Idris Haerawati
Faculty of Public Health, Sriwijaya University, Indralaya, Ogan Ilir, South Sumatera 30662, Indonesia.
Belitung Nurs J. 2022 Aug 18;8(4):311-315. doi: 10.33546/bnj.2095. eCollection 2022.
Developing countries, including Indonesia, commonly face maternal mortality as a public health concern, which needs special attention. Using maternal delivery services in health facilities may reduce maternal mortality. However, little is known about the general use of delivery services in health facilities in rural areas, Indonesia.
This study aimed to analyze determinants in choosing delivery places in rural areas of Indonesia.
A cross-sectional quantitative design with secondary data from the 2014 Indonesian Family Life Survey (IFLS) was used in this study. There were 2,389 mothers aged 15-49 years in rural areas were included. Data were analyzed using a logistic regression test.
It was found that 67% of mothers gave birth in health facilities. Tertiary and secondary education levels, residence in Java and Bali regions, economic status, insurance ownership, and job status were significantly related to the choice of delivery place in health facilities. Tertiary education was the most dominant factor correlated with the use of delivery services in health facilities ( < 0.001; = 4.55; 3.751-5.542).
Education is the key factor associated with the choice of delivery place. Therefore, it is suggested that the government and healthcare workers, especially nurses and midwives, improve mothers' education and provide strategies to increase knowledge in choosing delivery services to enhance their health outcomes.
包括印度尼西亚在内的发展中国家，普遍面临孕产妇死亡率这一公共卫生问题，需要特别关注。在医疗机构使用孕产妇分娩服务可能会降低孕产妇死亡率。然而，对于印度尼西亚农村地区医疗机构分娩服务的总体使用情况知之甚少。
本研究旨在分析印度尼西亚农村地区选择分娩地点的决定因素。
本研究采用横断面定量设计，使用2014年印度尼西亚家庭生活调查（IFLS）的二手数据。纳入了2389名年龄在15 - 49岁的农村母亲。数据采用逻辑回归检验进行分析。
发现67%的母亲在医疗机构分娩。高等和中等教育水平、居住在爪哇和巴厘地区、经济状况、保险拥有情况以及就业状况与在医疗机构选择分娩地点显著相关。高等教育是与在医疗机构使用分娩服务最相关的主导因素（<0.001；=4.55；3.751 - 5.542）。
教育是与选择分娩地点相关的关键因素。因此，建议政府和医护人员，特别是护士和助产士，提高母亲的教育水平，并提供策略以增加选择分娩服务方面的知识，从而改善她们的健康状况。
