Abstract
Aim
The purpose of this study was to analyse the barriers to healthcare utilization for delivery in rural Indonesia.
Subjects and methods
The included subjects were women aged 15–49 years who had given birth in the last 5 years in rural Indonesia. The sample size was 9046 women. The variables analysed included the utilization of healthcare facilities, age, education, work, marital status, parity, wealth, health insurance, autonomy of family finances, autonomy of health, knowledge of pregnancy, and antenatal care (ANC). The barriers were determined by binary logistic regression.
Results
Women with higher education were 2.288 times more likely to utilize healthcare facilities for delivery than women with no education. Multiparous women were 1.582 times more likely to use healthcare facilities for delivery than grand multiparous women. The richest women were 4.732 times more likely to use healthcare facilities for delivery than the poorest women. Women who were covered by health insurance were 1.363 times more likely to utilize healthcare facilities for delivery than women who did not have insurance. Women who knew the danger signs of pregnancy were 1.497 times more likely to use healthcare facilities for delivery than women who did not know the danger signs. Women who underwent ANC ≥ 4 times were 1.976 times more likely to use healthcare facilities for delivery than women who underwent ANC < 4 times.
Conclusion
There were six factors that were identified as barriers to the utilization of healthcare facilities for delivery in rural Indonesia. These six factors were low education, high parity, poverty, not having health insurance, not knowing the danger signs of pregnancy, and ANC < 4 times.
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Data availability
The 2017 Indonesian Demographic Data Survey (IDHS) data used to support the findings of this study were supplied by the Inner City Fund (ICF) under license and thus cannot be made freely available. Request for access to these data should be made to ICF International through its website: https://dhsprogram.com/data/new-user-registration.cfm.
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The author would like to thank ICF International, who agreed to allow the 2017 IDHS data to be analysed in this article.
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Laksono, A.D., Wulandari, R.D. The barrier to maternity care in rural Indonesia. J Public Health (Berl.) 30, 135–140 (2022). https://doi.org/10.1007/s10389-020-01274-3
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DOI: https://doi.org/10.1007/s10389-020-01274-3