Factors associated with the choice of delivery place: A cross-sectional study in rural areas of Indonesia
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Keywords

sustainable development goals
maternal mortality
mothers
delivery place
nursing
midwifery
Indonesia

How to Cite

Idris, H. (2022). Factors associated with the choice of delivery place: A cross-sectional study in rural areas of Indonesia. Belitung Nursing Journal, 8(4), 311–315. https://doi.org/10.33546/bnj.2095
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Abstract

Background: Developing countries, including Indonesia, commonly face maternal mortality as a public health concern, which needs special attention. Using maternal delivery services in health facilities may reduce maternal mortality. However, little is known about the general use of delivery services in health facilities in rural areas, Indonesia.

Objective: This study aimed to analyze determinants in choosing delivery places in rural areas of Indonesia.

Methods: A cross-sectional quantitative design with secondary data from the 2014 Indonesian Family Life Survey (IFLS) was used in this study. There were 2,389 mothers aged 15-49 years in rural areas were included. Data were analyzed using a logistic regression test.

Results: It was found that 67% of mothers gave birth in health facilities. Tertiary and secondary education levels, residence in Java and Bali regions, economic status, insurance ownership, and job status were significantly related to the choice of delivery place in health facilities. Tertiary education was the most dominant factor correlated with the use of delivery services in health facilities (p < 0.001; PR = 4.55; 95% CI = 3.751-5.542).

Conclusion: Education is the key factor associated with the choice of delivery place. Therefore, it is suggested that the government and healthcare workers, especially nurses and midwives, improve mothers’ education and provide strategies to increase knowledge in choosing delivery services to enhance their health outcomes.
https://doi.org/10.33546/bnj.2095
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Copyright (c) 2022 Haerawati Idris

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Declaration of Conflicting Interest

The author declares that there are no conflicts of interest in this study.

Funding

None.

Acknowledgment

The acknowledgment to RAND for giving access to the raw data of IFLS.

Author’s Contribution

HI contributed to all study analyses and manuscript writing as well as approved the final version of the article to be published.

Data Availability

This study used data from Indonesia Family Life Survey. The data are available for the public at request at https://www.rand.org/well-being/social-and-behavioral-policy/data/FLS/IFLS/access.html.


References

Abdulmageed, S. S., & Elnimeiri, M. K. (2018). Sociocultural determinants of place of birth among Sudanese women. International Journal of Community Medicine and Public Health, 5(8), 3220-3226. http://dx.doi.org/10.18203/2394-6040.ijcmph20182978

Agustina, R., Dartanto, T., Sitompul, R., Susiloretni, K. A., Suparmi, Achadi, E. L., Taher, A., Wirawan, F., Sungkar, S., Sudarmono, P., Shankar, A. H., Thabrany, H., Agustina, R., Dartanto, T., Sitompul, R., Susiloretni, K. A., Suparmi, Achadi, E. L., Taher, A., . . . Khusun, H. (2019). Universal health coverage in Indonesia: Concept, progress, and challenges. The Lancet, 393(10166), 75-102. https://doi.org/10.1016/S0140-6736(18)31647-7

Andersen, R., & Newman, J. F. (1973). Societal and individual determinants of medical care utilization in the United States. The Milbank Memorial Fund Quarterly. Health and Society, 51(1), 95-124. https://doi.org/10.2307/3349613

Bishanga, D. R., Drake, M., Kim, Y.-M., Mwanamsangu, A. H., Makuwani, A. M., Zoungrana, J., Lemwayi, R., Rijken, M. J., & Stekelenburg, J. (2018). Factors associated with institutional delivery: Findings from a cross-sectional study in Mara and Kagera regions in Tanzania. PloS One, 13(12), e0209672. https://doi.org/10.1371/journal.pone.0209672

Brems, C., Johnson, M. E., Warner, T. D., & Roberts, L. W. (2006). Barriers to healthcare as reported by rural and urban interprofessional providers. Journal of Interprofessional Care, 20(2), 105-118. https://doi.org/10.1080/13561820600622208

Crossan, F., & Ferguson, D. (2005). Exploring nursing skill mix: A review. Journal of Nursing Management, 13(4), 356-362. https://doi.org/10.1111/j.1365-2934.2005.00530.x

Dickson, K. S., Adde, K. S., & Amu, H. (2016). What influences where they give birth? Determinants of place of delivery among women in rural Ghana. International Journal of Reproductive Medicine, 2016, 7203980. https://doi.org/10.1155/2016/7203980

Donnay, F. A. (2008). Women deliver: A global conference. Expert Review of Obstetrics & Gynecology, 3(1), 33-34. https://doi.org/10.1586/17474108.3.1.33

Egharevba, J., Pharr, J., van Wyk, B., & Ezeanolue, E. (2017). Factors influencing the choice of child delivery location among women attending antenatal care services and immunization clinic in Southeastern Nigeria. International Journal of MCH and AIDS, 6(1), 82-92. https://doi.org/10.21106%2Fijma.213

Envuladu, E. A., Agbo, H. A., Lassa, S., Kigbu, J. H., & Zoakah, A. I. (2013). Factors determining the choice of a place of delivery among pregnant women in Russia village of Jos North, Nigeria: Achieving the MDGs 4 and 5. International Journal of Medicine and Biomedical Research, 2(1), 23-27. https://doi.org/10.14194/ijmbr.215

