INDIKATOR DERAJAT KESEHATAN MASYARAKATdr. H.Makhrozal, M.Kes

1.PELAYANAN KESEHATAN2.SUMBERDAYA KESEHATAN3.MANAJEMEN KESEHATAN4.KONTRIBUSI SEKTOR TERKAIT KEADAAN LINGKUNGAN12.% Rumah Sehat13.% TTU Sehat PERILAKU HIDUP MASYARAKAT14.% RT PHBS15.% Posyandu Purnama & Mandiri AKSES & MUTU PELAYANAN KES.16.% Pddk Memanf Puskes17.% Pddk Memanf Rumah Sakit18.% Sarkes dgn Labkes19.% RS dgn 4 Sp Das.20.%Obat GenerikMENUJUDERAJAT KESEHATANMORTAL ITAS

1.AK BAYI2.AK BALITA3.AK IBU4.A HA RAPAN HIDUP MORBI DITAS5.AK Malaria6.AKesem TB7.Prev HIV8.Angka AFP9.AK DBD STATUS GIZI10.% Blt Gizi Buruk11.% Kec Bebas Rawan GiziMASUKAN & PROSESHASIL ANTARAHASIL AKHIR

Sebab Kematian IbuSKRT 2001

Besaran Masalah Kematian Neonatus, Bayi & BalitaSekitar 80-90% kematian dapat dicegah dengan teknologi sederhana yang tersedia tingkat puskesmas dan jaringannya.Sekitar 10-20% kasus rujukan memerlukan biaya mahal dan teknologi tinggi.

IndikatorJumlah KematianPer tahunPer hariPer jamAK Neonatal: 20 per 1.000 KH89.77024610AK Bayi:35 per 1.000 KH157.08043018AK Balita:46 per 1.000 KH206.58056924

Penyebab Langsung Kematian Neonatal di IndonesiaSumber: SKRT 2001

Penyebab Langsung Kematian BayiUsia

Tiga TerlambatTerlambat mengenal tanda bahayadan mengambil keputusan

Terlambat mencapai fasilitas kesehatan

Terlambat mendapatkan pertolongan di fasilitas kesehatan

4 TerlaluTerlalu muda punya anak (3 anak) Terlalu rapat jarak melahirkan (35 th)

SUMBER SDKI 2002-2003

Tempat PersalinanKota (32%)Desa (68%)

Rendahnya akses masyarakat terhadap Yan Kes Ibu. (Tidak ada Bdn, Bidan tidak ada saat diperlukan, pelayanan emergensi tidak dapat diperoleh/tidak mampu memberikan, sulit merujuk,dll) Kualitas dan efektifitas pelayanan Kes. Maternal & Neonatal belum memadaiSystem rujukan (M & N) belum seperti yang diharapkanLatar Belakang Tingginya AKISisi Supply :

Sebab Tidak Langsung Kematian Ibu :Tinkat pendidikan kaum ibu rendahTingkat sosial ekonomi kaum ibu rendahKeadaan sosial budaya tidak mendukungStatus Gizi ibu hamil : anemia 40%Kedudukan dan peranan kaum ibu tidak menguntungkanTransportasi tidak mendukungSisi Demand :

Kuantitas Vs KualitasCakupan Pemeriksaan kehamilan (ANC ) cukup tinggi, namun:Pengetahuan ibu ttg tanda bahaya rendahDO ANC dan persalinan tinggiANC belum sesuai standar (analisis: K4-Fe3)

PN meningkat terus, namunBelum semua tenaga kesehatan telah melaksanakan managemen aktif kala 3Partograf belum menjadi alat pemantau persalinan (kecuali bagi gakin)

STATUS GIZIPelayanankesehatanSTATUS GIZIASUPAN GIZIINFEKSI PENYAKITPerilaku/asuhanIbu dan AnakKetersediaanPangan tingkatRumah TanggaKEMISKINAN, PENDIDIKAN RENDAH,KETERSEDIANAN PANGAN, KESEMPATAN KERJAKRISIS POLITIK DAN EKONOMIPenyebabLangsungPenyebabTakLangsungMasalahUtamaMasalahDasarSumber : Unicef, 1998The State of The Worlds Children 1998

