Regional Disparities of Facility-Based Childbirth in Indonesia
DOI:
https://doi.org/10.48048/tis.2021.387Keywords:
Childbirth, Regional disparities, Healthcare evaluation, Maternal health, IndonesiaAbstract
Specifically, the characteristics of regions in Indonesia are unique. The situation is because the division of the region refers to the main islands. The study aims to analyze regional disparities of childbirth services in Indonesia. Meanwhile, the analysis in this study uses raw data from the 2017 Indonesian Demographic Health Survey (IDHS). The IDHS used stratification and multistage random sampling. The sample used in this study was 17,769 women aged 15 - 49 years with live births in the last 5 years. The study employed all region (7 regions) in the analysis, and analyzed data using the binary logistic regression test. The result shows national average of the utilization of healthcare facilities for delivery in Indonesia is 72.0 %. The 3 highest-ranking regions were in the Java-Bali region with 89.5 %, Sumatra region 73.5 %, and Kalimantan region 69.1 %. The study shows a significant disparity between all regions than the Papua region, except for Kalimantan and Sulawesi regions. Sumatra region has 1.475 times more possibilities to utilize healthcare facilities for delivery than the Papua region. The Java-Bali region has 3.010 times more potential to use healthcare facilities for delivery than the Papua region. The Nusa Tenggara region has 1.891 times more opportunities to use healthcare facilities for delivery than the Papua region. At the same time, the Maluku region has lower utilization than the Papua region. Maluku region has the possibility of 0.304 times utilizing healthcare facilities for delivery than the Papua region. The study concluded that there were significant disparities between regions in using healthcare facilities for delivery in Indonesia.
HIGHLIGHTS
- Indonesia has made many efforts in shifting labor into health care facilities. However, this increase is still lacking, and in some cases, the community still feels that the health services received are not expected
- The characteristics of regions in Indonesia are unique. Economic and development movements between regions keep the development gap between areas continuing. Disparity as a result of this development also affects the accessibility of the community to health service facilities
- The study proved there were disparities between regions in using healthcare facilities for delivery in Indonesia
GRAPHICAL ABSTRACT
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National Institute of Health Research and Development of The Indonesia Ministry of Health. The 2018 Indonesia Basic Health Survey (Riskesdas): National report. Jakarta, Indonesia, 2019.
H Megatsari, AD Laksono, IA Ridlo, M Yoto and AN Azizah. Community perspective about health services access. Bull. Health Syst. Res. 2018; 21, 247-53.
AD Laksono, RD Wulandari and O Soedirham. Urban and rural disparities in hospital utilization among Indonesian adults. Iran. J. Publ. Health 2019; 48, 247-55.
D Kenea and H Jisha. Urban-rural disparity and determinants of delivery care utilization in Oromia region, Ethiopia: Community-based cross-sectional study. Int. J. Nurs. Pract. 2017; 23, e12510.
J Li, L Shi, H Liang, G Ding and L Xu. Urban-rural disparities in health care utilization among Chinese adults from 1993 to 2011. BMC Health Serv. Res. 2018; 18, 102.
AD Laksono, RD Wulandari and R Rukmini. The determinant of healthcare childbirth among young people in Indonesia. J. Publ. Health Res. 2021; 10, 1890.
AD Laksono and RD Wulandari. The barrier to maternity care in rural Indonesia. J. Publ. Health 2020. doi:10.1007/s10389-020-01274-3.
S Rahmadani, Marhania, MY Abadi, DS Marzuki, Sudirmanb and MA Fajrin. Analysis of independent national health insurance ownership of informal workers: Study of market traders in Gowa district, Indonesia. Enferm. Clin. 2020; 30, 295-9.
RD Wulandari, AD Laksono and R Matahari. The effects of health insurance on maternity care in health services in Indonesia. Int. J. Innov. Creat. Change 2020; 14, 478-97.
AD Laksono, RD Wulandari and O Soedirham. Regional disparities of health center utilization in rural Indonesia. Malaysian J. Publ. Health Med. 2019; 19, 158-66.
A Kachikis, AB Moller, T Allen, L Say and D Chou. Equity and intrapartum care by skilled birth attendant globally: Protocol for a systematic review. BMJ Open 2018; 8, 019922.
I Kusrini and AD Laksono. Regional disparities of stunted toddler in Indonesia. Indian J. Forensic Med. Toxicol. 2020; 14, 1685-91.
Ministry of Health of the Republic of Indonesia. Republic of Indonesia Minister of Health regulation number 99/2015 concerning health services at National Health Insurance. Ministry of Health of the Republic of Indonesia, Indonesia, 2015.
RD Wulandari, S Supriyanto, MB Qomarrudin and AD Laksono. Socioeconomic disparities in hospital utilization among elderly people in Indonesia. Indian J. Publ. Health Res. Dev. 2019; 10, 1800-4.