Ewa, E. E., Lasisi, C. J., Maduka, S. O., Ita, A. E., Ibor, U. W., & Anjorin, O. A. (2012). Perceived factors influencing the choice of antenatal care and delivery centres among childbearing women in Ibadan North South-Western, Nigeria. Ethiopian Journal of Environmental Studies and Management, 5(4), 373-383. https://doi.org/10.4314/ejesm.v5i4.6

Ganle, J. K., Parker, M., Fitzpatrick, R., & Otupiri, E. (2014). Inequities in accessibility to and utilisation of maternal health services in Ghana after user-fee exemption: A descriptive study. International Journal for Equity in Health, 13(1), 1-19. https://doi.org/10.1186/s12939-014-0089-z

Gouda, H. N., Hodge, A., Bermejo III, R., Zeck, W., & Jimenez-Soto, E. (2016). The impact of healthcare insurance on the utilisation of facility-based delivery for childbirth in the Philippines. PLoS One, 11(12), e0167268.

Greiner, D. S., Glick, D. F., Kulbok, P. A., & Mitchell, E. M. (2008). Rural health nursing research review: Global perspectives. Annual Review of Nursing Research, 26(1), 261-294. http://doi.org/10.1891/0739-6686.26.1.261

Ham, O. K., & Lee, C. Y. (2007). Predictors of health services utilization by hypertensive patients in South Korea. Public Health Nursing, 24(6), 518-528. https://doi.org/10.1111/j.1525-1446.2007.00664.x

Hwang, J., Guilcher, S. J., McIsaac, K. E., Matheson, F. I., Glazier, R., & O’Campo, P. (2017). An examination of perceived health care availability and unmet health care need in the City of Toronto, Ontario, Canada. Canadian Journal of Public Health, 108(1), e7-e13.

Kalu, U. I., & Martha, A. (2017). The socioeconomic factors that determine women utilization of healthcare Services in Nigeria. International Journal of Asian Social Science, 7(5), 359-366. https://doi.org/10.18488/journal.1/2017.7.5/1.5.359.366

Kesterton, A. J., Cleland, J., Sloggett, A., & Ronsmans, C. (2010). Institutional delivery in rural India: The relative importance of accessibility and economic status. BMC Pregnancy and Childbirth, 10(1), 1-9. https://doi.org/10.1186/1471-2393-10-30

Khor, G. L. (2008). Food-based approaches to combat the double burden among the poor: Challenges in the Asian context. Asia Pacific Journal of Clinical Nutrition, 17(S1), 111-115.

Kitui, J., Lewis, S., & Davey, G. (2013). Factors influencing place of delivery for women in Kenya: An analysis of the Kenya demographic and health survey, 2008/2009. BMC Pregnancy and Childbirth, 13(1), 1-10. https://doi.org/10.1186/1471-2393-13-40

Merwin, E., Snyder, A., & Katz, E. (2006). Differential access to quality rural healthcare: Professional and policy challenges. Family and Community Health, 29(3), 186-194.

Ministry of Health. (2017). Indonesian health profile. https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-tahun-2017.pdf

Nketiah-Amponsah, E., & Sagoe-Moses, I. (2009). Expectant mothers and the demand for institutional delivery: Do household income and access to health information matter? Some insight from Ghana. European Journal of Social Sciences, 8(3), 469–482.

Ogolla, J. O. (2015). Factors associated with home delivery in West Pokot County of Kenya. Advances in Public Health, 2015, 493184. https://doi.org/10.1155/2015/493184

Rahman, M. H., Mosley, W. H., Ahmed, S., & Akhter, H. H. (2008). Does service accessibility reduce socioeconomic differentials in maternity care seeking? Evidence from rural Bangladesh. Journal of Biosocial Science, 40(1), 19-33. https://doi.org/10.1017/S0021932007002258

Stephenson, R., Baschieri, A., Clements, S., Hennink, M., & Madise, N. (2006). Contextual influences on the use of health facilities for childbirth in Africa. American Journal of Public Health, 96(1), 84-93. https://doi.org/10.2105/AJPH.2004.057422

Strauss, J., Witoelar, F., & Sikoki, B. (2016). The fifth wave of the Indonesia family life survey: Overview and field report (Vol. 1). RAND: Santa Monica, CA, USA.

Utomo, A., McDonald, P., Utomo, I., Cahyadi, N., & Sparrow, R. (2019). Social engagement and the elderly in rural Indonesia. Social Science & Medicine, 229, 22-31. https://doi.org/10.1016/j.socscimed.2018.05.009

WHO. (2014). Trends in maternal mortality: 1990 to 2013: estimates by WHO, UNICEF, UNFPA, The World Bank and the United Nations Population Division: executive summary. https://apps.who.int/iris/handle/10665/112697

Yegezu, R. T., & Kitila, S. B. (2015). Assessment of factors affecting choice of delivery place among pregnant women in Jimma Zone, South West Ethiopia: Cross sectional study. Journal of Women’s Health Care, 4(211), 1-4. https://doi.org/10.4172/2167-0420.1000211