Mother and Child Health Services in North Central Timor District Through the Mother and Child Love Movement Program (Border Area Studies Republik Indonesia-Republica Democratica De Timor Leste)

Abstract

The maternal, infant and toddler mortality rates in North Central Timor Regency as the Indonesia-Timor Leste border area have fluctuated in the last 5 years (2013-2017). The Mother and Child Love Movement program has not been able to reduce the maternal, infant and toddler mortality rates so that the level of health mothers and children at TTU do not yet comply with national health standards. The elements analyzed include elements of structure/input, environment, process and output. specialists, general practitioners, nurse midwives and other health workers, the quality and quantity of health facilities and equipment, limited health budgets and the culture of the TTU community which is contrary to medical regulations. So that maternal and child health services in TTU Regency through the Mother and Child Love Movement program can be To reduce the mortality rate of mothers, babies and toddlers, the efforts that must be made by the government are the addition of specialist doctors at the Kefamenanu Regional Hospital, there must be a permanent doctor at every community health center in TTU, the addition of permanent midwives at the Regional Hospital and Community Health Centers, increasing the number and quality of health facilities and equipment such as community health centers, pustu, polindes, laboratories and pharmacies, health budget allocation according to community needs, improving the quality of antenatal, delivery and neonatal/postpartum care, slowly eliminating the culture/tradition of se'i, tattoos and slow decision making in referring patients to community health centers and hospital. The recommended model for maternal and child health services at TTU is the model of empowering women through safe motherhood (family planning, antenatal care, clean delivery and obstetrical services) and empowering posyandu, poskesdes, posbindu and standby villages as community-based health efforts by community health centers