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Standardized Antenatal Care and Utilization of Skilled Birth Attendants in Indonesia
Authors: Desi Suantari, and Besral
Source: Indian Journal of Public Health Research & Development, 11(3)
Topic(s): Antenatal care
Delivery care
Health care utilization
Maternal health
Country: Asia
Published: MAR 2020
Abstract: Context: Delivery with skilled birth attendants (SBAs) can lower maternal mortality rates. By 2013, the utilization of SBAs in Indonesia had reached 87.1%. This figure was still below the target of the Ministry of Health. The aim of this study was to determine the association of standardized antenatal care (ANC) with the utilization of SBAs. The study design was cross-sectional. The study sample consisted of respondents (N = 2,986) to the 2012 Indonesia Demographic and Health Survey (IDHS) (i.e., married women aged 15–49 years) who had a live birth a year prior to the survey. The data were analyzed by logistic regression. The results showed that almost all women (93.9%) utilized SBAs. The association of standardized ANC with the utilization of SBAs differed according to region, with women who attended four ANC visits and received the full complement of ANC services having the greatest opportunity to choose health workers as birth attendants as compared with women who did not attend four-visits and did not receive all components of ANC services.