Determinants of utilization of antenatal care services among adolescent girls and young women in Indonesia

Abstract

Due to the high number of maternal deaths, provision of antenatal care services (ANC) in Indonesia is one of the key aims of the post-Millennium Development Goals agenda. This study aimed to assess the key factors determining use of ANC by adolescent girls and young women in Indonesia. Data from the Indonesia Demographic and Health Survey 2012 were used, with a focus on married adolescent girls (aged 15-19 years, n = 543) and young women (20-24 years, n = 2,916) who were mothers. Bivariate and multiple logistic regression analyses were performed to determine the factors associated with ANC use. The findings indicated that adolescents were less likely to make ANC visits than young women. Richer women were more likely to make four ANC visits in both groups compared to the poorer women. Living in urban areas, higher educational attainment, and lower birth order were also all associated with higher levels of receiving ANC among young women. The results showed that socio-economic factors were related to the use of ANC among adolescent girls and young women. Ongoing health-care interventions should thus put a priority on adolescent mothers coming from poor socio-economic backgrounds.

Factors Associated with Blood Pressure Checkup During Pregnancy Among Women of Reproductive Age in Tanzania; An Analysis of Data from the 2015-16 Tanzania Demographic and Health Survey and Malaria Indicators Survey

“…This nding re ected the ndings reported in the reviewed literature which is based on African countries [21]. The educated women tend to have greater awareness of the existence of ANC services and the bene ts of using such services [22]. On the contrary, Rurangirwa et al [19] found out that education had no any statistical signi cance.…”

“…Moreover, two studies done in Ethiopia found out that place of residence and education level of the woman contributed to status of ANC attendance for BP checkups [20,21]. Educated women have greater awareness of the existence of ANC services and the bene ts of using such services [22]. Furthermore, socioeconomic status of the woman was also a challenge.…”

“…Furthermore, socioeconomic status of the woman was also a challenge. Several studies showed that good economic status of the woman enables her to complete the required number of BP check-ups [19,22,23]. Moreover, a systematic review study that included 74 studies found out that low parity was associated with adequate ANC service utilization [23].…”

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

“…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].…”

“…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].…”