Effect of education level on delivery at home evidence from eastern Indonesia

Nikmatur Rohmah; Agung Dwi Laksono; Sofia Rhosma Dewi

doi:10.21927/jnki.2023.11(4).367-379

Effect of education level on delivery at home evidence from eastern Indonesia

Nikmatur Rohmah, Agung Dwi Laksono, Sofia Rhosma Dewi

Abstract

Background: Eastern is an area that tends to be lagging in terms of health development in Indonesia, including delivery services.

Objectives: The study aims to analyzes the effect of education level on delivery at home in eastern Indonesia.

Methods: The study employed secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). The samples of this study were women of childbearing age, who labored in the last five years, and there were 2,299 respondents. Apart from education level as an exposure variable, the study used seven control variables, i.e., residence, age, employment, marital, parity, health insurance, and wealth status. In addition, the study employed binary logistic regression in the final stage.

Results: The results inform women with primary education have a 1.520 times higher probability than women with higher education to deliver at home (AOR 1.520; 95% CI 1.520-1.521). Moreover, women with secondary education are 1.206 times more likely than women with higher education to deliver at home (AOR 1.206; 95% CI 1.206-1.207). Thus, the results of this analysis inform the lower the education level, the higher the possibility for delivery at home. Apart from education level, the study also found other control variables significantly related to maternal delivery at home in eastern Indonesia. Seven control variables are proven to be related to home delivery in Eastern Indonesia. The first lives in the countryside, the second is younger, the third does not work, the fourth has a partner, the fifth is multiparous, the sixth has no insurance, and the seventh is very poor.

Conclusions: The study concluded that education level affects maternal delivery at home in eastern Indonesia.The recommendation from this research is the need for policies that can minimize the limitations of vulnerable groups in utilizing help in hospitals.

Keywords

level of education; delivery at home; sociodemography

Full Text:

PDF

References

Nurrizka RH, Wahyono TYM. Disparitas Kematian Maternal di Indonesia: Studi Ekologi dengan Analisis Spasial. Media Kesehatan Masyarakat Indonesia [Internet]. 2018;14(2):119. Available from: http://dx.doi.org/10.30597/mkmi.v14i2.3630

Kemenkes RI. Profil Kesehatan Indonesia tahun 2019. Jakarta Indonesia: Kementerian Kesehatan Republik Indonesia; 2020. 497 p.

Ahmed S, Fullerton J. Challenges of reducing maternal and neonatal mortality in Indonesia: Ways forward. International Journal of Gynecology & Obstetrics 2019;144(Suppl. 1):1–3. Available from: https://doi.org/10.1002/ijgo.12728

WHO. Maternal mortality ratio (modeled estimate, per 100,000 live births) - Indonesia. UNICEF, UNFPA, World Bank Group, and the United Nations Population Division. 2019. p. 1.

Aryanty RI, Romadlona NA, Besral B, Panggabean EDP, Utomo B, Makalew R, et al. Contraceptive use and maternal mortality in Indonesia: a community-level ecological analysis. Reproductive Health. 2021;18(1):1–9. Available from: https://doi.org/10.1186/s12978-020-01022-6

Afifah T, Tejayanti T, Saptarini I, Rizkianti A, Usman Y, Senewe FP, et al. Maternal Death in Indonesia: Follow-Up Study of the 2010 Indonesia Population Census. Jurnal Kesehatan Reproduksi. 2016;7(1):1–13. Available from: https://www.neliti.com/id/publications/108207/maternal-death-in-indonesia-follow-up-study-of-the-2010-indonesia-population-cen

Cameron L, Suarez DC, Cornwell K. Understanding the determinants of maternal mortality: An observational study using the Indonesian Population Census. PLoS One. 2019;14(6):1–18. Available from: https://doi.org/10.1371/journal.pone.0217386

Atukunda EC, Mugyenyi GR, Obua C, Musiimenta A, Agaba E, Najjuma JN, et al. Women’s Choice to Deliver at Home: Understanding the Psychosocial and Cultural Factors Influencing Birthing Choices for Unskilled Home Delivery among Women in Southwestern Uganda. Journal of Pregnancy. 2020;2020. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7290878/

Ipa M, Widawati M, Laksono AD, Kusrini I, Dhewantara PW. Variation of preventive practices and its association with malaria infection in eastern Indonesia: Findings from community-based survey. PLoS One. 2020;15(5):e0232909. Available from: https://doi.org/10.1371/journal.pone.0232909

Laksono AD, Ibad M, Mursita A, Kusrini I, Wulandari RD. Characteristics of mother as predictors of stunting in toddler. Pakistan Journal of Nutrition 2019;18(12):1101–6. Available from: https://doi.org/10.3923/pjn.2019.1101.1106