AD Laksono, R Rukmini and RD Wulandari. Regional disparities in antenatal care utilization in Indonesia. PLoS One 2020; 15, e0224006.
RD Wulandari and AD Laksono. Urban-rural disparity: The utilization of primary health care center among elderly in East Java, Indonesia. Jurnal Administrasi Kesehatan Indonesia 2019; 7, 147-54.
United Nations Group of Experts on Geographical Names. In: Proceedings of the 11th United Nations Conference on the Standardization of Geographical Names, New York, 2017, p. 1-22.
MH Yudhistira and Y Sofiyandi. Seaport status, port access, and regional economic development in Indonesia. Marit. Econ. Logist. 2018; 20, 549-68.
I Indra, S Nazara, D Hartono and S Sumarto. Expenditure inequality and polarization in Indonesia, 2002 - 2012. Int. J. Soc. Econ. 2018; 45, 1469-86.
R Mubasyiroh, E Nurhotimah and AD Laksono. Health service accessibility index in Indonesia (indeks aksesibilitas pelayanan kesehatan di Indonesia). In: S Supriyanto, D Chalidyanto and RD Wulandari (Eds.). Accessibility of health services in Indonesia (aksesibilitas pelayanan kesehatan di Indonesia) (in Indonesian). PT Kanisius, Jogjakarta, 2016, p. 21-58.
T Afifah, MT Nuryetty, Cahyorini, DA Musadad, A Schlotheuber, N Bergen and R Johnston. Subnational regional inequality in access to improved drinking water and sanitation in Indonesia: Results from the 2015 Indonesian National Socioeconomic Survey (SUSENAS). Glob. Health Action 2018; 11, 1496972.
PD Tyler, DJ Stone, BP Geisler, S McLennan, LA Celi and B Rush. Racial and geographic disparities in interhospital ICU transfers. Crit. Care Med. 2018; 46, e76-e80.
M Rostami, M Karamouzian, A Khosravi and S Rezaeian. Gender and geographical inequalities in fatal drug overdose in Iran: A province-level study in 2006 and 2011. Spat. Spatiotemporal Epidemiol. 2018; 25, 19-24.
S Momenyan, A Kavousi, J Poorolajal and N Momenyan. Spatial inequalities and predictors of HIV/AIDS mortality risk in Hamadan, Iran: A retrospective cohort study. Epidemiol. Health 2018; 40, e2018038.
S Tourani, M Zarezadeh, M Raadabadi and F Pourshariati. Association of regional disparity of obstetrics and gynecologic services with children and infants mortality rates: A cross-sectional study. Int. J. Reprod. Biomed. 2017; 15, 147-54.
C Alinia, SF Mohammadi, M Jabbarvand and H Hashemi. Geographical inequality in cataract surgery among Iranians between 2006 and 2011. East. Mediterr. Health J. 2018; 24, 664-71.
M Qorbani, R Kelishadi, S Djalalinia, ME Motlagh, A Kasaeian, G Ardalan, G Shafiee, O Safari, R Heshmat and SB Mahdavi. Regional disparity in hygienic behaviors of Iranian children and adolescents: The CASPIAN-IV study. Med. J. Islam. Repub. Iran 2016; 30, 431.
AA Sari, S Rezaei, EH Rad, N Dehghanian and Y Chavehpour. Regional disparity in physical resources in the health sector in Iran: A comparison of two time periods. Iran. J. Public Health 2015; 44, 848-54.
ME Asar, R Varehzardi, GR Vasokolaei, M Haghi and M Fazelipor. Regional disparities in the distribution of healthcare workers: Evidence from Iran, Chaharmahal and Bakhtiari province. Glob. J. Health Sci. 2015; 7, 374-8.
H Ravaghi, E Taati, Z Abdi, A Meshkini and S Sarvarizadeh. Factors influencing the geographic distribution of physicians in Iran: A qualitative study. Rural Rem. Health 2015; 15, 2967.
B Gavurova, V Kovac and J Fedacko. Regional disparities in medical equipment distribution in the Slovak Republic - a platform for a health policy regulatory mechanism. Health Econ. Rev. 2017; 7, 39.
TFX O’Donnell, C Powell, SE Deery, JD Darling, K Hughes, KA Giles, GJ Wang and ML Schermerhorn. Regional variation in racial disparities among patients with peripheral artery disease. J. Vasc. Surg. 2018; 68, 519-26.
IG Song, SH Shin and HS Kim. Improved regional disparities in neonatal care by government-led policies in Korea. J. Korean Med. Sci. 2018; 33, e43.