IPKM dan Umur Harapan HidupIndex PengbangunkanKesehatanMesyarakatLife Expectancy

Chart1

62.75

64.27

66.61

69.11

69.41

69.31

69.69

70.42

68.94

72.22

69.41

66.3

66.73

68.09

69.31

67.84

67.31

69.99

70.1

69.96

69.7

68.98

63.43

66.93

67.56

68.64

70.52

68.16

68.59

68.67

67.7

71.85

69.83

68.92

68.85

67.64

66.81

69.46

68.76

70.09

69.35

71.72

70.98

71.36

71.47

69.18

68.24

66.54

65.65

65.99

69.94

67.63

68.56

67.42

66.5

64.32

65.31

64.42

70.21

69.23

70.96

70.32

71.12

70.21

68.15

68.05

68.55

70.7

68.48

71.23

68.1

67.08

70.06

67.01

70.87

70.77

70.4

67.41

68.93

68.49

69.11

69.33

69.07

68.7

66.37

69.77

69.1

67.33

67.09

67.24

64.14

69.07

66.88

69.16

68.16

65.4

70.43

70.71

69.52

65.24

67

66.22

69.03

66.36

65

67.4

65.55

63.37

70.09

66.26

68.16

67.78

69.95

68.81

67.36

68.93

68.11

69.82

72.11

66.99

68.97

67.53

67.64

67.22

67.99

70.18

69.76

69.57

67.96

69.7

70.62

69.4

70.26

73.03

72.84

71.97

73.02

72.48

67.63

66.12

64.96

68.78

64.42

67.32

66.77

67.12

64.92

65.57

67.1

65.62

68.95

66.2

65.7

68.43

68.59

68.67

69.55

68.42

69.45

72.72

68.97

68.78

65.91

69.86

69.52

69.4

68.51

69.11

69.71

69.2

69.9

70.11

70.93

70.04

72.04

71.92

71.94

69.21

71.01

69.75

72.62

69.41

70.39

70.31

72.21

72.16

67.4

69.38

68.13

66.97

67.86

66.75

70.01

71.84

70.66

71.9

69.8

68.14

73.47

70.95

70.75

74.1

73.14

70.67

69.06

70.91

70.8

70.25

68.99

68.22

66.35

62.33

66.45

62.36

62.72

60.33

63.15

69.89

69.58

69.85

68.27

68.43

70.5

68.99

66.79

67.17

67.73

70.3

62.9

61.11

62.7

64.23

69.78

71.44

69.31

69.2

66.21

70.97

70.46

70.16

68.64

63.09

63.11

65.32

62.29

68.23

68.45

71.63

74.32

71.64

71.99

68.95

71.4

67.77

68.65

72.85

59.54

59.82

59.16

60.4

60.7

62.01

60.76

65.19

62.61

64.11

61.42

64.77

66.4

67.27

64.72

65.89

66.17

67.17

68.06

64.16

66.77

66.65

66.78

65.75

71.48

60.48

68.4

64.72

67.03

67.61

66.69

67.68

66.26

67.22

67.53

66.65

66.8

71.05

69.16

70.43

68.08

71.57

67.67

66.93

67.85

67.18

67.3

67.55

67.67

67.83

73.07

67.62

64.72

64.04

60.82

66.67

63.14

64.15

61.87

62.54

63.99

61.12

65.78

66.94

72.06

69.7

67.68

68.08

69.16

68.01

72.52

70.84

71.04

71.52

70.61

71.19

71.89

70.97

72.07

72.28

70.86

71.72

72.1

72.26

70.08

71.96

62.66

67.95

65.11

64.36

64.22

63.66

64.77

64.27

63.39

69.22

67.33

71.02

72.38

64.55

68.38

71.07

71.07

70.78

68.27

67.92

68.59

71.3

69.54

71.42

71.23

74.25

72.55

74.06

70.91

70.61

72.75

73.56

72.02

67.55

65.59

66.47

66.36

67.16

67.1

67.69

65.14

68.88

69.5

67.32

67.1

67.07

67.6

66.14

64.43

64.18

70.78

67.76

67.44

63.73

67.4

65.33

66.75

67.11

66.21

65.21

72.66

63.72

65.36

63.96

64.82

64.92

64.33

69.3

64.49

69.27

69.06

66.78

67.26

67.12

66.19

66.71

65.15

70.75

62.03

65.93

66.83

66.96

66.57

65.72

66.85

66.96

69.26

66.17

65.64

65.62

66.03

65.17

65.66

66.13

66.62

64.59

65.29

68.16

Aceh Utara

UHH_2007

Sheet1

IPKMUHH_2007

0.43873862.75

0.44684664.27

0.39204966.61

0.39294469.11

0.42587969.41

0.52434169.31

0.37803869.69

0.48969170.42

0.47963868.94

0.48455672.22

0.39771069.41

0.48905566.30

0.27127566.73

0.51130868.09

0.38888169.31