Wulandari RD, Laksono AD. Education as predictor of the knowledge of pregnancy danger signs in Rural Indonesia. International Journal of Innovation, Creativity and Change. 2020;13(1):1037–51. Available from: https://www.ijicc.net/images/vol_13/13163_Wulandari_2020_E_R.pdf

Setiawati E, Malihah E, Komariah S. Faktor-Faktor Yang Mempengaruhi Perempuan Berpendidikan Tinggi Berperan Sebagai Pengambil Keputusan Dalam Keluarga Di Kelurahan Isola. Sosietas. 2017;7(1):329–334. Available from: https://ejournal.upi.edu/index.php/sosietas/article/view/10345/6396

Moshi F V., Mbotwa CH. Determinants for choice of home birth over health facility birth among women of reproductive age in Tanzania: an analysis of data from the 2015-16 Tanzania demographic and health survey and malaria indicator survey. BMC Pregnancy and Childbirth. 2020;20(1):561. Available from: https://doi.org/10.1186/s12884-020-03266-3

Kifle MM, Kesete HF, Gaim HT, Angosom GS, Araya MB. Health facility or home delivery? Factors influencing the choice of delivery place among mothers living in rural communities of Eritrea. Journal of Health, Population and Nutrition 2018;37(1):1–15. Available from: https://doi.org/10.1186/s41043-018-0153-1

Lestari W, Auliyati Z, Pusat A, Dan P, Humaniora P, Kesehatan M, et al. Meta-Etnografi Budaya Persalinan Di Indonesia Meta-Ethnography of Delivery Cultures in Indonesia. Jurnal Masyarakat & Budaya. 2018;20(1):49–60. Available from: https://doi.org/10.14203/jmb.v20i1.511

Nurhidayanti S, Margawati A, Kartasurya MI. Kepercayaan Masyarakat terhadap Penolong Persalinan di Wilayah Halmahera Utara. The Indonesian Journal of Health Promotion (Jurnal Promosi Kesehatan Indonesia). 2018;13(1):46. Available from: https://doi.org/10.14710/jpki.13.1.46-60

Adewuyi EO, Khanal V, Zhao Y, David L, Bamidele OD, Auta A. Home childbirth among young mothers aged 15-24 years in Nigeria: A national population-based cross-sectional study. BMJ Open. 2019;9(9). Available from: https://doi.org/10.1136/bmjopen-2018-025494

Gobel FA, Multazam AM, Asrina A AE. Prosiding Seminar Nasional 2018 Persalinan Pada Suku Bajo Pomalaa Sulawesi Tenggara Seminar Nasional Sinergitas Multidisiplin Ilmu Pengetahuan dan Teknologi 322 Prosiding Seminar Nasional 2018 Seminar Nasional Sinergitas Multidisiplin Ilmu Pengetahuan dan. 2018;1(April):9–10.

Pinnelli A. Marital fertility and the changing status of women in Europe. Genus. Journal of Population Sciences. 2020;76(1). Available from: https://doi.org/10.1186/s41118-020-0072-z

Chari A V., Heath R, Maertens A, Fatima F. The causal effect of maternal age at marriage on child wellbeing: Evidence from India. Journal of Development Economics. 2017;127:42–55. Available from: https://doi.org/10.1016/j.jdeveco.2017.02.002

Moshi F, Nyamhanga T. Understanding the preference for homebirth; An exploration of key barriers to facility delivery in rural Tanzania. Reproductive Health. 2017;14(1):1–9. Available from: https://doi.org/10.1186/s12978-017-0397-z

Kusumaningrum F, Soewondo P. Peran Jaminan Kesehatan Terhadap Pemanfaatan Tenaga Kesehatan Sebagai Penolong Persalinan Di Indonesia (Analisis Data Susenas 2017). Jurnal Kesehatan Reproduksi. 2018;9(2):109–24. Available from: https://doi.org/10.22435/kespro.v9i2.1092.109-124

Widodo Y, Amanah S, Pandjaitan NK, Susanto D, Upaya PP, Masyarakat K, et al. Pengaruh Faktor Sosial Ekonomi Dan Budaya Terhadap Perilaku Persalinan Di Perdesaan Daerah Angka Kematian Ibu Rendah Dan Tinggi. Jurnal Kesehatan Reproduksi. 2017;8(1):77–88. Available from: https://doi.org/10.22435/kespro.v8i1.6753.77-88

DOI: http://dx.doi.org/10.21927/jnki.2023.11(4).367-379