ArticlePloS one2021
Traditional practices influencing the use of maternal health care services in Indonesia.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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12 citing papers in PubMed, 32 citations in OpenAlex.
- Maternal Healthcare Service Utilization in Bangladesh: A Cross-Sectional Study of Determinants and Temporal Trends Using BDHS 2011-2022.Health science reports · 2026Article
- Determinant factors influencing stunting prevention behaviors among working mothers in West Java Province, Indonesia: a cross-sectional study.BMC public health · 2025Article
- Impact of household food insecurity on the use of maternal health services in the Savanes region, Togo: a qualitative study.BMC public health · 2025Article
- Census block based loglinear regression analysis of health and social determinants of maternal mortality in Indonesia 2010-2021.Scientific reports · 2025Article
- Article
- Bibliometric Analysis and ChatGPT-Assisted Identification of Key Strategies for Improving Primary Maternity Care Based on a Decade of Collective Research.International journal of women's health · 2025Review
- Prioritization of maternal and newborn health policies and their implementation in the eastern conflict affected areas of the Democratic Republic of Congo: a political economy analysis.Health research policy and systems · 2024Article
- Mixed-methods study assessing the accuracy of verbal autopsy and sociocultural determinants of infant mortality in Gujarat, India.Journal of education and health promotion · 2024Article
- Challenges in rural maternal health: how received public services and policy awareness affect health knowledge and practices.Frontiers in public health · 2024Article
- A repeated cross-sectional study of the association of community health worker intervention with the maternal continuum of care in rural Liberian communities.BMC pregnancy and childbirth · 2023Article
- Relationships of deworming drug consumption and animal protein intake with stunting.Parasite epidemiology and control · 2023Article
- Optimal utilization of maternal health service in Indonesia: a cross-sectional study of Riskesdas 2018.BMJ open · 2023Article
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2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundMaternal Mortality Ratio (MMR) in Indonesia is still high, 305, compared to 240 deaths per 100,000 in South East Asian Region. The use of Traditional Birth Attendance (TBA) as a cascade for maternal health and delivery, suspected to be the pocket of the MMR problem. The study aimed to assess the influence of traditional practices on maternal health services in Indonesia.
methodsWe used two data sets of national surveys for this secondary data analysis. The samples included 14,798 mothers whose final delivery was between January 2005 and August 2010. The dependent variables were utilization of maternal healthcare, including receiving antenatal care (ANC≥4), attended by skilled birth attendance (SBA), and having a facility-based delivery (FBD). The independent variables were the use of traditional practices, type of family structure, and TBA density. We run a Multivariate logistic regression for the analysis by controlling all the covariates.
resultsTraditional practices and high TBA density have significantly inhibited the mother's access to maternal health services. Mothers who completed antenatal care were 15.6% lost the cascade of facility-based delivery. The higher the TBA population, the lower cascade of the use of Maternal Health Services irrespective of the economic quintile. Mothers in villages with a high TBA density had significantly lower odds (AOR = 0.30; CI = 0.24-0.38; p<0.01) than mothers in towns with low TBA density. Moreover, mothers who lived in an extended family had positively significantly higher odds (AOR = 1.33, CI = 1.17-1.52; p<0.01) of using maternal health services. DISCUSSION: Not all mothers who have received proper antenatal delivered the baby in health care facilities or preferred a traditional birth attendance instead. Traditional practices influenced the ideal utilization of maternal health care. Maternal health care utilization can be improved by community empowerment through the maternal health policy to easier mothers get delivery in a health care facility.
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