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Author ORCID Identifier

https://orcid.org/0000-0002-9089-142X

Article Classification

Sustainable Development

Abstract

A reduction of child and maternal mortality is among the targets of the Sustainable Development Goals (SDGs), namely the third goal. An important determinant of child and maternal mortality risk is the utilization of maternal and child health (MCH). This study aims to analyze the relationship between women's autonomy and the continuum of MCH services utilization in Indonesia using IDHS 2017. The unit of analysis was women of childbearing age who were married or living together, gave birth to at least one child in the five years before the survey, and had the last child aged 1 to 3 years, totalling as many as 6,575 samples. The analytical method used is multinomial logistic regression. The dependent variable in this study is the continuity of MCH services utilization and is divided into three categories, namely not a continuum, partial continuum, and whole continuum. The primary independent variable used in this study is women's autonomy with the demographic and socioeconomic factors as control variables. The results show that the proportion of mothers who used all MCH services continuously in Indonesia was 22.14 percent. Utilization of PNC and K4 became the most dominant services from disconnection of every mother from utilizing all MCH services continuously. Mothers with higher autonomy had a higher probability of taking advantage of some and all stages of the continuum of MCH services utilization. Therefore, the government must continue to increase women's autonomy to increase the continuum of MCH services utilization and achieve the SDGs targets.

References

Agbanyo, R. (2019). National Helath Insurance, Women's Autonomy and Maternal Healthcare Utilisation in Ghana. Cape Coast: Department of Economic Studies of the School of Economics, College of Humanity and Legal Studies

Akseer, N., Bhatti, Z., Rizvi, A., Salehi, A. S., Mashal, T., & Bhutta, Z. A. (2016). Coverage and inequalities in maternal and child health interventions in Afghanistan. BMC Public Health, 16(2), 119-137. https://doi.org/10.1186/s12889-016-3406-1

Ameyaw, E. K., Dickson, K. S., & Adde, K. S. (2021). Are Ghanaian women meeting the WHO recommended maternal healthcare (MCH) utilisation? Evidence from a national survey. BMC Pregnancy and Childbirth, 21(1), 1-9. https://doi.org/10.1186/s12884-021-03643-6

Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter?. Journal of health and social behavior, 1-10. https://doi.org/10.2307/2137284

ASEAN Secretariat. (2017). ASEAN Statistical Report on Millennium Development Goals 2017.

ASEAN Secretariat. (2020). ASEAN Sustainable Development Goals Indicators Baseline Report 2020. Jakarta: ASEAN

Badan Litbangkes. (2018). Laporan Nasional RKD 2018. BPPK (p. 198). http://labdata.litbang.kemkes.go.id/images/download/laporan/RKD/2018/Laporan_Nasional_RKD2018_FINAL.pdf

Bappenas. (2017). Ringkasan Metadata Indikator Tujuan Pembangunan Berkelanjutan (TPB)/Sustainable Development Goals (SDGs) Indonesia. Jakarta: Bappenas

Barros, A. J., & Victora, C. G. (2013). Measuring coverage in MNCH: determining and interpreting inequalities in coverage of maternal, newborn, and child health interventions. PLoS medicine, 10(5), e1001390. https://doi.org/10.1371/journal.pmed.1001390

Boerma, J. T., Bryce, J., Kinfu, Y., Axelson, H., & Victora, C. G. (2008). Mind the gap: equity and trends in coverage of maternal, newborn, and child health services in 54 Countdown countries. Lancet (London, England), 371(9620), 1259-1267. https://doi.org/10.1016/S0140-6736(08)60560-7

Emiru, A. A., Alene, G. D., & Debelew, G. T. (2020). Women’s retention on the continuum of maternal care pathway in west Gojjam zone, Ethiopia: multilevel analysis. BMC pregnancy and childbirth, 20(1), 1-14. https://doi.org/10.1186/s12884-020-02953-5

Enos, J. Y., Amoako, R. D., & Doku, I. K. (2021). Utilization, Predictors and Gaps in the Continuum of Care for Maternal and Newborn Health in Ghana. International Journal of Maternal and Child Health and AIDS (IJMA), 10(1), 43-53. https://doi.org/10.21106/ijma.425

