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Utilization of Village Midwives and Other Trained Delivery Attendants for Home Deliveries in Indonesia: Results of Indonesia Demographic and Health Survey 2002/2003 and 2007

Maternal and Child Health Journal volume 15, pages 1400–1415 (2011)Cite this article

Abstract

This study aimed to examine factors associated with utilization of village midwife and other trained delivery attendants for home deliveries. Information from 14,672 cases of the most recent home deliveries of mothers in the 5 year-period prior to the Indonesia Demographic and Health Survey 2002/2003 and 2007 were analysed. Multinomial logistic regression analysis was performed. The association between 26 factors categorised into external environment, predisposing, enabling, need and previous utilization of maternal health services, and utilization of village midwife and other trained delivery attendants, such as nurses, other midwives and doctors, for home deliveries was examined. The population attributable risk of selected significant predictors was calculated. The odds of using village midwives and other trained delivery attendants at childbirth for home deliveries increased with increasing household wealth index and levels of parental education. The odds increased among first birth, mothers who were exposed to mass media, mothers with knowledge of delivery complications, and mothers who had any delivery complications. However, mothers who attended less than four antenatal care visits, who had high parity, or who reported distance and transportation to health facilities was a major problem, had significantly reduced odds for utilizing any trained delivery attendants. Health promotion strategies to raise community awareness about the importance of safe delivery should target low educated parents, mothers from low household economic status, as well as high parity mothers. Efforts to promote antenatal care visits are likely to increase utilization of trained delivery attendants for home deliveries in Indonesia.

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Acknowledgments

We thank the Australian Agency for International Development (AusAID) for funding Christiana R Titaley PhD scholarship in International Public Health at the Sydney School of Public Health, University of Sydney, Australia. Christine L Roberts is supported by a NHMRC Research Fellowship.

Conflict of interests

None declared.

Author information

Affiliations

  1. Sydney School of Public Health, University of Sydney, Room 128C Edward Ford Building (A27), Sydney, NSW, 2006, Australia

    Christiana R. Titaley

  2. Sydney School of Public Health, University of Sydney, Room 307A Edward Ford Building (A27), Sydney, NSW, 2006, Australia

    Michael J. Dibley

  3. The Kolling Institute of Medical Research, University of Sydney, Royal North Shore Hospital, St Leonards, NSW, 2065, Australia

    Christine L. Roberts

Authors
  1. Christiana R. Titaley
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  2. Michael J. Dibley
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  3. Christine L. Roberts
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Correspondence to Christiana R. Titaley.

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Titaley, C.R., Dibley, M.J. & Roberts, C.L. Utilization of Village Midwives and Other Trained Delivery Attendants for Home Deliveries in Indonesia: Results of Indonesia Demographic and Health Survey 2002/2003 and 2007. Matern Child Health J 15, 1400–1415 (2011). https://doi.org/10.1007/s10995-010-0697-1

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  • DOI: https://doi.org/10.1007/s10995-010-0697-1

Keywords

  • Midwives
  • Trained delivery attendants
  • Home deliveries
  • Indonesia