TY - JOUR
T1 - Continuum of care in maternal, newborn and child health in Indonesia
T2 - Evidence from the Indonesia Demographic and Health Survey
AU - Andriani, Helen
AU - Rachmadani, Salma Dhiya
AU - Natasha, Valencia
AU - Saptari, Adila
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was funded by the Directorate of Research and Community Engagement of Universitas Indonesia, grant number NKB-773/UN2.RST/HKP.05.00/2020. The funders had no role in the design of the study; in the collection, analyses or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.
Funding Information:
The authors would like to acknowledge the Indonesian Demographic and Health Surveys (IDHS) Programme for the access to the data used in this study. This study was supported by the research grant from the Directorate of Research and Community Engagement of Universitas Indonesia. The funders had no role in the design of the study and collection, analysis and interpretation of data and in writing the manuscript.
Publisher Copyright:
© The Author(s) 2022.
PY - 2022/10
Y1 - 2022/10
N2 - Background: Maternal and child health improved considerably due to the Sustainable Development Goals of the United Nations. However, the rate of preventable death worldwide remains high. Nevertheless, implementation was insufficient in low- and middle-income countries, including Indonesia. The study aims to assess the relationships between continuum of care (CoC) in maternal, neonatal and child health (MNCH) services and levels of care in Indonesia, examine the distribution of utilisation and investigate the associations between CoC in MNCH. Design and methods: Data were derived from the recent 2017 Indonesia Demographic and Health Survey. Fieldwork took place from July 24 to September 30, 2017. The sample included ever-married women aged 15–49 years who had given birth in the last 5 years prior to the survey. The total sample size is 15,288. Results: Only 52.6% (n = 8038) continued to receive the three levels of MNCH services. Multivariate analysis revealed that variables, such as socioeconomic status, parity and distance from health facilities were statistically significantly associated with the continuum from antenatal to postnatal care (PNC). The use of each level of MNCH care is correlated with the next level of care. Antenatal care is associated with delivery care which is subsequently associated with postnatal care. Conclusions: Identifying populations that contribute significantly to overall health inequalities and a well-established follow-up system from pregnancy to PNC may enhance maternal and child health and equity outcomes.
AB - Background: Maternal and child health improved considerably due to the Sustainable Development Goals of the United Nations. However, the rate of preventable death worldwide remains high. Nevertheless, implementation was insufficient in low- and middle-income countries, including Indonesia. The study aims to assess the relationships between continuum of care (CoC) in maternal, neonatal and child health (MNCH) services and levels of care in Indonesia, examine the distribution of utilisation and investigate the associations between CoC in MNCH. Design and methods: Data were derived from the recent 2017 Indonesia Demographic and Health Survey. Fieldwork took place from July 24 to September 30, 2017. The sample included ever-married women aged 15–49 years who had given birth in the last 5 years prior to the survey. The total sample size is 15,288. Results: Only 52.6% (n = 8038) continued to receive the three levels of MNCH services. Multivariate analysis revealed that variables, such as socioeconomic status, parity and distance from health facilities were statistically significantly associated with the continuum from antenatal to postnatal care (PNC). The use of each level of MNCH care is correlated with the next level of care. Antenatal care is associated with delivery care which is subsequently associated with postnatal care. Conclusions: Identifying populations that contribute significantly to overall health inequalities and a well-established follow-up system from pregnancy to PNC may enhance maternal and child health and equity outcomes.
KW - antenatal care
KW - Continuum of care
KW - Indonesia
KW - postnatal care
KW - skilled birth attendant
UR - http://www.scopus.com/inward/record.url?scp=85139673574&partnerID=8YFLogxK
U2 - 10.1177/22799036221127619
DO - 10.1177/22799036221127619
M3 - Article
AN - SCOPUS:85139673574
SN - 2279-9028
VL - 11
JO - Journal of Public Health Research
JF - Journal of Public Health Research
IS - 4
ER -
