Urban-rural differences in the incompleteness of antenatal care coverage in Indonesia: A cross-sectional study
Haerawati Idris1, Rinda Nurul Karimah2, Anni Yulianti2
1PhD, Department of Health Policy and Administration, Faculty of Public Health, Sriwijaya University, Indralaya, Ogan Ilir, South Sumatera, Indonesia.
Introduction:
The estimated maternal mortality ratio in Indonesia from 2016 to 2020 was 249 maternal deaths per 100,000 live births. Currently, this ratio remains relatively high. One effort to reduce maternal mortality is to provide regular antenatal care during pregnancy. This study aimed to analyse the urban-rural differences in the incompleteness of antenatal care coverage in Indonesia.
Methods:
This cross-sectional study used data from Indonesian Basic Health Research 2018. A total of 64,399 women aged 15-49 years, including 26,792 and 37,607 women from urban and rural areas, respectively, were included. Univariate (percentage), bivariate (chi-square statistics) and multivariate (logistic regression statistics) analyses were conducted.
Results:
Approximately 18.2% and 26.4% of the urban and rural participants received incomplete antenatal care, respectively. Secondary and primary education, lack of health insurance, home-based antenatal care, parity greater than 2, travel time to health facilities exceeding 15 min, absence of abortion history, undesired pregnancy and absence of pregnancy complications were associated with incomplete antenatal care in rural areas. Secondary and primary education, home-based antenatal care, travel time to health facilities exceeding 15 min, parity greater than 2 and undesired pregnancy were associated with incomplete antenatal care in urban areas.
Conclusion:
Incomplete antenatal care coverage is more prevalent in rural areas than in urban areas, influenced by distinct socio-demographic and healthcare access factors. Strengthening health insurance programmes, improving healthcare facility access and promoting antenatal care education are critical to reducing disparities and ensuring better maternal health outcomes in both urban and rural areas.
Related Concept Videos
01:26Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
01:30Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:30Specialized Care Centers and Settings-I
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:29Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:26Principles of Disease Surveillance