Limited Resources and Complicated Procedures Maternal Health Problems of Urbant Migrants in Region

• Main Authors: Nuzulul Kusuma Putri, Ratna Dwi Wulandari, Nyoman Anita Damayanti
• Format: Book Section PeerReviewed
• Language: English; English; English
• Published: S3 Ilmu Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Airlangga 2017
• Subjects: RG940-991 Maternal care. Prenatal care services
• Online Access: http://repository.unair.ac.id/92734/1/35%20ISOPH_2017_80.pdf; http://repository.unair.ac.id/92734/2/KARYA%20ILMIAH%2035.pdf; http://repository.unair.ac.id/92734/3/35%20Limited%20Resources%20and%20Complicated%20Procedures%20Maternal%20Health%20Problems%20of%20Urbant%20Migrants%20in%20Region.pdf; http://repository.unair.ac.id/92734/; https://www.scitepress.org/PublicationsDetail.aspx?ID=v6sWUiKU3d0=&t=1
• Institution: Universitas Airlangga

The generally high maternal mortality rate in Indonesia mostly happens in the urban regions. The physical accessibility of healthcare services in urban areas does not seem to guarantee the healthy pregnancy. This also happens in Surabaya which has contributed to more than 16% of the maternal deaths in East Java. This study aimed to explore any maternal health problems that are faced by urban migrants in Surabaya and how community reacts to these problems. This was an exploratory study in 2 industrial subdistricts, Medokan Ayu and Gunung Anyar, which are mostly inhabited by urban migrant workers. The total population of midwives in both Public Health Centers was asked about their experiences in handling maternal health in urban migrant population. A serial of Focus Group Discussion participated by health and social workers identified the existing problems. This study shows that the main maternal health problems are the administration requirements in accessing free healthcare service using national health insurance. Administration regarding citizens’ registration is not yet ready to implement the portability principles of National Health Insurance. The movement to the hometown of expectant mothers in the last trimester still happens and ruins the maternal record and monitoring postpartum plan in migrant areas.