Stakeholder Perception of Health Resources and Village-Funds Optimizing for Maternal and Child Health Program

Ayun Sriatmi(1), Sutopo Patria Jati(2), Martini Martini(3), Syamsulhuda Budi Mustofa(4), Budiyono Budiyono(5),

(1) Faculty of Public Health, Universitas Diponegoro
(2) Faculty of Public Health, Universitas Diponegoro
(3) Faculty of Public Health, Universitas Diponegoro
(4) Faculty of Public Health, Universitas Diponegoro
(5) Faculty of Public Health, Universitas Diponegoro


The low support on cross-sectoral commitment of village stakeholders to health programs was one of factors contributed maternal and infant mortality in Tegal Regency. Although village funds have been rolled out since 2015, its implementation hadn’t been optimal due to orientation focus on infrastructure development. The study aims to analyze perceptions and attitudes of village stakeholders towards village level resources and optimizing village funds for MCH programs based on 3 groups stakeholder (Decision Maker, Provider and Clients-Representatives). It’s quantitative research, population of all village level stakeholders with 300 people as samples from 30 selected villages. Data collected with interview using questionnaire and being analyzed with frequency distribution and statistically using Kruskal-Wallis test. Most of three group stakeholders had good perception of their health resources and positive attitude towards MCH programs, but different results were seen for attitudes towards optimizing village funds. Decision Maker group and Clients-Representatives group showed tendency refusing, while Provider group tend to agree on village funds optimizing for MCH programs. Statistically, there were differences in attitudes towards optimizing village funds for MCH program between three groups. Attitude differences was mainly due to lack of understanding from external health stakeholders about health programs, especially village’s MCH program.


MCH programs; stakeholder groups; village funds

Full Text:



Abbasi, S., & Younas, M., 2015. Determinants of Maternal Mortality in Pakistan at a Glance. Journal of Midwifery & Reproduction Health, 3(3), pp.430–432.

Abdullah, A., Hort, K., Butu, Y., & Simpson, L., 2016. Risk Factors Associated with Neonatal Deaths: A Matched Case-control Study in Indonesia. Global Health Action, 9(1).

Anggondowati, T., El-Mohandes, A.A.E., Qomariyah, S.N., Kiely, M., Ryon, J.J., Gipson, R.F., Zinner, B., Achadi, A., & Wright, L.L., 2017. Maternal Characteristics and Obstetrical Complications Impact Neonatal Outcomes in Indonesia: A Prospective Study. BMC Pregnancy and Childbirth, 17(1), pp.1–12.

Assefa, Y., Van Damme, W., Williams, O.D., & Hill, P.S., 2017. Successes and Challenges of the Millennium Development Goals in Ethiopia: Lessons for the Sustainable Development Goals. BMJ Global Health, 2(2), pp.1–7.

Azizi, N.L.L., 2016. Otonomi Desa dan Efektivitas Dana Desa. Jurnal Penelitian Politik, 13(2), pp.193–211.

Bauserman, M., Lokangaka, A., Thorsten, V., Tshefu, A., Goudar, S.S., Esamai, F., Garces, A., Saleem, S., Pasha, O., Patel, A., Manasyan, A., Berrueta, M., Kodkany, B., Chomba, E., Liechty, E.A., Michael-Hambidge, K., Krebs, N.F., Derman, R.J., Hibberd, P.L., & Bose, C.L., 2015. Risk Factors for Maternal Death and Trends in Maternal Mortality in Low- and Middle-income Countries: A Prospective Longitudinal Cohort Analysis. Reproductive Health, 12(2), pp.1–9.

Buccini, G., Harding, K.L., Eguiluz, I.F., Safon, C.B., Hromi-Fielder, A., De Cosio, T.G., & Perez-Escamilla, R., 2020. An Analysis of Stakeholder Networks to Support the Breastfeeding Scale-up Environment in Mexico. Journal of Nutritional Science, 9(10), pp.1–10.

Chol, C., Hunter, C., Debru, B., Haile, B., Negin, J., & Cumming, R.G., 2018. Stakeholders’ Perspectives on Facilitators of and Barriers to the Utilisation of and Access to Maternal Health Services in Eritrea: A Qualitative Study. BMC Pregnancy and Childbirth, 18(1), pp.1–12.

Das, J.K., Akseer, N., Mirzazada, S., Peera, Z., Noorzada, O., Armstrong, C.E., Mukhtar, K., Naeem, A.J., & Bhutta, Z.A., 2018. Scaling up Primary Health Services for Improving Reproductive, Maternal, and Child Health: A Multisectoral Collaboration in the Conflict Setting of Afghanistan. BMJ (Online), 363, pp.1–9.

Douthard, R.A., Martin, I.K., Chapple-Mcgruder, T., Langer, A., & Chang, S., 2021. U.S. Maternal Mortality within a Global Context: Historical Trends, Current State, and Future Directions. Journal of Women’s Health, 30(2), pp.168–177.

