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Research undertaken in the Kutai Kartanegara district of Indonesia has demonstrated that the root-causes lie mainly inside system elements resulting in poor quality of care . Such details about the health system organisation and its association with high quality of care is required, as enchancment in quality of care is important to improving maternal and newborn outcomes . In the province of East Java in 2017, 97% and 78% of women had a minimum of one and four ANC visits to expert attendants . Despite this entry, many ladies suffered from problems; and the reported MMR in East Java was ninety one per 100,000 reside births in 2017, with 534 maternal deaths. Over the previous couple of years, the East Java MMR has stagnated with little reduction . Yet internationally there is a steadily lowering MMR everywhere except in sub Saharan Africa .
This research has identified numerous aspects on the spectrum from ANC through Intrapartum Care to Post Natal Care that require improvement. 69 of the 70 ladies who died at this peak referral hospital had been first seen at a decrease level hospital; 36 had spent at least 24 hours at a frontline hospital earlier than being transferred on. Of the 70 deaths that occurred at this hospital, 55 were to women whose place of residence was outdoors of town the place it’s located.
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