Research Group for Health and Well-Being of Women and Children, Universitas Airlangga, Surabaya, Indonesia.
Department of Epidemiology, Biostatistics, Population Studies and Health Promotion, Faculty of Public Health, Universitas Airlangga, Banyuwangi Campus, Jl. Wijaya Kusuma No. 113, Banyuwangi, East Java, 68425, Indonesia.
Matern Child Health J. 2022 Mar;26(3):545-555. doi: 10.1007/s10995-021-03324-y. Epub 2022 Jan 11.
The coverage of postnatal care (PNC) is among the lowest globally when compared with other maternal and child interventions. This study aims to assess PNC utilisation in Indonesia and its association with women's empowerment indicators to provide evidence for the need for policy change.
Data from the 2017 Indonesian Demographic Health Surveys was analyzed for any use of PNC, early first PNC (within 2 days of birth) and PNC after discharge for newborns. Women's empowerment factors were calculated using a principal component analysis of 17 indicators. The association between women's empowerment factors and PNC was assessed using logistic regression adjusted for covariates and complex survey design.
The prevalence of any PNC by skilled professionals in Indonesia was high but PNC after discharge was very low. Labor-force participation and women's knowledge level were associated with any PNC, but the association between women's knowledge level and any PNC was modified by place of birth. Disagreement towards justification of wife beating and women's knowledge level were associated with early PNC but the association was modified by place of birth. Decision-making power was also associated with early PNC but modified by infant's gender. Disagreement towards justification of wife beating was negatively associated with PNC after discharge, but the association between decision-making power and PNC after discharge was modified by the infant's size at birth.
PNC coverage after discharge in Indonesia needs improvement. Women's empowerment indicators need to be addressed in improving PNC coverage.
与其他母婴干预措施相比，印度尼西亚的产后护理（PNC）覆盖率在全球范围内处于最低水平。本研究旨在评估印度尼西亚的 PNC 利用情况及其与妇女赋权指标的关联，为政策变革提供依据。
对 2017 年印度尼西亚人口与健康调查的数据进行了分析，以评估任何形式的 PNC、新生儿出生后 2 天内的早期首次 PNC 和新生儿出院后的 PNC。使用 17 项指标的主成分分析来计算妇女赋权因素。使用调整了协变量和复杂调查设计的逻辑回归来评估妇女赋权因素与 PNC 之间的关联。
印度尼西亚熟练专业人员提供的任何 PNC 的流行率很高，但新生儿出院后的 PNC 非常低。劳动力参与和妇女的知识水平与任何 PNC 相关，但妇女的知识水平与任何 PNC 之间的关联因出生地而异。对打老婆合理化的分歧和妇女的知识水平与早期 PNC 相关，但这种关联因出生地而异。决策能力也与早期 PNC 相关，但与婴儿性别有关。对打老婆合理化的分歧与新生儿出院后的 PNC 呈负相关，但决策能力与新生儿出院后的 PNC 之间的关联因婴儿出生时的大小而异。
印度尼西亚需要改善新生儿出院后的 PNC 覆盖率。需要解决妇女赋权指标，以提高 PNC 覆盖率。
