UNICEF Indonesia: kesehatan ibu & anak di MTB

Summary

The video discusses the challenges faced by communities on Yamdena Island in Indonesia, where healthcare access for pregnant women is limited due to isolation and difficult transportation, especially during stormy seasons. Many women must travel by boat to the nearest healthcare center, but harsh weather often makes this impossible. Without access to trained midwives, births are handled by traditional birth attendants, leading to tragic outcomes. UNICEF is working to bring healthcare services closer to these remote areas, aiming to provide essential care and reduce maternal and infant mortality rates.

Takeaways

• 🏝️ Pulau Yamdena in Maluku Tenggara Barat is one of 17,000 islands in Indonesia, and it is difficult to access due to its remote location.
• 🚢 The island's inhabitants, including around 100,000 people, face major challenges in accessing healthcare services, particularly during stormy seasons when travel becomes impossible.
• 👶 Pregnant women on the island often have no access to trained midwives or proper healthcare facilities, putting them and their children at risk.
• ⚓ To receive healthcare, residents must travel by sea to Saumlaki, the capital of Yamdena Island, but this is impossible during bad weather, leaving them isolated for months.
• 🚑 A practical solution proposed is providing larger boats to transport people to healthcare centers during difficult seasons, which could alleviate the problem of inaccessibility.
• 🏞️ Even on larger islands like Yamdena, remote areas like the village of Lermatang are only accessible by boat, making healthcare access equally challenging.
• 💔 Stories like Oktavianus, a fisherman who lost his wife during childbirth because of the lack of healthcare services, highlight the critical situation many families face.
• 🩺 Traditional midwives, or 'dukun beranak,' often assist in childbirth due to the absence of trained professionals, which can result in complications or fatalities.
• 🤰 UNICEF is working on initiatives like the 'Gugus 10' project to bring healthcare services closer to pregnant women in these remote regions.
• 💡 While some solutions involve bringing healthcare providers to isolated areas, there are also efforts to transport high-risk pregnant women to medical facilities before delivery.

Q & A

Where is Pulau Yamdena located?

Pulau Yamdena is located in Maluku Tenggara Barat, Indonesia.

How many islands does Indonesia have?

Indonesia is the largest archipelagic country in the world, consisting of 17,000 islands.

What challenges do pregnant women on Pulau Yamdena face?

Pregnant women on Pulau Yamdena face challenges such as lack of access to health centers and trained midwives, and they must navigate treacherous seas to reach the mainland.

How does the weather affect access to healthcare on Pulau Yamdena?

During the rainy season or bad weather, the island can be isolated for several months, making it nearly impossible for pregnant women to access healthcare services.

What is the population of the small islands around Pulau Yamdena?

Around 100,000 people live on Dena and the surrounding small islands.

What happened to Oktavianus' wife during childbirth?

Oktavianus' wife passed away while giving birth to their fourth child due to the lack of medical assistance, as the boat to Ambon was cancelled due to strong winds.

What is the situation in Desa Ler Matang?

Desa Ler Matang, located at the end of the Yamdena island, has a population of around 1,000 and the only way to reach the village is by boat.

What is the role of midwives in these remote areas?

Midwives play a crucial role by conducting routine visits to check the health of pregnant women and identify those who might face complications during childbirth.

What services are provided by the health clinic mentioned in the script?

The health clinic provides 24-hour services, including basic healthcare services and cesarean operations for all women in Maluku Tenggara Barat.

What is UNICEF's role in improving maternal and child health in these areas?

UNICEF is involved in projects that provide services to pregnant women, especially through the 'gurus 10' approach, which aims to bring healthcare services closer to pregnant women by taking doctors and midwives to remote and hard-to-reach areas.

What are the locals' perceptions of traditional birth attendants compared to modern healthcare services?

While the locals appreciate the idea of modern healthcare services, they still prefer the help of traditional birth attendants, or 'dukun beranak', due to cost and cultural reasons, especially in remote areas.