Exploring the Influence of Sociodemographic Characteristics on the Utilization of Maternal Health Services: A Study on Community Health Centers Setting in Province of Jambi, Indonesia

• Published in: International journal of environmental research and public health 2022-07, Vol.19 (14), p.8459
• Main Authors: Herwansyah, Herwansyah, Czabanowska, Katarzyna, Kalaitzi, Stavroula, Schröder-Bäck, Peter
• Format: Article
• Language: English
• Subjects: Age; Births; Confidence intervals; COVID-19; Health care policy; Health facilities; Health services; Health services utilization; Insurance; Low income groups; Maternal & child health; Maternal mortality; Minority & ethnic groups; Parity; Population; Postpartum period; Prenatal care; Questionnaires; Sample size; Sociodemographics; Socioeconomic factors; Statistical analysis; Urban areas; Womens health
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph19148459

The Maternal Mortality Ratio in Indonesia has remained high, making it a national priority. The low utilization of maternal health services at community health centers is considered to be one of the reasons for poor maternal health status. This study aims to assess the influence of sociodemographic factors on utilization of maternal health services. The analysis was completed using binary and logistic regression to examine the association between sociodemographic variables and maternal health services utilization. A total of 436 women participated in the survey. In the multivariable analysis, age, education, ethnicity, parity status, distance to health centers and insurance ownership were associated with the utilization of maternal health services. Ethnicity (OR, 2.1; 95% confidence interval, 1.4–3.3) and distance to the CHC (OR, 0.5; 95% confidence interval, 0.3–0.8) were significantly associated with ANC visits. The association between parity and place of delivery was statistically significant (OR, 0.8; 95% confidence interval, 0.5–1.4). A positive association between basic health insurance ownership and PNC services was reported (OR, 0.3; 95% confidence interval, 0.1–0.6). Several sociodemographic factors were positively associated with the utilization of maternal health services at the CHCs. The required measures to improve the utilization of maternal health services at the CHCs level have to take into consideration the sociodemographic factors of reproductive age women.