TY - JOUR
T1 - Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia
AU - Herwansyah, H
AU - Czabanowska, Katarzyna
AU - Kalaitzi, Stavroula
AU - Schroder-Back, P.
N1 - Funding Information:
The authors greatly acknowledge ADB-AKSI Universitas Jambi for funding the study. The authors are also grateful to the three research assistants who were involved in data collection. The study participants and the Government of three study settings (Municipality of Jambi, Municipality of Sungai Penuh and Merangin Regency) are also gratefully acknowledged for providing valuable information and assistance.
Funding Information:
This study was part of a PhD studentship funded by Asian Development Bank—Advanced Knowledge and Skills for Sustainable Growth Project (ADB-AKSI) Universitas Jambi No. B/139/04.2/SP.02.0/2019. ADB-AKSI Universitas Jambi is not involved in any other aspect of the study, such as the design of the study protocol, data collection, data analysis, interpretation of the result and publication.
Publisher Copyright:
© 2022 by the authors.
PY - 2022/7/11
Y1 - 2022/7/11
N2 - The Maternal Mortality Ratio in Indonesia has remained high, making it a national priority. The low utilization of maternal health services at community health centers is considered to be one of the reasons for poor maternal health status. This study aims to assess the influence of sociodemographic factors on utilization of maternal health services. The analysis was completed using binary and logistic regression to examine the association between sociodemographic variables and maternal health services utilization. A total of 436 women participated in the survey. In the multivariable analysis, age, education, ethnicity, parity status, distance to health centers and insurance ownership were associated with the utilization of maternal health services. Ethnicity (OR, 2.1; 95% confidence interval, 1.4–3.3) and distance to the CHC (OR, 0.5; 95% confidence interval, 0.3–0.8) were significantly associated with ANC visits. The association between parity and place of delivery was statistically significant (OR, 0.8; 95% confidence interval, 0.5–1.4). A positive association between basic health insurance ownership and PNC services was reported (OR, 0.3; 95% confidence interval, 0.1–0.6). Several sociodemographic factors were positively associated with the utilization of maternal health services at the CHCs. The required measures to improve the utilization of maternal health services at the CHCs level have to take into consideration the sociodemographic factors of reproductive age women.
AB - The Maternal Mortality Ratio in Indonesia has remained high, making it a national priority. The low utilization of maternal health services at community health centers is considered to be one of the reasons for poor maternal health status. This study aims to assess the influence of sociodemographic factors on utilization of maternal health services. The analysis was completed using binary and logistic regression to examine the association between sociodemographic variables and maternal health services utilization. A total of 436 women participated in the survey. In the multivariable analysis, age, education, ethnicity, parity status, distance to health centers and insurance ownership were associated with the utilization of maternal health services. Ethnicity (OR, 2.1; 95% confidence interval, 1.4–3.3) and distance to the CHC (OR, 0.5; 95% confidence interval, 0.3–0.8) were significantly associated with ANC visits. The association between parity and place of delivery was statistically significant (OR, 0.8; 95% confidence interval, 0.5–1.4). A positive association between basic health insurance ownership and PNC services was reported (OR, 0.3; 95% confidence interval, 0.1–0.6). Several sociodemographic factors were positively associated with the utilization of maternal health services at the CHCs. The required measures to improve the utilization of maternal health services at the CHCs level have to take into consideration the sociodemographic factors of reproductive age women.
KW - CARE SERVICES
KW - ETHIOPIA
KW - WOMEN
KW - community health centers
KW - maternal health services
KW - sociodemographic
UR - https://www.mdpi.com/1660-4601/19/14/8459
U2 - https://doi.org/10.3390/ijerph19148459
DO - https://doi.org/10.3390/ijerph19148459
M3 - Article
SN - 1660-4601
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 14
M1 - 8459
ER -