0.37313767.84

0.47000067.31

0.59303969.99

0.63416570.10

0.52409069.96

0.51989369.70

0.33338168.98

0.35950763.43

0.43003666.93

0.40211867.56

0.43540268.64

0.55535170.52

0.50523968.16

0.53875568.59

0.46786068.67

0.48235067.70

0.56299771.85

0.58825969.83

0.52803368.92

0.29126368.85

0.44544667.64

0.40945266.81

0.45411669.46

0.56833768.76

0.46730370.09

0.55805469.35

0.64430771.72

0.59487270.98

0.65925971.36

0.60047371.47

0.56862969.18

0.37338068.24

0.40833566.54

0.48746965.65

0.46132065.99

0.47970269.94

0.46032367.63

0.52368068.56

0.44530167.42

0.41799866.50

0.37658264.32

0.47646665.31

0.40932064.42

0.60434270.21

0.62399569.23

0.60007770.96

0.63967970.32

0.64072971.12

0.61850770.21

0.55510668.15

0.44188268.05

0.45871968.55

0.37097170.70

0.47673468.48

0.56202271.23

0.50944268.10

0.53940567.08

0.41664570.06

0.43493967.01

0.58979770.87

0.54963470.77

0.42525470.40

0.49397267.41

0.36969268.93

0.50254368.49

0.51869569.11

0.41749369.33

0.48240369.07

0.49541568.70

0.43770666.37

0.65655069.77

0.58723469.10

0.47117967.33

0.47797567.09

0.49157067.24

0.44075464.14

0.40637569.07

0.51582066.88

0.41953969.16

0.57296868.16

0.47334865.40

0.61128670.43

0.60627570.71

0.55942869.52

0.62377865.24

0.45218967.00

0.50324666.22

0.46051769.03

0.45077066.36

0.47482965.00

0.53308267.40

0.40793365.55

0.50166463.37

0.63053670.09

0.48715866.26

0.49665768.16

0.54026267.78

0.52086969.95

0.52036268.81

0.45127067.36

0.48694768.93

0.48686268.11

0.54147969.82

0.67275272.11

0.53325766.99

0.53861768.97

0.43920567.53

0.53036567.64

0.44626767.22

0.51262067.99

0.56744270.18

0.59608269.76

0.54967669.57

0.45797267.96

0.47677969.70

0.60337370.62

0.62357069.40

0.61990270.26

0.65548173.03

0.61718172.84

0.59145171.97

0.61600473.02

0.57400472.48

0.46715867.63

0.43762166.12

0.36731064.96

0.51802468.78

0.41183064.42

0.42416067.32

0.53925766.77

0.65683967.12

0.54653364.92

0.48657265.57

0.59149267.10

0.51451365.62

0.54545268.95

0.44518766.20

0.52331565.70

0.52754468.43

0.61101068.59

0.58214068.67

0.63644569.55

0.61677968.42

0.62177869.45

0.58122172.72

0.64892768.97

0.53565468.78

0.59941665.91

0.60257469.86

0.60119569.52

0.53021569.40

0.49272768.51

0.56292769.11

0.54905969.71

0.57001569.20

0.60580669.90

0.60092070.11

0.57637070.93

0.68548170.04

0.64643672.04

0.61528171.92

0.57681271.94

0.47037069.21

0.52830271.01

0.53966469.75

0.59555372.62

0.59634069.41

0.54192370.39

0.53029270.31

0.62061172.21

0.59003572.16

0.54553267.40

0.53737069.38

0.55484668.13

0.49280866.97

0.57105467.86

0.46397466.75

0.70895970.01

0.63387871.84

0.70449770.66

0.59302471.90

0.63154169.80

0.56397968.14

0.62842773.47

0.69148070.95

0.62675370.75

0.68031674.10

0.69483573.14

0.59089970.67

0.59252869.06

0.56869770.91

0.64656770.80

0.59466670.25

0.62132968.99

0.54081468.22

0.52042166.35

0.51343062.33

0.54162066.45

0.50319762.36

0.49840362.72

0.45384060.33

0.55090763.15

0.63200769.89

0.61920269.58

0.60922169.85

0.62346368.27

0.63389268.43

0.62036570.50

0.61600368.99

0.57380266.79

0.54534467.17

0.56755867.73

0.61134570.30

0.45961662.90

0.32769261.11

0.41580562.70

0.42119764.23

0.63728269.78

0.64610671.44

0.65219469.31

0.59908469.20

0.65625866.21

0.65303570.97

0.67895770.46

0.65235770.16

