Penurunan Angka Kematian Ibu. HIGEIA (Journal of Public Health Research and Development), 4(Special 4), 759–767. https://doi.org/10.15294/HIGEIA.V4ISPECIAL
Kartikasari, E., Nurchasanah, S., & Wardoyo, W. (2020). Post-Training Evaluation on the Training of Basic Obstatric and Neonatal Emergency Service Training. Quality Control Unit of the Semarang Health Training Center (Bapelkes), 1, 3. https://doi.org/10.4108/EAI.29-6-2019.2290514
Magrath, P., & Nichter, M. (2022). Moral framing in health promotion: lessons from an Indonesian case study. Https://Doi.Org/10.1177/17579759221112559, 30(2), 19–27. https://doi.org/10.1177/17579759221112559
Mardiah, M., & Hardiana, H. (2018). Alternatif Kebijakan Operasional Audit Maternal Perinatal (AMP) Di Kabupaten Barito Kuala Kalimantan Selatan. Jurnal Kesehatan Indonesia, 8(2), 69–85. http://journal.stikeshb.ac.id/index.php/jurkessia/article/view/123
Maternal mortality ratio (modeled estimate, per 100,000 live births) - Indonesia | Data. (n.d.). Retrieved August 16, 2023, from https://data.worldbank.org/indicator/SH.STA.MMRT?locations=ID
McLain, A. C., Frongillo, E. A., Feng, J., & Borghi, E. (2019). Prediction intervals for penalized longitudinal models with multisource summary measures: An application to childhood malnutrition. Statistics in Medicine, 38(6), 1002–1012. https://doi.org/10.1002/SIM.8024
Mikrajab, M. A. (Muhammad), & Rachmawati, T. (Tety). (2016). Policy Analysis of Integrated Antenatal Care Implementation at Public Health Centers in Blitar City. Buletin Penelitian Sistem Kesehatan, 19(1), 41–53. https://www.neliti.com/publications/63069/
Moyer, C. A., Johnson, C., Kaselitz, E., & Aborigo, R. (2017). Using social autopsy to understand maternal, newborn, and child mortality in low-resource settings: a systematic review of the literature. Glob Health Action, 10(1), 1413917. https://doi.org/10.1080/16549716.2017.1413917
Mukuru, M., Gorry, J., Kiwanuka, S. N., Gibson, L., Musoke, D., & Ssengooba, F. (2022). Designed to Fail? Revisiting Uganda’s Maternal Health Policies to Understand Policy Design Issues Underpinning Missed Targets for Reduction of Maternal Mortality Ratio (MMR): 2000-2015. International Journal of Health Policy and Management, 11(10), 2124–2134. https://doi.org/10.34172/IJHPM.2021.127
Roos, N., & von Xylander, S. R. (2016). Why do maternal and newborn deaths continue to occur? Best Practice & Research Clinical Obstetrics & Gynaecology, 36, 30–44. https://doi.org/10.1016/J.BPOBGYN.2016.06.002
Turunkan Angka Kematian Ibu melalui Deteksi Dini dengan Pemenuhan USG di Puskesmas – Sehat Negeriku. (n.d.). Retrieved January 5, 2024, from https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20230115/4842206/turunkan-angka-kematian-ibu-melalui-deteksi-dini-dengan-pemenuhan-usg-di-puskesmas/
Utomo, B., Sucahya, P. K., Romadlona, N. A., Robertson, A. S., Aryanty, R. I., & Magnani, R. J. (2021). The impact of family planning on maternal mortality in Indonesia: what future contribution can be expected? Population Health Metrics, 19(1). https://doi.org/10.1186/S12963-020-00245-W
Varley, E. (2023). Hospital Paperworlds: Medical (Mis)Reporting and Maternal Health in Northern Pakistan. Medical Anthropology Quarterly, 37(1), 23–41. https://doi.org/10.1111/MAQ.12737
Visaria, L. (2022). South Asia: Did Population Policies Trigger a Fertility Convergence? 255–276. https://doi.org/10.1007/978-3-031-02040-7_12
