Analysis of antenatal care, intranatal care and postnatal care utilization: Findings from the 2017 Indonesian Demographic and Health Survey

Abstract

Background and objective Maternal healthcare utilization by young women and adolescent girls is associated with maternal health outcomes and plays a critical role in reducing maternal mortality rates in low- and middle-income countries. This study sought to analyze current data on antenatal care (ANC), intranatal care (INC), and postnatal care (PNC) utilization with a focus on mothers aged 15–24 years in Indonesia. Methods This study was a secondary analysis of data from the 2017 Indonesian Demographic and Health Survey. The unit data analyzed 2,584 mothers aged 15–24 years who had delivered babies within the five-year period preceding the survey. Bivariate analysis and multiple logistic regression utilizing descriptive statistics were used to explore correlations between the independent variables and ANC, INC, and PNC visits. Results Among the mothers included in the study, the prevalence of service utilization was 90.9% for ANC, 79.4% for INC, and 68.9% for PNC. Women’s age, education level, number and birth order of children, difference in age between the mother and her husband, her husband’s occupation, wealth index, access to the health service, and regional factors were significantly associated with the utilization of ANC, INC, and PNC services. Conclusion This study provides insights for policymakers on how to strengthen healthcare policies and laws with the aim to improve maternal healthcare services for mothers aged 15–24 years. To improve maternal healthcare utilization among young mothers, national policy should focus on service equality, accessibility, and reliable implementation.

Factors associated with utilization of physical therapy services during pregnancy and after childbirth

“…In terms of pregnancy and postpartum status, we found that more postpartum women had received physical therapy than pregnant women. This finding is in contrast to the previous studies which reported fewer women seeking or utilizing postnatal care than antenatal care [ 37 , 47 ]. It is possible that some pregnant women believe that musculoskeletal discomfort (i.e.…”

“…Our findings showed that participant characteristics, such as age, identity and education, were associated with the use of antepartum/postpartum physical therapy, which is in line with the previous studies [ 35 , 36 , 37 ]. However, in contrast to the studies which found that older patients with higher socioeconomic levels [ 27 ] and women with higher education levels [ 26 ] were more likely to use physical therapy, we found that younger participants with lower levels of education were more likely to use physical therapy.…”

The level of utilization and associated factors of WHO recommended antenatal care visits in South Asian countries

“…The current study showed that the respondent’s age had significant association with ANC visits. The result found that older women were more likely to get ANC visits compared to younger women, which is supported by the findings conducted in a low- and middle-income countries [ 48 ]. The reason possibly could be that due to lack of age maturity and information regarding ANC visits, younger women have limitations in their ability to handle and supervise the maternity period, and older women, on the other hand, due to their maturity remain more cautious about pregnancy difficulties [ 49 ].…”

Maternal Healthcare Services Utilisation and Its Associated Risk Factors: A Pooled Study of 37 Low- and Middle-Income Countries

“…The explanatory variables were considered as covariates based on their availability in the DHS dataset and extensive literature review [ 4 , 9 , 11 – 13 , 19 , 21 ]. The explanatory variables for this study were mothers’ place of residence (urban and rural), wealth index (poorest, poorer, middle, richer and richest), mother’s education (no education, primary, secondary and higher), husband/partner’s education (no education, primary, secondary and higher), mother’s age (15–24, 25–34, and 35–49 years), mother’s age at first birth (≤24, 25–34, and 35–49 years), family composition (≤4 and >4 members), number of living children (0–3, 4–6, and ≥7), mother’s working status (no and yes), mother’s healthcare decision-making autonomy (women alone, women and husband/others, and husband/others), and media exposure (no exposure, partial exposure, and full exposure).…”