0.65893768.64

0.36106363.09

0.41208163.11

0.55540565.32

0.43801662.29

0.62222768.23

0.53497268.45

0.61986471.63

0.66382874.32

0.67224271.64

0.70645171.99

0.58431268.95

0.53688971.40

0.52019067.77

0.51138868.65

0.67963172.85

0.46278159.54

0.46728259.82

0.49592759.16

0.45929760.40

0.44180660.70

0.46731862.01

0.49987760.76

0.62741165.19

0.48541062.61

0.37743064.11

0.35707661.42

0.41614664.77

0.38675566.40

0.45090667.27

0.45919764.72

0.39021765.89

0.47788166.17

0.52209867.17

0.50339668.06

0.44982364.16

0.50193466.77

0.28322066.65

0.38560566.78

0.32121165.75

0.64385871.48

0.52658060.48

0.44709668.40

0.38289264.72

0.53517667.03

0.50857367.61

0.42430466.69

0.47940167.68

0.40702966.26

0.39568367.22

0.42596667.53

0.57140166.65

0.59961466.80

0.55049771.05

0.46941569.16

0.40707770.43

0.44186868.08

0.46177071.57

0.44567167.67

0.45649066.93

0.44571367.85

0.43628367.18

0.44605567.30

0.38607367.55

0.54672267.67

0.35275667.83

0.60515773.07

0.51564567.62

0.51198664.72

0.40077764.04

0.43235560.82

0.46880066.67

0.47563563.14

0.54548964.15

0.47087861.87

0.54166162.54

0.47740663.99

0.43175761.12

0.57227265.78

0.63473466.94

0.53430172.06

0.51850369.70

0.54952467.68

0.48993768.08

0.59834569.16

0.50770768.01

0.40936172.52

0.44869870.84

0.57734871.04

0.68014271.52

0.58628870.61

0.61541371.19

0.65143871.89

0.52074270.97

0.55896472.07

0.54802072.28

0.53766070.86

0.60152671.72

0.56542072.10

0.65018072.26

0.62118770.08

0.63629071.96

0.44337562.66

0.47751367.95

0.49496765.11

0.55537964.36

0.44097764.22

0.40154463.66

0.39241664.77

0.44696064.27

0.46321463.39

0.52411569.22

0.54411967.33

0.45178171.02

0.44741672.38

0.35062464.55

0.47650068.38

0.46664071.07

0.44300571.07

0.48109770.78

0.53493868.27

0.51632467.92

0.43093468.59

0.63688871.30

0.46713369.54

0.60247771.42

0.57332871.23

0.58420574.25

0.46054572.55

0.40902874.06

0.47572370.91

0.53165470.61

0.64813972.75

0.58227073.56

0.64843772.02

0.46668167.55

0.42936665.59

0.47617066.47

0.46343466.36

0.45083767.16

0.43309867.10

0.43967667.69

0.38857765.14

0.59473368.88

0.51789769.50

0.37162467.32

0.41236267.10

0.36302967.07

0.44234867.60

0.55144366.14

0.50931464.43

0.44634364.18

0.30132570.78

0.37152467.76

0.37781467.44

0.40423763.73

0.50129167.40

0.52089965.33

0.36881466.75

0.39146567.11

0.43282866.21

0.29474165.21

0.63253672.66

0.46764663.72

0.42552065.36

0.46562163.96

0.41034364.82

0.43961164.92

0.43993964.33

0.58549069.30

0.60104864.49

0.51621969.27

0.38493669.06

0.37402666.78

0.46373967.26

0.48361967.12

0.42891466.19

0.50924666.71

0.47941765.15

0.54641970.75

0.57329762.03

0.31479565.93

0.53881166.83

0.43877666.96

0.44293766.57

0.50726165.72

0.28824366.85

0.28218166.96

0.48405869.26

0.36697866.17

0.29973165.64

0.29553665.62

0.29297466.03

0.24705965.17

0.30208665.66

0.52153066.13

0.58028866.62

0.36363364.59

0.38693565.29

0.60467068.16

To resize chart data range, drag lower right corner of range.

****The health problems facing children and adolescents are well documented. In 2001, 10.9 million children under five years of age died. Preventable communicable diseases (pneumonia, diarrhoea, malaria, measles and HIV infection) accounted for over 50% of those deaths. Malnutrition contributed to > 50% of mortality. ******