Adnani Qorinah Estiningtyas Sakilah, Maulina Rufidah, Ramadhan Kadar, Argaheni Niken Bayu, Kennedy Holly Powell, Telfer Michelle
Department of Public Health, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia.
Midwifery Study Program, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.
BMC Nurs. 2025 Jul 14;24(1):912. doi: 10.1186/s12912-025-03527-6.
Maternal healthcare services during pregnancy and childbirth are essential to reducing adverse maternal and child health outcomes, including maternal and child mortality. Midwives in Indonesia play an important role in providing maternal healthcare services.
The purpose of this study is to analyze trends in midwifery care utilization for antenatal care (ANC), intranatal care (INC), and postnatal care (PNC) among Indonesian women between in 2012 and 2017, and to examine the sociodemographic, economic, and regional factors associated with access and utilization to inform strategies for improving maternal and neonatal health outcomes.
This study uses data from the Indonesia Demographic and Health Survey (IDHS) from 2012 to 2017. A total of 15,269 women aged 15-49 from the Indonesia Demographic and Health Survey (IDHS) participated in this study, consisting of 7,712 women from the 2012 survey and 7,557 from the 2017 survey. Only respondents who completed the Women's Questionnaire were included in the analysis. A multiple logistic regression model was used to analyze factors associated with midwives' engagement in maternal healthcare service provision. This study used multivariate analyses for 2012 and 2017 to examine the relationships between various socio-demographic characteristics and the utilization of specific maternal health services in Indonesia.
Several factors consistently influenced service utilization of midwifery services, including younger maternal age, secondary education, being married, without health insurance, rural residence, and higher ANC visit frequency. Women with normal births and without complications were significantly utilizing the service from midwives. Conversely, disparities remained for women in the eastern part of Indonesia and among those with higher parity.
Midwives play a critical role as accessible and trusted providers and remain central to strengthening service delivery and extending community-level reach across Indonesia. These insights offer valuable guidance for policymakers and health planners in enhancing midwife-led service coverage and improving maternal health outcomes.
Not applicable.
孕期和分娩期间的孕产妇保健服务对于降低孕产妇和儿童的不良健康结局，包括孕产妇和儿童死亡率至关重要。印度尼西亚的助产士在提供孕产妇保健服务方面发挥着重要作用。
本研究的目的是分析2012年至2017年间印度尼西亚女性产前保健（ANC）、产时保健（INC）和产后保健（PNC）中助产护理利用的趋势，并研究与获得和利用相关的社会人口学、经济和区域因素，以为改善孕产妇和新生儿健康结局的策略提供信息。
本研究使用了2012年至2017年印度尼西亚人口与健康调查（IDHS）的数据。共有15269名年龄在15 - 49岁的印度尼西亚人口与健康调查（IDHS）女性参与了本研究，其中包括2012年调查的女性7712名和2017年调查的女性7557名。分析仅纳入完成了女性问卷的受访者。使用多元逻辑回归模型分析与助产士参与提供孕产妇保健服务相关的因素。本研究对2012年和2017年进行了多变量分析，以研究印度尼西亚各种社会人口学特征与特定孕产妇保健服务利用之间的关系。
几个因素持续影响助产服务的利用，包括产妇年龄较小、接受中等教育、已婚、没有医疗保险、居住在农村以及产前检查就诊频率较高。顺产且无并发症的女性显著利用助产士服务。相反，印度尼西亚东部的女性以及多胎次女性之间仍然存在差异。
助产士作为可及且值得信赖的服务提供者发挥着关键作用，并且对于加强印度尼西亚的服务提供和扩大社区层面的覆盖范围仍然至关重要。这些见解为政策制定者和卫生规划者提高助产士主导的服务覆盖率和改善孕产妇健康结局提供了有价值的指导。
不适用。
