Perkawinan Dini Dan Dampak Status Gizi Pada Anak (Analisis Data Riskesdas 2010)

Afifah, Tin

doi:10.36457/gizindo.v34i2.107

Cited by 16 publications

(20 citation statements)

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“…Finally, we used multivariate logistic regression to quantify the relationship between potential explanatory variables for maternal health outcomes adjusted by the covariate (Table 3). The analysis was conducted by STATA version 14.0, considering the corresponding Riskesdas weights, strata, primary sampling unit accordingly to the Riskesdas survey design, as published elsewhere [33,34]. Plausible covariates for maternal care utilization were the length of education, age, the birth of the first child, socioeconomic status, urban-rural location, and region by island group divided by the big islands.…”

Section: Discussionmentioning

confidence: 99%

Traditional practices influencing the use of maternal health care services in Indonesia

Aryastami

Mubasyiroh

2021

PLoS ONE

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Background Maternal Mortality Ratio (MMR) in Indonesia is still high, 305, compared to 240 deaths per 100,000 in South East Asian Region. The use of Traditional Birth Attendance (TBA) as a cascade for maternal health and delivery, suspected to be the pocket of the MMR problem. The study aimed to assess the influence of traditional practices on maternal health services in Indonesia. Methods We used two data sets of national surveys for this secondary data analysis. The samples included 14,798 mothers whose final delivery was between January 2005 and August 2010. The dependent variables were utilization of maternal healthcare, including receiving antenatal care (ANC≥4), attended by skilled birth attendance (SBA), and having a facility-based delivery (FBD). The independent variables were the use of traditional practices, type of family structure, and TBA density. We run a Multivariate logistic regression for the analysis by controlling all the covariates. Results Traditional practices and high TBA density have significantly inhibited the mother’s access to maternal health services. Mothers who completed antenatal care were 15.6% lost the cascade of facility-based delivery. The higher the TBA population, the lower cascade of the use of Maternal Health Services irrespective of the economic quintile. Mothers in villages with a high TBA density had significantly lower odds (AOR = 0.30; CI = 0.24–0.38; p<0.01) than mothers in towns with low TBA density. Moreover, mothers who lived in an extended family had positively significantly higher odds (AOR = 1.33, CI = 1.17–1.52; p<0.01) of using maternal health services. Discussion Not all mothers who have received proper antenatal delivered the baby in health care facilities or preferred a traditional birth attendance instead. Traditional practices influenced the ideal utilization of maternal health care. Maternal health care utilization can be improved by community empowerment through the maternal health policy to easier mothers get delivery in a health care facility.

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Section: Discussionmentioning

confidence: 99%

Traditional practices influencing the use of maternal health care services in Indonesia

Aryastami

Mubasyiroh

2021

PLoS ONE

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“…We analyzed data using STATA version 14.0. We conducted all analyses using the corresponding Riskesdas weights and accounting for the Riskesdas survey design, as published elsewhere (33,34). Plausible covariates for utilization of maternal care were the length of education, age, birth of first child, socioeconomic status, urban-rural location, and region by island group that divided by the big islands.…”

Section: Discussionmentioning

confidence: 99%

Traditional Practices Influencing the Use of Maternal Health Services in Indonesia

Aryastami

Mubasyiroh

2020

Preprint

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Background Although infrequent, use of traditional birth attendants (TBA) for delivery still exists in Indonesia. The maternal mortality ratio (MMR) at 305 deaths per 100,000 live births in Indonesia is higher than that of the Southeast Asian region (240), and continued use of TBA is suspected to be related to this high MMR. The objective of this analysis is to study the influence of traditional practices, family structure, and TBA density on the use of maternal health services in Indonesia.Methods Secondary data analysis involved data from two national surveys— Riset Kesehatan Dasar (Riskesdas) 2010 and the Village Potential Survey 2008. The sample included 14,798 mothers whose last delivery was between January 2005 and August 2010. The independent variables were the use of traditional practices, type of family structure, and density of TBA. The dependent variables were utilization of maternal healthcare, including receiving antenatal care (ANC) and having a facility-based delivery. Multivariate logistic regression was conducted for the analysis by controlling all the covariates. Results Disregarding the costs for delivery, traditional practices and high TBA density significantly influenced mother’s access to maternal health utilization with a negative direction which is conversely to living in extended family structure. Mothers in villages with a high TBA density had significantly lower odds of receiving complete care and facility-based delivery compared to mothers in villages with low TBA density. Moreover, mothers who lived in an extended family had higher odds of using maternal health services. Conclusions Traditional practices significantly influenced the ideal utilization of maternal health care in Indonesia. Higher TBA density in the villages significantly decreased mother’s odds of using ANC, skilled birth attendance (SBA), and the complete of maternal health services. Maternal care utilization was positively influenced by living with extended family.

