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印度尼西亚母亲利用产妇保健服务的决定因素:基于人群的研究。

Determinants of maternal healthcare service utilisation among Indonesian mothers: A population-based study.

机构信息

Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.

Research Group of Community Health, Surabaya, Indonesia.

出版信息

F1000Res. 2021 Nov 8;10:1124. doi: 10.12688/f1000research.73847.2. eCollection 2021.

Abstract

In Indonesia, maternal health care services are widely available, aiming to improve health and survival among mothers. However, these services remain underutilised, and its determining factor was unknown. This study sought to identify determinant factors of maternal healthcare services utilisation among Indonesian mothers. This population-based cross-sectional study leveraged the 2017 Indonesia Demographic and Health Survey data. A total of 12,033 mothers aged from 15 to 49 years who had a live birth in the five years preceding the survey were included in the analysis. Multivariable logistic regressions were used to identify the determinant factors. Approximately 93.44% of the mothers had adequate antenatal care, 83.73% had a delivery at the healthcare facility, and 71.46% received postnatal care. The mother's age and household wealth index were the typical determinants of all maternal healthcare services. Determinants of antenatal care visits were husband's occupational status, the number of children, and access to the healthcare facility. Next, factors that drive mothers' delivery at the healthcare facility were the mother's education level, husband's educational level, and residential area. The use of postnatal care was determined by the mother's occupational status, husband's educational level, number of children, wealth index, access to the healthcare facility, and residential area.  The utilisation of each maternal healthcare service was determined by various socio-structural and intermediary determinants, but the mother's age and household wealth index were emerged as the typical determinants of all maternal healthcare services. Providing maternal healthcare services that are adjusted and tuned with these socio determinant factors may ensure that mothers can adequately utilise each service.

摘要

在印度尼西亚,孕产妇保健服务广泛可用,旨在改善母亲的健康和生存状况。然而,这些服务的利用率仍然很低,其决定因素尚不清楚。本研究旨在确定印度尼西亚母亲利用孕产妇保健服务的决定因素。这项基于人群的横断面研究利用了 2017 年印度尼西亚人口与健康调查数据。共纳入了 12033 名年龄在 15 至 49 岁之间、在调查前五年内有活产的母亲。使用多变量逻辑回归来确定决定因素。大约 93.44%的母亲有足够的产前护理,83.73%在医疗机构分娩,71.46%接受了产后护理。母亲的年龄和家庭财富指数是所有孕产妇保健服务的典型决定因素。产前护理次数的决定因素是丈夫的职业状况、子女数量和获得医疗保健设施的机会。其次,促使母亲在医疗机构分娩的因素是母亲的教育水平、丈夫的教育水平和居住区域。使用产后护理取决于母亲的职业状况、丈夫的教育水平、子女数量、财富指数、获得医疗保健设施的机会和居住区域。每一项孕产妇保健服务的利用都受到各种社会结构和中介决定因素的影响,但母亲的年龄和家庭财富指数是所有孕产妇保健服务的典型决定因素。提供与这些社会决定因素相适应和调整的孕产妇保健服务,可能确保母亲能够充分利用每一项服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e1e/9086522/f4ab03a7421d/f1000research-10-132419-g0000.jpg

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