The Utilization of Postnatal Care in South Sulawesi (Data Analysis of the Indonesia Demographic and Health Survey 2017)
Abstract
The main problem that is still faced with maternal health in Indonesia isthe high Maternal Mortality Rate (MMR). It is estimated that 60% ofmaternal deaths in Indonesia occur after postpartum, and nearly 50% ofdeaths during childbirth occur within the first 24 hours after delivery.Some causes of maternal death, such as postpartum complications andpostpartum bleeding, can be prevented through the puerperal careprogram. The study aims to determine the factors associated with apostpartum examination in South Sulawesi Province. This study usescross-sectional study design in 393 couple’s age 15-49 years by usingdata from IDHS 2017. The hypothesis was tested with a chi-square test(p<0.05). The results obtained by variables related to the utilization ofchildbirth services in South Sulawesi are education (p=0.000), birth order(p=0.026), place of childbirth (p=0.000), wealth quintiles (p=0.000),distance to health facilities (p=0.020), and complication during delivery(p=0.000). Variables not related to postpartum service use are age(p=0.507), occupation (p=0.232), and ANC visit (p=0.077). A compre-hensive effort is needed by involving various media and elements ofsociety to encourage mothers to use health care, especially after post-partum.
References
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30. Serbanescu, F et al. Addressing the First Delay in Saving Mothers, Giving Life Districts in Uganda and Zambia: Approaches and Results for Increasing Demand for Facility Delivery Services. Global Health: Science and Practice. 2019;7(1):48-67.
2. WHO. Trends in Maternal Mortality: 1990 to 2015: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division, WHO Library Cataloging in Publication Data. World Health Organization; 2015.
3. Kemenkes RI. Profil Kesehatan Indonesia. Jakarta: Kementerian Kesehatan Masyarakat RI; 2015.
4. Dinkes Provinsi Sul-Sel. Profil Kesehatan Provinsi Sulawesi Selatan. Makassar: Dinas Kesehatan Provinsi Sulawesi Selatan; 2019.
5. WHO. Facthsheet: Maternal Mortality. Geneva: World Health Organization; 2008.
6. Kemenkes RI. Buku Panduan Pelayanan Kesehatan Ibu di Fasilitas Kesehatan Dasar dan Rujukan. Jakarta: Kementerian Kesehatan RI; 2013.
7. Ari, S. Buku Ajar Asuhan Kebidanan untuk Ibu Nifas. Jogjakarta: Andi Offset; 2015.
8. Saifuddin, A.B. Buku Panduan Praktis Pelayanan Kesehatan Ibu dan Bayi. Jakarta: Bina Pustaka Foundation; 2012.
9. WHO. Postnatal Care for Mothers and Newborns. World Health Organization; 2015.
10. Kemenkes RI. Profil Kesehatan Indonesia Tahun 2017. Jakarta: Kementerian Kesehatan RI; 2017.
11. Ousman, S.K, Magnus, J.H, Sundby, J Gebremariam, M.K. Uptake of Skilled Maternal Healthcare in Ethiopia: a Positive Deviance Approach. International Journal of Environmental Research and Public Health. 2020;17(5): 1-22.
12. Nababan, HY, Hasan, Md, Marthias, T Dhita, R, Rahman, & Anwar, I. Trends and Inequities in Use of Maternal Health Care Services in Indonesia, 1986–2012. International Journal of Women's Health. 2018;10:11-24.
13. The Central Statistics of South Sulawesi Province. Indicators of People's Welfare of South Sulawesi Province. Makassar, Indonesia: The Central Statistics of South Sulawesi Province; 2016.
14. Kim, S & Kim, S-Y. Exploring Factors Associated with Maternal Health Care Utilization in Chad. Journal of Global Health Science. 2019;1(1).
15. Ousman, S.K, Magnus, J.H, Sundby, J Gebremariam, M.K. Uptake of Skilled Maternal Healthcare in Ethiopia: a Positive Deviance Approach. International Journal of Environmental Research and Public Health. 2020;17(5): 1-22.
