Obstetrics care in Indonesia: Determinants of maternal mortality and stillbirth rates

Supriyatiningsih Wenang, Ova Emilia, Alfaina Wahyuni, Andi Afdal and Joerg Haier

PLOS ONE, 2024, vol. 19, issue 7, 1-16

Abstract: Problem: The Indonesian Healthcare Program starting in 2014 enabled access to healthcare delivery for large population groups. Guidance of usage, infrastructure and healthcare process development were the most challenging tasks during the implementation period. Due to the high social impact obstetric care and related quality assurance require evidence-based developmental strategies. This study aims for analysis of outcome and maternal health care utilization, as well as differences related to demographic and economic subgroups. Methods: For univariate group comparison ANOVA method was applied and combined with Scheffé procedure and Bonferoni correction for post-hoc tests. Meanwhile, multivariate approaches through regression analysis based on insurance reimbursement data antenatal, perinatal and postnatal care were performed at the province level. Maternal mortality (MMR) and stillbirth rates were used for outcome. Demographic characteristics, availability of obstetricians (SPOG), midwifes and healthcare infrastructure were included for their determinants. Results: Specialized hospital facilities (type A/B) for advanced care covered a large part of uncomplicated cases (~35%). Differences between insurance membership groups (poor, non-poor) were not seen. Availability of human resources (SPOG, midwifes) (R2 = 0.728; p

Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0303590

DOI: 10.1371/journal.pone.0303590

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