Community Engagement in Maternal and Newborn Health in Eastern Indonesia

  • Salut MuhidinEmail author
  • Rachmalina Prasodjo
  • Maria Silalahi
  • Jerico F. Pardosi


In Indonesia, high rates of maternal and child mortality can be attributed, in part at least, to a lack of access to medical facilities, especially in rural communities. In response, the Indonesian government developed a program to address the high rate of home births. A key element of the program involved drawing upon the contribution of community members to assist with facility-based births of pregnant women in their community. The success of the program was attributed to active participation from many groups, including community members, government officials and health-care workers who collaborated successfully to achieve a reduction in the maternal and infant mortality rates.


Community Interventions Maternal/child health Collaboration 


  1. Alexander, J. A., Comfort, M. E., Weiner, B. J., & Bogue, R. (2001). Leadership in collaborative community health partnerships. Nonprofit Management and Leadership, 12, 159–175. Scholar
  2. Boucher, D., Bennett, C., McFarlin, B., & Freeze, R. (2009). Staying home to give birth; why women in the United States choose home birth. Journal of Midwifery and Women’s Health, 54(2), 425–428.CrossRefGoogle Scholar
  3. CIA. (2016). CIA World Factbook. Retrieved March 14, 2018, from
  4. Farnsworth S.K, Böse K, Fajobi O, Souza P.P, Peniston A, Davidson L.L, et al. (2014). Community engagement to enhance child survival and early development in low- and middle-income countries: An evidence review. Journal of Health Communication, 19(sup 1), 67–88. doi: Scholar
  5. Finlayson, K., & Downe, S. (2013). Why do women not use antenatal services in low- and middle-income countries? A meta-synthesis of qualitative studies. PLoS Medicine, 10(1), e1001373. Scholar
  6. Haines, A., Sanders, D., Lehmann, U., Rowe, A. K., Lawn, J. E., & Jan, S. (2007). Achieving child survival goals: Potential contribution of community health workers. Lancet, 369(9579), 2121–2131.CrossRefPubMedGoogle Scholar
  7. Hamer, D. H., Herlihy, J. M., Musokotwane, K., Banda, B., Mpamba, C., Mwangelwa, B., et al. (2015). Engagement of the community, traditional leaders, and public health system in the design and implementation of a large community-based, cluster-randomized trial of umbilical cord care in Zambia. American Journal of Tropical Medicine Hygiene, 92(3), 666–672. Scholar
  8. Kerber, K. J., de Graft-Johnson, J. E., Bhutta, Z. A., Okong, P., Starrs, A., & Lawn, J. E. (2007). Continuum of care for maternal, newborn, and child health: From slogan to service delivery. Lancet, 370, 1358–1369.CrossRefPubMedPubMedCentralGoogle Scholar
  9. Liang, J. G., & Sandmann, L. R. (2015). Leadership for community engagement: A distributed leadership perspective. Journal of Higher Education Outreach and Engagement, 19(1), 35–63.Google Scholar
  10. Mwifadhi, M., Joanna, A. S., Adiel, K. M., Brigit, O., Hassan, M., & Marcel, T. (2007). Factors affecting home delivery in rural Tanzani. Tropical Medicine & International Health.
  11. NTT Provincial Health Office. (2012). Pedoman Revolusi KIA di Provinsi NTT [guidance of MCH revolution in Nusa Tenggara Timur Province], revised edition. Kupang: NTT-PHO.Google Scholar
  12. Oum, S., Chandramohan, C., & Cairncross, S. (2005). Community-based surveillance: A pilot study from rural Cambodia. Tropical Medicine & International Health, 10(7), 689–697.CrossRefGoogle Scholar
  13. Pardosi, J. F., Parr, N., & Muhidin, S. (2017). Local government and community leaders' perspectives on child health and mortality and inequity issues in rural eastern Indonesia. Journal of Biosocial Science, 49(1), 123–146. Scholar
  14. Pearce, C., & Conger, J. A. (Eds.). (2002). Shared leadership: Reframing the how’s and why’s of leading others. Thousand Oaks, CA: Sage Publishers.Google Scholar
  15. Piane, G. M. (2009). Evidence-based practices to reduce maternal mortality: A systematic review. Journal of Public Health, 31(1), 26–31. Scholar
  16. Rajendra, R. W., Svend, S., & Birgitte, B. N. (2004). Socioeconomic and physical distance to the maternity hospital as predictors for place of delivery: An observation study from Nepal. BMC Pregnancy and Childbirth, 4, 8. Scholar
  17. Ravi, R. P., & Ravishankar, A. K. (2014). Does socio-demographic factors influence women’s choice of place of delivery in rural areas of Tamilnadu state in India. American Journal of Public Health Research, 2(3), 75–80.CrossRefGoogle Scholar
  18. Rosato, M., Laverack, G., Grabman, L. H., Tripathy, P., Nair, N., & Mwansambo, C. (2008). Community participation: Lessons for maternal, newborn, and child health. Lancet, 372, 962–971.CrossRefPubMedGoogle Scholar
  19. Shore, N. (2007). Community-based participatory research and the ethics review process. Journal of Empirical Research on Human Research Ethics, 2(1), 31–41.CrossRefPubMedPubMedCentralGoogle Scholar
  20. Statistics Indonesia (Badan Pusat Statistik—BPS), National Population and Family Planning Board (BKKBN), and Kementerian Kesehatan (Kemenkes—MOH), and ICF International. (2013). Indonesia demographic and health survey (IDHS) 2012. Jakarta, Indonesia: BPS, BKKBN, Kemenkes, and ICF International.Google Scholar
  21. Thaddeus, S., & Maine, D. (1994). Too far to walk: Maternal mortality in context. Social Science & Medicine, 38(8), 1091–1110.CrossRefGoogle Scholar
  22. Titaley C.R, Hunter C.L, Dibley M.J, Heywood P. (2010). Why do some women still prefer traditional birth attendants and home delivery? A qualitative study on delivery care services in West Java Province, Indonesia. BMC Pregnancy and Childbirth, 10(43). doi:
  23. United Nations (2017). The sustainable development goals report 2017. UN: New York. Retrieved March 14, 2018, from
  24. United Nations Development Programme (UNDP). (2016). Human development report 2016. Retrieved March 14, 2018, from
  25. World Health Organization (WHO). (2015). WHO statistical profile. Retrieved March 14, 2018, from

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Salut Muhidin
    • 1
    Email author
  • Rachmalina Prasodjo
    • 2
  • Maria Silalahi
    • 3
  • Jerico F. Pardosi
    • 4
  1. 1.Macquarie University in SydneySydneyAustralia
  2. 2.National Institute of Health Research and Development (NIHRD), The Ministry of Health-IndonesiaCentral JakartaIndonesia
  3. 3.Community Health DivisionNusa Tengarra Timur (NTT) Provincial HealthKota KupangIndonesia
  4. 4.School of Public Health and Community Medicine, University of New South Wales (UNSW)SydneyAustralia

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