Pattimura University, Ambon, Indonesia.
Padjadjaran University, Bandung, Indonesia.
Asia Pac J Public Health. 2020 Sep-Oct;32(6-7):310-319. doi: 10.1177/1010539520944716. Epub 2020 Jul 30.
Our study examined factors associated with the utilization of health services in children younger than 5 years with acute respiratory infections (ARIs) symptoms in Indonesia. Data were derived from the 2012 and 2017 Indonesia Demographic and Health Survey. Information from 1408 children younger than 5 years showing ARI symptoms in the past 2 weeks before the survey was analyzed using logistic regression analyses. Around 25% of children younger than 5 years with ARI symptoms did not receive medical care. The odds of receiving care increased in mothers from rich households. The odds reduced in children aged 2 or more years; children of mothers not assisted by trained delivery attendants; mothers attending none or <4 antenatal visits; mothers delivering at home, and mothers reporting that permission to visit health services was a problem. Efforts to improve care-seeking behavior are required. Health promotion strategies and interventions to improve access to reach community not regularly exposed to health services are important.
本研究调查了与印尼 5 岁以下急性呼吸道感染(ARI)症状儿童利用卫生服务相关的因素。数据来自 2012 年和 2017 年印度尼西亚人口与健康调查。使用逻辑回归分析对调查前 2 周内出现 ARI 症状的 1408 名 5 岁以下儿童的信息进行了分析。约有 25%的出现 ARI 症状的 5 岁以下儿童未接受医疗护理。来自富裕家庭的母亲接受护理的可能性增加。2 岁或以上的儿童的可能性降低;未接受经培训的接生员帮助的儿童;母亲接受的产前检查次数少于 4 次或没有接受检查;在家分娩的母亲,以及母亲报告说获得卫生服务许可有问题的儿童。需要努力改善寻求医疗服务的行为。促进健康的策略和干预措施,以改善无法定期获得卫生服务的社区的可达性,这一点很重要。