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APHA Scientific Session and Event Listing

Recorded presentation

Nancy Caiola¹, Nur Ainy Madjid, Ibu², and Enriquito Lu, Dr¹. (1) JHPIEGO, 1615 Thames St Ste 200, Baltimore, MD 21231, 410-537-1824, rlu@jhpiego.net, (2) Indonesia Midwifery Association, IBI Head Office, Jakarta, Indonesia

In Indonesia 63% of family planning services are delivered by the private sector, mostly by midwives. In addition 50% of births are attended by midwives; most of whom work in the private sector. Delivery of reproductive healthcare services in Indonesia is below standard. New guidelines have been introduced to improve safety and health out¬comes but there are scarce resources for ensuring these are put into practice. Additionally, decentralization has resulted in proliferation of midwifery schools graduating poorly prepared new providers.

The Indonesian Midwives Association (IBI), supported by STARH, initiated the Bidan Delima (BD) program to increase private provider pro¬fessionalism, and lay the groundwork for a licensure system based on verified knowledge and skills. Its objectives are to: • Strengthen quality of reproductive health services • Recognize delivery of quality services through branding • Increase the demand for branded quality services

The program was started in six provinces two years ago. Presently, it is operational in 167 districts in 9 provinces where roughly 155 million Indonesians reside. BD has registered 2,600 midwives, out of which 1,730 has been validated and certified as Bidan Delima.

The BD program is innovative by creating a self-learning guide from national standards, preparing experienced midwives to validate standards of practice, and using mass media to link demand to a quality brand. The lessons from Bidan Delima have great potential for adaptation and replication in other countries and settings.

Learning Objectives: