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

Abstract

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.

Determinant of Early Marriage Adolescent to Risk Giving Birth Child in Case of Stunting

“…Cultural, ethnic, racial, and religious diversity throughout the world can be a factor causing stunting, especially in developing countries such as Indonesia, India, Africa, and others. The factors of stunting itself are very diverse, namely in addition to having to pay attention to improvements in diet, parenting, as well as improving sanitation and access to clean water, people who have many educational, cultural, and economic backgrounds can also be factors that can support high and low stunting cases (Pranata et al, 2021;Safitri et al, 2022;and Zhihui et al, 2020). The incidence of stunting toddlers can be one of the imbalanced factors in population growth, therefore the importance of controlling the number of quality population growth by paying attention to the growth and development of toddlers as potential successors of the nation (WHO, 2018;and Salam et al, 2020).…”

The effectiveness and usability of electronic partograph for obstetric care: A systematic review

“…This partograph sheet was created to gather and record all pertinent data over 12 hours, beginning with the start of contractions and ending with the delivery of the baby. This partograph helps staff members decide when labor is moving normally and when they should be equipped to step in (8)(9)(10)(11)(12).…”