This study aims to measure the prevalence of reproductive health services accessibility based on the perception of Indonesian migrant female workers in Malaysia and its influencing factors. A cross-sectional study was conducted among the 593 respondents using a semi-guided questionnaire. Participation for this study came from Kuala Lumpur (230 respondents), Johor Bahru (181 respondents) and Penang (182 respondents). The mean age was 26.8 (SD 6.7) years. Their origin area in Indonesia was from Central Java, North Sumatra, and East Java. The prevalence of easy access to reproductive health services was 66.9%. Multiple logistic regression analysis showed that marital status (aOR=0.389, 95% CI:0.201, p=0.751), good reproductive health knowledge (aOR=1.123,95%CI:1.071,1.177), depression (aOR=0.934, 95%CI:0.884, p=0.986) were the predictors for the good perceptions of reproductive health services accessibility in Peninsular Malaysia. This study depicted that two-third of Indonesian migrant women have an excellent perception of reproductive health services access in Malaysia. Obstacles identified for poor access to the facility were related to time, immigration permit status, and awareness of the assistance needed. Strategies to enhance the accessibility of reproductive health services require collaboration from Indonesian government representatives and non-governmental organisations in Malaysia to help advocate reproductive health services for all, including the Indonesian women workers.
Introduction: Being apart from family to work in a new environment requires sacrifice and endeavor to adapt to the foreign surroundings and, therefore, may cause perturbation and tension. The present study aimed to assess mental health problems among Indonesian women migrant workers in Peninsular Malaysia and their associated factors.Method: A cross-sectional study was conducted in three representatives of the Indonesian Government in Peninsular Malaysia: Indonesian Embassy in Kuala Lumpur and the Indonesian Consulate General in Johor Baharu and Penang. The target population was every Indonesian women worker who fulfils the inclusion criteria: reproductive age (18-45 years), legal workers, and stay in Malaysia for 12 months. A validated Indonesian Depression Anxiety Stress Scale (DASS21) questionnaire used has Cronbach's alpha of 0.95. Result: A total of 589 respondents participated with granted consent. The measurement of the prevalence of stress, anxiety and depression among workers was reported to be 151 (25.6%), 308 (52.3%) and 139 (23.6%), respectively. The multivariate logistic regression analysis found that younger age, longer working hours a day, and having reproductive health problems were significant predictors of negative emotional states.Conclusion: Early screening to identify risk groups at works helps reduction of mental health incidence.
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