Delivery Services Utilization Based on Urban Rural Status in Indonesia

Abstract

INTRODUCTION: Maternal mortality has been listed in the Sustainable Development Goals’ priority. Hence, use of delivery services from health facilities is essential to improve maternal and child health.
 AIM: This study aimed to analyze the trends and determinants of delivery service utilization between urban and rural areas in Indonesia.
 METHODS: This quantitative study uses a cross-sectional design. The secondary data source came from the Indonesian Health Demographic Survey (IDHS) in 2007-2017. As many as 29,985 married women of childbearing age (15-49 years old) were selected as samples. The data analysis was done using the chi-square test then binary logistic regression test.
 RESULTS: Trends in the utilization of health facility delivery services increased in Indonesia. Age, residential area, education level, occupational status, antenatal visits and knowledge of danger signs during pregnancy, and economic status were associated with the utilization of health facility delivery services both in the rural and urban areas. Women who finished college had 4.55 times chances of using health facility delivery services 
 CONCLUSION: Demographic characteristics, antenatal visits, and knowledge of danger signs during pregnancy are associated with use of health facility delivery service sin rural and urban areas. The government needs to consider these factors in reducing inequal use of health facility delivery services between urban and rural areas.