This presentation provides an update on our work to strengthen community health worker programmes in Indonesia

1. Embedding Quality Improvement of Maternal
Health Programs in Cianjur District, Indonesia:
Prospects and Challenges
The REACHOUT project is funded
by the European Union
1
REACHOUT Consortium Meeting
Bangladesh, 12 June 2016

2. • Maternal Mortality Ratio at
national level remains high
i.e. 359/100,000
• 48 reported maternal
deaths in Cianjur district in
2012
• Improving health facility
delivery is important to
reduce maternal deaths
Context analysis

3. QIC1 activities
National
Provincial
District/
Regency
Sub-
district
Village
Supervision • Health Promotion
• Community Engagement

4. QIC1 to QIC2
Moving from Reachout led intervention (QIC1)
into health system intervention (QIC2)
Stakeholder
Meeting
QI
Workshop
Action Plan:
District
Health
Office
Community
Health
Center (3)
Health System
led Quality
Improvement

5. Prospects
1. QI focus is in line with district health focus
and sub-district health focus
• Improve the quality of antenatal care services
• Early complication detection and management
by close to community health providers
• Further increase childbirth in health facility
• Improve the existing supportive supervision

6. Prospects
• District Health Office
• Community Health
Centre/Puskesmas
• Village midwives and
village health volunteers
• Involvement and
enthusiasm of District
Health Office and
Puskesmas in the QI
workshop
• Designed QI Action plan
2.Established rapport with strategic stakeholders in
Cianjur during our Context Analysis and QIC1

7. Prospects

8. QIC2 Action Plans
• District Health Office
– Improving the quality of Antenatal care/ANC
– Pregnant Women Class
– Complication Detection and Management
• Community Health Centre/Puskesmas
– Improving the quality of ANC
– Scaling up Pregnant Women Class
– Improving the quality of ANC

9. Challenges
• Maintaining stakeholders’ support and enthusiasm
amidst their busy schedules and other priorities
• The issues related to local politics (e.g. Staff/Officer
Mutation)
• The issues related to daily implementation
(consistency/determination) and sustainability

10. Follow up
• Regular meetings with stakeholders to maintain
their support and enthusiasm
• REACHOUT provides assistance in the
implementation of QIC2 in the District Health
Office and Puskesmas
• Advocacy to the new head of Cianjur district and
new district officers