| Summary: | Background: Maternal mortality ratio in Timor Tengah Selatan District tends to
fluctuate which in 2007 it was 502.7 per 100,000 live births and in 2008 it
increased to 690.1 per 100,000 live births, and it decreased again in 2009 to 538.7
per 100,000 live births. Efforts to reduce mortality in this district have been done
with increased deliveries in health facilities. Delivery assistance in health facilities
starts from Antenatal Care (ANC) visits where women receive counseling about
safe delivery. ANC visit coverage in the district is recorded 91% of 1
st
visit and
59% of 4
th
visit, while deliveries in health facilities have reached 61%.
Objective: To determine whether women who receive counseling during ANC
will choose to give birth in a health facility in Timor Tengah Selatan District.
Methods: The study used a matched case-control design. Its population was
women who gave birth during the year 2011. The research sample was all women
who gave birth to the last child in the period of October 1 to December 31, 2011
that met the criteria for inclusion and exclusion as many as 102 people. Data
analysis used the McNemar and conditional logistic regression test with
Confidence Interval (CI) 95% and α 0.05.
Results: Multivarible analysis showed counseling during ANC had a significant
relationship to the place of delivery indicated by p value <0.05 and OR = 20.93
(95% CI 2.32 � 188.95). If did not receive counseling during ANC, low maternal
education, long travel to the nearest health facility and husband or family as
decision makers, the opportunity to deliver in non-health facility was higher.
Conclusion: There was a significant relationship between counseling during ANC
and place of delivery. Opportunities to give birth in non-health facilities were
higher in women who did not receive counseling during ANC compared with
those who received counseling.
|
|---|