The effect Referral Barriers to Barriers Delay in Perinatal Mortality in Karawang

  • Luh Nik Armini Ganesha Education University
  • Herman Susanto University of Padjadjaran
  • Dany Hilmanto University of Padjadjaran


Perinatal mortality is the biggest contributor to the death of infant mortality. Most of the causes of perinatal mortality can be prevented that the factors of patients, health professionals, referral and availability of health care facilities. Obstacles in the references often found in the delay in recognizing the danger, decision-making by women because it is influenced cultural issues, difficulty gaining access to health services because of problems with the distance. Karawang regency is part of West Java Province perinatal death must be completed. The purpose of this study is the referral process constraints that caused the delay referral perinatal mortality in Karawang. The study design using the sequential explanatory mixed method. Quantitative data were taken through Perinatal Maternal Audit document was tested with Fisher Exact, whereas qualitative research conducted by Focus Group Discussion and interview. The study showed no association with late referral process bottleneck references (p> 0.05 The results of the qualitative research shows that the delay in the referral is more due to the limitations of the tools for referral and indirect costs (meals, round trip hospital costs) causing late picking decision


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World Health Organization (WHO). Maternal and Perinatal Health Profile - Central African Republic. 2014. caf.pdf.

BPS, BKKBN, Ministry of Health. IDHS.Survey Demogr and Kesehat Indones, 2013: 266. doi: 0910383107 [pii] \ r10.1073 / pnas.0910383107

John R. Perinatal mortality in Indonesia: an unfinished agenda. Soc Cult Heal, 2011; 1 (1): 146-165. doi: 10.5195 / HCS.2011.52

Merali HS, Lipsitz S, Hevelone N, et al. Audit-identified avoidable factors in maternal and perinatal deaths in low resource settings: A systematic review.BMC Pregnancy Childbirth, 2014; 14 (1). doi: 10.1186 / 1471-2393-14-280

Jammeh A, Sundby J, S. Vangen Barriers to Emergency Obstetric Care Services in the Perinatal Deaths in Rural Gambia: A Qualitative Study In-Depth Interview. Obstet Gynecol ISRN, 2011; 2011: 1-10. doi: 10.5402 / 2011/981096

Munjanja SP, Magure T, Kandawasvika G. Geographical Access, Transport and Referral Systems. Matern Perinat Heal Dev Ctries, 2012: 139-154.

Engmann C, Garces A, Jehan I, et al. Causes of community stillbirths and early neonatal deaths in low-income countries using verbal autopsy: An International, Multicenter Study.J Perinatol, 2012; 32 (8): 585-592. doi: 10.1038 / jp.2011.154

Viswanath K, Ps R, Chakraborty A, Prasad JH, Minz S, George K. A community-based case control study on determinants of perinatal mortality in a tribal population of southern India. Rural Remote Health, 2015; 15 (3): 3388.

Nalwadda CK, Waiswa P, Kiguli J, et al. High compliance with community-to-newborn referral facility in eastern Uganda: An opportunity to improve newborn survival.PLoS One, 2013; 8 (11): 1-8. doi: 10.1371 / journal.pone.0081610

Eskandari M, Abbaszadeh A, Borhani F. Barriers of referral system to health care provision in rural societies in iran. J Caring Sci, 2013; 2 (3): 229-236. doi: 10.5681 / jcs.2013.028

Sereshti M, Nahidi F, Simbar M, Ahmadi F, Bakhtiari M, Zayeri F. Mothers' Perception of Quality of Services from Health Centers after Perinatal Loss. Electron physician, 2016; 8 (2): 2006-2017. doi: 10.19082 / 2006

Kerber KJ, Mathai M, Lewis G, et al. Counting every stillbirth and neonatal death mortality through an audit to improve quality of care for every pregnant woman and her baby.BMC Pregnancy Childbirth, 2015; 15 (Suppl 2): 1-16. doi: 10.1186 / 1471-2393-15-S2-S9
How to Cite
ARMINI, Luh Nik; SUSANTO, Herman; HILMANTO, Dany. The effect Referral Barriers to Barriers Delay in Perinatal Mortality in Karawang. Journal of Global Research in Public Health, [S.l.], v. 3, n. 2, dec. 2018. ISSN 2599-2880. Available at: <>. Date accessed: 24 jan. 2019. doi: