p–ISSN: 2723 - 6609 e-ISSN: 2745-5254
Vol. 5, No. 5 Mei 2024 http://jist.publikasiindonesia.id/
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1948
Strategy to Accelerate Sustainable Development
in the Health Field in Bengkulu Province
Tajri Fauzan
1*
, Sigit Nugroho
2
, Izharudin
3
Universitas Bengkulu, Indonesia
Email: [email protected]
*Correspondence
ABSTRACT
Keywords: Accelerated
development, health.
This research aims to determine a strategy to accelerate the
reduction of maternal mortality, infant mortality, and
stunting and to describe the acceleration of sustainable
health development in Bengkulu Province. This research
was designed as descriptive research with a correlational
investigation and intervention study; namely, the research
wanted to find significant variables related to the problem
with minimum intervention. The sample in this study used a
clustering technique (Cluster Random Sampling), using
primary and secondary data. Primary data in this research
uses a questionnaire. Meanwhile, the collected data will be
tested using validity and reliability tests on research
instruments. Meanwhile, to achieve the objectives of this
research, data analysis will be carried out using the SWOT
test. The research results found that strategies to accelerate
the reduction of maternal mortality can be carried out by
providing training or education to health cadres, adding
skilled health workers, providing supporting facilities
related to accelerated access to health services, providing
education about the benefits of nutritious and balanced food
to improve health. Meanwhile, the strategy to accelerate the
reduction in child mortality is to assist in processing drinking
water suitable for consumption, provide fast access to
services with a community pick-up program, and create a
health service program with early detection of diseases in
pregnant women. Meanwhile, strategies to accelerate the
reduction in stunting rates include providing assistance to
treat stunting, providing education about nutritious and
balanced food, and health service programs with early
disease detection in expectant mothers. There are still many
shortcomings; it is recommended that further researchers
add research indicators to the variables studied and use the
AHP and FGD analysis methods.
Tajri Fauzan, Sigit Nugroho, Izharudin
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1949
Introduction
There are concerns about obstacles to achieving the SDGs in Indonesia, where the
deadline is ten years (Rassanjani, 2018). However, optimistically, we must adjust the
strategy to achieve the SDGs (Fisher & Fukuda-Parr, 2019). Therefore, an acceleration
strategy must be implemented to achieve the 2030 SDGs target (Mukarram, 2020).
Reformulation of the development concept places health as a series of management
processes to implement a sustainable development agenda, including inputs, processes,
outputs, outcomes, and development impacts (Tunji-Olayeni et al., 2021).
Based on the descriptions and background above, the issue of sustainable
development in this study carries the pillar of social development that focuses on the
gpostpartumoal of a healthy and prosperous life (Bermejo, 2014). To achieve a healthy
and prosperous life, problem indicators will be measured using maternal mortality, infant
mortality, and stunting rates that are still high (Rozikin, 2012); (Fahrurrozi et al., 2023).
The high mortality of infants and children in Bengkulu province, among others, is
still caused by several diseases, including malaria, diarrhea, tetanus, pneumonia,
neurological disorders, and gastrointestinal disorders. In children under five, the causes
of death include malaria, diarrhea, measles, pneumonia, and diphtheria. Directly, the
occurrence of death rates caused by some of these diseases is caused by low birth weight,
aspects, and congenital abnormalities, while indirectly, there are complications in the
mother. This is closely related to the community's economic income level, which, on
average, is still low, which will indirectly affect nutritional intake in mothers and
prospective babies (Sandra Fikawati, 2017).
Furthermore, maternal death is a death that occurs in the mother due to events
during pregnancy and childbirth and the puerperium (Handayani & Mubarokah, 2019).
Maternal mortality and infant mortality are always indicators of the success of health
development; they also describe mothers' nutritional and health status, environmental
health conditions, and the level of health services, especially for pregnant women,
childbirth, and postpartum. From 2020 to 2021, there was an increase in maternal
mortality from 32 people to 50 people. Meanwhile, from 2021 to 2022, the maternal
mortality rate has decreased. In 2022, the maternal mortality rate in Bengkulu Province
is 30 people, consisting of 12 pregnant deaths, six maternity deaths, and 12 postpartum
maternal deaths (Syarifah, 2018).
