What question did this study set out to answer?

This study aims to assess how antenatal care and pregnancy classes influence the selection of delivery place and attendants.

December 30, 2019Open Access

Relationship between ante natal care and pregnancy classes with selection of place and birth attendant in Indonesia

Key Points

This study aims to assess how antenatal care and pregnancy classes influence the selection of delivery place and attendants.
Cross-sectional study using national health indicator survey data from 2016 with 7,313 mothers,
Primary sampling unit selected based on population census data,
Data analyzed using logistic regression.
Antenatal care was positively associated with delivering in health care facilities (OR 4.054; p<0.001).
Mothers attending at least 4 ANCs had higher odds of choosing health workers for delivery.

Abstract

Background: Maternal mortality rate (MMR) in Indonesia is still high, 359 per 100,000 born alive. One of the governments efforts to reduce MMR is by providing antenatal care (ANC) service, and holding pregnancy classes (KIH). KIH is a program to increase maternal knowledge and support the making pregnancy safer (MPS) program policy, which is an Obstetric service approach, that every pregnant woman must be assisted by health workers. Objective: The purpose of this study is to determine the relationship between ANC and KIH to the place and birth attendants.Methods: A cross-sectional study, national health indicator survey (SIRKESNAS) 2016, calculation of samples based on the 2010 population census (SP) data. Primary sampling unit (PSU) is a sub-district selected as probability proportional to size (PPS), households that have children aged 0-59 months (Eligible households), samples were selected by simple random sampling of eligible households, as many as 7,313 mothers. The collected variables were ANC, KIH, and the place and birth attendant. Data were analyzed by logistic regression testResults: Logistic regression test results showed that the ANC was positively related to the place of delivery (OR 4,054; p Conclusion: Mothers who performed at least 4 ANCs, and attended pregnancy classes, were more likely to choose to deliver in health care facilities and deliver with health workers.

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