Determinants of healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017
Abstract Background Reducing maternal mortality ratio (MMR) is a high priority public health issue in developing countries such as Indonesia. The current MMR in Indonesia is 126/100,000 live births. Optimum use of available healthcare facilities for delivery can avert maternal deaths. This study aim...
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-020-09035-3 |
| _version_ | 1818481886353162240 |
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| author | Rajunitrigo Sukirman Tri Yunis Miko Wahyono Siddharudha Shivalli |
| author_facet | Rajunitrigo Sukirman Tri Yunis Miko Wahyono Siddharudha Shivalli |
| author_sort | Rajunitrigo Sukirman |
| collection | DOAJ |
| description | Abstract Background Reducing maternal mortality ratio (MMR) is a high priority public health issue in developing countries such as Indonesia. The current MMR in Indonesia is 126/100,000 live births. Optimum use of available healthcare facilities for delivery can avert maternal deaths. This study aimed to determine the factors associated with healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017. Methods We conducted a community-based cross-sectional study in 15 sub-districts of Kuantan Singingi regency from May–June 2017. We selected 320 mothers from 15 sub-districts who delivered in the last 3 months (February–April 2017). Trained data enumerators collected the relevant data by using a pre-tested semi-structured questionnaire. We used Cox regression analysis to determine the factors associated with delivery at healthcare facilities. Prevalence Ratio (PR) with a 95% confidence interval (CI) for childbirth at healthcare facilities was the key outcome measure. Results Only 54.4% (174) of the 320 mothers delivered at healthcare facilities. Knowledge about pregnancy danger signs (PR = 1.59, 95%CI:1.15–2.2), attitude towards healthcare services (PR = 0.79, 95%CI:0.33–1.89), and access to health care services (PR = 0.39, 95%CI:0.18–0.84) were the dominant factors of childbirth at healthcare facilities. There was an interaction between attitude and access to healthcare influencing delivery at healthcare facilities. Conclusions Utilization of healthcare facilities for childbirth was low in Kuantan Singingi regency. Knowledge of pregnancy danger signs was an independent correlate of childbirth at healthcare facilities. Also, the interaction between attitude and access to healthcare showed a significant influence on childbirth at healthcare facilities. We recommend strengthening of existing maternal and child health program with a particular emphasis on complete and quality antenatal care, health education on danger signs of pregnancy and childbirth, and promoting positive attitudes towards healthcare facilities. |
| first_indexed | 2024-12-10T11:41:00Z |
| format | Article |
| id | doaj.art-7a02c92620964657b39bfd8828b23533 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-10T11:41:00Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-7a02c92620964657b39bfd8828b235332022-12-22T01:50:15ZengBMCBMC Public Health1471-24582020-06-0120111010.1186/s12889-020-09035-3Determinants of healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017Rajunitrigo Sukirman0Tri Yunis Miko Wahyono1Siddharudha Shivalli2Department of Epidemiology, Faculty of Public Health, Universitas IndonesiaDepartment of Epidemiology, Faculty of Public Health, Universitas IndonesiaNon-Communicable Diseases Regional Technical Advisor, Southeast Asia Regional Office (SEARO), TEPHINET, A Program of the Task Force for Global Health, Inc.Abstract Background Reducing maternal mortality ratio (MMR) is a high priority public health issue in developing countries such as Indonesia. The current MMR in Indonesia is 126/100,000 live births. Optimum use of available healthcare facilities for delivery can avert maternal deaths. This study aimed to determine the factors associated with healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017. Methods We conducted a community-based cross-sectional study in 15 sub-districts of Kuantan Singingi regency from May–June 2017. We selected 320 mothers from 15 sub-districts who delivered in the last 3 months (February–April 2017). Trained data enumerators collected the relevant data by using a pre-tested semi-structured questionnaire. We used Cox regression analysis to determine the factors associated with delivery at healthcare facilities. Prevalence Ratio (PR) with a 95% confidence interval (CI) for childbirth at healthcare facilities was the key outcome measure. Results Only 54.4% (174) of the 320 mothers delivered at healthcare facilities. Knowledge about pregnancy danger signs (PR = 1.59, 95%CI:1.15–2.2), attitude towards healthcare services (PR = 0.79, 95%CI:0.33–1.89), and access to health care services (PR = 0.39, 95%CI:0.18–0.84) were the dominant factors of childbirth at healthcare facilities. There was an interaction between attitude and access to healthcare influencing delivery at healthcare facilities. Conclusions Utilization of healthcare facilities for childbirth was low in Kuantan Singingi regency. Knowledge of pregnancy danger signs was an independent correlate of childbirth at healthcare facilities. Also, the interaction between attitude and access to healthcare showed a significant influence on childbirth at healthcare facilities. We recommend strengthening of existing maternal and child health program with a particular emphasis on complete and quality antenatal care, health education on danger signs of pregnancy and childbirth, and promoting positive attitudes towards healthcare facilities.http://link.springer.com/article/10.1186/s12889-020-09035-3EpidemiologicDeterminantsDelivery placeHealthcare facilityIndonesia |
| spellingShingle | Rajunitrigo Sukirman Tri Yunis Miko Wahyono Siddharudha Shivalli Determinants of healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017 BMC Public Health Epidemiologic Determinants Delivery place Healthcare facility Indonesia |
| title | Determinants of healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017 |
| title_full | Determinants of healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017 |
| title_fullStr | Determinants of healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017 |
| title_full_unstemmed | Determinants of healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017 |
| title_short | Determinants of healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017 |
| title_sort | determinants of healthcare facility utilization for childbirth in kuantan singingi regency riau province indonesia 2017 |
| topic | Epidemiologic Determinants Delivery place Healthcare facility Indonesia |
| url | http://link.springer.com/article/10.1186/s12889-020-09035-3 |
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