Nationally, the 1bu mortality rate is dominated by postpartum hemorrhage,
hypertension, eclampsia, and infection. In addition, the indirect cause of death is still the
presence of three late and three cases, too. Three dates are late in getting service facilities,
late in getting fast help, and late in recognizing danger signs in handling childbirth. Three
were too young to give birth (< 21 years), too old to give birth (> 35 years), too often to
give birth, and the third was too close to a birth distance.
The problem of maternal and child mortality is also closely related to stunting, a
target of concern in the 2030 SDGs program (Alvionita, 2023); (Programme, 2017).
Handling fulfilling nutritional and caloric needs that are good for pregnant women will
also impact the baby's health. The baby's health is also related to the baby's growth at
Strategy to Accelerate Sustainable Development in the Health Field in Bengkulu Province
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1950
birth. Growth disorders due to malnutrition and calories will result in stunting the growth
and development of children called stunting (Anwar, Khomsan, Mauludyani, &
Ekawidyani, 2014); (Rokx, C., Subandoro, A ., Gallaghe, P. Rokx, C., Subandoro, A .,
Gallaghe, 2018).
Meanwhile, another health problem is that the stunting rate in Bengkulu Province
in the last five years, from 2018 to 2022, has decreased, although it has not been
significantly seen. Globally, in Bengkulu province, the highest stunting rates in 2022 are
in North Bengkulu Regency, Seluma Regency, Mukomuko Regency, Kepahiang
Regency, Kaur Regency, Central Bengkulu Regency, Rejang Leong Regency, South
Bengkulu Regency, Lebong Regency and Bengkulu City.
Assessing the achievement of sustainable development goals is important to catch
up and accelerate the achievement of sustainable development targets (Smaniotto et al.,
2020); (Saputra, Fanggidae, & Mafthuchan, 2013); (Alisjahbana & Murniningtyas, 2018).
Accelerating sustainable development can only be done if you know what sectors are the
flagship of a region (Saifuddin Azwar, 2007); (S. 2 Azwar, 2010). Of course, the sector
uses renewable natural resources and technological modernization to be environmentally
friendly (Todaro, 1999). Bengkulu Province is one of the regions in Indonesia with
economic conditions that are not as good as its neighboring provinces (South Sumatra,
West Sumatra, Lampung), becoming a tough challenge for Bengkulu Province in
pursuing the achievement of targets SDGs (national development goals) (RATE, n.d.).
Therefore, the problems raised in this study are formulated as follows:
1. What is the strategy to accelerate the reduction of maternal mortality in Bengkulu
Province?
2. What is the strategy to accelerate the reduction of infant mortality in Bengkulu
Province?
3. What is the strategy to accelerate the reduction of stunting rates in Bengkulu Province?
4. How to achieve the acceleration of health sector development goals in Bengkulu
Province?
Research Objectives
Based on the formulation of the research problem above, the objectives to be
achieved in this study are:
1. To determine the strategy to accelerate the reduction of maternal mortality in Bengkulu
Province.
2. To determine the strategy to accelerate the reduction of infant mortality in Bengkulu
Province.
3. To determine the strategy to accelerate the reduction of stunting rates in Bengkulu
Province.
4. Describe the acceleration of achieving health sector development goals in Bengkulu
Province.
Tajri Fauzan, Sigit Nugroho, Izharudin
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1951
Research Methods
Research Design, Data Collection Methods and Research Variables
This research is designed as a descriptive study with the type of investigation and
intervention of correlational studies (Mangkuatmodjo, 2015); (Hajar, 1999). The
sampling technique used in this study is the cluster method (Cluster Random Sampling).
