Regional differences in usage of antenatal care and safe delivery services in Indonesia: findings from a nationally representative survey.
Indonesia has shown a nominal increase in antenatal care (ANC) coverage from 93% to 96% in the Indonesia Demographic Health Survey (IDHS)-2012. This is high but for a comprehensive assessment of maternal health coverage in Indonesia, safe delivery services need to be assessed in conjunction with ANC coverage.



The study uses survey data from the IDHS-2012 that was conducted among women aged 15-49 years who gave birth during the past 3 years preceding the survey. Socioeconomic and demographic factors affecting ANC coverage and safe delivery services are analysed by segregating the data into 7 regions of Indonesia.



Multivariate results show that besides wealth and education differentials, regional differences significantly affect the usage of ANC and safe delivery services across the 7 regions. Univariate analyses show that Sulawesi, Maluku and Western New Guinea islands are at a disadvantage in accessing ANC and safe delivery services.



The study recommends that disaggregated regional targets be set in order to further reduce maternal mortality rates in Indonesia.
Faculty of Science and Technology, Department of Mathematics and Statistics, The University of the West Indies, St Augustine, Trinidad and Tobago.
Vrijesh
V
Tripathi
Cardiology Research Centre, Heart Hospital, Hamad Medical Corporation (HMC), Doha, Qatar.
Rajvir
R
Singh
D000293:Adolescent; D000328:Adult; D036861:Delivery, Obstetric / Q000706:statistics & numerical data*; D004522:Educational Status; D005260:Female; D062306:Geography, Medical; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D007214:Indonesia; D008297:Male; D008875:Middle Aged; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012424:Rural Population / Q000706:statistics & numerical data*; D012923:Social Class; D014505:Urban Population / Q000706:statistics & numerical data*; D055815:Young Adult
Antenatal Care; Health Services; Health inequalities; Maternal Health; Safe delivery