skip to main content

The Surveillance of Emergent Threats to Maternal and Newborn Health in Indonesia: A Scoping Review

1Rollins School of Public Health, Emory University, 1518 Clifton Rd N E, Atlanta, GA 30322, United States

2Faculty of Public Health, Universitas Diponegoro, Semarang City, Jawa Tengah, Indonesia

Received: 26 Aug 2024; Published: 30 Dec 2024.
Open Access Copyright (c) 2024 The authors. Published by Faculty of Public Health, Universitas Diponegoro
Creative Commons License This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Citation Format:
Abstract

Introduction: Indonesian Ministry of Health has emphasized the need to effectively identify and respond to emergent threats (ET) to maternal and newborn health (MNH), including non-communicable and infectious diseases. Improved ET screening, surveillance, and data management will reduce poor MNH outcomes including mortality, stillbirth, prematurity, and low birthweight. This scoping review examines practices of surveillance of ET to MNH, both globally and in Indonesia.

Methods: Fifty-nine articles published between 2011 to 2024, sourced from PubMed and Google Scholar were reviewed. Thirteen articles were included in the final scoping review. The key search terms included “emergent threat surveillance”, “maternal and newborn health”, “MNH surveillance”, “PWS-KIA”, and “SatuSehat”.

Results: The review identified numerous gaps in MNH surveillance, including a need for comprehensive data sharing between health facility, district, provincial, and national levels. Additionally, midwives reported that the current MNH monitoring system, PWS-KIA (Local Area Monitoring Health of Mother and Child), is time-consuming and confusing, leading to poor data reporting. Finally, due to limited training of health workers, there is a lack of data analyzation at each level, leading to poor response.

Conclusion: An integrated, standardized, and user-friendly system is needed to detect and mitigate emergent threat to maternal and neonatal health. Data analysis and response to adequately identify and reduce emergent threat at each level is critical.  Routine training is needed to improve health provider knowledge on data interpretation and use. 

Fulltext View|Download
Keywords: Emergent Threat, Maternal and Newborn Health, Surveillance, local area monitoring

Article Metrics:

  1. UNICEF (Ed.). Indonesia (IDN) - Demographics, Health & Infant Mortality. UNICEF DATA. 2023
  2. Adisasmita, A.C., Anggondowati, T. CS et al. Maternal, newborn, and children under-five health surveillance system: a scoping review protocol. Syst Rev. 2023;12:220
  3. Tappis, H., Bryce, E. & BT. Tracking Progress in Mortality Reduction in Humanitarian Settings. AlignMNH. 2024
  4. Centers for Disease Control and Prevention Global Public Health Emergency Branch. Mitigation of Emergent Threats to Pregnancy and Infant Linked Outcomes Initiative. 2024
  5. Inter-Agency Working Group on Reproductive Health in Crises (Ed.). (n.d.). 6.6 Annex 6: Indicators. Newborn Field Guide
  6. Ambarwati, N. D., Kartasurya, M. I. & PC. Implementation of Maternal Perinatal Surveillance and Response (AMPSR) Audit in Indonesia: Scoping Review. Contag Sci Period Public Heal Coast Heal. 2023;5(1):87– 101
  7. Braa, J., Sahay, S., Lewis, J. & SW. Health Information Systems in Indonesia: Understanding and Addressing Complexity. In J. Choudrie, M. S. Islam, F. Wahid, J. M. Bass, & J. E. Priyatma (Eds.),. Springer Int Publ. 2017;504
  8. Frey, M. T., Meaney-Delman, D., Bowen, V., Yazdy, M. M., Watkins, S. M., Thorpe, P. G., & Honein MA. Surveillance for Emerging Threats to Pregnant Women and Infants. Journal of women’s health (2002). J women’s Heal. 2019;28(8):1031–6
  9. De Jong, W., Rusli, M., Bhoelan, S., Rohde, S., Rantam, F. A., Noeryoto, P. A., Hadi, U., Gorp, E. C. M. V., & Goeijenbier M. Endemic and emerging acute virus infections in Indonesia: An overview of the past decade and implications for the future. Crit Rev Microbiol. 2018;44(4):487–503
  10. St. Louis M. Global Health Surveillance. Centers for Disease Control and Prevention. 2012
  11. Rachmani, E., Haikal, F. D. Pa, O. Setiono SA and F. Wulandari, “Are the Citizens of Semarang ready for The Citizen Health App (SatuSehat Mobile)? A Prediction Model from Decision Tree,” 2023 International Seminar on Application for Technology of Information and Communication (iSemantic), Semarang, Indonesi. 2023;475–9
  12. Office of Assistant to Deputy Cabinet Secretary for State Documents & Translation. Health Ministry Launches ‘SatuSehat’ Platform. Cabinet Secretariat of the Republic of Indonesia. 2022
  13. UNFPA. Strengthening Data to Reduce Maternal Deaths in Indonesia. UNFPA Indonesia. 2023
  14. Rani, Ika A., and Hargono A. Description the Activities of Recording and Reporting Maternal Health Monitoring in PWS-KIA Based on Surveillance Attributes. J Berk Epidemiol. 2014;2(1):34–47
  15. Mulya A. Discipline of Midwives in Recording and Reporting Monitoring Local Areas of Maternal and Child Health (PWS-Kia) at Sukabumi Regency Health Center. Indones Sch J Nurs Midwifery Sci. 2018;3(8)
  16. Laras K. Enhancing health data quality: Strengthening Indonesia’s data quality assurance. 2023
  17. Atiyah, F. U., Sundari, S. & RE. Analyzing of implementation maternal audit program in community health center: a qualitative study. Int J Community Med Public Heal. 2021;8(10):4767
  18. Cahyanti, R. D., Widyawati, W. & HM. Sharp downward, blunt upward”: district maternal death audits’ challenges to formulate evidence-based recommendations in Indonesia - a qualitative study. BMC Pregnancy Childbirth. 2021;21(1):730
  19. Mahmood, M. A., Mufidah, I., Scroggs, S., Siddiqui, A. R., Raheel, H., Wibdarminto, K., Dirgantoro, B., Vercruyssen, J., & Wahabi, H. A19. Mahmood, M. A., Mufidah, I., Scroggs, S., Siddiqui, A. R., Raheel, H., Wibdarminto, K., Dirgantoro, B., Vercruyssen H. Root-Cause Analysis of Persistently High Maternal Mortality in a Rural District of Indonesia: Role of Clinical Care Quality and Health Services Organizational Factors. 2018
  20. D’Ambruoso, L., Martha, E., Izati, Y., Kiger, A. & CA. Maternal mortality and severe morbidity in rural Indonesia Part 1: The community perspective. Soc Med. 2013;7(2):68–79
  21. Fahmi M. Evaluation of the Maternal Perinatal Audit Program (AMP) in Temanggung Regency. J Penelit Kesehat Suara Forikes. 2017
  22. Mardiah HH. Alternative of Operational Policy Maternal Perinatal Audit (MPA) In Barito Kuala District South Kalimantan. Vol. 8(1985). 2012. p. 9–14
  23. Maryati, S., Jati, S. P., & Wulan LRK. Analisis Program Audit Maternal-Perinatal (Amp) Di Kabupaten Cianjur Tahun 2012. J Kesehat Budi Luhur J IlmuIlmu Kesehat Masyarakat, Keperawatan, Dan Kebidanan. 2019;12(2):172–181

Last update:

No citation recorded.

Last update:

No citation recorded.