16. Adamu, H. S. Utilization of maternal Health Care Service in Nigeria: An Analysis of Regional Difference in the Patterns and Determinants of Maternal Health Care Use. [Dissertation]. Nigeria: University of Liverpool; 2011.
17. Khanal, Vishnu, Adhikari, Mandira, Karkee Rajendra & Gavidia, Tania. Factors Associated with the Utilization of Postnatal Care Services Among the Mothers of Nepal: Analysis of Nepal Demographic and Health Survey 2011. BMC Women's Health. 2014; 14 (19): 1-13.
18. Singh P.K, Rai R.K, Alagarajan M Sing L. Determinants of Maternity Care Service Utilization by Married Adolescents in Rural India. Plos One. 2012;7(2): 1-14.
19. Kementerian Kesehatan RI. Profil Kesehatan Indonesia Tahun 2015. Jakarta: Kementerian Kesehatan RI; 2015.
20. Moedjiono, A.I, Awaluddin, Hidayanty, H, Abdullah, T. Prevention of Delay of Decision Making as Efforts to Improve the Mother Health in Polewali Mandar, West Sulawesi Indonesia. Indian Journal of Public Health Research Development. 2019;10(1): 1230-1236.
21. Nurfatimah. Determinan Kejadian Penyulit Persalinan di RSIA Pertiwi Makassar. Media Kesehatan Masyarakat Indonesia. 2014; 10(3):160-165.
22. Berhe, et al. Utilization and Associate Factors of Postnatal Care in Adwa Toen, Tigray, Ethiopia - A Cross Sectional Study. A Peer Received. International Journal for Pharma-ceutical and Allied Reasearch. 2013;13(7):1-9.
23. Ramadani, M. Dukungan Keluarga sebagai Faktor Dominan Keberhasilan Pemberian ASI Eksklusif. Media Kesehatan Masyarakat Indonesia. 2017;13(1):34-41.
24. Limenih, M.A, Endale Z.M, & Dachew, B.A. Postnatal Care Service Utilization and Associated Factors among Women Who Gave Birth in the Last 12 Months prior to the Study in Debre Markos Town, Northwestern Ethiopia: A Community Based Cross-Sec-tional Study. International Journal of Reproductive Medicine. 2016:1-7.
25. Paul M, Khanal V, Acharya B, end Adhikari M. Determinants of Postnatal Service utilization in a Western District of Nepal: Community Based Cross-Sectional Study. Journal Women's Heealth Care. 2013.
26. National Planning Family Coordinating Agency The Central Statistics South Sulawesi. South Sulawesi Province 2017 Demographic Health Survey. Makassar, Indonesia: National Planning Family Coordinating Agency The Central Statistics South Sulawesi; 2018.
27. Nugraha, S.M. Determinan Akses Pelayanan Nifas di Indonesia (Analisis Riskesdas 2010). [Tesis]. Depok: Universitas Indonesia; 2013.
28. Anderson, R. Revisiting The Behavioral Model and Access to Medical Care Does It Metter?. Journal of Health and Social Behavior. 1995;6: 1-10.
29. Guspianto, Amir, A & Mekarisce, A.A. Analisis Perilaku Persalinan Komunitas Adat Terpencil di Kawasan Taman Nasional Bukit Duabelas Kabupaten Sarolangun Provinsi Jambi. Media Kesehatan Masyarakat Indonesia. 2019;15(4):391-399.
30. Serbanescu, F et al. Addressing the First Delay in Saving Mothers, Giving Life Districts in Uganda and Zambia: Approaches and Results for Increasing Demand for Facility Delivery Services. Global Health: Science and Practice. 2019;7(1):48-67.
Authors
Moedjiono, A. I., Rachmat, M., & Akmal. (2020). The Utilization of Postnatal Care in South Sulawesi (Data Analysis of the Indonesia Demographic and Health Survey 2017). Media Kesehatan Masyarakat Indonesia, 16(4), 490-499. https://doi.org/10.30597/mkmi.v16i4.8530
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