Perceived Barriers in Accessing Health Care and the Risk of Pregnancy Complications in Indonesia

Abstract

Background Accessing immediate health care during pregnancy is key to preventing and treating pregnancy-related complications, which are the leading cause of maternal morbidity and mortality. As the largest archipelago country in the world, Indonesia faces the challenges of disparity in access to healthcare services across geographical regions and socioeconomic groups. Objective This study aims to assess the relationship between perceived barriers to accessing health care and the risk of pregnancy-related complications among women of reproductive age in Indonesia. Methods Data from a nationally representative sample of 15,021 last births within 5 years preceding the 2017 Indonesia Demographic and Health Survey were analyzed to examine barriers in accessing health care and the risk of having complications during pregnancy. The statistical model of logistic regression was used to investigate the effect of barriers on the risk of pregnancy complications, and results were presented as odds ratios (ORs) with 95% confidence intervals (CIs). Results The majority of women in Sumatra and Maluku–Papua regions encountered physical, cultural, and financial barriers to accessing health care. The results indicate significantly higher odds of having complications in mothers who had distance barriers (OR: 1.46, 95% CI: 1.20–1.77), relative to mothers who reported no barriers, after adjusting for women’s characteristics. Conclusion The findings suggest that it is necessary to tackle specific physical barriers by providing more developed health-care systems in rural and geographically isolated areas, to bring health services closer to home.

Health Mitigation Strategies and Challenges in Vulnerable Groups and Natives in Indonesia: A Literature Review

“…One of the prominent challenges that is mostly faced among the groups is the frustrating distance to health care provider, which is either geography related or because of the lack of transportation. 7,11,16,18 This finding has been consistent to previous studies in other parts of the world like in Canada and Brazil. 19,20 Various geographical condition in Indonesia, ranging from mountains and islands, has been a homework for the government, and as Rizkianti et al 7 suggests, the solution should involve the active participation of the health sectors, local administration, and communities is essential in addressing these obstacles and providing assistance to reduce delays in accessing healthcare services, which can be achieved by improving geographical access, ensuring the availability of emergency transport, and integrating these efforts into local development initiatives.…”

“…Factors such as poverty, limited access to healthcare services, cultural beliefs and practices, stigma, discrimination, and inadequate health infrastructure play significant roles in shaping health outcomes. [5][6][7][8][9][10][11][12] Recognizing and addressing these factors is essential for the development of effective health interventions that are sensitive to the needs and realities of vulnerable groups and natives.…”

Otolaryngology - Head and Neck Surgery in Post-War Mekele, Ethiopia: An Application of the Three Delay Model to Explore Barriers to Care

“…Additionally, otologic interventions require unique training and equipment only found in our tertiary referal center. Existing literature accentuates the detrimental consequences of such physical barriers, further validating our ndings 5,6,13 . Conversely, otologic complaints registered the least frequency in type 3 delays, hinting at the su ciency of the workforce and overall capability in this domain.…”

Edukasi Keluarga Dalam Penentuan Penerapan Posisi Persalinan Yang Menguntungkan Pada Ibu Bersalin

“…Wanita dalam masa kehamilan banyak mengalami perubahan, baik fisik maupun psikologis sehingga akan membuat tingkat kecemasan meningkat dan hormon kebahagiaan menurun khususnya pada ibu primigravida menjelang persalinan (Yanti, 2022). Mengakses perawatan kesehatan segera selama kehamilan adalah kunci untuk mencegah dan mengobati komplikasi terkait kehamilan, yang merupakan penyebab utama morbiditas dan mortalitas ibu (Rizkianti et al, 2021). Ibu hamil mengelola tingkat stres saat menghadapi persalinan dengan dibantu video edukasi yang bisa diterapkan dirumah serta menambah wawasan tentang persiapan persalinan (Anggeni & Yuanita, 2022).…”