Determinan Kematian Ibu Di Propinsi Jawa Timur Pada Masa Pandemi Covid 19

Abstract

The Covid 19 pandemic affected all aspects of life and almost all groups of society, including pregnant, childbirth and postpartum woman. This study aimed to analyze the effect of spatial determinants that consist of antenatal care, childbirth services, post-partum services and demographic factors on maternal mortality in East Java Province before and during the Pandemic Era. This study was an unobstrusive measure research with the unit of analysis in this study were all pregnant, childbirth and postpartum women that spread accros 38 districts in East Java Province during 2020. Data were analyzed using Geographically Weighted Regression. The results showed that maternal mortality in the province of East Java had a spreading pattern, thus indicating a spatial influence. The variables of childbirth services by health personnel and antenatal care had a significant effect on maternal mortality. There are 5 groups of districts that show a similarity of significant factors. This result showed that the diversity of health service accessibility in each region affects maternal mortality during the Covid 19 pandemic in East Java province. Childbirth assistance by health personnel and accessibility of antenatal services during the Covid 19 Pandemic affected maternal mortality.The diversity of accessibility influenced by local government policies and community perceptions in each region about Covid 19 pandemic will affect the accessibility of antenatal services and childbirth so it can be dangerous for the safety of pregnant , childbirth and postpartum woman.