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Tanesib, Jehunias Leonidas
Universitas Nusa Cendana
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Journal : Journal of Applied Geospatial Information

 1 
Modeling Accessibility to Emergency Obstetric Care in Mountain Region on Adonara Island, Eastern Indonesia Kalista Ina Dai Nimun; Frederika Rambu Ngana; Ali Warsito; Jehunias Leonidas Tanesib
Journal of Applied Geospatial Information Vol 6 No 2 (2022): Journal of Applied Geospatial Information (JAGI)
Publisher : Politeknik Negeri Batam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30871/jagi.v6i2.4522

Abstract

The geographical conditions of an area influence accessibility problems. The difficult geographical conditions caused travel time to the location of the obstetric emergency center to be very long. One of the causes of the high maternal mortality rate in Eastern Indonesia is the long time to travel to Basic Emergency Obstetrics Cares. This study aims to model the travel time to the PONED-Pelayanan Obstetri Neonatal Emergensi Dasar (Basic Emergency Obstetric and Neonatal Care-BEmONC) in a mountain region. The difficulties in access to obstetric care could cause maternal mortality in mountain regions. This study was done on the island of Adonara in the Flores Timur district. Adonara Island has a high maternal mortality rate. Modeling accessibility used a raster-based model to model travel time. The data used Landsat 8 imagery, Digital Elevation Model (DEM), and road network data to obtain a land cover layer. The Saga GIS travel time calculation tool is used to calculate the accumulated cost of travel time. The cost is based on the speed of travel through each land cover pixel to the location of the Puskesmas Waiwerang (PONED 1) and Puskesmas Waiwadan (PONED 2). The results of the travel time modeling show that people living in five sub-districts reach the two PONED locations in ≥ 1 hour. The longest time for people to travel to PONED is ≥ 6 hours from Ile Boleng sub-district because there is a mountain in the Ile Boleng sub-district. The scenario of adding one PONED shows that only people living in two sub-districts reach the PONED ≥ 1 hour. This spatial modeling of travel time to the location of the PONED (emergency obstetric care) can be used by local governments in eastern Indonesia to improve access to the location of basic obstetric emergency health centers in mountain areas.
Co-Authors Abdul Wahid Abdul Wahid Abdul Wahid Adelina Bete Admiranto, A. Gunawan Adrianus Marselus Seran Adu, Hari Kornelius Aidy Liukae Albert Z. Johannes Ali Warsito Andreas Christian Louk Andreas Christian Louk Apolinaris S. Geru Ari Bangkit Sanjaya Umbu Artini Waluwanja Aryanti Irnawati Pellokila Bartholomeus Pasangka Bartholomeus Pasangka Bergita Linong Bernandus Bernandus Bernandus Bernandus Bernandus Bernandus, Bernandus Bethan, Agustinus Deka Bukit, Minsyahril Celiana F. J. P. Soares Christine Mbiliyora Christine Mbiliyora Debi Lodo Ratu Devy K. Syahbana Dinas, Natalia Ciciani Djima, Umbu Elsa Yovanka Neolaka Fidelis Nitti Frederika Rambu Ngana Godensius Tematur Harison Nubatonis Hery L. Sianturi Johannes, Albert Zicko Jonshon Tarigan K. K. Lesu Kalista Ina Dai Nimun Lapono, Laura A. S. Lapono, Laura Anastasi Seseragi Lau, Claudya Hendrika Putri Laura A. S. Lapono Lidia Agustina Rumaal Lima, Joshua M. Leng Maria Bria Maria S. Mali Martins, Manuela Maubana, Wenti Marlensi Mautorin, Novita Ester Melkianus Dona Minsyharil Bukit Nenotek, Epriadi Noor, M. Ferdhiansyah Novita Ester Mautorin Nuryanti Nuryanti Olin, Fransisco Rokirianto Pasangka, Bartholomeus Pingak, Redi Kristian Raja, Aprianus Ramli Seravianus Richard Lewerissa Riski Basrin Selciana Ginya Sevarianus Ramli Sianturi, H. L. Sianturi, Hery Leo SITI MARYAM Stefanus Spulo Sogen Sutaji, Hadi Imam Tarigan, Jonshon Warsito, Ali Wenti Marlensi Maubana Widiawati, Yosepha Yanti Boimau Yantilinena Mauribu Yatini, Clara Yono Yohanes Jean Del Rosario Lake Yosefina Molo Zakarias Seba Ngara