ABSTRACT
Background: Young people is a vulnerable period of the emergence of various problems that may occur especially to those who are pregnant. The study was aimed to analyze the determinants of healthcare childbirth among young people in Indonesia in 2017.
Design and Methods: The samples of this study were young people (15-24 yo.) who labored in the last 5 years, and there were 3,235 female young people involved. The study analyzed some variables, such as childbirth healthcare, a type of residence, age, education, employment, marital, parity, wealth, insurance, the autonomy of family finances, the autonomy of health, knowledge of pregnancy danger signs, and ANC. The data were analyzed by binary logistic regression.
Results: Young people in urban were 2.23 times more likely to attend healthcare childbirth than those in rural (95%CI 1.84-2.70). Young people who completed secondary education were 4.12 times more likely to undergo delivery care than no education (95% CI 1.51-11.23). The richest were 5.60 times more likely to experience delivery care than the poorest (95%CI 3.52-8.93). Health insurance gave 1.44 possibilities for undergoing labor and delivery care (95%CI 1.22-1.70). Besides, knowing the danger signs of pregnancy allowed 1.50 times the possibilities for them to access labor and delivery care (95%CI 1.27-1.78). Young people with ANC visits of ≥4 times had more 1.68 times possibilities for taking healthcare childbirth compared to those with that of <4 times (95%CI 1.38-2.06).
Conclusions: The study concluded that the determinants of healthcare childbirth among female adolescents in Indonesia included a residence, education, wealth, insurance, knowledge of pregnancy danger signs, and ANC.
REFERENCES
Sawyer SM, Azzopardi PS, Wickremarathne D, Patton GC. The age of adolescence. Lancet Child Adolesc Health 2018;2:223–8.
World Health Organization. Adolescent health in the South-East Asia Region. 2019. [cited 2020 Feb 7]. Available from: https://www.who.int/southeastasia/health-topics/adolescent-health
World Health Organization. Regional Office for South-East Asia. Strategic Guidance on Accelerating Actions for Adolescent Health in South-East Asia Region (2018–2022). New Delhi; 2018. p. 13.
BKKBN. Indonesia Demographic and Health Survey 2017: Adolescent Reproductive Health. Jakarta; 2018.
Raharja M. Adolescent fertility in Indonesia (Fertilitas remaja di Indonesia). Kesmas J Kesehat Masy Nas 2014;9:6–13.
Harianja AJ. Early marriage rates in indonesia are still high (Angka Pernikahan Dini di Indonesia Masih Tinggi) [in Indonesian]. 2019. [cited 2020 Feb 4]. p. 1. Available from: https://www.idntimes.com/news/indonesia/axel-harianja/bkkbn-angka-pernikahan-dini-di-indonesia-masih-tinggi/full
Ahyani S. [Religious court considerations for early marriage marriage dispensation due to pregnancy outside marriage].[Article in Indonesian]. J Wawasan Huk 2016;34:1-7.
Republic of Indonesia. Law Number 16 of 2019 concerning Amendments to Law 1 of 1974 concerning Marriage [in Indonesian]. 2019 p. 1–30.
Wulandari RD, Laksono AD. Education as predictor of the knowledge of pregnancy danger signs in Rural Indonesia. Int J Innov Creat Chang 2020;13:1037–51.
Handayani OWK, Wiranti I, Raharjo BB, Nugroho E. The reproduction health behavior of high school teenagers in Semarang, Indonesia. Open Public Health J 2019;12:309-14.
Wulandari RD, Laksono AD. Determinants of knowledge of pregnancy danger signs in Indonesia. PLoS One 2020;15:e0232550.
Laksono AD, Rukmini R, Wulandari RD. Regional disparities in antenatal care utilization in Indonesia. PLoS One 2020;15:e0224006.
Ministry of Health of the Republic of Indonesia. Republic of Indonesia Minister of Health Regulation Number 99/2015 concerning Health Services at National Health Insurance. Indonesia; 2015.
Laksono AD, Wulandari RD, Soedirham O. Urban and rural disparities in hospital utilization among Indonesian adults. Iran J Public Health 2019;48:247–55.
