Open Access Open Access  Restricted Access Subscription or Fee Access

Poor Women’s Access to Antenatal Care and Childbirth Services in Indonesia: Case Study in Five Districts

Dyan Widyaningsih, Elza Samantha Elmira, Andi Misbahul Pratiwi

Abstract

The health of pregnant women often becomes an indicator of human development. On the other hand, the fact of the high maternal mortality rate, raises questions related to the government’s attention to the health of pregnant women, especially women in poor areas. This article focuses on poor women’s access to health services for antenatal care and childbirth in five regencies in Indonesia. The aspects studied include the availability of health services for antenatal care and childbirth, poor women’s access to these services, and supporting factors/actors and barriers to poor women’s access to health services. This article showed that the availability of health facilities is not always in line with the increased awareness of pregnant women to access these services. Road infrastructure condition, distance, and cost to access health service still remain a challenge. Meanwhile, the policy of incentives and disincentives to traditional birth attendants has an influence on the increasing number of pregnant women who check their pregnancies and childbirth at health facilities. Thus, health issues of pregnant women and safe childbirth require a different effort. Aspects of the local context and supporting infrastructure also require serious attention.

 

Keywords

access to health for poor women; antenatal care; childbirth.

Full Text:

PDF

References

Badan Penelitian dan Pengembangan Kesehatan 2013, Riset Kesehatan Dasar, Kementerian Kesehatan, Jakarta, dilihat 12 Mei 2018, www.depkes.go.id/resources/download/ general/Hasil%20Riskesdas%202013.pdf

BPS 2017, Statistik Kesejahteraan Rakyat 2017, Badan Pusat Statistik, Jakarta.

Handayani, L, Suharmiati, S, Kurniawan, A, Nuraini, S & Wasito, B 2014, “Utilization of Service Delivery Insurance (Jampersal) for Maternal and Child Health Services in 12 Districts/Cities: Eliminate the Socio-cultural Obstacle on Safe Delivery”, Buletin Penelitian Sistem Kesehatan, vol. 16 (4 Okt).

Kementerian Kesehatan 2015, Kesehatan dalam Kerangka Sustainable Development Goals, Slides dipresentasikan pada Rakorpop Kementerian Kesehatan RI, Sekretariat Pembangunan Kesehatan Pasca-2015 Kementerian Kesehatan RI, Jakarta, 1 Desember 2015, tidak dipublikasikan.

Kementerian Kesehatan 2011, Informasi Jampersal, Kementerian Kesehatan, Jakarta.

Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional, 2015, Satu Tahun Pelaksanaan Jaminan Kesehatan Nasional, Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional, Jakarta.

Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional 2014, Rancangan Awal Rencana Pembangunan Jangka Menengah Nasional 2015–2019, Buku II Agenda Pembangunan Bidang, Kementerian Perencanaan Pembangunan Nasional/Badan Perencanaan Pembangunan Nasional, Jakarta.

Kusumawardhani, Niken, Dyan Widyaningsih, Valentina YD Utari, Joseph Marshan, Dinar Dwi Prasetyo, Hafiz Arfyanto, Veto Tyas Indrio, dan Michelle Andrina 2016, “Dinamika Penghidupan Perempuan Miskin: Studi Kasus Ketika Terjadi Perubahan Harga BBM”, Draf Laporan Penelitian, The SMERU Research Institute, Jakarta.

Rahmitha, Hastuti, Dyan Widyaningsih, Niken Kusumawardhani, Dinar Dwi Prasetyo, Hafiz Arfyanto, Veto Tyas Indrio, dan M. Fajar Rakhmadi 2016, “Penghidupan Perempuan Miskin dan Akses Mereka terhadap Pelayanan Umum”, Draf Laporan Penelitian, The SMERU Research Institute, Jakarta.

Sajedinejad, S, Majdzadeh, R, Vedadhir, A, Tabatabaei, MG & Mohammad, K 2015, ”Maternal mortality: a cross-sectional study in global health”, Globalization and Health, vol. 11, no. 4, dilihat 12 Mei 2018, [dalam jaringan]

UNICEF Indonesia 2012, Ringkasan Kajian: Kesehatan Ibu dan Anak, UNICEF Indonesia, Jakarta, dilihat 12 Mei 2018, [dalam jaringan]

World Bank 2010, “...and then she died”: Indonesia Maternal Health Assessment (English), World Bank, Washington, DC, dilihat 12 Mei 2018, [dalam jaringan]

Xu K, Saksena P & Evans DB 2010, “Health financing and access to effective interventions”, World Health Report (2010) Background Paper No 8, World Health Organization, Geneva, dilihat 12 Mei 2018, [dalam jaringan] http://cdrwww.who.int/entity/healthsystems/topics/financing/health

Refbacks

  • There are currently no refbacks.