References

Agustina R, Dartanto T, Sitompul R Universal health coverage in Indonesia: concept, progress, and challenges. Lancet. 2019; 393:(10166)75-102 https://doi.org/10.1016/S0140-6736(18)31647-7

Akseer N, Keats EC, Thurairajah P Characteristics and birth outcomes of pregnant adolescents compared to older women: an analysis of individual level data from 140,000 mothers from 20 RCTs. eClinicalMedicine. 2022; 45 https://doi.org/10.1016/j.eclinm.2022.101309

Andriani H, Natasha V, Rachmadani SD, Saptari A. Factors associated with the four-visit ANC in Indonesia: a population-based study. Asia Pacific J Health Manage. 2022; 17:(1)100-110 https://doi.org/10.24083/apjhm.v17i1.1131

Arsenault C, Jordan K, Lee D Equity in antenatal care quality: an analysis of 91 national household surveys. Lancet Glob Health. 2018; 6:(11)e1186-e1195 https://doi.org/10.1016/S2214-109X(18)30389-9

Azuh D, Fayomi O, Ajayi L. Socio-cultural factors of gender roles in women's healthcare utilization in Southwest Nigeria. Open J Soc Sci.. 2015; 03:(04)105-117 https://doi.org/10.4236/jss.2015.34013

Barreix M, Lawrie TA, Kidula N Development of the WHO antenatal care recommendations adaptation toolkit: a standardised approach for countries. Health Res Policy Syst.. 2020; 18:(1) https://doi.org/10.1186/s12961-020-00554-4

Bhandari P, Chan L. Socio-cultural inequality in women's health service utilization in Nepal. Asia Pac Popul J.. 2017; 31:(2)45-73 https://doi.org/10.18356/5ac50c07-en

Campbell R, Macfarlane A. Place of delivery: a review. BJOG. 1986; 93:(6)675-683 https://doi.org/10.1111/j.1471-0528.1986.tb08051.x

Celik Y, Hotchkiss DR. The socio-economic determinants of maternal health care utilization in Turkey. Soc Sci Med. 2000; 50:(12)1797-1806 https://doi.org/10.1016/S0277-9536(99)00418-9

Guide to DHS Statistics. 2018. https://www.dhsprogram.com/pubs/pdf/DHSG1/Guide_to_DHS_Statistics_DHS-7.pdf (accessed 12 September 2023)

Denny HM, Laksono AD, Matahari R, Kurniawan B. The determinants of four or more antenatal care visits among working women in Indonesia. Asia Pacific J Public Health. 2021; 34:(1)51-56 https://doi.org/10.1177/10105395211051237

Dhagavkar PS, Dalal A, Nilgar A, Angolkar M. Safe motherhood practices - knowledge and behaviour among pregnant women in Belagavi, Karnataka: a descriptive study. Clin Epidemiol Global Health. 2021; https://doi.org/10.1016/j.cegh.2021.100846

Islam MA, Sathi NJ, Abdullah HM, Naime J, Butt ZA. Factors affecting the utilization of antenatal care services during pregnancy in Bangladesh and 28 other low- and middle-income countries: a meta-analysis of demographic and health survey data. Dr Sulaiman Al Habib Med J.. 2022; 4:(1)19-31 https://doi.org/10.1007/s44229-022-00001-2

Jiwani SS, Amouzou-Aguirre A, Carvajal L Timing and number of antenatal care contacts in low and middle-income countries: analysis in the Countdown to 2030 priority countries. J Glob Health. 2020; 10:(1) https://doi.org/10.7189/jogh.10.010502

Kabir M, Iliyasu Z, Abubakar IS, Asani A. Determinants of utilization of antenatal care services in Kumbotso Village, northern Nigeria. Trop Doct. 2005; 35:(2)110-111 https://doi.org/10.1258/0049475054036814

Karabulut A, Ozkan S, Bozkurt AI, Karahan T, Kayan S. Perinatal outcomes and risk factors in adolescent and advanced age pregnancies: comparison with normal reproductive age women. J Obstet Gynaecol.. 2013; 33:(4)346-350 https://doi.org/10.3109/01443615.2013.767786

Kashaija DK, Mselle LT, Mkoka DA. Husbands' experience and perception of supporting their wives during childbirth in Tanzania. BMC Pregnancy Childbirth. 2020; 20:(1) https://doi.org/10.1186/s12884-019-2715-7

Kemendikbud. UU No. 20 Tahun 2003 Tentang Sistem Pendidikan Nasional.Indonesia: Kementerian Pendidikan dan Kebudayaan; 2003

Kemenkes. Laporan Kinerja Direktorat Kesehatan Keluarga Tahun 2021. 2022. https://ppid.kemkes.go.id/uploads/img_62f0dd344a47e.pdf (accessed 12 September 2023)

Klankhajhon S, Sthien A. A narrative review of physical activity and exercise during pregnancy: nurse's role. J Palembang Nurs Studies. 2022; 1:(2)49-60 https://doi.org/10.55048/jpns.v1i2.16