Ewerling, F. (2018). Measuring women’s empowerment and its impact on child development in African countries: an analysis of national surveys. http://www.repositorio.ufpel.edu.br/handle/prefix/6720

Hamed, A., Mohamed, E., & Sabry, M. (2018). Egyptian status of continuum of care for maternal, newborn, and child health: Sohag Governorate as an example. International Journal of Medical Science and Public Health, 7(6), 1. https://doi.org/10.5455/ijmsph.2018.0102607032018

Haque, S. E., Rahman, M., Mostofa, M. G., & Zahan, M. S. (2012). Reproductive health care utilization among young mothers in Bangladesh: does autonomy matter?. Women's Health Issues, 22(2), e171-e180. https://doi.org/10.1016/j.whi.2011.08.004

Iqbal, S., Maqsood, S., Zakar, R., Zakar, M. Z., & Fischer, F. (2017). Continuum of care in maternal, newborn and child health in Pakistan: Analysis of trends and determinants from 2006 to 2012. BMC Health Services Research, 17(1), 1-15. https://doi.org/10.1186/s12913-017-2111-9

Kc, S., & Neupane, S. (2016). Women's Autonomy and Skilled Attendance During Pregnancy and Delivery in Nepal. Maternal and child health journal, 20(6), 1222-1229. https://doi.org/10.1007/s10995-016-1923-2

Kerber, K. J., de Graft-Johnson, J. E., Bhutta, Z. A., Okong, P., Starrs, A., & Lawn, J. E. (2007). Continuum of care for maternal, newborn, and child health: from slogan to service delivery. The Lancet, 370(9595), 1358-1369. https://doi.org/10.1016/S0140-6736(07)61578-5

Khan, M. N., Harris, M. L., & Loxton, D. (2020). Assessing the effect of pregnancy intention at conception on the continuum of care in maternal healthcare services use in Bangladesh: Evidence from a nationally representative cross-sectional survey. PloS one, 15(11), e0242729. https://doi.org/10.1371/journal.pone.0242729

Kim, S., & Kim, S. Y. (2019). Exploring factors associated with maternal health care utilization in Chad. Journal of Global Health Science, 1(1). https://doi.org/10.35500/jghs.2019.1.e31

Martines, J., Paul, V. K., Bhutta, Z. A., Koblinsky, M., Soucat, A., Walker, N., ... & Lancet Neonatal Survival Steering Team. (2005). Neonatal survival: a call for action. The Lancet, 365(9465), 1189-1197. https://doi.org/10.1016/S0140-6736(05)71882-1

Mohammed, B. H., Johnston, J. M., Harwell, J. I., Yi, H., Tsang, K. W., & Haidar, J. A. (2017). Intimate partner violence and utilization of maternal health care services in Addis Ababa, Ethiopia. BMC health services research, 17(1), 178. https://doi.org/10.1186/s12913-017-2121-7

Muluneh, A. G., Kassa, G. M., Alemayehu, G. A., & Merid, M. W. (2020). High dropout rate from maternity continuum of care after antenatal care booking and its associated factors among reproductive age women in Ethiopia, Evidence from Demographic and Health Survey 2016. PloS one, 15(6), e0234741. https://doi.org/10.1371/journal.pone.0234741

Oh, J., Moon, J., Choi, J. W., & Kim, K. (2020). Factors associated with the continuum of care for maternal, newborn and child health in the Gambia: A cross-sectional study using Demographic and Health Survey 2013. BMJ Open, 10(11). https://doi.org/10.1136/bmjopen-2019-036516

Okedo-Alex, I. N., Akamike, I. C., Ezeanosike, O. B., & Uneke, C. J. (2019). Determinants of antenatal care utilisation in sub-Saharan Africa: a systematic review. BMJ open, 9(10), e031890. https://doi.org/10.1136/bmjopen-2019-031890

Pratley, P. (2016). Associations between quantitative measures of women’s empowerment and access to care and health status for mothers and their children: A systematic review of evidence from the developing world. Social Science and Medicine, 169, 119-131. https://doi.org/10.1016/j.socscimed.2016.08.001

Puspitasari, D. A. (2019). Hubungan Antara Ketersediaan Infrastruktur Kesehatan dan Aksesibilitas Dengan Pemanfaatan Pelayanan Kesehatan Maternal Di Indonesia: Analisis Data Sdki 2017. Tesis. Depok: Fakultas Ekonomi dan Bisnis Universitas Indonesia.

