Kesinambungan Pemanfaatan Pelayanan Kesehatan Maternal di Indonesia

Buletin Penelitian Kesehatan

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Title Kesinambungan Pemanfaatan Pelayanan Kesehatan Maternal di Indonesia
Creator Sulistiyowati, Ning; Puslitbang Upaya Kesehatan Masyarakat
Hidayangsih, Puti Sari; Pusat Upaya Kesehatan Masyarakat, Badan Litbangkes
Tjandrarini, Dwi Hapsari; Puslitbang Upaya Kesehatan Masyarakat
Subject kesinambungan, kesehatan maternal, pelayanan kesehatan
Description AbstractIn an effort to decrease the maternal mortality rate in Indonesia, the government implements a lot of strategies and health programs by means of continum of care. This article aims to determine the factors of mothers affecting sustainable maternal health services using the 2013 Riskesdasdata. Data analyses were done by calculating the difference in the percentage of coverage of health indicators in each district/city and continuing to find a model determining the relationship of maternalcharacteristics factors related to the continuation of maternal health care by logistic regression. The sustainability of maternal health service utilization in Indonesia is only 46%. The factors are the mother's education (OR = 1.79 and 2.58), the work of mothers (OR = 1.38), economic status (OR= 1.65), pregnancy status (OR = 1.33), method of delivery (OR = 0.71 and 0.37), complications of pregnancy (OR = 1.13), birth complications (OR = 0.79), the travel time to health facilities (OR = 0.61 and 1.59), age at delivery (OR = 1.23). The study reveals that continuity of maternal healthservices remain unsatisfactory. Government should pay more attention to improve the quality and access to maternal health services as to encourage mothers to sustain their health care.Keywords: continuum of care, maternal health, Riskesdas 2013AbstrakDalam upaya menurunkan angka kematian ibu di Indonesia, pemerintah melakukan banyak strategi dan program kesehatan di antaranya continum of care. Artikel ini bertujuan untuk mengetahui faktor dan karakteristik ibu yang mempengaruhi kesinambungan pelayanan kesehatan maternal. Data yang digunakan dalam analisis ini adalah data Riskesdas 2013. Analisis dilakukan dengan menghitung selisih persentase cakupan indikator kesehatan di tiap kabupaten/kota. Analisis kemudian dilanjutkandengan mencari model untuk mengetahui hubungan karakteristik ibu dan faktor terkait lain dengan kelanjutan perawatan kesehatan ibu dengan regresi logistik. Persentase kesinambungan pemanfaatan pelayanan kesehatan ibu di Indonesia masih rendah yaitu 46%. Faktor yang mempengaruhi adalah pendidikan ibu (Adjusted OR=1,79 dan 2,58), pekerjaan ibu (Adjusted OR=1,38), status ekonomi (Adjusted OR=1,65), status kehamilan (Adjusted OR=1,33), metode persalinan (Adjusted OR=0,71 dan 0,37), komplikasi kehamilan (Adjusted OR=1,13), komplikasi persalinan (Adjusted OR=0,79), waktu tempuh ke fasilitas kesehatan (Adjusted OR=0,61 dan 1,59), umur saat melahirkan (AdjustedOR=1,23). Kesinambungan pelayanan kesehatan maternal masih rendah. Perlu perhatian lebih dalam meningkatkan kualitas dan akses pelayanan agar dapat menarik ibu untuk mempertahankan kelanjutan perawatan kesehatan.Kata kunci: kesinambungan layanan, kesehatan maternal, Riskesdas 2013
Publisher Badan Penelitian dan Pengembangan Kesehatan
Date 2017-11-17
Format application/pdf
Source Buletin Penelitian Kesehatan; Vol 45, No 3 (2017); 177-186
Language id
Rights The Authors submitting a manuscript do so on the understanding that if accepted for publication, copyright of the article shall be assigned to Buletin Penelitian Kesehatan (Bulletin of Health Research) and Badan Penelitian dan Pengembangan Kesehatan (National Institute of Health Research and Development) as publisher of the journal.Copyright encompasses exclusive rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc. , will be allowed only with a written permission from Buletin Penelitian Kesehatan (Bulletin of Health Research) and Badan Penelitian dan Pengembangan Kesehatan (National Institute of Health Research and Development).Buletin Penelitian Kesehatan (Bulletin of Health Research) and Badan Penelitian dan Pengembangan Kesehatan (National Institute of Health Research and Development), the Editors and the Advisory International Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal.

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