Kumar V, Singh P. How far is universal coverage of antenatal care (ANC) in India? An evaluation of coverage and expenditure from a national survey. Clin Epidemiol Global Health. 2017; 5:(1)1-7 https://doi.org/10.1016/j.cegh.2016.08.001

Łada-Maśko AB, Kaźmierczak M. Measuring and predicting maturity to parenthood: what has personality got to do with it?. J Clin Med. 2021; 10:(24) https://doi.org/10.3390/jcm10245802

Laksono AD, Wulandari RD, Matahari R. The determinant of health insurance ownership among pregnant women in Indonesia. BMC Public Health. 2021; 21:(1) https://doi.org/10.1186/s12889-021-11577-z

Laopaiboon M, Lumbiganon P, Intarut N Advanced maternal age and pregnancy outcomes: a multicountry assessment. BJOG. 2014; 121:(s1)49-56 https://doi.org/10.1111/1471-0528.12659

Lapierre J, Ouellet M, Goyer-Pétrin G Co-designing a virtual community of practice (VCoP) for maternal and child health in Burkina Faso. Eur J Public Health. 2020; 30 https://doi.org/10.1093/eurpub/ckaa165.903

Lattof SR, Tunçalp Ö, Moran AC Developing measures for WHO recommendations on antenatal care for a positive pregnancy experience: a conceptual framework and scoping review. BMJ Open. 2020; 9:(4) https://doi.org/10.1136/bmjopen-2018-024130

Mahendradhata Y, Trisnantoro L, Listyadewi S The Republic of Indonesia health system review (vol. 7).Geneva: World Health Organization; 2017

Maraj H, Kumari S. No clarity on the definition of parity: a survey accessing interpretation of the word parity amongst obstetricians and midwives and a literature review. Eur J Obstet Gynecol Reprod Biol.. 2021; 263:15-19 https://doi.org/10.1016/j.ejogrb.2021.05.042

Mathole T, Lindmark G, Majoko F, Ahlberg BM. A qualitative study of women's perspectives of antenatal care in a rural area of Zimbabwe. Midwifery. 2004; 20:(2)122-132 https://doi.org/10.1016/j.midw.2003.10.003

Ministry of Health. Hasil Utama Riskesdas 2018. 2018. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf (accessed 13 September 2023)

Moller A-B, Petzold M, Chou D, Say L. Early antenatal care visit: a systematic analysis of regional and global levels and trends of coverage from 1990 to 2013. Lancet Global Health. 2017; 5:(10)e977-e983 https://doi.org/10.1016/S2214-109X(17)30325-X

Moucheraud C, Guo H, Macinko J. Trust in governments and health workers low globally, influencing attitudes toward health information, vaccines. Health Affairs. 2021; 40:(8)1215-1224 https://doi.org/10.1377/hlthaff.2020.02006

Murdiningsih R, St Hindun O. The effect of adolescent reproductive health education on premarital sexual behavior. Int J Public Health Sci.. 2020; 9:(4)227-232 https://doi.org/10.11591/ijphs.v9i4.20444

National Population and Family Planning Board, Statistics Indonesia, Ministry of Health, The DHS Program. Indonesia demographic and health survey 2017. 2018. https://dhsprogram.com/pubs/pdf/FR342/FR342.pdf (accessed 13 September 2023)

Nketiah-Amponsah E, Senadza B, Arthur E. Determinants of utilization of antenatal care services in developing countries. Afr J Econ Manage Studies. 2013; 4:(1)58-73 https://doi.org/10.1108/20400701311303159

Nxiweni PZ, Oladimeji KE, Nanjoh M Factors influencing the utilization of antenatal services among women of childbearing age in South Africa. Women. 2022; 2:(3)285-303 https://doi.org/10.3390/women2030027

Peng Y, Zhu Q, Wang B, Ren J. A cross-sectional study on interference control: age affects reactive control but not proactive control. Peer J.. 2020; 8 https://doi.org/10.7717/peerj.8365

Rokx C. Health financing in Indonesia: a reform road map.Washington: World Bank Publications; 2009

Rosnani R, Mediarti D. Overview of post-partum mother adaptation: a healthy lifestyle needs. J Palembang Nurs Studies. 2022; 1:(3)134-138 https://doi.org/10.55048/jpns.v1i3.59

Rosnani R, Setyowati S, Koestoer RA, Widjaja BT, Mediarti D, Arifin H. Photobiomodulation: a cultural nursing intervention for physical and psychological adaptation. Br J Midwifery. 2022; 30:(5)258-268 https://doi.org/10.12968/bjom.2022.30.5.258

Sehrish N, Dildar M, Ashfaq A, Shabnam Parveen A. Pregnant women perceptions regarding their husbands and in-laws' support during pregnancy: a qualitative study. PAMJ. 2021; 39:(229) https://doi.org/10.11604/pamj.2021.39.229.25659

