Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

Efendi, Ferry; Sebayang, Susy Katikana; Astutik, Erni; Hadisuyatmana, Setho; Has, Eka Mishbahatul Mar’ah; Kuswanto, Heri

doi:10.12688/f1000research.23324.2

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…Women who attended, or whose husbands attended, higher education were more likely to choose healthcare facilities for delivery than those who never graduated from primary school. This finding is supported by previous studies that have found a correlation between level of education and choice of birthplace [21][22][23]. A study in Western Ethiopia revealed that women and husbands with a high school education were four times more likely to prefer healthcare facilities for delivery than those who were never enrolled in formal education [21].…”

Section: Plos Onesupporting

confidence: 81%

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Determinants of birthplace among middle-to lower-class women in Indonesia: A study using the Indonesian Demographic and Health Survey

Pranata

Wahyudi

Handoyo³

et al. 2021

PLoS ONE

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Background One of the factors contributing to a high maternal mortality rate is the utilization of non-healthcare facilities as a birthplace for women. This study analyzed determinants affecting birthplace in middle-to lower-class women in Indonesia. Methods This study analyzed the 2017 Indonesian Demographic and Health Survey (IDHS) data. The total national sample size was 49,627 eligible women. Our sample included 11,104 women, aged 15–49, who had delivered babies and were of low-to-middle economic status. The type of survey dataset was individual record dataset. Data were analyzed with chi-square and multivariate logistic regression tests using Stata 16 software. Results About 64.99% middle to lower class women in Indonesia delivered in healthcare facilities. Women aged 45–49 (OR = 2.103; 95% CI = 1.13–3.93), who graduated from higher schools (OR = 2.885; 95% CI = 1.76–4.73), whose husbands had higher education (OR = 2.826; 95% CI = 1.69–4.74) and were employed (OR = 2.523; 95% CI = 1.23–5.17), who considered access to healthcare facilities was not a problem (OR = 1.528; 95% CI = 1.28–1.82), who had a single child (OR = 2.349; 95% CI = 1.97–2.80), and who lived in urban areas (OR = 2.930; 95% CI = 2.40–3.57) were determinants that significantly correlated with women giving birth in healthcare facilities. Conclusion This study provides insights for policymakers and healthcare centers in the community to strengthen access to healthcare services and devise health promotion strategies for pregnant mothers. Policy interventions designed for middle- to lower-class women should be implemented to support vulnerable groups.

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Section: Plos Onesupporting

confidence: 81%

“…Research shows that the higher the family income, the more the use of maternal health service facilities [27]. The husband's occupation may correlate with family income, as noted by some studies [23]. Therefore, increasing access to economic opportunities in every household is needed to improve access to healthcare services.…”

Section: Plos Onementioning

confidence: 99%

Determinants of birthplace among middle-to lower-class women in Indonesia: A study using the Indonesian Demographic and Health Survey

Pranata

Wahyudi

Handoyo³

et al. 2021

PLoS ONE

Self Cite

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Socioeconomic Difference of Husband's Involvement in Antenatal Care in Rural Indonesia

Mlf

et al. 2020

Preprint

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Background: To reduce maternal mortality, the Indonesian government campaigned for a health promotion program based on the family approach, namely “Suami Siaga” (Husband Alert). Study aims to analyze the effect of socioeconomic on the husband's involvement in ANC in rural Indonesia.Methods: The study employed data from the 2017 IDHS. Samples of 7,156 respondents were obtained. Besides the socioeconomic, other variables analyzed in this study were age, education, occupation, and parity. The final stage was employed binary logistic regression.Results: Families with the poorer socioeconomic status, the possibility of husbands being involved in ANC was 2.154 times compared to the poorest. Families with the middle socioeconomic status were more likely to have their husbands involved in ANC 2.785 times compared to the poorest. Families with a richer socioeconomic status were more likely to have their husbands involved in ANC 2.901 times compared to the poorest. Meanwhile, families with poorer socioeconomic status, the possibility of their husbands being involved in ANC was 5.299 times compared to the poorest. The results of this analysis inform that all socioeconomic statuses have a higher likelihood of husband involvement in ANC than the poorest families. The better the socioeconomic, the higher the possibility of the husband to be involved in ANC. Apart from socioeconomic, 3 other variables were also found as determinants of the husband's involvement in ANC in rural Indonesia, namely education, occupation, and parity.Conclusions: The socioeconomic status was a determinant of the husband's involvement in ANC in rural Indonesia.

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The Relationship between Maternal Participation in Household Decision-Making and Birth Attendant Selection: Evidence from Indonesia Demographic and Health Survey

Tari

Andriani²

2022

Open Access Maced J Med Sci

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BACKGROUND: The decreasing maternal mortality rate (MMR) is an important indicator in achieving health development. The Ministry of Health has mandated delivery assistance by competent health personnel to achieve the MMR targets set out in the UN sustainable development goals. AIM: This study aims to determine the relationship between maternal participation in household decision-making and the selection of birth attendant in Indonesia. METHODS: The study uses secondary data from the 2017 Indonesia demographic and health survey, as part of a cross-sectional and large-scale national survey. The study involved ever-married women of reproductive age (15–49 years) and had given birth in the last 5 years prior to the survey (n = 14,193). RESULTS: Of all birth attendants, 4,630 (32.6%) were non-health workers and 9,563 (67.4%) were health workers. Midwives account for the largest proportion of the health workers (61.8%). Decisions in healthcare, household expenses, visits to family/relatives’ decisions are significantly associated with birth attendant selection. However, husband’s income use decision had no significant relationship with birth attendant selection. The final multivariate model found that grand multipara mothers had a 1.9 times higher risk of choosing non-health birth attendants than primipara mothers (OR = 1.90, 95% CI = 1.60–2.25). CONCLUSION: Findings demonstrated the importance of improving health education for men and women as well as women’s decision-making autonomy. Health workers (especially midwives) should improve knowledge and communication between couples in choosing skilled birth attendants, especially for mothers with grand multiparity.

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Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

Cited by 3 publications

References 27 publications

Determinants of birthplace among middle-to lower-class women in Indonesia: A study using the Indonesian Demographic and Health Survey

Determinants of birthplace among middle-to lower-class women in Indonesia: A study using the Indonesian Demographic and Health Survey

Socioeconomic Difference of Husband's Involvement in Antenatal Care in Rural Indonesia

The Relationship between Maternal Participation in Household Decision-Making and Birth Attendant Selection: Evidence from Indonesia Demographic and Health Survey

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