TY - JOUR
T1 - FACTORS ASSOCIATED WITH THE FOUR-VISIT ANC IN INDONESIA
T2 - A POPULATION-BASED STUDY
AU - Andriani, Helen
AU - Natasha, Valencia
AU - Rachmadani, Salma Dhiya
AU - Saptari, Adila
N1 - Funding Information:
We are grateful to the Indonesia Demographic and Health Survey Program for access to data. The project was fully supported by the Directorate of Research and Community Engagement of Universitas Indonesia, grant number NKB-923/UN2.RST/HKP.05.00/2020.The funders had no role inthe design of the study; in the collection, analyses, or interpretationof data; in the writing of the manuscript,or in the decisionto publishthe results.
Publisher Copyright:
© 2022 by the authors.
PY - 2022
Y1 - 2022
N2 - INTRODUCTION: The number of maternal, neonatal and child mortality remains high in developing countries, including Indonesia. Antenatal care (ANC) coverage is an indicator of health-care use and access during pregnancy. Receiving at least four visits of ANC increases the chances of receiving appropriate maternal health interventions as one of the tracer indicators for universal health coverage in the Global Strategy for Women's, Children's, and Adolescents' Health Monitoring Framework (SDG indicator 3.8.1). The study aim s to investigate the distribution and the factors associated with the four - visit ANC across urban and rural areas in Indonesia. METHODS: We used data from the 2017 Indonesia Demographic and Health Survey which is a large-scale nationally representative cross-sectional survey of women aged 15–49 years old (n=15,288). The use of ANC for the MNCH system is the dependent variable. The determinants are individual characteristics, family factors, and community factors. RESULTS: Age, parity, household income, and distance from health facilities are significant factors associated with the four-visit ANC, as the first step in achieving continuum of care for MNCH. Urban women who had been pregnant 1 –2 times or 3–4 times were 6.475 (95% Confidence Interval (95%CI) = 4.750–9.306) and 3.109 (95% CI = 2.268–4.262) times more likely to have at least four ANC visits than those who had been pregnant five times or more. CONCLUSION: Developing a health system, human resources, health facilities, and infrastructure are crucial for overcoming maternal and child health problems, especially in rural areas to make ANC universally affordable and accessible.
AB - INTRODUCTION: The number of maternal, neonatal and child mortality remains high in developing countries, including Indonesia. Antenatal care (ANC) coverage is an indicator of health-care use and access during pregnancy. Receiving at least four visits of ANC increases the chances of receiving appropriate maternal health interventions as one of the tracer indicators for universal health coverage in the Global Strategy for Women's, Children's, and Adolescents' Health Monitoring Framework (SDG indicator 3.8.1). The study aim s to investigate the distribution and the factors associated with the four - visit ANC across urban and rural areas in Indonesia. METHODS: We used data from the 2017 Indonesia Demographic and Health Survey which is a large-scale nationally representative cross-sectional survey of women aged 15–49 years old (n=15,288). The use of ANC for the MNCH system is the dependent variable. The determinants are individual characteristics, family factors, and community factors. RESULTS: Age, parity, household income, and distance from health facilities are significant factors associated with the four-visit ANC, as the first step in achieving continuum of care for MNCH. Urban women who had been pregnant 1 –2 times or 3–4 times were 6.475 (95% Confidence Interval (95%CI) = 4.750–9.306) and 3.109 (95% CI = 2.268–4.262) times more likely to have at least four ANC visits than those who had been pregnant five times or more. CONCLUSION: Developing a health system, human resources, health facilities, and infrastructure are crucial for overcoming maternal and child health problems, especially in rural areas to make ANC universally affordable and accessible.
KW - antenatal care
KW - Indonesia
KW - population-based study
KW - pregnancy
UR - http://www.scopus.com/inward/record.url?scp=85130142032&partnerID=8YFLogxK
U2 - 10.24083/apjhm.v17i1.1131
DO - 10.24083/apjhm.v17i1.1131
M3 - Article
AN - SCOPUS:85130142032
SN - 2204-3136
VL - 17
JO - Asia Pacific Journal of Health Management
JF - Asia Pacific Journal of Health Management
IS - 1
M1 - i1131
ER -