From the entire sample to be selected, only representatives from each population, with
sample criteria are resource persons directly related to regional development programs,
including the level sub-coordinator of the planning section or head of the planning
subdivision, coordinator of the planning section, secretary and head of the Provincial
Regional Apparatus Organization and District/City. The samples to be taken amounted to
128 people (Annisa Alifa Ramadhani, Toto Gunarto, & Arivina, 2018).
The data types used are primary and secondary data with maternal and infant
mortality rates and stunting variables. The sampling technique used in research is the
cluster random sampling technique, which randomizes the group and is not done on
objects personally or individually. Primary data were obtained using a closed
questionnaire. Secondary data in this study were taken from various sources such as BPS,
BAPPEDA, and related agencies (BPS, 2020); (Ghozali, 2006).
Research Instrument Test
Instrument testing This research was conducted by conducting validity and
reliability tests. Based on the validity test, the research data is declared valid where the r
value is calculated > r table is cheerful. In contrast, the reliability test of the research
results is categorized as high reliability with a value (α) still in the range of 0.60 <rii =
0.80.
Analysis Methods
The research method used is descriptive statistical analysis using SWOT analysis
tools.
Results and Discussion
Maternal Mortality Variables
Table 1
IFAS Analysis of Maternal Mortality Rate Variables
No
Strength
Weight
Rating
Criteri
on
Score
1
Trained/experienced health workers
0,17
4,56
ST
0,78
2
Number of health workers
0,15
3,99
T
0,73
3
Preliminary data for early detection of high-risk
pregnant women in determining work plans and
handling
0,17
4,60
ST
0,80
4
Village or kelurahan level health cadres
0,17
4,39
ST
0,73
SUM
1,00
2,31
Weaknesses
1
Attitude of health workers
0,18
4,71
ST
0,84
2
Professionalism of health workers
0,16
4,32
ST
0,70
SUM
1,00
1,54
Strategy to Accelerate Sustainable Development in the Health Field in Bengkulu Province
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1952
Table 2
EFAS Analysis of Maternal Mortality Rate Variables
No
Weight
Rating
Criterio
n
Score
1
0,20
3,87
T
0,76
2
0,21
4,20
ST
0,89
3
0,18
3,56
T
0,64
2,29
1
0,21
4,09
T
0,85
2
0,21
4,08
T
0,84
1,00
1,69
Table 3
Comparative Results of IFAS Analysis and EFAS Variable Maternal Mortality Rate
No
Item
Score
Difference
Value
1
Strength
2,31
0,77
+
2
Weaknesses
1,54
3
Chance
2,29
0,60
+
4
Ancaman
1,69
Variable Infant Mortality Rate
Table 4
IFAS Analysis of Infant Mortality Rate Variables
No
Strength
Weight
Rating
Criterio
n
Score
1
Drinking water sources and
latrines
0,17
4,45
ST
0,77
2
Nutritious food
0,18
4,70
ST
0,85
3
Early detection of the disease
in infants
0,18
4,53
ST
0,80
SUM
1,00
2,42
Weaknesses
1
Number of children born
0.15
3.95
T
0.60
2
Childbirth age
0.16
4.19
T
0.68
3
Education level of pregnant
women
0.15
3.98
T
0.62
SUM
1,00
1.90
Tajri Fauzan, Sigit Nugroho, Izharudin
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1953
Table 5
EFAS Analysis of Infant Mortality Rate Variables
No
Chance
Weight
Rating
Criterio
n
Score
1
Infrastructure such as posyandu
possesses newborn health services
0,15
3,63
T
0,55
2
Mileage of health services
0,18
4,22
ST
0,74
3
Government policies such as health
assistance
0,17
4,10
T
0,72
SUM
1,00
2,01
Ancaman
1
The quality of health care services can
affect the health of babies
0,17
4,05
T
0,68
2
People's income level
0,16
3,82
T
0,61
3
The number of health cadres and
supporting facilities affects the health
of babies
0,17
4,11
T
0,71
SUM
1,00
2,00
Table 6
Comparative Results of IFAS Analysis and EFAS Variable Infant Mortality Rate