Ambarwati, N. D., Kartasurya, M. I., & Purnami, C. T. (2023b). Towards Zero Maternal Mortality: The Role of Policy Makers in Maternal Perinatal Audit Surveillance and Response. Poltekita : Jurnal Ilmu Kesehatan, 17(1), 45–56. https://doi.org/10.33860/JIK.V17I1.2124
Apriani, L. (2019). Infection control and latent tuberculosis infection in health care workers in Indonesia. https://ourarchive.otago.ac.nz/handle/10523/9717
Biswas, A., Rahman, F., Eriksson, C., Halim, A., & Dalal, K. (2016). Social autopsy of maternal, neonatal deaths and stillbirths in rural Bangladesh: qualitative exploration of its effect and community acceptance. BMJ Open, 6(8). https://doi.org/10.1136/bmjopen-2015-010490
Biswas, A., Rahman, F., Halim, A., Eriksson, C., & Dalal, K. (2014). Maternal and Neonatal Death Review (MNDR): a useful approach to identifying appropriate and effective maternal and neonatal health initiatives in Bangladesh. Health, 6(14), 1669–1679. https://doi.org/10.4236/health.2014.614198
de Savigny, D., Riley, I., Chandramohan, D., Odhiambo, F., Nichols, E., Notzon, S., AbouZahr, C., Mitra, R., Muñoz, D. C., Firth, S., Mairea, N., Sankoh, O., Bronson, G., Setel, P., Byass, P., Jakob, R., Boerman, T., & Lopez, A. D. (2017). Integrating community-based verbal autopsy into civil registration and vital statistics (CRVS): system-level considerations. Global Health Action, 10(1), 1272882. https://doi.org/10.1080/16549716.2017.1272882
Dol, J., Hughes, B., Bonet, M., Dorey, R., Dorling, J., Grant, A., Langlois, E. V., Monaghan, J., Ollivier, R., Parker, R., Roos, N., Scott, H., Shin, H. D., & Curran, J. (2023). Timing of neonatal mortality and severe morbidity during the postnatal period: a systematic review. Jbi Evidence Synthesis, 21(1), 98. https://doi.org/10.11124/JBIES-21-00479
El-Shal, A., Mohieldin, M., & Moustafa, E. (2022). Indirect impact of health disasters on maternal and child mortality. Economic Analysis and Policy, 74, 477–493. https://doi.org/10.1016/J.EAP.2022.03.003
Fahmi, M. A. (2017). EVALUASI PROGRAM AUDIT MATERNAL PERINATAL (AMP) DI KABUPATEN TEMANGGUNG JAWA TENGAH. Jurnal Penelitian Kesehatan “SUARA FORIKES” (Journal of Health Research “Forikes Voice”), 8(3), 109–115. https://doi.org/10.33846/%x
Gondwe, M. J., Mhango, J. M., Desmond, N., Aminu, M., & Allen, S. (2021). Approaches, enablers, barriers and outcomes of implementing facility-based stillbirth and neonatal death audit in LMICs: a systematic review. BMJ Open Quality, 10(1). https://doi.org/10.1136/BMJOQ-2020-001266
Gouda, H. N., Flaxman, A. D., Brolan, C. E., Joshi, R., Riley, I. D., AbouZahr, C., Firth, S., Rampatige, R., & Lopez, A. D. (2017). New challenges for verbal autopsy: Considering the ethical and social implications of verbal autopsy methods in routine health information systems. Social Science & Medicine, 184, 65–74. https://doi.org/10.1016/J.SOCSCIMED.2017.05.002
Greig, E., Ash, A., & Douiri, A. (2012). Maternal and neonatal outcomes following methadone substitution during pregnancy. Archives of Gynecology and Obstetrics, 286(4), 843–851. https://doi.org/10.1007/S00404-012-2372-9/TABLES/5
Handayani, D., & Achadi, A. (2018). ANALISIS IMPLEMENTASI PROGRAM PELAYANAN OBSTETRI NEONATAL EMERGENSI DASAR (PONED) DI PUSKESMAS MAMPU PONED KOTA DEPOK TAHUN 2017. Jurnal Kebijakan Kesehatan Indonesia : JKKI, 07.
