Nora Louisa Sondakh. Quality of antenatal care service in Indonesia :|bdo mother's characteristics play an important role?. Master's Degree(Population and Reproductive Health Research). Mahidol University. : Mahidol University, 2003.
Quality of antenatal care service in Indonesia :|bdo mother's characteristics play an important role?
Abstract:
Visible investments have been made in the public health system in Indonesia with an emphasis on increasing the availability of maternal and child health services and encouraging women to obtain adequate health care during pregnancy and delivery. However, the decreasing of infant mortality rate (IMR) in Indonesia is not satisfactory. The purpose of this study was to assess the quality of antenatal care service of the Maternal and Child Health program in Indonesia and the relationship of quality of service to mothers characteristics. Descriptive analysis was based on data on reproductive age mothers from the Indonesia Demographic Health Survey 1997. A total of 12,015 others who bore children in the period 1992 to 1996 were selected for this study. The assessment of quality of care was based on the frequency and timing of visit and the content of visit. It was found that the quality of antenatal care service in Indonesia was mostly inadequate. The relationship between mothers characteristics and quality of antenatal care service was significant. Of the mothers who obtained appropriate antenatal care service most were mothers 20-30 years old, educated, living in urban areas and in Java-Bali region. They also tended to have fewer children, a length of birth interval over 24 months, and the first birth at more than 20 years old. The majority of Indonesia mothers lived in low socio-economic status as well as appropriate reproductive behavior. This result indicates that mothers characteristics play an important role in increasing the quality of antenatal care service. For these reason, to increase the quality of antenatal care service in Indonesia, Indonesian government should be concerned with the status of women, particularly uneducated women, and women who live in rural and outside the Java-Bali region, and to target younger mothers, and the area of adolescent reproductive health
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