RT Journal Article
SR Electronic
T1 Regional differences in usage of antenatal care and safe delivery services in Indonesia: findings from a nationally representative survey
JF BMJ Open
JO BMJ Open
FD British Medical Journal Publishing Group
SP e013408
DO 10.1136/bmjopen-2016-013408
VO 7
IS 2
A1 Vrijesh Tripathi
A1 Rajvir Singh
YR 2017
UL http://bmjopen.bmj.com/content/7/2/e013408.abstract
AB Background Indonesia has shown a nominal increase in antenatal care (ANC) coverage from 93% to 96% in the Indonesia Demographic Health Survey (IDHS)—2012. This is high but for a comprehensive assessment of maternal health coverage in Indonesia, safe delivery services need to be assessed in conjunction with ANC coverage.Materials and methods The study uses survey data from the IDHS-2012 that was conducted among women aged 15–49 years who gave birth during the past 3 years preceding the survey. Socioeconomic and demographic factors affecting ANC coverage and safe delivery services are analysed by segregating the data into 7 regions of Indonesia.Results Multivariate results show that besides wealth and education differentials, regional differences significantly affect the usage of ANC and safe delivery services across the 7 regions. Univariate analyses show that Sulawesi, Maluku and Western New Guinea islands are at a disadvantage in accessing ANC and safe delivery services.Conclusions The study recommends that disaggregated regional targets be set in order to further reduce maternal mortality rates in Indonesia.