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The effect of maternity waiting homes utilization on institutional delivery in the islands area: evidence from
Ratna Dwi Wulandari1, Agung Dwi Laksono2,3, Yuly Astuti2
1Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.
Introduction:
Ensuring access to health services, including maternity services, is challenging for island regions. Local governments in Indonesia are trying to minimize this situation by providing maternity waiting homes. This study aimed to examine the utilization of maternity waiting homes and its effect on institutional delivery in Indonesia's island areas.
Methods:
The secondary analysis used the 2023 Indonesian Health Survey data in the Maluku Province, one of Indonesia's island areas. It included 1372 participants who gave birth within the previous 5 years. We looked at nine control variables and factors related to institutional delivery and maternity waiting homes: type of residence, age, marital status, education, work, wealth, insurance, antenatal care, and parity (number of previous births). In the last part of the study, binary logistic regression was used Results: The results showed that only 6.8% of women in Indonesia's Maluku Province used maternity waiting homes; 46.1% gave birth in an institution. Women who utilize maternity waiting homes were 2.756 times more likely than those who didn't to deliver in an institutional setting (adjusted odds ratio 2.756; 95% confidence interval 2.625-2.894). Moreover, the study found seven control factors were related to institutional delivery: type of residence, age group, education level, employment status, wealth status, health insurance ownership, and parity.
Conclusion:
The study concluded that maternity waiting home utilization was related to institutional delivery in Indonesia's Maluku Province. The utilization of maternity waiting homes could increase the possibility of institutional delivery.
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