Evidence map›Paper›PMID 40613953›Full record

ArticleMaternal and child health journal2025

Exploring the Multilevel Determinants of Suboptimal Maternal and Child Continuum of Care in Indonesia.

Vitri Widyaningsih, Itismita Mohanty, Tri Mulyaningsih, Tesfaye Alemayehu Gebremedhin, Riyana Miranti, Nurussyifa Afiana Zaen, Septyan Dwi Nugroho, Akhmad Azmiardi, Ari Probandari

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In one paragraph

Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Vitri WidyaningsihFaculty of Medicine, Universitas Sebelas Maret, Jalan Ir. Sutami 36 A, Kentingan, Jebres, Surakarta, Central Java, 57126, Indonesia. vitri_w@staff.uns.ac.id.ORCID http://orcid.org/0000-0003-0116-7120
Itismita MohantyHealth Research Institute, University of Canberra, Canberra, Australia. itismita.mohanty@canberra.edu.au.
Tri MulyaningsihDepartment of Economics, Faculty of Economics and Business, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia.
Tesfaye Alemayehu GebremedhinHealth Research Institute, University of Canberra, Canberra, Australia.
Riyana MirantiFaculty of Business, Government and Law, University of Canberra, Canberra, Australia.
Nurussyifa Afiana ZaenDisease Control Research Group, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia.
Septyan Dwi NugrohoDisease Control Research Group, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia.
Akhmad AzmiardiMaster of Public Health Study Program, Faculty of Public Health, Mulawarman University, Samarinda, Indonesia.
Ari ProbandariFaculty of Medicine, Universitas Sebelas Maret, Jalan Ir. Sutami 36 A, Kentingan, Jebres, Surakarta, Central Java, 57126, Indonesia.

Funding

Universitas Sebelas Maret 228/UN27.22/PT.01.03/2023Universitas Sebelas Maret 254/UN27.22/PT.01.03/2022
6 · The paper itself

Abstract

objectiveUnderstanding the multilevel factors associated with completeness of care across the continuum of maternal and child health is needed in order to reduce maternal and child mortality and morbidity in Indonesia. This study aims to assess the multilevel determinants of continuum of care (CoC) and its contextual factors in Indonesia.

methodsData from the 2017 Indonesian Demographic and Health Survey were analyzed. A total of 14,398 women aged 15-49 years who had live births 5 years preceding the survey were analyzed for maternal CoC, while data from 9,206 women and their children (aged < 36 months) were analyzed for maternal CoC and vaccination. Maternal CoC include antenatal care visits, safe facility delivery, and postnatal care. Vaccination includes the 10 recommended dosages of vaccination adjusted for age. Multilevel logistic regression was used to analyse variations in maternal CoC at the individual, household and community levels.

resultsOur findings showed that only half of the women in our study had the complete maternal CoC, and only one-third had both the complete CoC and vaccination for their children. The odds of completing CoC and vaccination are lower among women aged < 20 years, have ≥ 4 children, have low socioeconomic status, and live in rural areas or outside Java-Bali. Pregnancy-related factors were also associated with CoC completeness. CONCLUSIONS FOR PRACTICE: Targeted interventions to improve awareness and increase access that go beyond the individual factors should be developed. In addition to awareness campaigns, interventions aimed at reducing disparities across the different regions in Indonesia should be implemented to improve completeness of maternal CoC and vaccination.

Indexed as

Continuity of Patient CareMaternal Health ServicesAdolescentAdultChild, PreschoolFemaleHumansIndonesiaInfantMiddle AgedPregnancyPrenatal CareSocioeconomic FactorsVaccinationYoung AdultMaternal and child heathMaternal continuum of careMultilevel determinantsVaccination

Identifiers

PMID40613953
PMCPMC12289808

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.