Urban‐rural disparity and determinants of delivery care utilization in Oromia region, Ethiopia: Community‐based cross‐sectional study

Kenea, Dinke; Jisha, Hunduma

doi:10.1111/ijn.12510

Cited by 20 publications

(16 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Women from a rural residence were found to be less likely to have a delivery in a health facility. This finding is similar to those of previous studies conducted in Bangladesh and Indonesia ( Efendi et al, 2019 ; Kamal, 2013 ; Kenea & Jisha, 2017 ). Living in an urban residence allows easier access to health facilities than living in rural areas.…”

Section: Discussionsupporting

confidence: 92%

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

et al. 2020

View full text Add to dashboard Cite

Background: Improving maternal health and reducing maternal mortality are part of the United Nations global Sustainable Development Goals for 2030. Ensuring every woman’s right to safe delivery is critical for reducing the maternal mortality rate, especially in Indonesia. Our study aimed to identify determinants of safe delivery utilization among women in the eastern Indonesia. Methods: This study was cross-sectional and used data from the 2017 Indonesian Demographic and Health Survey (IDHS). A total of 2,162 women who had their last child in the five years preceding the survey and lived in the eastern part of Indonesia were selected as the respondents. Chi-squared test and binary logistic regression were used to understand the determinants of safe delivery. Results: Higher child rank and interval ≤2 years (OR: 0.30, 95% CI: 0.19-0.47), unwanted pregnancy at time of becoming pregnant (OR: 1.48, 95% CI: 1.05-2.08), richest wealth quintile (OR: 5.59, 95% CI: 3.37-9.30), more than four antenatal care visits (OR: 3.62, 95% CI: 2.73-4.79), rural residence (OR: 0.49, 95% CI: 0.36-0.66), good composite labor force participation (OR: 1.47, 95% CI: 1.15-1.89), and a good attitude towards domestic violence (OR: 1.33, 95% CI: 1.04-1.69) were found to be significantly associated with facility-based delivery. Higher child rank and interval ≤2 years (OR: 0.49, 95% CI: 0.29-0.83), husband/partner having completed secondary or higher education (OR: 2.18, 95% CI: 1.48-3.22), husband/partner having a non-agricultural occupation (OR: 1.35, 95% CI: 1.00-1.81), being in the richest wealth quintile (OR: 15.69, 95% CI: 5.53-44.50), and three other factors were found to be significantly associated with skilled assistance delivery. Conclusions: Safe delivery and facility-based delivery among women in the eastern part of Indonesia were determined by several individual and household factors. An open innovation and partnership process that engages the full range of stakeholders should be developed based on local needs.

show abstract

Section: Discussionsupporting

confidence: 92%

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

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Disparities of health services utilization related to rurality do not only happen in Indonesia. The research results with the focus of disparities in many countries reporting the disparities existing, among others in China (3)(9), Canada (10), The USA (11)(12), Ethiopia (13)(14), Mongolia (15), Australia (1), and Taiwan (16)(17). In addition to urban and rural, disparities in many countries also reportedly happened on many categories.…”

Section: Discussionmentioning

confidence: 99%

Urban and Rural Disparities in Hospital Utilization among Indonesian Adults

Laksono

Wulandari

Soedirham

2019

ijph

View full text Add to dashboard Cite

Background: Equal access to healthcare facilities, patient's satisfaction, and respect for the desire of the patient were recognized as the basic principles of each of the health care system. Each person must be given the opportunity to access health services in accordance with the requirements of their health. We aimed to prove the existence of disparities hospital utilization based on the category of urban-rural areas. Methods: The research used the 2013 Indonesian Basic Health Survey (RKD) as analysis material, that was designed a cross-sectional survey. With the multi-stage cluster random sampling method, 722,329 respondents were obtained. Data were analyzed using Multinomial Logistic Regression tests. Results: The results showed adults living in urban were likely to use hospital outpatient facilities 1.246 times higher than adults living in rural areas (OR 1.246; 95% CI 1.026 -1.030). The likelihood of utilizing at the same time outpatient and inpatient facilities at 1.134 times higher in adults living in urban than those in rural areas (OR 1.134; 95% CI 1.025 -1.255). While for the category of hospital inpatient utilization, there was no significant difference. Conclusion: There was a disparity in hospital utilization between urban-rural areas. Urban show better utilization than rural areas in outpatient and at the same time the use of inpatient care.

show abstract

“…Women who live in urban areas prefer to deliver babies in healthcare facilities. An earlier study by Kenea and Jisha [22] in 2017 reported that delivery in healthcare facilities was dominated by urban mothers, while different studies found that mothers in rural areas preferred to deliver in nonhealthcare facilities or at home with traditional, yet noncertified, attendance [23, 24]. The accessibility and availability of facilities for childbirth could well be factors affecting the decision of where to deliver babies for both urban and rural mothers.…”

Section: Discussionmentioning

confidence: 99%

Determinants of Facility-Based Childbirth in Indonesia

Efendi

Ni'mah

Hadisuyatmana

et al. 2019

The Scientific World Journal

View full text Add to dashboard Cite

Background. Reducing maternal mortality remains a significant challenge in Indonesia, especially for achieving the country’s Sustainable Development Goals (SDGs) by 2030. One of the challenges is increasing delivery at healthcare facilities to ensure safe and healthy births. In Indonesia, research on factors affecting women’s use of facility-based childbirth services is scarce. Objective. This study was conducted to identify the determinants of facility-based deliveries in Indonesia. Methods. This study used data from the Indonesia Demographic and Health Survey of 2012, with a cross-sectional design. An odds ratio with 95% confidence intervals (CI) was employed to outline the independent variables for the determinants, including maternal age and education, place of residence, involvement in decision-making, employment status, economic status, and number of antenatal care visits. The dependent variable in this study was the place of delivery: whether it took place in healthcare or nonhealthcare facilities. The statistical significance was set at p<0.05 using bivariate analysis and binary logistic regression. Results. This study showed that a high level of education (OR: 3.035, 95% CI: 2.310–3.987), high economic status (OR: 6.691, 95% CI: 5.768–7.761), urban residence (OR: 2.947, 95% CI: 2.730–3.181), working status (OR: 0.853, 95% CI: 0.793–0.918), involvement in decision-making (OR: 0.887, 95% CI: 0.804–0.910), and having more than four visits to antenatal care centers (OR: 1.917, 95% CI: 1.783–2.061) were significant determinants of delivery at healthcare facilities. Conclusion. Efforts to improve facility-based childbirth in Indonesia must strengthen initiatives that promote women’s education, women’s autonomy, opportunities for wealth creation, and increased uptake of antenatal care, among others. Any barriers related to maternal healthcare services and cultural factors on the use of health facilities for childbirth in Indonesia require further monitoring and evaluation.

show abstract

Urban‐rural disparity and determinants of delivery care utilization in Oromia region, Ethiopia: Community‐based cross‐sectional study

Cited by 20 publications

References 9 publications

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

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

Urban and Rural Disparities in Hospital Utilization among Indonesian Adults

Determinants of Facility-Based Childbirth in Indonesia

Contact Info

Product

Resources

About