No
Item
Score
Difference
Value
1
Strength
2,42
0,52
+
2
Weaknesses
1,90
3
Chance
2,01
0,01
+
4
Ancaman
2,00
Variable Stuting
Table 7
IFAS Analysis of Stunting Variables
No
Strength
Weight
Rating
Criterio
n
Score
1
Exclusive breastfeeding
0,17
4,61
ST
080
2
Mother's knowledge of parenting
0,17
4,47
ST
0,75
3
Preliminary data for early detection of
stunting risk
0,17
4,41
ST
0,73
SUM
1,00
2.28
Weaknesses
1
Underage marriage
0,16
4,34
ST
0,71
2
Health education of the bride and
groom
0,16
4,36
ST
0,71
3
Knowledge of nutrition and eating
behavior
0,17
4,51
ST
0,76
SUM
1,00
2,18
Table 8
EFAS Analysis of Stunting Variables
No
Chance
Weight
Rating
Criterio
n
Score
Strategy to Accelerate Sustainable Development in the Health Field in Bengkulu Province
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1954
1
Government support for stunting handling
0,10
3,80
T
0,40
2
Government assistance for handling stunting
toddlers, such as assistance in improving
nutrition, providing milk, vitamins
0,11
4,11
T
0,47
3
People's income level
0,11
4,15
T
0,47
4
Use of contemporary information technology
(information through websites, bloggers,
YouTube, and Social Media)
5
Socialisation on handling stunting in pregnant
and lactating women
0,11
4,16
T
0,48
SUM
1,00
1,82
Ancaman
1
The number of community-sourced health
services, such as posyandu, possesses
0,11
4,11
T
0,47
2
People's income level
0,11
4,15
T
0,47
3
Government policy on stunting handling
0,11
3,92
0,42
4
Number of posyandu
0,11
3,94
T
0,43
SUM
1,00
1,40
Table 9
Comparison Results of IFAS Analysis and EFAS Stunting Variables
No
Item
Score
Difference
Value
1
Strength
2,28
0.1
+
2
Weaknesses
2,18
3
Chance
1,82
0,42
+
4
Ancaman
1,40
Maternal Mortality Variables
Based on the value of comparing IFAS and EFAS analysis of maternal mortality
variables, a diagram can be made to determine strategies to overcome maternal mortality,
as shown below.
Kuadran III
Kuadran I
Kuadran II
Kuadran IV
0.7
7
0.6
0
O (Opportunity)
S
(Strength)
T (Threath)
W
(Weakness)
Tajri Fauzan, Sigit Nugroho, Izharudin
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1955
Table 10
SWOT Matrix Analysis of Maternal Mortality Rate Variables
Internal
External
Strength (Power)
1. Trained/experienced health
workers
2. Number of health workers
3. Early data for early detection
of high-risk pregnant women
4. Village and sub-district health
cadres
Weakness
1. Attitude of health
workers
2. Professionalism of
health workers
Opportunities
(Peluang)
1. Government
policy or
government
regulation
2. Number of
posyandu in
the region
3. Number of
health cadres
in villages and
sub-districts
SO
(Using power to take chances)
1. Provide training or higher
education to all health cadres.
2. Increase health workers who
are skilled in meeting the needs
of the number of health workers
3. Provide supporting facilities
such as Internet entering the
village in order to fulfill data
WO
(overcoming weaknesses by
seizing opportunities)
1. Providing education to
every health care about
the principles of good
and correct health
services
2. Provide incentives to
non-civil servant health
cadres through central
and local government
policies
Threats
(Ancaman)
1. The use of
information
technology is
relevant
2. People's
income level
ST
(Using force to overcome threats)
1. Provide training to health
cadres on the use of
information technology
2. Providing education to the
community, especially
pregnant women, about health
through health cadres
3. Provide continuous
information about healthy and
balanced food
WT
(Minimize weaknesses and
avoid threats)
1. Providing education to
health workers about the
use of technology in the
health sector
2. Increase awareness of
every health care system
by creating training
programs for the
community.
