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. 2023 Feb 25;11(5):678.
doi: 10.3390/healthcare11050678.

Utilization of Maternal Healthcare Services among Adolescent Mothers in Indonesia

Ratih Virta Gayatri  1   2 , Yu-Yun Hsu  3 , Elizabeth G Damato  4
Affiliations

Utilization of Maternal Healthcare Services among Adolescent Mothers in Indonesia

Ratih Virta Gayatri et al. Healthcare (Basel). .

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.

Keywords: Indonesia; adolescent mothers; maternal healthcare; pregnancy complications.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.

References

    1. Indonesia Demographic and Health Survey. 2017. [(accessed on 14 September 2019)]. Available online: https://dhsprogram.com/publications/publication-fr342-dhs-final-reports.cfm.
    1. World Health Organization . Trends in Maternal Mortality: 1990–2015. Estimates from WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division; World Health Organization; Geneva, Switzerland: 2015.
    1. The World Bank Maternal Morality Ratio (Modeled Estimate, Per 100,000 Live Births)-Indonesia. 2019. [(accessed on 30 September 2020)]. Available online: https://data.worldbank.org/indicator/SH.STA.MMRT?locations=ID.
    1. Chopra M., Daviaud E., Pattinson R., Fonn S., Lawn J.E. Saving the lives of South Africa’s mothers, babies, and children: Can the health system deliver? Lancet. 2009;374:835–846. doi: 10.1016/S0140-6736(09)61123-5. - DOI - PubMed
    1. Azevedo W.F.d., Diniz M.B., Fonseca E.S.V.B.d., Azevedo L.M.R.d. Evangelista CB. Complications in adolescent pregnancy: Systematic review of the literature. J. Einstein. 2015;13:618–626. doi: 10.1590/S1679-45082015RW3127. - DOI - PMC - PubMed

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