Inspecting Primary Healthcare Centers  in Remote Areas: Facilities, Activities,  and Finances

Soewondo, Prastuti; Johar, Meliyanni; Pujisubekti, Retno; Halimah, Halimah; Irawati, Dwi Oktiana

doi:10.20473/jaki.v7i1.2019.89-98

Cited by 21 publications

(19 citation statements)

References 10 publications

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“…Our findings are comparable to the available evidence [43]. The reasonable explanation is the difference in remoteness, road and transport access, accessibility of health facilities, skilled health personnel and quality of care in the health care facilities [49].…”

Section: Discussionsupporting

confidence: 87%

Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey

Shibre

Zegeye²,

Idriss-Wheeler

et al. 2020

BMC Public Health

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Background: In African countries, including Angola, antenatal care (ANC) coverage is suboptimal and maternal mortality is still high due to pregnancy and childbirth-related complications. There is evidence of disparities in the uptake of ANC services, however, little is known about both the socioeconomic and geographic-based disparity in the use of ANC services in Angola. The aim of this study was to assess the extent of socioeconomic , urban-rural and subnational inequality in ANC coverage in Angola. Methods: We analyzed data from the 2015 Angola Demographic and Health Survey (ADHS) using the World Health Organization (WHO) Health Equity Assessment Toolkit (HEAT) software. The analysis consisted of disaggregated ANC coverage rates using four equity stratifiers (economic status, education, residence, and region) and four summary measures (Difference, Population Attributable Risk, Ratio and Population Attributable Fraction). To measure statistical significance, an uncertainty interval (UI) of 95% was constructed around point estimates. Results: The study showed both absolute and relative inequalities in coverage of ANC services in Angola. More specifically, inequality favored women who were rich (

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Section: Discussionsupporting

confidence: 87%

Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey

Shibre

Zegeye²,

Idriss-Wheeler

et al. 2020

BMC Public Health

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show abstract

“…Geographically, conditions in eastern Indonesia also show more extreme variability than conditions in the western regions. These conditions make some parts of eastern Indonesia fall in the category of an isolated or remote area [20][21][22], and some other areas are quite difficult to reach because of the limited means of available roads and public transportation [19].…”

Section: Discussionmentioning

confidence: 99%

Regional disparities in antenatal care utilization in Indonesia

2020

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Introduction The main strategy for decreasing maternal morbidity and mortality has been antenatal care (ANC). ANC aims to monitor and maintain the health and safety of the mother and the fetus, detect all complications of pregnancy and take the necessary actions, respond to complaints, prepare for birth, and promote a healthy lifestyle. This study aims to analyze interregional disparities in �4 ANC visits during pregnancy in Indonesia. Methods Data was acquired from the 2017 Indonesian Demographic and Health Survey (IDHS). The unit of analysis was women aged 15-49 years old, and a sample of 15,351 women was obtained. In addition to ANC as the dependent variable, the other variables analyzed in this study were a place of residence, age, husband/partner, education, parity, wealth status, and health insurance. For the final analysis, binary logistic regression was used to determine disparity. Results With the Papua region as a reference, all regions showed a gap except for the Maluku region, which was not significantly different in the use of ANC compared to the Papua region. Women in the Nusa Tenggara have 4.365 times the chance of making �4 ANC visits compared to those in the Papua region (95% CI 3.229-5.899). Women in Java-Bali have 3.607 times the chance of making �4 ANC visits compared to women in the Papua region (95% CI 2.741-4.746). Women in Sumatra have 1.370 times the chance of making �4 ANC visits compared to women in the Papua region (95% CI 1.066-1.761). Women in Kalimantan have 2.232 times the chance of making �4 ANC visits compared to women in the Papua region (1.664-2.994). Women in Sulawesi have 1.980 times more chance of making �4 ANC visits compared to women in the Papua region (1.523-2.574). In addition to the region category, other variables that contributed to the predictor were age, husband/partner, education, parity, wealth and insurance.

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“…Geographically, conditions in Eastern Indonesia also show more extreme variability than Western regions. This condition makes some parts of the East in the category of isolated or remote area [17][18], and some other areas are quite difficult to reach because of the limited means of roads and public transportation available [19].…”

Section: Discussionmentioning

confidence: 99%

Regional Disparities of Antenatal Care Utilization in Indonesia

Laksono

Rukmini

Wulandari

2019

Preprint

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Introduction:The main strategy for decreasing maternal morbidity and mortality with antenatal care (ANC). ANC aims to monitor and maintain the health and safety of the mother and fetus, detect all complications of pregnancy and take the necessary actions, respond to complaints, prepare for birth, and promote healthy living behavior. The study aims to analyze inter-regional disparities in ≥4 ANC visits during pregnancy in Indonesia. Methods: Data sources from 2017 Indonesian Demographic and Health Survey (IDHS). With an analysis unit of women aged 15-49 years old, a sample of 15,351 women was obtained. Besides 2 ANC as the dependent variable, other variables analyzed were place of residence, age, husband/partner, education, parity, wealth status, and health insurance. Analysis using Binary Logistic Regression for the final test to determine disparity. Results: All regions show a gap with the Papua region as a reference, except the Maluku region which was not significant shows differences in the use of ANC compared to the Papua. Women in the Nusa Tenggara have 4,365 chances of making ≥4 ANC visits compared to the Papua region.Women in Java-Bali have 3,607 times more chances to make ≥4 ANC visits than women in the Papua region. Women in Sumatra have 1,370 chances of making ≥4 ANC visits compared to women in the Papua region. Women in Kalimantan have 2.232 times made ≥4 ANC visits compared to women in the Papua region. Women in Sulawesi have 1,980 times more than AN4ANC visits compared to women in the Papua region. In addition to the region category, other variables found to contribute to the predictor were age, husband/partner, education, parity, wealth and insurance.Conclusion: There were disparities between regions in the ANC utilization in Indonesia.Keyword: antenatal care, the barrier of utilization, mother health

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Inspecting Primary Healthcare Centers in Remote Areas: Facilities, Activities, and Finances

Cited by 21 publications

References 10 publications

Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey

Socioeconomic and geographic variations in antenatal care coverage in Angola: further analysis of the 2015 demographic and health survey

Regional disparities in antenatal care utilization in Indonesia

Regional Disparities of Antenatal Care Utilization in Indonesia

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