Erpan, L.N., Trisnantoro, L., & Tudiono, T., 2012. Koordinasi Pelaksanaan Program Kesehatan Ibu dan Anak di Kabupaten Lombok Tengah Provinsi Nusa Tenggara Barat Tahun 2011. Jurnal Kebijakan Kesehatan Indonesia, 01(01), pp.42–51.

Geller, S.E., Koch, A.R., Garland, C.E., MacDonald, E.J., Storey, F., & Lawton, B., 2018. A Global View of Severe Maternal Morbidity: Moving Beyond Maternal Mortality. Reproductive Health, 15(Suppl 1).

George, A.S., & Branchini, C., 2017. Principles and Processes Behind Promoting Awareness of Rights for Quality Maternal Care Services: A Synthesis of Stakeholder Experiences and Implementation Factors. BMC Pregnancy and Childbirth, 17(1), pp.1–15.

Gupta, M., Bosma, H., Angeli, F., Kaur, M., Chakrapani, V., Rana, M., & Van-Schayck, O.C.P., 2017. Impact of a Multi-strategy Community Intervention to Reduce Maternal and Child Health Inequalities in India: A Qualitative Study in Haryana. PLoS ONE, 12(1), pp.1–23.

Handayani, O.W.K., Rahayu, S.R., Nugroho, E., Hermawati, B., Vu-Nguyen, T., & Loc, Nguyen, H., 2018. Effectiveness Leadership and Optimalization of Local Potential in Nutrition Status Improvement Effort. KEMAS-Jurnal Kesehatan Masyarakat, 13(3), pp.423–429.

Harbianto, D., Trisnantoro, L., Marthias, T., Kurniawan, M.F., Putri, L.P., & Marbun, D., 2016. Dampak Keterlibatan Bappeda dalam Rangka Pengembangan Kapasitas SKPD Lintas Sektor Bagi Perencanaan dan Penganggaran Program Kesehatan Ibu dan Anak Di Provinsi Papua. Jurnal Kebijakan Kesehatan Indonesia, 05(02), pp.53–59.

Hayes, D.K., Calhoun, C.R., Joseph, L., Farnsworth, J.A.Y., & Arakaki, K.B., 2016. Insights in Public Health: Improving Health for Mothers, Infants, and Families with the Hawai’i Maternal and Infant Health Collaborative. Hawai’i Journal of Medicine & Public Health, 75(10), pp.312–317.

Hill, P.S., Goeman, L., Sofiarini, R., & Djara, M.M., 2014. “Desa SIAGA”, the “Alert Village”: The Evolution of an Iconic Brand in Indonesian Public Health Strategies. Health Policy and Planning, 29(4), pp.409–420.

Hlongwane, T.M.A.G., Bozkurt, B., Barreix, M.C., Pattinson, R., Gülmezoglu, M., Vannevel, V., & Tunçalp, Ö., 2021. Implementing Antenatal Care Recommendations, South Africa. Bulletin of the World Health Organization, 99(3), pp.220–227.

Hoope-Bender, P., Ten-Martin-Hilber, A., Nove, A., Bandali, S., Nam, S., Armstrong, C., Ahmed-Mohammed-Ahmed, Chatuluka, M.G., Magoma, M., & Hulton, L., 2016. Using Advocacy and Data to Strengthen Political Accountability in Maternal and Newborn Health in Africa. International Journal of Gynecology and Obstetrics, 135(3), pp.358–364.

Ignacio-Ruiz, J., Nuhu, K., Tyler-McDaniel, J., Popoff, F., Izcovich, A., & Martin-Criniti, J., 2015. Inequality as a Powerful Predictor of Infant and Maternal Mortality Around the World. PLoS ONE, 10(10), pp.1–11.

Islam, A., & Biswas, T., 2014. Health System in Bangladesh: Challenges and Opportunities. American Journal of Health Research, 2(6), pp.366.

Ismawati, L., Sriatmi, A., & Fatmasari, E.Y., 2017. Analisis Peran Pemerintah Desa dalam Penyusunan Anggaran dana Desa untuk Pengembangan Kesehatan di Posyandu Kecamatan Srengat Kabupaten Blitar. Jurnal Kesehatan Masyarakat, 5(1), pp.75–84.

Iswarno, I., Hasanbasri, M., & Lazuardi, L., 2013. Analisis Untuk Penerapan Kebijakan: Analisis Stakeholder Dalam Kebijakan Program Kesehatan Ibu Dan Anak Di Kabupaten Kepahiang. Jurnal Kebijakan Kesehatan Indonesia, 2(02), pp.77–85.

Jati, S.P., Sriatmi, A., Martini, M., Budiyanti, R.T., Dewanti, N.A., Nandini, N., Budiyono, B., Mustofa, S.B., Effendi, K.S., & Harbianto, D., 2020. Strengthening Maternal and Child Program in Indonesia Through Integrated Planning and Budgeting. Journal of Public Health for Tropical and Coastal Region (JPHTCR), 3(1), pp.28–33.