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“…Pemberian beasiswa bagi keluarga miskin untuk menyelesaikan pendidikan minimal hinga SMA, merupakan salah satu alternative untuk mencegah pernikahan dini. 31,6 Rekomendasi WHO dalam rangka mengurangi kehamilan remaja (sebelum usia 20 tahun) adalah melalui pendidikan kesehatan dan seksualitas, life skill, konseling alat kontrasepsi setelah persalinan atau keguguran pada ibu remaja. 6 Limitasi dari studi ini adalah tidak memasukkan variabel ANC karena karena informasi tentang ANC pada SDKI 2017 hanya ditanya pada riwayat kehamilan anak terakhir.…”

Section: Pembahasanunclassified

Akses Remaja dengan Komplikasi Kehamilan terhadap Pelayanan Persalinan dan Kelangsungan Hidup Anak di Indonesia

Afifah

Novianti

Suparmi

et al. 2020

mpk

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Abstract Age-Specific Death Rate (ASDR) cases of maternal death are highest in the adolescent group (<20 years). Adolescent pregnancy is a risky pregnancy, so it is necessary to deliver at health facilities. A complication of pregnancy in adolescents is also at risk of childhood mortality. The study aims to assess the access of pregnant adolescents with complications to delivery facilities and the relation with the survival of the child. This study is a secondary data analysis of the 2017 Indonesia Demographic and Health Survey (IDHS). The unit of analysis of live births five years preceding survey, and mother's age birth before 35 years (14,634 live births). There are 2 dependent variables: access to delivery services (skill birth attendant and health facilities); and survival of the child (neonatal, infant and under-five mortality). Interest variables is multiple high-risk category, a combination of morbidity status (complications during pregnancy) and age adolescents (<20 years) compared adults (20-34 years). Covariate variables are parity and characteristics (mother’s education, residence and wealth index). Statistical test with logistic regression, 95%CI. All pregnancies with complications were significant association with neonatal and infant mortality. Specifically adolescent pregnancy with complications is also significantly associated with under-five mortality. In adolescents with pregnancy complications had OR neonatal mortality=7.4, OR infant mortality=4.56 and OR infant mortality=3.73, compared with adults pregnant without complication. Pregnancies ages 20-34 with complications having neonatal OR=1.95 and OR infant mortality=1.64. Pregnant adolescents are significantly associated with facilities of delivery (OR<1). The conclusions are: the access of adolescents with pregnancy complications to childbirth at the health facility is still low; adolescent pregnancy with complications is significantly related to childhood mortality and the highest risk of neonatal mortality. ABSTRAK Age Spesific Death Rate (ASDR) kasus kematian maternal tertinggi pada kelompok remaja (<20 tahun). Kehamilan pada usia remaja merupakan kehamilan berrisiko, sehingga mereka perlu akses ke fasilitas persalinan yang aman. Kehamilan dengan komplikasi pada remaja juga berisiko terhadap kematian anaknya. Tujuan studi untuk menilai akses remaja yang hamil dengan komplikasi terhadap pelayanan persalinan dan mengetahui status kelangsungan hidup anaknya. Studi ini merupakan analisis data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) 2017. Unit analisis adalah kelahiran hidup periode lima tahun sebelum survey dan saat dilahirkan usia ibu belum mencapai 35 tahun (14.634 kelahiran hidup). Variabel dependen yang diteliti ada 2: akses ke pelayanan persalinan (tenaga kesehatan dan fasilitas pelayanan kesehatan); dan kelangsungan hidup anak (kematian: neonatal, bayi, dan balita). Variabel interes adalah status ganda yaitu kombinasi status komplikasi kehamilan dan umur risiko remaja dibandingkan umur tidak berisiko (20-34 tahun). Variabel kovariat: paritas dan karakteristik (pendidikan, tempat tinggal dan indeks kekayaan). Uji statistik dengan regresi logistik, 95%CI. Semua kehamilan dengan komplikasi berhubungan signifikan dengan kematian neonatal dan bayi bila dibandingkan dengan kehamilan usia 20-34 tanpa komplikasi. Khusus kehamilan remaja dengan komplikasi juga berhubungan signifikan dengan kematian balita. Pada remaja dengan komplikasi kehamilan mempunyai OR kematian neonatal=7,4, OR kematian bayi=4,56 dan OR kematian balita=3,73. Kehamilan usia 20-34 dengan komplikasi mempunyai OR neonatal=1,95 dan OR kematian bayi=1,64. Remaja hamil berhubungan signifikan dengan persalinan di fasyankes (OR<1). Kesimpulan studi ini adalah akses remaja dengan kehamilan komplikasi terhadap persalinan di fasyankes masih rendah. Kehamilan remaja dengan komplikasi berhubungan signifikan dengan kematian anak, dan risiko paling tinggi terhadap kematian neonatus.

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Perkawinan Dini Dan Dampak Status Gizi Pada Anak (Analisis Data Riskesdas 2010)

Cited by 16 publications

References 0 publications

Traditional practices influencing the use of maternal health care services in Indonesia

Traditional practices influencing the use of maternal health care services in Indonesia

Traditional Practices Influencing the Use of Maternal Health Services in Indonesia

Akses Remaja dengan Komplikasi Kehamilan terhadap Pelayanan Persalinan dan Kelangsungan Hidup Anak di Indonesia

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