Wulandari RD, Laksono AD. Urban-rural disparity: The utilization of primary health care center among elderly in East Java, Indonesia. Indones J Health Adm 2019;7:147–54.
Tille F, Röttger J, Gibis B, et al. Patients’ perceptions of health system responsiveness in ambulatory care in Germany. Patient Educ Couns 2019;102:162–71.
Laksono AD, Wulandari RD. The barrier to maternity care in rural Indonesia. J Public Health (Berl.) 2020. doi: 10.1007/s10389-020-01274-3
Laksono AD, Wulandari RD, Efendi F. Determinants of hospital utilisation among urban poor societies in Indonesia. Int J Innov Creat Chang 2020;12:375–87.
Izudi J, Akwang DG, McCoy SI, et al. Effect of health education on birth preparedness and complication readiness on the use of maternal health services: A propensity score-matched analysis. Midwifery 2019;78:78–84.
Luy M, Zannella M, Wegner-Siegmundt C, et al. The impact of increasing education levels on rising life expectancy: a decomposition analysis for Italy, Denmark, and the USA. Genus 2019;75:11.
Gize A, Eyassu A, Nigatu B, et al. Men’s knowledge and involvement on obstetric danger signs, birth preparedness and complication readiness in Burayu town, Oromia region, Ethiopia. BMC Pregnancy Childbirth 2019;19):515.
Yaya S, Bishwajit G, Gunawardena N. Socioeconomic factors associated with choice of delivery place among mothers: A population-based cross-sectional study in Guinea-Bissau. BMJ Glob Health 2019;4:e001341.
Woldeamanuel BT, Gelebo KK. Statistical analysis of socioeconomic and demographic correlates of perinatal mortality in Tigray region, Ethiopia: A cross sectional study. BMC Public Health 2019;19:1301.
Barman B, Saha J, Chouhan P. Impact of education on the utilization of maternal health care services: An investigation from National Family Health Survey (2015–16) in India. Child Youth Serv Rev 2020;108:104642.
Tsawe M, Sathiya Susuman A. Factors associated with the upsurge in the use of delivery care services in Sierra Leone. Public Health 2020;180:74–81.
Dewi A, Mukti AG. The strategy to achieve universal health coverage membership in Indonesia. Res J Pharm Technol 2018;11:1774–7.
Laksono AD, Wulandari RD, Soedirham O. Regional disparities of health center utilization in rural Indonesia. Malaysian J Public Heal Med 2019;19:158-66.
Suharmiati S, Laksono AD, Astuti WD. [Policy review on health services in primary health center in the border and remote area].[Article in Indonesian]. Bull Heal Syst Res 2013;16:109-16.
Senewe FP, Elsi E. Descriptive Analysis to environment health in less development, borderlands, archipelagoes and remote areas (DTPK-T). Media Litbangkes 2014;24:153–60.
Than KK, Morgan A, Pham MD, et al. Determinants of knowledge of critical danger signs, safe childbirth and immediate newborn care practices among auxiliary midwives: A cross sectional survey in Myanmar. BMJ Open 2017;7:e017180.
Puspita Y, Susanti E. [Counseling for pregnant women classes about P4K].[Article in Indonesian]. J Media Kesehat 2017;10:78–83.
Jinga N, Mongwenyana C, Moolla A, et al. Reasons for late presentation for antenatal care, healthcare providers’ perspective. BMC Health Serv Res 2019;19:1016.
Iacoella F, Tirivayi N. Determinants of maternal healthcare utilization among married adolescents: Evidence from 13 Sub-Saharan African countries. Public Health 2019;177:1-9.
Indonesian Ministry of Health Data and Information Center. Guidelines for National Standards for Adolescent Health Care Services (Pedoman Standar Nasional Pelayanan Kesehatan Peduli Remaja) [in Indonesian]. Jakarta: Indonesian Ministry of Health; 2018. 1–40 p. Available from: http://kesga.kemkes.go.id/images/pedoman/Buku SNPKPR 2018.pdf