Analysis of the Development of Health Service Efforts Related to the Health Status Enhancement in the Special Region of Yogyakarta

Type Working Paper
Title Analysis of the Development of Health Service Efforts Related to the Health Status Enhancement in the Special Region of Yogyakarta
Author(s)
Publication (Day/Month/Year) 1989
URL http://www.popline.org/node/371677
Abstract
To identify health services determinant factors that influence health status advancement in Yogyarkarta, this investigation conducts a yearly comparative study of the health status pattern as indicated through infant morality rates, crude death rates (CDR), and morbidity rates; the disease prevalence and caused of infant death; and available health care services, including determining the relationships between health status improvement and the development of health services facilities, health program development, and health program development in maternal and child health, immunization, community health programs, environmental health and curative care. Data was collected from literature review, census 1980, SUPAS 195, and health facilities data. Health status improvement is evident in a low infant mortality rate (IMR) since pre- Indonesian Independence in comparison to other provinces, a sharp decrease in the annual reduction rate (ARR) of IMR in the 1960s (ARR = 4.1) and a decline in IMR as indicated in rates of 0.98 in the 1960s, 0.62 in the 1970s, and 0.29 during the early 1980s. Furthermore, the estimated CDR revealed a sharp decline, and the primary cause of mortality changed from infectious diseases during the 1930s-1960s to non-communicable diseases in the 1980s. Health care services contributed to this improvement by the provision of proficient health manpower, adequate health facilities, accessible health care services, overall improved medical services, sufficient immunization programs and coverage (65.8% coverage in 1982), enhanced hygienic conditions such as potable water, and disease control and prevention as evident in diarrheal occurrence of 1.02/100,000 and in malaria occurrence of 27.11/100,000 in 1982. Additional factors influencing health care improvement are Yogyarkarta's size which is not very large, good transportation, high educational status among women, and employment among women. Future development of health care programs should be aware of the impact of factors such as community culture, accessibility, competent health manpower, and disease prevention in improving health status.

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