Exploring Determinants Influencing the Utilisation of Antenatal Care in Indonesia: A Narrative Systematic Review

Abstract

Objective: The study aimed to identify the influencing determinants of the utilisation of antenatal care services among pregnant women in Indonesia. Methods:A systematic search of English and Indonesian literature was conducted using several databases including Pubmed, Popline, Scopus, Proquest, Web of Knowledge, Google Scholar, and Google, covering the period between 1994 and 2016. The search used different key terms either in combination and/or singly. Hand searches were conducted to identify grey literature, and references of the selected articles were scrutinised to obtain additional relevant literature. Due to the limited number of articles, a narrative review was conducted to identify the emerging themes from the literatures. Findings:Results indicated that cultural determinants including traditional beliefs influenced pregnant women's decision to seek for antenatal care. Socioeconomic factors such as level of income and antenatal care cost, lack of knowledge of healthy pregnancy, and women's autonomy were also identified as the barriers to accessing antenatal care services among Indonesian pregnant women. Physical distance to and unavailability of health facilities and services were environmental factors that hampered pregnant women from attending antenatal care. Preference for Traditional Birth Attendant (TBA) services was the behavioural factor hindering pregnant women from accessing antenatal care. Conclusion:The findings of this review indicate the needs for the improvement of knowledge of Indonesian pregnant women on the importance of antenatal care, and the availability of and accessibility to antenatal care facilities and services, and local transport to facilitate pregnant women to seek antenatal care services.

Factors Shaping Uptake of Antenatal Care in Surabaya, Indonesia: a Qualitative Study

“…For the road is good as well, because the road here has been paved all" (MW5-P5). As recent Indonesian research indicates place of residence as an in uencing factor in the uptake of ANC services it was important to highlight whether the community facility was close in proximity to the participants [15]. There was a general consensus that the distance to the community health facility was not an in uencing factor shaping uptake of ANC for this study population due to the close proximity.…”

“…Research suggests a number of factors may shape the uptake of ANC services across Indonesia, these factors can be conceptualised as individual circumstances, cultural and social dynamics, and community and health care conditions. Within Indonesia, this literature indicates that individual circumstances in uencing ANC uptake may include socioeconomic status, income, age, education and whether a mother is pregnant with her rst child [14][15][16][17]. These factors interact with broader cultural and social factors within which a mother lives to shape ANC uptake [17][18][19][20].…”

“…Further, community and health care conditions are believed to shape accessibility and uptake of ANC services by mothers, with women in urban areas much more likely to achieve adequate ANC visits [14,21]. Shortage of quali ed health providers and overcrowded facilities has also been suggested to in uence ANC uptake [8,15,22]. This study will explore the experiences of pregnant women when accessing ANC within the urban areas of Surabaya.…”

Factors Shaping Uptake of Antenatal Care in Surabaya Municipality, Indonesia: A Qualitative Study

“…These factors can be conceptualized as individual circumstances, cul-tural and social dynamics, and community and health care conditions. [9][10][11][12][13][14][15][16][17] Within Indonesia, this literature indicates that personal events influencing ANC uptake may include socioeconomic status, income, age, education, and whether a woman is pregnant with her first child. [9][10][11][12] These factors interact with broader cultural and social factors within which a woman lives to shape ANC uptake.…”

“…[9][10][11][12][13][14][15][16][17] Within Indonesia, this literature indicates that personal events influencing ANC uptake may include socioeconomic status, income, age, education, and whether a woman is pregnant with her first child. [9][10][11][12] These factors interact with broader cultural and social factors within which a woman lives to shape ANC uptake. 9,[13][14][15] Further, community and health care conditions are believed to shape accessibility and uptake of ANC services, with women in urban areas much more likely to achieve adequate ANC visits.…”