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Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia

Author

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  • Herwansyah Herwansyah

    (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)

  • Katarzyna Czabanowska

    (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
    Department of Health Policy Management, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University, 31-007 Krakow, Poland)

  • Stavroula Kalaitzi

    (Department of Global Health, Richard M. Fairbanks School of Public Health, Indiana University, Bloomington, IN 47405, USA)

  • Peter Schröder-Bäck

    (Institute of History and Ethics of Police and Public Administration (IGE), University of Applied Sciences for Police and Public Administration, North Rhine-Westphalia, 52068 Aachen, Germany)

Abstract

The Maternal Mortality Ratio in Indonesia has remained high, making it a national priority. The low utilization of maternal health services at community health centers is considered to be one of the reasons for poor maternal health status. This study aims to assess the influence of sociodemographic factors on utilization of maternal health services. The analysis was completed using binary and logistic regression to examine the association between sociodemographic variables and maternal health services utilization. A total of 436 women participated in the survey. In the multivariable analysis, age, education, ethnicity, parity status, distance to health centers and insurance ownership were associated with the utilization of maternal health services. Ethnicity (OR, 2.1; 95% confidence interval, 1.4–3.3) and distance to the CHC (OR, 0.5; 95% confidence interval, 0.3–0.8) were significantly associated with ANC visits. The association between parity and place of delivery was statistically significant (OR, 0.8; 95% confidence interval, 0.5–1.4). A positive association between basic health insurance ownership and PNC services was reported (OR, 0.3; 95% confidence interval, 0.1–0.6). Several sociodemographic factors were positively associated with the utilization of maternal health services at the CHCs. The required measures to improve the utilization of maternal health services at the CHCs level have to take into consideration the sociodemographic factors of reproductive age women.

Suggested Citation

  • Herwansyah Herwansyah & Katarzyna Czabanowska & Stavroula Kalaitzi & Peter Schröder-Bäck, 2022. "Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:14:p:8459-:d:860000
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    References listed on IDEAS

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    4. Duong, Dat V & Binns, Colin W & Lee, Andy H, 2004. "Utilization of delivery services at the primary health care level in rural Vietnam," Social Science & Medicine, Elsevier, vol. 59(12), pages 2585-2595, December.
    5. Lisa Cameron & Diana Contreras Suarez & Katy Cornwell, 2019. "Understanding the determinants of maternal mortality: An observational study using the Indonesian Population Census," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-18, June.
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