Based on the SWOT matrix above, it can be concluded that strategies to reduce maternal
mortality can be used using the SO strategy, which is to use strength to take existing opportunities.
Strategies that can be carried out include:
1. Provide training or higher education to all health cadres.
Training or education for health cadres will positively impact overcoming maternal
mortality rates. This is necessary, among others, to provide opportunities for every health worker
with tiered education and training through scholarships or other education costs.
Health education is an educational concept in the health sector that aims to change behavior
in the desired direction. According to Kuntjoronigrat (1985), the higher a person's education, the
easier it is to receive information to possess more knowledge. Conversely, lack of education will
affect a person's insight into newly introduced values, including the importance of screening and
Strategy to Accelerate Sustainable Development in the Health Field in Bengkulu Province
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1956
early detection of high-risk pregnancy so that there are no risk factors both for the mother and the
fetus.
2. Adding skilled health workers to meet the needs of the number of health workers.
Skilled and experienced health workers can be done by conducting selective admission
selection. Acceptance of health workers with the condition that they have special skills that are
needed and needed in the region.
Skilled childbirth assistance is key to achieving the Sustainable Development Goals
(SDGs) aimed at reducing maternal mortality (Briawan, Khomsan, & Anggiruling, 2023);
(Aparecida da Silva, Andrade dos Santos, Maria Maier, & Silva da Rosa, 2020). Many maternal
deaths could have been prevented if a woman had received care from skilled health workers. The
utilization of skilled health services by mothers in rural areas in low- and middle-income countries
is 70% compared to 90% in urban areas. Previous research has found that community-based
interventions can increase rural mothers' uptake of skilled health services, but there is still a lack
of evidence on which strategies are most effective (Jeanette R. N. et al., 2022) ; (Hunger, 2020).
3. Provide supporting facilities such as the village's Internet to fulfill data.
Data is one of the benchmarks in the framework of evaluation materials and planning
program preparation in the following year. Data is seen as a primary need in every puskesmas
office. The need for accurate and fast data can be met by providing internet facilities to each
person or access to every posyandu health cadre in the village or each village.
Variable Infant Mortality Rate
Based on the value of comparing IFAS and EFAS analysis of infant mortality
variables, a diagram can be made to determine strategies to overcome infant mortality.
Table 11
SWOT Matrix Analysis of Infant Mortality Variables
Internal
External
Strength (Power)
1. Source of drinking water
2. Nutritious food
3. Early detection of diseases
in infants
Weaknesses
1. Number of children born
2. Age of childbirth
3. Education level of
pregnant women
Opportunities
(Peluang)
1. Infrastructure such
as posyandu
possesses for
infant health
services
2. Mileage of
health services
3. Government
policy in the
health sector
SO
(Using power to take chances)
1. assist in the treatment of
drinking water suitable for
consumption
2. Provide education about the
benefits of nutritious and
balanced food to improve
health for pregnant women
until childbirth
3. Provide fast access to
services with citizen pick-up
programs
4. Create a health service
program with early detection
of diseases in pregnant
women.
WO
(overcoming weaknesses by
seizing opportunities)
1. Provide education about the
limit on the number of
children born
2. Educate the public about a
healthy and safe age for
mothers and babies born.
3. Provide education about
health to pregnant women
on every occasion of visits
to posyandu, puskesmas,
and possesses.
Threats (Ancaman)
ST
(Using force to overcome
threats)
WT
(Drink weakness and avoid
threats)
Tajri Fauzan, Sigit Nugroho, Izharudin
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1957
1. Quality of service
for health cadres
2. Community
income level
3. Number of cadres
and health support
facilities
1. Make the best use of natural
resources to be able to
provide additional income
for the community
2. Provide training on
effective and efficient health
services for every health
care at every level
1. Provide education about the
health and needs of
postpartum children.
2. Create educational
programs for the community
together.
