Identification of childbirth selections in Indonesia: Indonesia Family Life Survey (IFLS-2014)

Abstract

Background: The low coverage of deliveries by health personnel is one of the causes of high maternal mortality cases. Globally every year there are 250,000 women die due to pregnancy and 30 million women due to failed preparation for childbirth, while in Indonesia the number of maternal deaths is increasing every year. In 2021 it shows that there were 7,389 maternal deaths, an increase from 4,627 deaths in 2020. This study aims to describe the selection of places and birth attendants in Indonesia.. Method: The research design used in this study is descriptive. This data uses secondary longitudinal data from the fifth wave of the Indonesian Family Life Survey (IFLS-5) conducted in 2014. Result: Based on the choice of place of delivery, the majority of pregnant women gave birth in health facilities as many as 610 respondents (95.76%) distributed in government hospitals 20.39%, maternity hospitals 3.63%, polindes 6.05%, private midwives 21 .6%, health center 24.92%, private hospital 3.99%, private practice doctor 3.27%. Meanwhile, 27 (4.24%) gave birth in non-health facilities either at their own homes or at the dukun's house. Based on the selection of delivery attendants, the majority of pregnant women chose health professionals as birth attendants as many as 633 respondents (99.37%) which were distributed by doctors 45.53%, midwives 33.91%, village midwives 19.94%, no one helped 0.31%, posyandu cadres and others each 0.16%. Conclusion: In Indonesia, most deliveries are carried out in health facilities and assisted by health personnel, so a strategy is needed to increase the coverage of deliveries by health personnel through traditional birth attendants and health workers partners, health promotion and policies that are oriented towards increasing access to health services