The Relationship Between Participation in Maternal Health Care Decision-Making and the Selection of Birth Assistants
- DOI
- 10.2991/978-94-6463-018-3_14How to use a DOI?
- Keywords
- Birth assistants; Women’s participation; Maternal health care; Decision-making; Indonesia
- Abstract
Maternal Mortality Rate (MMR) still a concern, especially in Indonesia. The decreasing of MMR is an important indicator in achieving health development in Indonesia. Delivery assistance by health personnel is important because health workers have the appropriate skills and tools to provide safe and clean assistance. The Ministry of Health has obliged delivery assistance assisted by competent health personnel to achieve the Sustainable Development Goals (SDGs) targets. However, study on women’s participation in household decision-making to choose birth assistants is still lacking. This study aims to determine the relationship between participation in maternal health care decision-making and the selection of mothers’ birth assistants in Indonesia. This study used secondary data from 2017 Indonesian Demographic and Health Survey (IDHS) using a cross-sectional research design. The sample of this research was mothers aged 15–49 years who had given birth in the last five years before the survey in 34 provinces in Indonesia, with a total of 3.042 respondents. The independent variable was participation in maternal healthcare decision-making, and the outcome variable was the selection of birth assistants. The potential covariates were mother’s age, residence, living with a partner, number of children who are still alive, knowledge during pregnancy, women’s education, women’s occupation, husband’s education, husband’s occupation, and the socio-economic. This study was analyzed using multiple logistic regression. The proportion of skilled birth attendants was 88,6% and traditional birth assistants were 11,4%. The majority of husbands indicated that they made the healthcare decision (46,9%). Our study showed that mothers and other people was 1.5 times more likely to choose traditional birth assistants than the decision made by mothers (OR = 1.5; 95% CI = 1–2.1; p-value 0.044). Also, the participation in health care decision-making by partners was 1.4 times higher than participation by mothers (OR = 1.4; 95% CI = 1.1–1.7; p-value 0,009). However, in the final model of multivariate, participation maternal health care decision-making variable has a significant relationship with the birth assistants variable after controlling for the covariates (p-value > 0.05). Health workers need to improve health education during pregnancy and delivery, openly or even personally through classes for pregnant women and increase knowledge from families, especially husbands, in choosing birth assistants in professional birth assistants.
- Copyright
- © 2023 The Author(s)
- Open Access
- Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.
Cite this article
TY - CONF AU - Putu Sri Devi Tari AU - Helen Andriani PY - 2022 DA - 2022/12/15 TI - The Relationship Between Participation in Maternal Health Care Decision-Making and the Selection of Birth Assistants BT - Proceedings of the First International Conference on Medical Technology (ICoMTech 2021) PB - Atlantis Press SP - 102 EP - 113 SN - 2468-5739 UR - https://doi.org/10.2991/978-94-6463-018-3_14 DO - 10.2991/978-94-6463-018-3_14 ID - SriDeviTari2022 ER -