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

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  • Supriyatiningsih Wenang
  • Ova Emilia
  • Alfaina Wahyuni
  • Andi Afdal
  • Joerg Haier

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

Suggested Citation

  • Supriyatiningsih Wenang & Ova Emilia & Alfaina Wahyuni & Andi Afdal & Joerg Haier, 2024. "Obstetrics care in Indonesia: Determinants of maternal mortality and stillbirth rates," PLOS ONE, Public Library of Science, vol. 19(7), pages 1-16, July.
    • Handle: RePEc:plo:pone00:0303590
    DOI: 10.1371/journal.pone.0303590
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    References listed on IDEAS

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    1. Darius Erlangga & Shehzad Ali & Karen Bloor, 2019. "The impact of public health insurance on healthcare utilisation in Indonesia: evidence from panel data," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(4), pages 603-613, May.
    2. Agung Dwi Laksono & Rukmini Rukmini & Ratna Dwi Wulandari, 2020. "Regional disparities in antenatal care utilization in Indonesia," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-13, February.
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