DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERS

Introduction: Indonesia continues to face a significant challenge in terms of maternal and infant mortality. The government is working to promote the use of health facilities for childbirth to mitigate maternal mortality. Aim: The study aims to determine the policy target to increase the rate of i...

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Main Authors: Isyatun Mardhiyah Syahri, Agung Dwi Laksono, Maya Fitria, Nikmatur Rohmah, Dina Bisara Lolong, Abdulah Saleh Alruwaili
Format: Article
Language:English
Published: Universitas Airlangga 2024-12-01
Series:Jurnal Administrasi Kesehatan Indonesia
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Online Access:https://e-journal.unair.ac.id/JAKI/article/view/62265
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author Isyatun Mardhiyah Syahri
Agung Dwi Laksono
Maya Fitria
Nikmatur Rohmah
Dina Bisara Lolong
Abdulah Saleh Alruwaili
author_facet Isyatun Mardhiyah Syahri
Agung Dwi Laksono
Maya Fitria
Nikmatur Rohmah
Dina Bisara Lolong
Abdulah Saleh Alruwaili
author_sort Isyatun Mardhiyah Syahri
collection DOAJ
description Introduction: Indonesia continues to face a significant challenge in terms of maternal and infant mortality. The government is working to promote the use of health facilities for childbirth to mitigate maternal mortality. Aim: The study aims to determine the policy target to increase the rate of institutional delivery among female workers in Indonesia. Methods: The study analyzed secondary data from the 2023 Indonesian Health Survey. It conducted cross-sectional research on 30,173 female workers. In addition to institutional delivery as the dependent variable, we examined eight independent variables: residence, age, education, marital status, wealth, insurance, antenatal care (ANC), and parity. The analysis involved bivariate method followed by binary logistic regression in the last stage. Results: Approximately 70.6% of female workers had institutional delivery. Female workers in urban areas were 1.157 times more likely than rural workers to perform institutional delivery (95%CI 1.153-1.161). Three worker characteristics (age, education, and marital status) were related to institutional delivery. Wealthier workers had a greater the possibility of executing institutional delivery. Insured workers were more likely than the uninsured ones to deliver in health facilities. Female workers with adequate ANC were 1.210 times more likely than those with inadequate ANC to execute institutional delivery (95%CI 1.166-1.256). Additionally, women with fewer childbirths had a higher probability of performing an institutional delivery. Conclusion: The policy target to increase institutional delivery was women workers in rural areas who were older, had poor education, were divorced/widowed, were the poorest, had inadequate ANC, were uninsured, and were grand multiparous. Keywords: institutional delivery, institutional birth, maternal health, female worker, public health.
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issn 2303-3592
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publishDate 2024-12-01
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spelling doaj-art-d74c08525ef54aa99ef625c81038ec6f2025-02-03T04:18:51ZengUniversitas AirlanggaJurnal Administrasi Kesehatan Indonesia2303-35922540-93012024-12-0112222823710.20473/jaki.v12i2.2024.228-23760432DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERSIsyatun Mardhiyah Syahri0https://orcid.org/0000-0002-9957-1449Agung Dwi Laksono1https://orcid.org/0000-0002-9056-0399Maya Fitria2https://orcid.org/0000-0002-1233-2825Nikmatur Rohmah3https://orcid.org/0000-0002-5393-1517Dina Bisara Lolong4https://orcid.org/0009-0002-1766-9248Abdulah Saleh Alruwaili5https://orcid.org/0000-0001-5803-1414Universitas Sumatera UtaraNational Research and Innovation Agency Republic of Indonesia, Jakarta, IndonesiaFaculty of Public Health, Universitas Sumatera Utara, Medan, IndonesiaFaculty of Health Science, Muhammadiyah University of Jember, Jember, IndonesiaNational Research and Innovation Agency Republic of Indonesia, Jakarta, IndonesiaSchool of Health, University of New England, Armidale, New South Wales, Australia Introduction: Indonesia continues to face a significant challenge in terms of maternal and infant mortality. The government is working to promote the use of health facilities for childbirth to mitigate maternal mortality. Aim: The study aims to determine the policy target to increase the rate of institutional delivery among female workers in Indonesia. Methods: The study analyzed secondary data from the 2023 Indonesian Health Survey. It conducted cross-sectional research on 30,173 female workers. In addition to institutional delivery as the dependent variable, we examined eight independent variables: residence, age, education, marital status, wealth, insurance, antenatal care (ANC), and parity. The analysis involved bivariate method followed by binary logistic regression in the last stage. Results: Approximately 70.6% of female workers had institutional delivery. Female workers in urban areas were 1.157 times more likely than rural workers to perform institutional delivery (95%CI 1.153-1.161). Three worker characteristics (age, education, and marital status) were related to institutional delivery. Wealthier workers had a greater the possibility of executing institutional delivery. Insured workers were more likely than the uninsured ones to deliver in health facilities. Female workers with adequate ANC were 1.210 times more likely than those with inadequate ANC to execute institutional delivery (95%CI 1.166-1.256). Additionally, women with fewer childbirths had a higher probability of performing an institutional delivery. Conclusion: The policy target to increase institutional delivery was women workers in rural areas who were older, had poor education, were divorced/widowed, were the poorest, had inadequate ANC, were uninsured, and were grand multiparous. Keywords: institutional delivery, institutional birth, maternal health, female worker, public health.https://e-journal.unair.ac.id/JAKI/article/view/62265institutional deliveryinstitutional childbirthmaternal healthfemale workerpublic health
spellingShingle Isyatun Mardhiyah Syahri
Agung Dwi Laksono
Maya Fitria
Nikmatur Rohmah
Dina Bisara Lolong
Abdulah Saleh Alruwaili
DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERS
Jurnal Administrasi Kesehatan Indonesia
institutional delivery
institutional childbirth
maternal health
female worker
public health
title DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERS
title_full DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERS
title_fullStr DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERS
title_full_unstemmed DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERS
title_short DETERMINE THE POLICY TARGET TO INCREASE INSTITUTIONAL DELIVERY AMONG INDONESIAN FEMALE WORKERS
title_sort determine the policy target to increase institutional delivery among indonesian female workers
topic institutional delivery
institutional childbirth
maternal health
female worker
public health
url https://e-journal.unair.ac.id/JAKI/article/view/62265
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