Ilmu Kesehatan Masyarakat, J., Ilmu Keolahragaan, F., & Negeri Semarang, U. (2020). Program Antenatal Care Terpadu dalam Upaya Penurunan Angka Kematian Ibu. HIGEIA (Journal of Public Health Research and Development), 4(Special 4), 759–767. https://doi.org/10.15294/HIGEIA.V4ISPECIAL
Kartikasari, E., Nurchasanah, S., & Wardoyo, W. (2020). Post-Training Evaluation on the Training of Basic Obstatric and Neonatal Emergency Service Training. Quality Control Unit of the Semarang Health Training Center (Bapelkes), 1, 3. https://doi.org/10.4108/EAI.29-6-2019.2290514
Magrath, P., & Nichter, M. (2022). Moral framing in health promotion: lessons from an Indonesian case study. Https://Doi.Org/10.1177/17579759221112559, 30(2), 19–27. https://doi.org/10.1177/17579759221112559
Mardiah, M., & Hardiana, H. (2018). Alternatif Kebijakan Operasional Audit Maternal Perinatal (AMP) Di Kabupaten Barito Kuala Kalimantan Selatan. Jurnal Kesehatan Indonesia, 8(2), 69–85. http://journal.stikeshb.ac.id/index.php/jurkessia/article/view/123
Maternal mortality ratio (modeled estimate, per 100,000 live births) - Indonesia | Data. (n.d.). Retrieved August 16, 2023, from https://data.worldbank.org/indicator/SH.STA.MMRT?locations=ID
McLain, A. C., Frongillo, E. A., Feng, J., & Borghi, E. (2019). Prediction intervals for penalized longitudinal models with multisource summary measures: An application to childhood malnutrition. Statistics in Medicine, 38(6), 1002–1012. https://doi.org/10.1002/SIM.8024
Mikrajab, M. A. (Muhammad), & Rachmawati, T. (Tety). (2016). Policy Analysis of Integrated Antenatal Care Implementation at Public Health Centers in Blitar City. Buletin Penelitian Sistem Kesehatan, 19(1), 41–53. https://www.neliti.com/publications/63069/
Moyer, C. A., Johnson, C., Kaselitz, E., & Aborigo, R. (2017). Using social autopsy to understand maternal, newborn, and child mortality in low-resource settings: a systematic review of the literature. Glob Health Action, 10(1), 1413917. https://doi.org/10.1080/16549716.2017.1413917
Mukuru, M., Gorry, J., Kiwanuka, S. N., Gibson, L., Musoke, D., & Ssengooba, F. (2022). Designed to Fail? Revisiting Uganda’s Maternal Health Policies to Understand Policy Design Issues Underpinning Missed Targets for Reduction of Maternal Mortality Ratio (MMR): 2000-2015. International Journal of Health Policy and Management, 11(10), 2124–2134. https://doi.org/10.34172/IJHPM.2021.127
Roos, N., & von Xylander, S. R. (2016). Why do maternal and newborn deaths continue to occur? Best Practice & Research Clinical Obstetrics & Gynaecology, 36, 30–44. https://doi.org/10.1016/J.BPOBGYN.2016.06.002
Turunkan Angka Kematian Ibu melalui Deteksi Dini dengan Pemenuhan USG di Puskesmas – Sehat Negeriku. (n.d.). Retrieved January 5, 2024, from https://sehatnegeriku.kemkes.go.id/baca/rilis-media/20230115/4842206/turunkan-angka-kematian-ibu-melalui-deteksi-dini-dengan-pemenuhan-usg-di-puskesmas/
Utomo, B., Sucahya, P. K., Romadlona, N. A., Robertson, A. S., Aryanty, R. I., & Magnani, R. J. (2021). The impact of family planning on maternal mortality in Indonesia: what future contribution can be expected? Population Health Metrics, 19(1). https://doi.org/10.1186/S12963-020-00245-W
Varley, E. (2023). Hospital Paperworlds: Medical (Mis)Reporting and Maternal Health in Northern Pakistan. Medical Anthropology Quarterly, 37(1), 23–41. https://doi.org/10.1111/MAQ.12737
Visaria, L. (2022). South Asia: Did Population Policies Trigger a Fertility Convergence? 255–276. https://doi.org/10.1007/978-3-031-02040-7_12