Kar, B.K., 2014. Multi-Stakeholder Partnership in Nutrition: An Experience from Bangladesh. Indian Journal of Community Health, 26(1), pp.15–21.

Kumar, M., Huang, K.Y., Othieno, C., Wamalwa, D., Madeghe, B., Osok, J., Kahonge, S.N., Nato, J., & McKay, M.M.K., 2018. Adolescent Pregnancy and Challenges in Kenyan Context: Perspectives from Multiple Community Stakeholders. Global Social Welfare, 5(1), pp.11–27.

Liu, X., Wang, F., Ding, X., Chen, Y., & Wang, L., 2020. Strengthening the Maternal and Child Health System in Remote and Low-income areas Through Multilevel Governmental Collaboration: A Case Study from Nujiang Prefecture in China. Public Health, 178, pp.23–30.

Main, E.K., Markow, C., & Gould, J., 2018. Addressing Maternal Mortality and Morbidity in California through Public-private Partnerships. Health Affairs, 37(9), pp.1484–1493.

Memon, Z., Zaidi, S., & Riaz, A., 2015. Residual Barriers for Utilization of Maternal and Child Health Services: Community Perceptions From Rural Pakistan. Global Journal of Health Science, 8(7), pp.47–57.

Meutia, I.F., & Yulianti, D., 2019. Stunting Intervension Strategy Based on Community Empowerment. KEMAS-Jurnal Kesehatan Masyarakat, 15(2), pp.187–195.

Namazzi, G., Kiwanuka, S.N., Peter, W., John, B., Olico, O., Allen, K.A., Hyder, A.A., & Ekirapa, K.E., 2013. Stakeholder Analysis for a Maternal and Newborn Health Project in Eastern Uganda. BMC Pregnancy and Childbirth, 13(58), pp.1–12.

Nurani, F., Mardiyono., Supriyono, B., & Wijaya, A.F., 2018. Analysis of Policy Implementation To Decline Mother and Infant Mortality Rate Through the Five C’S Protocol (Study of East Java Province). International Journal of Social and Local Economic Governance (IJLEG), 4(1), pp.26–31.

O’Hare, B., Makuta, I., Chiwaula, L., & Bar-Zeev, N., 2013. Income and Child Mortality in Developing Countries: A Systematic Review and Meta-analysis. Journal of the Royal Society of Medicine, 106(10), pp.408–414.

Ramaswamy, R., Kallam, B., Kopic, D., Pujic, B., & Owen, M.D., 2016. Global Health Partnerships: Building Multi-national Collaborations to Achieve Lasting Improvements in Maternal and Neonatal Health. Globalization and Health, 12(1), pp.1–8.

Sombie, I., Bouwayé, A., Mongbo, Y., Keita, N., Lokossou, V., Johnson, E., Assogba, L., & Crespin, X., 2017. Promoting Research to Improve Maternal, Neonatal, Infant and Adolescent Health in West Africa: The Role of the West African Health Organisation. Health Research Policy and Systems, 15(Suppl 1), pp.10–15.

Sriatmi, A., Jati, S.P., Suryoputro, A., & Fatmasari, E.Y., 2021. Stakeholder Mapping Analysis on the Scaling-Up Nutrition Movement during the 1000 Days of Life between the Urban and Rural Government Areas. Unnes Journal of Public Health, 10(1), pp.68–77.

Suarsih, S., Sunjaya, D.K., Setiawati, E.P., Wiwaha, G., Herawati, D.M., & Rinawan, F., 2017. Analisis Kebijakan Dana Desa Untuk Pembangunan Kesehatan Di Kabupaten Malinau Dengan Pendekatan Segitiga Kebijakan. Jurnal Sistem Kesehatan, 2(4), pp.211–217.

Teychenne, M., Apostolopoulos, M., Ball, K., Olander, E.K., Opie, R.S., Rosenbaum, S., & Laws, R., 2021. Key Stakeholder Perspectives on the Development and Real-world Implementation of a Home-based Physical Activity Program for Mothers at Risk of Postnatal Depression: A Qualitative Study. BMC Public Health, 21(1), pp.1–11.

Tumaji, T., & Putro, G., 2018. Pemanfaatan Dana Desa untuk Pembangunan Kesehatan di Kabupaten Pasuruan dan Sampang. Buletin Penelitian Sistem Kesehatan, 21(3), pp.141–151.

Yugistyowati, A., 2020. Mengoptimalkan Kualitas Kesehatan Neonatus Melalui Pemberdayaan Masyarakat dan Komunikasi Antar Stakeholder. Intelektiva:Jurnal Ekonomi, Sosial & Humaniora, 01(12), pp.18–26.

Zureick-Brown, S., Newby, H., Chou, D., Mizoguchi, N., Say, L., Suzuki, E., & Wilmoth, J., 2013. Understanding Global Trends in Maternal Mortality. International Perspectives on Sexual and Reproductive Health, 39(1), pp.32–41.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.