Evidence map›Paper›PMID 40901335›Full record

ArticleFrontiers in global women's health2025

Determinants of non-use of antenatal care services in eastern Indonesia: analysis of the 2023 Indonesia health survey.

Christiana Rialine Titaley, Dwi Hapsari Tjandrarini, Maxwell Landri Vers Malakauseya, Iwan Ariawan, Ressita Fannia Iwan, Sean Samuel Istia, Michael J Dibley

Abstract read
In one paragraph

Article in Frontiers in global women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Christiana Rialine TitaleyDepartment of Public Health, Faculty of Medicine Pattimura University, Ambon, Indonesia.
Dwi Hapsari TjandrariniNational Research and Innovation Agency Republic of Indonesia, Bogor, Indonesia.
Maxwell Landri Vers MalakauseyaFaculty of Medicine, Pattimura University, Ambon, Indonesia.
Iwan AriawanFaculty of Public Health, Universitas Indonesia, Depok, Indonesia.
Ressita Fannia IwanFaculty of Medicine, Pattimura University, Ambon, Indonesia.
Sean Samuel IstiaFaculty of Medicine, Pattimura University, Ambon, Indonesia.
Michael J DibleySydney School of Public Health, Faculty of Medicine and Health, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Although Indonesia has made significant progress in improving maternal and child health nationally, regional disparities persist, particularly in eastern Indonesia, where maternal and neonatal health outcomes remain suboptimal compared with the western regions. This study examined factors associated with non-use of antenatal care (ANC) in eastern Indonesia. Methods: We analyzed data from 3,261 mothers with infants under one year of age in eastern Indonesia who were interviewed in the 2023 Indonesia Health Survey. The primary outcome was maternal non-use at ANC during pregnancy with an infant younger than 12 months at the time of the survey. Eighteen potential predictors of non-use of ANC were assessed using a multilevel analysis. Results: Approximately 5% (95% CI: 4.14-6.09) of the mothers with infants 0-11 months did not seek antenatal care. Non-use was associated with infant age, region, socioeconomic status, health checks, knowledge of stunting, and pregnancy-related complications. Mothers with infants aged 6-11 months were 63% less likely to forgo ANC [adjusted odds ratio (aOR) = 0.63, Conclusions: Socioeconomic and geographic disparities drive non-use of antenatal care in eastern Indonesia. Improving healthcare access, education, and early screening are crucial for reducing regional inequalities and enhancing maternal health.

Indexed as

antenatal care servicescommunity healthhealth care utilizationmaternal healthpregnancypublic health

Identifiers

PMID40901335
PMCPMC12399656

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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.