Kesinambungan Pemanfaatan Pelayanan Kesehatan Maternal di Indonesia

Ning Sulistiyowati, Puti Sari Hidayangsih, Dwi Hapsari Tjandrarini

Abstract


Abstract
In an effort to decrease the maternal mortality rate in Indonesia, the government implements a lot of strategies and health programs by means of continum of care. This article aims to determine the factors of mothers affecting sustainable maternal health services using the 2013 Riskesdas
data. Data analyses were done by calculating the difference in the percentage of coverage of health indicators in each district/city and continuing to find a model determining the relationship of maternal
characteristics factors related to the continuation of maternal health care by logistic regression. The sustainability of maternal health service utilization in Indonesia is only 46%. The factors are the mother's education (OR = 1.79 and 2.58), the work of mothers (OR = 1.38), economic status (OR
= 1.65), pregnancy status (OR = 1.33), method of delivery (OR = 0.71 and 0.37), complications of pregnancy (OR = 1.13), birth complications (OR = 0.79), the travel time to health facilities (OR = 0.61 and 1.59), age at delivery (OR = 1.23). The study reveals that continuity of maternal health
services remain unsatisfactory. Government should pay more attention to improve the quality and access to maternal health services as to encourage mothers to sustain their health care.

Keywords: continuum of care, maternal health, Riskesdas 2013

Abstrak
Dalam upaya menurunkan angka kematian ibu di Indonesia, pemerintah melakukan banyak strategi dan program kesehatan di antaranya continum of care. Artikel ini bertujuan untuk mengetahui faktor dan karakteristik ibu yang mempengaruhi kesinambungan pelayanan kesehatan maternal. Data yang digunakan dalam analisis ini adalah data Riskesdas 2013. Analisis dilakukan dengan menghitung selisih persentase cakupan indikator kesehatan di tiap kabupaten/kota. Analisis kemudian dilanjutkan
dengan mencari model untuk mengetahui hubungan karakteristik ibu dan faktor terkait lain dengan kelanjutan perawatan kesehatan ibu dengan regresi logistik. Persentase kesinambungan pemanfaatan pelayanan kesehatan ibu di Indonesia masih rendah yaitu 46%. Faktor yang mempengaruhi adalah pendidikan ibu (Adjusted OR=1,79 dan 2,58), pekerjaan ibu (Adjusted OR=1,38), status ekonomi (Adjusted OR=1,65), status kehamilan (Adjusted OR=1,33), metode persalinan (Adjusted OR=0,71 dan 0,37), komplikasi kehamilan (Adjusted OR=1,13), komplikasi persalinan (Adjusted OR=0,79), waktu tempuh ke fasilitas kesehatan (Adjusted OR=0,61 dan 1,59), umur saat melahirkan (Adjusted
OR=1,23). Kesinambungan pelayanan kesehatan maternal masih rendah. Perlu perhatian lebih dalam meningkatkan kualitas dan akses pelayanan agar dapat menarik ibu untuk mempertahankan kelanjutan perawatan kesehatan.

Kata kunci: kesinambungan layanan, kesehatan maternal, Riskesdas 2013


Keywords


kesinambungan, kesehatan maternal, pelayanan kesehatan

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Buletin Penelitian Kesehatan (Bulletin of Health Research, p-ISSN: 0125-9695. e-ISSN: 2338-3453) is published by Badan Penelitian dan Pengembangan Kesehatan, Ministry of Health of Republic of Indonesia
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