Optimal utilization of maternal health service in Indonesia: a cross-sectional study of Riskesdas 2018

Aryastami, Ni Ketut; Mubasyiroh, Rofingatul

doi:10.1136/bmjopen-2022-067959

Cited by 3 publications

(1 citation statement)

References 34 publications

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“…The earlier examination indicated a substantial enhancement in maternal health service utilization due to the implementation of JKN ( 16 , 17 ). A recent study by Aryastami and Mubasyiroh ( 16 ) utilized data from the 2018 Basic Health Research of Riskesdas and suggested that women with health insurance may be more likely to utilize maternal health services optimally. Another paper by Anindya et al ( 17 ) assessed the impact of Indonesia’s National Health Scheme on access to maternal health services.…”

Section: Introductionmentioning

confidence: 99%

Appraisal of universal health insurance and maternal health services utilization: pre- and post-context of the Jaminan Kesehatan Nasional implementation in Indonesia

Rahmawati,

Hsieh

2024

Front. Public Health

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IntroductionThe Indonesian government introduced universal health insurance through the National Social Security System (JKN) in 2014 to enhance overall healthcare. This study compares maternal health care (MHC) service utilization before and after JKN implementation in Indonesia.MethodUsing 2012 and 2017 data from Indonesia Demographic and Health Surveys (DHS), we conducted a two-period cross-sectional design study following the Anderson model. We assessed how the JKN policy and population characteristics influenced healthcare utilization for women aged 15–49 who had given birth in the last 5 years. Multivariable logistic regression models were used to assess the impact of the JKN policy and related factors.ResultIn two waves of Indonesia DHS with 14,782 and 15,021 subjects, this study observed a significant increase in maternal healthcare service utilization post-JKN implementation. Women were more likely to have at least four antenatal care visits (adjusted odds ratio, AOR = 1.17), receive skilled antenatal care (AOR = 1.49), obtain skilled birth assistance (AOR = 1.96), and access facility-based delivery (AOR = 2.45) compared with pre-JKN implementation.ConclusionThis study revealed a significant positive impact of JKN on enhancing MHS utilization. The introduction of universal health insurance coverage likely reduced financial barriers for specific demographics, resulting in increased service utilization. Our study may offer valuable insights for Asian countries with similar demographics and health insurance implementations.

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Section: Introductionmentioning

confidence: 99%

Appraisal of universal health insurance and maternal health services utilization: pre- and post-context of the Jaminan Kesehatan Nasional implementation in Indonesia

Rahmawati,

Hsieh

2024

Front. Public Health

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Obstetrics care in Indonesia: Determinants of maternal mortality and stillbirth rates

Wenang,

Emilia,

Wahyuni

et al. 2024

PLoS ONE

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Problem The Indonesian Healthcare Program starting in 2014 enabled access to healthcare delivery for large population groups. Guidance of usage, infrastructure and healthcare process development were the most challenging tasks during the implementation period. Due to the high social impact obstetric care and related quality assurance require evidence-based developmental strategies. This study aims for analysis of outcome and maternal health care utilization, as well as differences related to demographic and economic subgroups. Methods For univariate group comparison ANOVA method was applied and combined with Scheffé procedure and Bonferoni correction for post-hoc tests. Meanwhile, multivariate approaches through regression analysis based on insurance reimbursement data antenatal, perinatal and postnatal care were performed at the province level. Maternal mortality (MMR) and stillbirth rates were used for outcome. Demographic characteristics, availability of obstetricians (SPOG), midwifes and healthcare infrastructure were included for their determinants. Results Specialized hospital facilities (type A/B) for advanced care covered a large part of uncomplicated cases (~35%). Differences between insurance membership groups (poor, non-poor) were not seen. Availability of human resources (SPOG, midwifes) (R2 = 0.728; p<0.001) and rural setting (R2 = 0.288; p = 0.001) are correlated with reduced insufficient referral. Their presence within provinces was related to lower occurrence of complicated cases (R2 = 0.294; p = 0.001). However, higher SPOG rates within provinces were also related to high C-section rates (p<0.001). MMR and stillbirth rates can be predicted by availability of human resources and C-section rates explaining 49.0% of variance. Conclusions Improvement of perinatal outcome should focus on sufficient referral processes, availability of SPOG in provinces dominated by rural/remote demography and avoidance of overtreatment by high C-section rates. It is very important to regulate the education of obstetricians and gynecologists in Indonesia as well as distribution arrangements regarding to solve the problems with pregnancy complications in remote and rural areas.

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Unveiling Peak Detection, Sentiment Analysis, and Post Engagement: Social Media Listening Discourses on Stunting in Indonesia

Irawan,

Alristina,

Laili

et al. 2024

Preprint

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Optimal utilization of maternal health service in Indonesia: a cross-sectional study of Riskesdas 2018

Cited by 3 publications

References 34 publications

Appraisal of universal health insurance and maternal health services utilization: pre- and post-context of the Jaminan Kesehatan Nasional implementation in Indonesia

Appraisal of universal health insurance and maternal health services utilization: pre- and post-context of the Jaminan Kesehatan Nasional implementation in Indonesia

Obstetrics care in Indonesia: Determinants of maternal mortality and stillbirth rates

Unveiling Peak Detection, Sentiment Analysis, and Post Engagement: Social Media Listening Discourses on Stunting in Indonesia

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