3. Provide priority
services to the postpartum
community
Based on the SWOT matrix above, it can be concluded that strategies in order to
reduce infant mortality can be used using the SO strategy, namely:
Drinking water every day is essential so that the body remains healthy. The
availability of clean and suitable drinking water sources for consumption is one of the
critical factors in supporting health programs in general. The availability of clean
drinking water sources is important in meeting health standards.
One of the functions of drinking water is to maintain body fluid levels. One of the
functions of water content in the body is so that our bodies do not experience interference
with digestion and absorption of food, circulation, and kidneys, which are very important
in maintaining body temperature to remain normal.
Stunting Variables
Based on the value of comparing IFAS and EFAS analysis of stunting variables, a
diagram can be made to determine strategies to overcome stunting. Strategies in order to
reduce stunting can be used using SO strategies, namely:
1. assist in handling stunting cases
What is intended by assisting in handling stunting cases is to develop a sustainable
planning program for stunting handling by involving several supporting agencies,
including the Education and Culture Office, which acts as a resource person in providing
education to students about stunting, the Food Security Office and the Agriculture Office
which can act as resource persons in the context of utilizing nutritious and balanced food
available around the community. Assistance can also be provided, such as planting seeds
that residents can utilize to grow vitamin foods. Other programs include providing healthy
food assistance to pregnant women until postpartum.
Government assistance programs for handling stunting have been carried out.
Government programs on poverty alleviation will also have an impact on reducing
stunting prevalence. However, government assistance for stunting must also be practical
so that every assistance carried out by the government does not overlap.
Handling stunting is a national development priority, and it became one of the
outputs in the 2015-2019 National Action Plan for Food and Nutrition. Efforts to
overcome stunting have become a national priority; villages can organize village-scale
stunting handling activities. With the Village Fund regulated in Government Regulation
Number 60 of 2014 concerning Village Funds sourced from the State Budget, villages
can utilize these funds to finance village government implementation, development,
community, and community empowerment through village planning mechanisms
Strategy to Accelerate Sustainable Development in the Health Field in Bengkulu Province
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1958
(Anonim., 2022); (Siti & Utia, 2017). Stunting treatment is carried out with specific and
sensitive interventions. Specific interventions were carried out on the target of pregnant
women and children in the First 1000 Days of Life. Meanwhile, the target of sensitive
interventions is the general public, which aims at various development activities outside
the health sector. Therefore, cross-sector roles are critical in handling stunting. Examples
of stunting handling activities in villages are the construction/rehabilitation of
Poskesdes/Polindes and Posyandu, Counseling, and provision of healthy food to improve
toddler nutrition, health care for pregnant and lactating women, sanitation and clean water
development, MCK Development, Training and Development of Community Health
Cadres.
2. Providing education about the benefits of nutritious and balanced meals to improve
health for pregnant women until childbirth.
Education or providing knowledge to every citizen visiting the puskesmas and other
health service places. This strategy can be started by providing brochures about healthy
and nutritious food processing and making sustainable leaflets so that residents can
quickly know and understand nutritious and balanced foods and their benefits for the
health of mothers and babies. This nutritious meal is expected to reduce stunting rates to
the minimum limit.
Stunting is a disorder of growth and development of children due to chronic
malnutrition and recurrent infections, characterized by substandard length or height.
Symptoms of stunting that are easily recognized are children who look weak and less
active. In addition to lack of nutritional intake, stunting can also be caused by malnutrition
when the baby is in the womb. This is at risk when pregnant women live in an
environment lacking clean water, poor sanitation, and difficulty accessing clean and
healthy food (IIK Bahkti W., 2023).
Furthermore, it is said that no parent wants their baby to be stunted. It can be
prevented by balanced nutritional intake in pregnant women and toddlers because good
nutrition is the foundation for children to grow and develop optimally.
Make sure the mother meets the nutritional needs of the child. The nutritional needs
of this child must be met since the child is in the womb. Pregnant women must maintain
a diet and avoid smoking and consuming alcohol so that the health of the baby in the
womb is well maintained.