Senderowicz L, Maloney N. Supply-side versus demand-side unmet need: implications for family planning programs. Population Develop Rev.. 2022; 48:(3)689-722 https://doi.org/10.1111/padr.12478

Setyowati S, Rosnani R. Women's efforts to solve postpartum problems based on the culture of South Sumatera. Enfermeria Clinica. 2019; 29:653-658 https://doi.org/10.1016/j.enfcli.2019.04.100

Silva-Perez LJ, Gonzalez-Cardenas N, Surani S, Sosso FE, Surani SR. Socioeconomic status in pregnant women and sleep quality during pregnancy. Cureus. 2019; 11:(11) https://doi.org/10.7759/cureus.6183

Simkhada B, Teijlingen ER v, Porter M, Simkhada P. Factors affecting the utilization of antenatal care in developing countries: systematic review of the literature. J Adv Nurs. 2008; 61:(3)244-260 https://doi.org/10.1111/j.1365-2648.2007.04532.x

Peraturan Kepala Badan Pusat Statistik Nomor 37 Tahun 2010 Tentang Klasifi kasi Perkotaan dan Perdesaan di Indonesia.Jakarta: Badan Pusat Statistik; 2010

Tesfaye G, Chojenta C, Smith R, Loxton D. Application of the Andersen-Newman model of health care utilization to understand antenatal care use in Kersa District, Eastern Ethiopia. PLoS One. 2018; 13:(12) https://doi.org/10.1371/journal.pone.0208729

Tessema ZT, Minyihun A. Utilization and determinants of antenatal care visits in East African countries: a multicountry analysis of demographic and health surveys. Adv Public Health. 2021; 2021 https://doi.org/10.1155/2021/6623009

Titaley CR, Dibley MJ, Roberts CL. Factors associated with underutilization of antenatal care services in Indonesia: results of Indonesia Demographic and Health Survey 2002/2003 and 2007. BMC Public Health. 2010; 10 https://doi.org/10.1186/1471-2458-10-485

World Health Organization. Every newborn: an action plan to end preventable deaths. 2014. https://www.who.int/initiatives/every-newborn-action-plan (accessed 5 March 2023)

World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. 2016. https://www.who.int/publications/i/item/9789241549912 (accessed 5 March 2023)

Wu H, Zhao M, Liang Y, Liu F, Xi B. Maternal age at birth and neonatal mortality: associations from 67 low-income and middle-income countries. Paediatr Perinat Epidemiol.. 2021; 35:(3)318-327 https://doi.org/10.1111/ppe.12734

Pregnancy

Antenatal care in Indonesia: a nationwide study

02 October 2023
Research
02 October 2023
Volume 31 · Issue 10

Abstract

Background/Aims

Antenatal care is important for screening, monitoring and management of pregnancy risks. This study analysed determinants of antenatal care in Indonesia among women aged 18–24 years and older than 30 years, who are at greater risk of pregnancy and birth complications.

Methods

This cross-sectional study used secondary data from 4338 women in the 2017 Indonesian demographic health survey. Chi-square tests and binary logistic regression were used to explore the effects of individual, partner and social factors on antenatal care.

Results

Antenatal care attendance was associated with a younger age at first birth (adjusted odds ratio: 1.49; P<0.001), health insurance (adjusted odds ratio: 1.54; P=0.004) and the middle wealth quintile (adjusted odds ratio: 1.78; P=0.002).

Conclusions

Collaboration is needed to increase awareness of complications and the importance of antenatal care.

One of the targets of the sustainable development goals is to reduce maternal mortality to less than 70 per 100 000 live births and neonatal mortality to less than 12 per 1000 live births by 2030 through optimisation of antenatal care (Lattof et al, 2020). Antenatal care includes screening for complications during early pregnancy to reduce morbidity and mortality (Moller et al, 2017). Mothers' and babies' quality of life can be optimised by integrating antenatal care services to prevent, detect and treat complications during pregnancy. In addition, antenatal care provides holistic care for and evaluation of the mother's and baby's health status, as well as lifestyle risks specific to pregnant women (World Health Organization (WHO), 2014).

Globally, high rates of maternal mortality and child health problems can be attributed to low antenatal care attendance (Barreix et al, 2020). Existing data on low- and middle-income countries show an increase in newborn mortality among women younger than 24 years old and those over 30 years old (Wu et al, 2021). Women aged 18–24 years have a higher risk of mortality during pregnancy as a result of immature reproductive organs, unstable psychological needs and a lack of experience (Peng et al, 2020; Akseer et al, 2022). Similarly, becoming pregnant at 30 or more years old carries greater risks. Thus, those aged 16–24 years and those older than 30 years are especially likely to benefit from an antenatal care programme.

Register now to continue reading

Thank you for visiting British Journal of Midwifery and reading some of our peer-reviewed resources for midwives. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to our clinical or professional articles

  • New content and clinical newsletter updates each month

Register
Or continue by

Signing in with your registered email address

Antenatal care
Pregnancy
Women