S Chung, RJ Romanelli, CD Stults and HS Luft. Preventive visit among older adults with Medicare’s introduction of Annual Wellness Visit: Closing gaps in underutilization. Prev. Med. 2018; 115, 110-8.
AM Nigatu, KA Gelaye, DT Degefie and AY Birhanu. Spatial variations of women’s home delivery after antenatal care visits at lay Gayint District, Northwest Ethiopia. BMC Publ. Health 2019; 19, 677.
LS Dadi, M Berhane, Y Ahmed, EK Gudina, T Berhanu, KH Kim, M Getnet and M Abera. Maternal and newborn health services utilization in Jimma Zone, Southwest Ethiopia: A community based cross-sectional study. BMC Pregnancy Childbirth 2019; 19, 178.
Z Baraki, F Wendem, H Gerensea and H Teklay. Husbands involvement in birth preparedness and complication readiness in Axum town, Tigray region, Ethiopia, 2017. BMC Pregnancy Childbirth 2019; 19, 180.
FP Senewe and E Elsi. Descriptive analysis to environment health in less development, borderlands, archipelagoes and remote areas (DTPK-T). Media Litbangkes 2014; 24, 153-60.
Suharmiati, AD Laksono and WD Astuti. Policy review on health services in primary health center in the border and remote area (Review Kebijakan tentang Pelayanan Kesehatan Puskesmas di Daerah Terpencil Perbatasan). Bull. Health Syst. Res. 2013; 16, 109-16.
AD Laksono, R Mubasyiroh, T Laksmiarti, E Nurhotimah, Suharmiati and NE Sukoco. Healthcare Accessibility in Indonesia (Aksesibilitas Pelayanan Kesehatan di Indonesia) (in Indonesian). PT Kanisius, Jogjakarta, 2016.
P Boontem, P Suthamma and N Jurakarn. The effectiveness of life skills program on life skills to prevent risky sexual behaviours in primary school students, Thailand. Walailak J. Sci. Tech. 2019; 16, 545-50.
RD Wulandari and AD Laksono. Are problems during pregnancy a predictor of childbirth in the hospital? Determinants analysis of hospital childbirth in urban poor communities in Indonesia. Indian J. Forensic Med. Toxicol. 2020; 14, 3262-7.
RD Wulandari and AD Laksono. Determinants of knowledge of pregnancy danger signs in Indonesia. PLoS One 2020; 15, e0232550.
RD Wulandari and AD Laksono. Education as predictor of the knowledge of pregnancy danger signs in rural Indonesia. Int. J. Innov. Create. Change 2020; 13, 1037-51.
M Ipa, M Widawati, AD Laksono, I Kusrini and PW Dhewantara. Variation of preventive practices and its association with malaria infection in eastern Indonesia: Findings from community-based survey. PLoS One 2020; 15, e0232909.
H Megatsari, AD Laksono, M Ibad, YT Herwanto, KP Sarweni, RAP Geno and E Nugraheni. The community psychosocial burden during the COVID-19 pandemic in Indonesia. Heliyon 2020; 6, e05136.
AA Seran, MD Antaria, S Haksama, E Setijaningrum, AD Laksono and ADP Sujoso. Disparities of the use of hormonal and non-hormonal contraceptive drugs in urban and rural areas in Indonesia and the world. Syst. Rev. Pharm. 2020; 11, 66-73.
N Rohmah, A Yusuf, R Hargono, AD Laksono, Masruroh, I Ibrahim and S Walid. Determinants of teenage pregnancy in Indonesia. Indian J. Forensic Med. Toxicol. 2020; 14, 2080-5.
Q Andayani, T Koesbardiati, AD Sujoso, Masruroh and AD Laksono. the barrier to access health insurance for maternity care: Case study of female workers in Indonesia. Med. Legal Update 2021; 21, 926-32.
Masruroh, A Yusuf, N Rohmah, IB Pakki, ADP Prasojo, Q Andayani and AD Laksono. Neonatal death incidence in healthcare facility in Indonesia: Does antenatal care matter? Indian J. Forensic Med. Toxicol. 2021; 15, 1265-71.
J Mullerschon, C Koschollek, C Santos-Hovener, A Kuehne, Müller-Nordhorn J and V Bremer. Impact of health insurance status among migrants from sub-Saharan Africa on access to health care and HIV testing in Germany: A participatory cross-sectional survey. BMC Int. Health Hum. Rights 2019; 19, 10.
F Efendi, AR Ni’Mah, S Hadisuyatmana, H Kuswanto, L Lindayani and SM Berliana. Determinants of facility-based childbirth in Indonesia. Sci. World J. 2019; 2019, 9694602.
ZK Nantabah, ZA Auliyati and AD Laksono. Overview of health services access for toddlers in Indonesia. Bull. Health Syst. Res. 2019; 22, 54-61.
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