Program Keluarga Harapan: a conditional cash transfer to increase prenatal visits and birth weight
https://doi.org/10.4081/jphia.2022.1271
Accepted: 28 May 2022
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Conditional Cash Transfer, known as Program Keluarga Harapan (PKH) in Indonesia, is a program that aims to increase maternal and child health. Women benefit directly from the improved obstetrical and reproductive health care and health information that form an integral part of the program. Many studies show the positive impact of conditional cash transfer on improving prenatal visits and birth weight. The objective of the research was to document the impact of Indonesia’s conditional cash transfers (PKH) on prenatal visits and birth weight. We carried out a retrospective cohort study to assess the number of prenatal visits and birth weights among PKH beneficiaries. The data were collected through the KIA books belonging to 184 participants who gave birth between 2012−2017. The results indicate that the mean birth weight among PKH beneficiaries was slightly lower (23.7 g) compared to non-beneficiaries. The PKH program improved prenatal visits for women, but both beneficiaries and non-beneficiaries mostly had already made 8-9 times prenatal visits during their pregnancy. In other words, women in this community were already aware of the importance of prenatal visits even before the program. Incomplete data was the main obstacle to comparing the 6, 12, and 24-month-old babies’ weights. This finding is irrelevant to other conditional cash transfer programs implemented which showed a significant effect of CCT on birth weight.
2. Rawlings, L. B. & Rubio, G. M. Evaluating the impact of conditional cash transfer programs. The World Bank Research Observer. 2005;20(1): 29-55.
3. Owusu-Addo, E. & Cross, R. The impact of conditional cash transfers on child health in low-and middle-income countries: a systematic review. Int J Public Health. 2014;59(4): 609-618.
4. Glassman, A., Duran, D., Fleisher, L., Singer, D., Sturke, R., Angeles, G., Koblinsky, M. Impact of Conditional Cash Transfers on Maternal and Newborn Health. Journal of Health, Population, and Nutrition, 31(4 Suppl 2), S48–S66. 2013.
5. Barber, S. L. & Gertler, P. J. Empowering women: how Mexico's conditional cash transfer programme raised prenatal care quality and birth weight. Journal of development effectiveness. 2010;2(1): 51-73.
6. Balitbangkes & Kemenkes RI Riset Kesehatan Dasar RISKESDAS 2013, Jakarta. 2013.
7. Dinas Kesehatan Kabupaten Nganjuk, Profil Dinas Kesehatan Kabupaten Nganjuk Tahun 2013, Nganjuk: Profil Dinas Kesehatan Kabupaten Nganjuk Tahun 2013. 2013.
8. Dinas Kesehatan Provinsi Jawa Timur, Profil Kesehatan Provinsi Jawa Timur Tahun 2012, Surabaya:Dinas Kesehatan Provinsi Jawa Timur. 2013.
9. World Health Organization. Technical consultation towards the development of a strategy for promoting optimal fetal development. Geneva: WHO. 2003;25-27.
10. Kramer, M. S. Determinants of low birth weight: methodological assessment and meta-analysis. Bulletin of the World Health Organization. 1987;65(5): 663.
11. Fiszbein, A., Schady, N. R. & Ferreira, F. H. Conditional cash transfers: reducing present and future poverty:World Bank Publications. 2009.
12. Golestan, M., Akhavan Karbasi, S. & Fallah, R. Prevalence and risk factors for low birth weight in Yazd, Iran. Singapore medical journal. 2011;52(10): 730-733.
13. Lim, Stephen S., Dandona, Lalit., A Hoisington, Joseph., James, L Spencer., Hogan, C Margaret.,Gakidou, Emanuela. India’s Janani Suraksha Yojana, a conditional cash transfer programme to increase births in health facilities: an impact evaluation. Lancet. 2010; 375: 2009– 2
14. Lagarde, M., Haines, A. & Palmer, N. The impact of conditional cash transfers on health outcomes and use of health services in low and middle income countries. Cochrane Database Syst Rev, 4(4). 2009.
15. Depkes RI. Pedoman pemantauan wilayah setempat kesehatan ibu dan anak (PWS-KIA). Departemen Kesehatan RI. 2009.
16. Triyana, Margaret, and Anuraj H Shankar.“The Effects of a Household Conditional Cash Transfer Programme on Coverage and Quality of Antenatal Care: a Secondary Analysis of Indonesia’s Pilot Programme.” BMJ Open 7 (10) (October): e014348. doi:10.1136/ bmjopen-2016-014348. 2017.
17. de Brauw, A. & Peterman, A. Can conditional cash transfers improve maternal health and birth outcomes?: Evidence from El Salvador's Comunidades Solidarias Rurales. International Food Policy Research Institute (IFPRI). 2011.
18. Kemenkes RI. Profil Kesehatan Indonesia Tahun 2016. 2017. Tersedia dari : (serial online) www.depkes.go.id . diakses tanggal 26 Agustus 2018
19. Jayanti, D., Krisnita., Nurkhalim, R. Ratna., Susilowati, Indah. Kelengkapan Pencatatan Berat Badan Anak Pada Buku Kia Di Kecamatan Tanjunganom Kabupaten Nganjuk. Jurnal Wawasan Kesehatan: Stikes Kapuas Raya Vol 5, No 2 . 2019. Tersedia dari : http://journal.stikes-kapuasraya.ac.id/index.php/JIIK-WK/article/view/105
Supporting Agencies
IIK Bhakti Wiyata KediriCopyright (c) 2022 Ratna Frenty Nurkhalim, Indah Susilowati, Krisnita Dwi Jayanti
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Downloads
Citations