The mother can give milk for the first six months when the child is born. In addition,
the mother should provide complementary foods that contain good nutrients for the child.
Also, the mother must ensure the cleanliness of the play environment and the child's
residence. Remember always to teach children to maintain cleanliness by diligently
washing hands (IIK Bahkti W., 2023) (Putri, n.d.).
3. Create a health service program with early detection of diseases in pregnant women.
This model health service program is by finding out about complaints that exist in
pregnant women. Early detection of diseases in pregnant women until prenatal can
continue to be continuous in order to obtain accurate data. This can provide input to
Tajri Fauzan, Sigit Nugroho, Izharudin
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1959
policymakers on the steps to be taken to reduce stunting. This step will also help
determine the right way of handling pregnant women.
Acceleration of Achievement of Health Development Goals
From the SWOT analysis that has been carried out, the following will explain the
comparison between government programs in reducing maternal mortality, infant
mortality, and stunting rates in Bengkulu province. The comparison between government
programs and the results of research is one basis for determining acceleration strategies.
This is essential because the results of the SWOT analysis on all research variables are in
quadrant I, which means that the province of Bengkulu has strengths and opportunities,
so it can take advantage of opportunities and use existing strengths. The strategy that
must be applied in this condition is aggressively supporting government policies.
Implicitly, to overcome problems in the three variables above, several steps can be
done, including:
1. There must be village midwives, village nurses, and health cadres in villages and
villages and strengthen the function of health cadres who can collaborate with village
midwives or health workers to collect data so that a database is available in each village
and kelurahan.
2. The implementation of the use of databases, among others, is to be able to plan early
prevention of risks faced by the community, such as the risk of maternal death
suffering from a high risk of pregnancy and infants and the risk of stunting. This health
sector database will be compiled at each health service post at the lowest level, namely
the puskesmas. This data will record all community data per individual as primary
data for early disease risk observation at the village level. This data will help
determine policies and steps at the next stage of actions and activities by the
government in order to prevent the risk of maternal death, infant mortality, and
stunting, as well as the prevention of other diseases. This database is in the form of
Electronic Medical Record (RME) data, which will be connected online at health
centers at the district/city, provincial, and national levels.
3. The convergence of community economic handling on maternal mortality, infant
mortality, and stunting variables. This collaboration is intended to empower the
advantages that exist in the community in overcoming health, such as the use of yard
land that can provide community needs that can not only increase the community's
economic income but can be used to meet the community's nutritional needs. This
conference can be done by conducting comprehensive cooperation with each relevant
agency.
Conclusion
In the interior of Bengkulu Province, amidst the roar of dense forests and dividing
rivers, a struggle is invisible to the naked eye. This is not just a fight against wildlife but
a battle against inequalities in health access, especially for mothers and children. Hope-
raising strategies were found in a study involving lifesavers in the middle of a challenging
Strategy to Accelerate Sustainable Development in the Health Field in Bengkulu Province
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1960
forest. Among the groves of trees, health cadres receive in-depth training, cultivating
knowledge of the importance of nutrition and access to prompt medical services.
However, the challenge lies with mothers who give birth and those who are
breathing air for the first time. The infant mortality rate is in the spotlight, and to deal
with it, concrete measures are needed. Clean water suitable for consumption is the key,
along with medical services that can reach every citizen quickly, even in remote corners.
However, the challenges do not stop there. The other side of this battle is against
malnutrition, which stunts children's growth and development. A holistic approach is
needed, from providing direct assistance to education about healthy eating.
It is not just a local struggle but a story of how unity in the face of extraordinary
challenges can bring about real change. With unwavering determination, Bengkulu
Province is moving forward, making health a top priority, and every small step is part of
the journey towards better welfare for every citizen.
Tajri Fauzan, Sigit Nugroho, Izharudin
Jurnal Indonesia Sosial Teknologi, Vol. 5, No. 5, Mei 2024 1961
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