Rizkianti, A., Afifah, T., Saptarini, I., & Rakhmadi, M. F. (2020). Women’s decision-making autonomy in the household and the use of maternal health services: An Indonesian case study. Midwifery, 90(August), 102816. https://doi.org/10.1016/j.midw.2020.102816

Sakina, A. I. (2017). Menyoroti budaya patriarki di Indonesia. Share: Social Work Journal, 7(1), 71-80. http://jurnal.unpad.ac.id/share/article/view/13820

Sakuma, S., Yasuoka, J., Phongluxa, K., & Jimba, M. (2019). Determinants of continuum of care for maternal, newborn, and child health services in rural Khammouane, Lao PDR. PloS one, 14(4), e0215635. https://doi.org/10.1371/journal.pone.0215635

Saptarini, I., & Setyonaluri, D. (2018). Pregnancy Intention and Utilization of Maternal and Child Health Care Services in Indonesia. Jurnal Kesehatan Reproduksi, 9(1), 27-36. https://doi.org/10.22435/kespro.v9i1.891.27-36

Shibanuma, A., Yeji, F., Okawa, S., Mahama, E., Kikuchi, K., Narh, C., ... & Jimba, M. (2018). The coverage of continuum of care in maternal, newborn and child health: a cross-sectional study of woman-child pairs in Ghana. BMJ global health, 3(4), e000786. http://dx.doi.org/10.1136/bmjgh-2018-000786

Singh, K., Story, W.T., & Moran, A. C. (2016). Assessing the Continuum of Care Pathway for Maternal Health in South Asia and Sub-Saharan Africa. HHS Public Access. Physiology & Behavior, 176(1), 100-106. https://doi.org/10.1007/s10995-015-1827-6.

Thaddeus, S., & Maine, D. (1994). Too far to walk: maternal mortality in context. Social science & medicine, 38(8), 1091-1110. https://doi.org/10.1016/0277-9536(94)90226-7

Thapa, J., Budhathoki, S. S., Gurung, R., Paudel, P., Jha, B., Ghimire, A., ... & Kc, A. (2020). Equity and Coverage in the Continuum of Reproductive, Maternal, Newborn and Child Health Services in Nepal-Projecting the Estimates on Death Averted Using the LiST Tool. Maternal and Child Health Journal, 24(1), 22-30. https://doi.org/10.1007/s10995-019-02828-y

Tinker, A., Ten Hoope-Bender, P., Azfar, S., Bustreo, F., & Bell, R. (2005). A continuum of care to save newborn lives. Lancet, 365(9462), 822-825. https://doi.org/10.1016/S0140-6736(05)71016-3

Ulfa, Z. D., Kuswardinah, A., & Mukarromah, S. B. (2017). Faktor-faktor yang mempengaruhi pemanfaatan pelayanan kesehatan maternal secara berkelanjutan. Public Health Perspective Journal, 2(2). https://journal.unnes.ac.id/nju/index.php/phpj/article/view/13589

UN IGME. (2020). UN IGME Report 2020: Levels & Trends in Child Mortality. UN IGME Report

Upadhyay, U. D., Gipson, J. D., Withers, M., Lewis, S., Ciaraldi, E. J., Fraser, A., ... & Prata, N. (2014). Women's empowerment and fertility: a review of the literature. Social science & medicine, 115, 111-120. https://doi.org/10.1016/j.socscimed.2014.06.014

Victora, C. G., Fenn, B., Bryce, J., & Kirkwood, B. R. (2005). Co-coverage of preventive interventions and implications for child-survival strategies: evidence from national surveys. The Lancet, 366(9495), 1460-1466. https://doi.org/10.1016/S0140-6736(05)67599-X

Wang, W., & Hong, R. (2015). Levels and determinants of continuum of care for maternal and newborn health in Cambodia-evidence from a population-based survey. BMC Pregnancy and Childbirth, 15(1), 1-9. https://doi.org/10.1186/s12884-015-0497-0

WHO. (2013). The Partnership for Maternal, Newborn & Child Health, Partners in Population and Development. Promoting women’s empowerment for better health outcomes for women and children. Geneva: WHO.

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