Analysis of antenatal care, intranatal care and postnatal care utilization: Findings from the 2017 Indonesian Demographic and Health Survey.

Mabda Novalia Istifa,Qorinah Estiningtyas Sakilah Adnani,Jiun-Yi Wang,Ferry Efendi,Kadar Ramadhan,Erna Dwi Wahyuni,Jennifer Yourkavitch

doi:10.1371/journal.pone.0258340

Abstract

Background and objectiveMaternal healthcare utilization by young women and adolescent girls is associated with maternal health outcomes and plays a critical role in reducing maternal mortality rates in low- and middle-income countries. This study sought to analyze current data on antenatal care (ANC), intranatal care (INC), and postnatal care (PNC) utilization with a focus on mothers aged 15–24 years in Indonesia.MethodsThis study was a secondary analysis of data from the 2017 Indonesian Demographic and Health Survey. The unit data analyzed 2,584 mothers aged 15–24 years who had delivered babies within the five-year period preceding the survey. Bivariate analysis and multiple logistic regression utilizing descriptive statistics were used to explore correlations between the independent variables and ANC, INC, and PNC visits.ResultsAmong the mothers included in the study, the prevalence of service utilization was 90.9% for ANC, 79.4% for INC, and 68.9% for PNC. Women’s age, education level, number and birth order of children, difference in age between the mother and her husband, her husband’s occupation, wealth index, access to the health service, and regional factors were significantly associated with the utilization of ANC, INC, and PNC services.ConclusionThis study provides insights for policymakers on how to strengthen healthcare policies and laws with the aim to improve maternal healthcare services for mothers aged 15–24 years. To improve maternal healthcare utilization among young mothers, national policy should focus on service equality, accessibility, and reliable implementation.

Highlights

In 2017, the World Health Organization (WHO) estimated that the global maternal mortality rate was 211 per 100,000 live births [1]
Among the mothers included in the study, the prevalence of service utilization was 90.9% for antenatal care (ANC), 79.4% for intranatal care (INC), and 68.9% for postnatal care (PNC)
Women’s age, education level, number and birth order of children, difference in age between the mother and her husband, her husband’s occupation, wealth index, access to the health service, and regional factors were significantly associated with the utilization of ANC, INC, and PNC services

Summary

Introduction

In 2017, the World Health Organization (WHO) estimated that the global maternal mortality rate was 211 per 100,000 live births [1]. Following the UN MDGs target of 102 per 100,000 live births set in 2015 [1, 4], Indonesia set a new target in 2020 to reduce maternal mortality rates to 131 per 100,000 live births by 2030 [6], which will require a 43% reduction in less than ten years is required to reach the new critical goal. This ambitious target seems too difficult to achieve, as Indonesia failed to reach the target set in the UN MDGs in 2015. This study sought to analyze current data on antenatal care (ANC), intranatal care (INC), and postnatal care (PNC) utilization with a focus on mothers aged 15–24 years in Indonesia

Methods

Discussion

Conclusion