Two thirds of all pregnant women in NTT deliver their babies at homes (RISKESDAS 2010). Home-births put women and babies at a much greater risk, because they may be far from emergency care in the event of a complication. Especially in rural areas, the entire community's involvement is necessary to ensure that services and support systems meet the needs of a pregnant woman and her family to guarantee a safe birth for both a mother and her newborn.
Through the Community Engagement Team, the Partnership is working directly with communities in NTT to increase the number of pregnant women delivering in health facilities - and thereby lower the high rates of maternal and neonatal death in one of Indonesia's poorest provinces.
The Alert Village Program, or Desa Siaga, unites village-level health workers and the village government in assisting pregnant women to prepare for their delivery. The preparations are simple but can be life-saving in the case of an emergency. For example, the program identifies blood donors for every woman, as haemorrhaging is the main cause of maternal mortality in NTT. The program also measures the level of risk that each pregnancy carries and identifies an appropriate health facility for each delivery.
Another program aims to Revitalise Health Posts, called posyandu, where most pregnant women in villages go for antenatal and neonatal care. Because the posyandu is closely linked to Desa Siaga, AIPMNH conducts activities such as training village health volunteers and supporting posyandu management committees.
AIPMNH also focuses on securing resources for MNH through the government's Village Planning and Budgeting processes, called pra-musrenbang. The inclusion of women is central to the village planning process. Working through the Government of Indonesia's system encourages the sustainability of the program. In fact, the Government of NTT has committed to replicating AIPMNH's pro-MNH pra-musrenbang program in every village in NTT.
Through Reforming Health Facilities, known as puskesmas, AIPMNH is improving community feedback and participation in the services and management of health facilities.