Herwansyah Herwansyah, Czabanowska Katarzyna, Kalaitzi Stavroula, Schröder-Bäck Peter
Department of International Health, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
Public Health Study Program, Faculty of Medicine and Health Sciences, Universitas Jambi, Telanaipura, Kota Jambi 36122, Indonesia.
Healthcare (Basel). 2024 Dec 30;13(1):42. doi: 10.3390/healthcare13010042.
: The utilization of maternal health services at the primary healthcare level is still considered an effective approach despite the critical role in improving maternal health outcomes. The study aimed to assess the influence of sociodemographic characteristics and interpersonal support on the use of maternal health services in three regions of the Province of Jambi, Indonesia. : Using a mixed-methods sequential explanatory design, a quantitative survey of 432 women and qualitative focus group discussions with nine families were conducted. Quantitative data were analyzed using bivariate analysis, while the qualitative data were examined through conventional content analysis. : The research results show no significant association between sociodemographic factors (education, employment, residence) and the use of maternal health services for antenatal care and delivery. Direct support, such as accompaniment by spouses, and indirect support, including emotional encouragement and shared knowledge, were pivotal in influencing women's decisions to seek care. : Targeted interventions focusing on improving social support, addressing service accessibility barriers, and raising awareness about the benefits of community health centers are essential to enhancing maternal health outcomes. Policymakers and healthcare providers should integrate family-centered strategies to ensure women receive adequate maternal healthcare.
尽管初级医疗保健层面的孕产妇保健服务在改善孕产妇健康结果方面发挥着关键作用，但它仍被视为一种有效的方法。该研究旨在评估社会人口学特征和人际支持对印度尼西亚占碑省三个地区孕产妇保健服务利用情况的影响。：采用混合方法序列解释性设计，对432名妇女进行了定量调查，并与九个家庭进行了定性焦点小组讨论。定量数据采用双变量分析，而定性数据则通过常规内容分析进行审查。：研究结果表明，社会人口学因素（教育程度、就业情况、居住地点）与产前护理和分娩的孕产妇保健服务利用之间没有显著关联。直接支持，如配偶陪伴，以及间接支持，包括情感鼓励和知识共享，在影响妇女寻求护理的决定方面至关重要。：针对改善社会支持、解决服务可及性障碍以及提高对社区卫生中心益处的认识的有针对性干预措施，对于改善孕产妇健康结果至关重要。政策制定者和医疗保健提供者应整合以家庭为中心的策略，以确保妇女获得足够的孕产妇保健服务。
