Utilization of Maternal Healthcare Services among Adolescent Mothers in Indonesia

Author:

Gayatri Ratih Virta12,Hsu Yu-Yun3,Damato Elizabeth G.4

Affiliation:

1. International Doctoral Program in Nursing, Department of Nursing, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan

2. National Polytechnic of Health Bandung Ministry of Health, Republic of Indonesia, Bandung 40171, Indonesia

3. Department of Nursing, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan

4. School of Nursing, Case Western Reserve University, Cleveland, OH 44106, USA

Abstract

Providing maternal healthcare services is one of the strategies to decrease maternal mortality. Despite the availability of healthcare services, research investigating the utilization of healthcare services for adolescent mothers in Indonesia is still limited. This study aimed to examine the utilization of maternal healthcare services and its determinants among adolescent mothers in Indonesia. Secondary data analysis was performed using the Indonesia Demographic and Health Survey 2017. Four hundred and sixteen adolescent mothers aged 15–19 years were included in the data analysis of frequency of antenatal care (ANC) visits and place of delivery (home/traditional birth vs. hospital/birth center) represented the utilization of maternal healthcare services. Approximately 7% of the participants were 16 years of age or younger, and over half lived in rural areas. The majority (93%) were having their first baby, one-fourth of the adolescent mothers had fewer than four ANC visits and 33.5% chose a traditional place for childbirth. Pregnancy fatigue was a significant determinant of both antenatal care and the place of delivery. Older age (OR 2.43; 95% CI 1.12–5.29), low income (OR 2.01; 95% CI 1.00–3.74), pregnancy complications of fever (OR 2.10; 95% CI 1.31–3.36), fetal malposition (OR 2.01; 95% CI1.19–3.38), and fatigue (OR 3.63; 95% CI 1.27–10.38) were significantly related to four or more ANC visits. Maternal education (OR 2.14; 95% CI 1.35–3.38), paternal education (OR 1.62; 95% CI 1.02–2.57), income level (OR 2.06; 95% CI 1.12–3.79), insurance coverage (OR 1.68; 95% CI 1.11–2.53), and presence of pregnancy complications such as fever (OR 2.03; 95% CI 1.33–3.10), convulsion (OR 7.74; 95% CI 1.81–32.98), swollen limbs (OR 11.37; 95% CI 1.51–85.45), and fatigue (OR 3.65; 95% CI 1.50–8.85) were significantly related to the place of delivery. Utilization of maternal healthcare services among adolescent mothers was determined by not only socioeconomic factors but also pregnancy complications. These factors should be considered to improve the accessibility, availability, and affordability of healthcare utilization among pregnant adolescents.

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference42 articles.

1. (2019, September 14). Indonesia Demographic and Health Survey. Available online: https://dhsprogram.com/publications/publication-fr342-dhs-final-reports.cfm.

2. World Health Organization (2015). Trends in Maternal Mortality: 1990–2015, World Health Organization.

3. The World Bank (2020, September 30). Maternal Morality Ratio (Modeled Estimate, Per 100,000 Live Births)-Indonesia. Available online: https://data.worldbank.org/indicator/SH.STA.MMRT?locations=ID.

4. Saving the lives of South Africa’s mothers, babies, and children: Can the health system deliver?;Chopra;Lancet,2009

5. Evangelista CB. Complications in adolescent pregnancy: Systematic review of the literature;Azevedo;J. Einstein.,2015

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