Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

Ferry Efendi; Susy Katikana Sebayang; Erni Astutik; Setho Hadisuyatmana; Eka Mishbahatul Mar'ah Has; Heri Kuswanto

doi:10.12688/f1000research.23324.2

Determinants of safe delivery utilization among Indonesian women in eastern part of Indonesia

F1000Res. 2020 May 5:9:332. doi: 10.12688/f1000research.23324.2. eCollection 2020.

Authors

Ferry Efendi^{1

2}, Susy Katikana Sebayang^{3

4}, Erni Astutik^{4

5}, Setho Hadisuyatmana^{1

2}, Eka Mishbahatul Mar'ah Has¹, Heri Kuswanto⁶

Affiliations

¹ Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.
² School of Nursing & Midwifery, La Trobe University, Melbourne, Australia.
³ Department of Biostatistics and Population Studies, Faculty of Public Health, Universitas Airlangga, Banyuwangi Campus, Banyuwangi, Indonesia.
⁴ Research Group for Health and Wellbeing of Women and Children, Faculty of Public Health, Universitas Airlangga, Banyuwangi, Indonesia.
⁵ Department of Epidemiology, Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
⁶ Department of Statistics, Institut Teknologi Sepuluh Nopember (ITS), Surabaya, Indonesia.

Abstract

Background: Improving maternal health and reducing maternal mortality are part of the United Nations global Sustainable Development Goals for 2030. Ensuring every woman's right to safe delivery is critical for reducing the maternal mortality rate. Our study aimed to identify determinants of safe delivery utilization among women in the eastern Indonesia. Methods: This study was cross-sectional and used a secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). A total of 2,162 women who had their last child in the five years preceding the survey and lived in the eastern part of Indonesia were selected as the respondents. Chi-squared test and binary logistic regression were used to understand the determinants of safe delivery. Results: Higher child rank and interval ≤2 years (OR: 0.30, 95% CI: 0.19-0.47), unwanted pregnancy at time of becoming pregnant (OR: 1.48, 95% CI: 1.05-2.08), richest wealth quintile (OR: 5.59, 95% CI: 3.37-9.30), more than four antenatal care visits (OR: 3.62, 95% CI: 2.73-4.79), rural residence, good composite labor force participation, and a good attitude towards domestic violence were found to be significantly associated with delivery at health facility. Higher child rank and interval ≤2 years (OR: 0.49, 95% CI: 0.29-0.83), husband/partner having completed secondary or higher education (OR: 2.18, 95% CI: 1.48-3.22), being in the richest wealth quintile, and four other factors were found to be significantly associated with the assistance of skilled birth attendants. Conclusions: This research extends our knowledge on the determinants of safe delivery among women in the eastern part of Indonesia. This study revealed that the economic status of household remains an important issue in improving safe delivery among women in eastern part of Indonesia. An open innovation and partnership process to improve safe delivery program that engages the full range of stakeholders should be developed based on economic situation.

Keywords: facility-based delivery; safe delivery; skilled birth delivery..

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Child
Cross-Sectional Studies
Delivery, Obstetric*
Female
Humans
Indonesia
Male
Maternal Health Services*
Patient Acceptance of Health Care*
Pregnancy
Prenatal Care
Social Determinants of Health*

Grants and funding

This study was funded by Universitas Airlangga, Surabaya, Indonesia through “Hibah Riset Mandat” (Mandate Research Grant) grant number [335/UN3.14/LT/2019].