DETERMINAN KUNJUNGAN ANTENATAL CARE DI AREA PEDESAAN INDONESIA (Analisis Data Riskesdas 2013)

Abstract

Background: AKI is an indicator to determine the health status
in a country. The maternal mortality ratio in Indonesia was
228/100.000 live births in 2008 to 220/100.000 live births in
2010 and there was an increase to 359/100.000 live births in
2013, while the MDGs target for 2015 was 102 per 100.000 live
births. In Indonesia, the main causes of maternal death are
bleeding, hypertension and infection. Antenatal care has been
proven effective in early detection of conditions that cause
maternal death. social approaches also need to be considered
as indirect causes such as socio-demographic factors,
unavailability of birth attendants, costs. In public health
sciences, the social approach is a social determinant of health.
The use of Antenatal Care is not optimal due to the limited
support of the health system and the influence of socioeconomic
conditions and the rural environment.
Purpose: To identify determinants of antenatal care visits in
rural areas in Indonesia based on data analysis of Riskesdas
2013.
Methods: This type of research is quantitative using data from
the 2013 Basic Health Research. Respondents in this study
were mothers who had been pregnant and gave birth during the
period of January 1st 2010 to 2013 aged 10-59 years and live in
rural Indonesia

Results: After a statistical test was carried out, the antenatal
care visits in rural Indonesia were 90.41%. The factors that most
influenced antenatal care visits in rural areas were information
on knowledge of the availability of midwives for practice (Pvalue
= 0.001, OR = 2.01) and information on knowledge of the
availability of posyandu (P-value = 0.001, OR = 1.93).

Conclusion: Antenatal care visits in rural Indonesia are still
quite high. There is a relationship between individual factors and
health system factors on antenatal care visits in rural areas.
Individual factors cannot stand alone without health system
factors. Health system factors are more important than
individual factors. There needs to be an increase in the quality
and quantity of information for health cadres and the community
about the importance of antenatal care visits.