Abstract

Pemanfaatan pelayanan kesehatan ibu dapat menyelamatkan perempuan dari komplikasi berat dan kematian selama kehamilan, persalinan, dan pasca persalinan. Faktor sosial, manfaat/kebutuhan yang dirasakan, serta aksesibilitas ekonomi dan fisik berkontribusi langsung terhadap pemanfaatan pelayanan kesehatan ibu. Tujuan penelitian ini adalah mengetahui faktor sosial, kebutuhan, serta aksesibilitas ekonomi dan fisik yang memengaruhi pemanfaatan pelayanan kesehatan ibu di Jawa Barat. Data yang digunakan untuk penelitian adalah data sekunder hasil Riset Kesehatan Dasar 2010 pada perempuan usia 15 – 59 tahun yang pernah menikah. Penelitian ini menggunakan analisis bivariat dan multivariat. Kedua hasil analisis menegaskan bahwa faktor sosial, kebutuhan yang dirasakan, serta aksesibilitas ekonomi dan fisik memiliki hubungan yang signifikan dengan pemanfaatan pelayanan antenatal dan persalinan. Model akhir analisis multivariat regresi logistik menunjukkan bahwa tempat tinggal merupakan variabel yang paling memengaruhi pemanfaatan kedua bentuk pelayanan kesehatan ibu. Determinan penting yang lain adalah riwayat komplikasi, pendapatan keluarga, umur, dan pendidikan ibu. Dalam analisis multivariat, status perempuan bekerja dan pekerjaan suami tidak memiliki dampak yang signifikan terhadap kemungkinan perempuan mendapatkan perawatan antenatal dan pemberian perawatan modern meskipun variabel suami adalah positif dan sangat terkait dengan variabel dependen.

Utilization of maternal health care services could save severe complications and death among women during pregnancy, delivery, and after delivery. Numerous factors such as social, perceived needs, and economic and physical accessibility are contributed directly with the use of maternal health care. The purpose of this study is to investigate the social, perceived needs, and economic and physical accecibility factors that affect women’s use of maternal health care in West Java. The data used come from the 2010 Basic Health Research of ever married women 15 – 59 years old. This study used two levels of analysis, bivariate and multivariate analysis. Both analyses confirmed that social, perceived needs, and economic and physical accessibility factors had a significant relationship with the utilization of antenatal and modern delivery care. The final model logistics regression multivariate analysis indicate that the residence’s place remain the most independent variable affecting both of antenatal and delivery care usage. Other important determinants are complications history, family income, mother’s age, and education. In the multivariate analysis, the complications history have a significant impact on the probability of women obtaining delivery care although these variable not associated with the dependent variables in the bivariate analysis.

References

1. Kementerian Kesehatan Republik Indonesia. Pedoman pelaksanaan pelayanan kesehatan ibu di fasilitas kesehatan. Jakarta: Kementerian Kesehatan Republik Indonesia; 2010.

2. Republika. Inilah sembilan provinsi penyumbang kematian ibu terbesar; 2012 [serial on the internet] 2012 [diakses tanggal 2011 Oct 11]. Diunduh dari: www.republika.co.id./berita/nasional/12/04/30.

3. Dinas Kesehatan Provinsi Jawa Barat. Laporan Tahunan Propinsi Jawa Barat. Bandung: Dinas Kesehatan Jawa Barat; 2010.

4. Departemen Kesehatan Republik Indonesia. Kebijakan dan strategi nasional kesehatan reproduksi di Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia; 2005.

5. Kementerian Kesehatan Republik Indonesia. Profil kesehatan Indonesia. Jakarta: Kementerian Kesehatan Republik Indonesia; 2010.

6. Kausar F, Griffiths P, Matthews Z. Opportunities and choices working papers No. 20: poverty and maternal health care utilisation in Maharashtra: associated influences on infant mortality and morbidity, Departement of Social Statistics, University Of Southhampton, UK. New York: Population Association of America; 1999 [cited 2012 Sept 15]. Available from: http://www.94.126.106.9/R4D/PDF/Outputs/- HOppsWork20.pdf

7. McDonagh M. Review article: is antenatal care effective in reducing maternal morbidity and mortality? Health Policy and Planning. 1996; 11 (1): 1-15.

8. Thaddeus S, Maine D. Too far to walk: maternal mortality in context. Social Science of Medicine. 1994; 38: 1091–110.

9. Griffiths P, Stephenson R. Understanding users’ perspectives of barriers to maternal health care use in Maharashtra, India. Journal of Biosocial Science. 2001; 33 (3): 339-59.

10. Gabrysch S, Campbell OM. Still too far to walk: Literature review of the determinants of delivery service use. BMC Pregnancy Childbirth. 2009; 9: 34.

11. Elo IT. Utilization of maternal health-care services in Peru: the role of women’s education. Health Trans Rev [serial on the internet]. 1992; 2(1): 49-69 [cited 2012 Oct 20]. Available from: http://www.htc.anu.- edu.au/pdfs/Elo1.pdf

12. Raghupathy S. Education and the use of maternal health care in Thailand. Social Science and Medicine. 1996; 43 (4): 459-71.

13. Singh PK, Rai RK, Alagarajan M, Singh L. Determinants of maternity care services utilization among married adolescents in Rural India. Plos One [serial on the internet] 7(2):e31666 [cited 2012 Feb 15]. Available from: http://www.plosone.org.

14. Magadi MA, Agwanda AO, Obare FO. A comparative analysis of the use of maternal health services between teenagers and older mothers in sub-Saharan Africa: evidence from Demographic and Health Surveys (DHS). Social Science and Medicine. 2007; 64 (6): 1311- 25.

15. Ochako R, Fotso JC, Ikamari L, Khasakhala A. Utilization of maternal health services among young women in Kenya: insights from Kenya Demographic and Health Survey, 2003. BMC Pregnancy and Childbirth. 2011; 11: 1.

16. Badan Pusat Statistik. Peraturan Kepala Badan Pusat Statistik No. 37 Tahun 2010. 2nd ed. Jakarta: Badan Pusat Statistik; 2010 [diakses tanggal 1 November 2012]. Diunduh dari: http://www.bps.go.id.

17. Navaneetham A, Dharmalingam. Utilization of maternal health care services in South India. Social Science and Medicine. 2002; 55 (10): 1849-69.

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