Factors associated with non-utilisation of postnatal care services in Indonesia

Titaley, C. R.; Dibley, M. J.; Roberts, C. L.
October 2009
Journal of Epidemiology & Community Health;Oct2009, Vol. 63 Issue 10, p14
Academic Journal
Background: Postnatal care helps prevent neonatal deaths. This study aims to examine factors associated with non-utilisation of postnatal care in Indonesia. Methods: A cross-sectional analytic study was conducted using data from the 2002-3 Indonesia Demographic and Health Survey (IDHS), which used multistage cluster random sampling. Contingency table and logistic regression analyses were used to determine the factors associated with non-utilisation of postnatal care services. The population attribution risk percentage (PAR%) for non-utilisation of postnatal care services was also calculated. Results: Data were available for 15 553 singleton live-born infants. The prevalence of non-attendance at postnatal care services was consistently higher in rural areas than in urban areas. Maternal factors associated with lack of postnatal care included low household wealth index, low education levels, lack of knowledge of pregnancy-related complications or where distance from health services was a problem. Infants of high birth rank and those reported to be smaller than average were less likely to receive postnatal care. Other indicators of access to healthcare services which were associated with non-utilisation of postnatal care services included few antenatal care checks, use of untrained birth attendants and births outside healthcare facilities. Conclusion: Public health interventions to increase the utilisation of postnatal care services should target women who are poor, less educated, from rural areas and who use untrained birth attendants. Strategies to improve the availability and accessibility of antenatal care services and skilled birth attendance including focused financial support and health promotion programmes, particularly in the rural areas, should increase utilisation of postnatal care services in Indonesia.


Related Articles

  • Midwives lobby for improved maternal care.  // Nursing Standard;3/16/2011, Vol. 25 Issue 28, p10 

    Nurses and midwives heard how millions of women give birth in harrowing circumstances at an event to highlight work on reducing maternal and child deaths.

  • The determinants of use of postnatal care services for Mothers: does differential exists between urban and rural areas in Bangladesh? Rahman, Md. Mosiur // Internet Journal of Epidemiology;2010, Vol. 8 Issue 1, p11 

    A crucial component of safe motherhood is postnatal care. Postnatal care is important for mothers for treatment of complications arising from delivery, especially for births that occur at home. The study utilizes Bangladesh Demographic and Health Survey (BDHS), 2004 data to identify the more...

  • Assessment of social psychological determinants of satisfaction with childbirth in a cross-national perspective. Christiaens, Wendy; Bracke, Piet // BMC Pregnancy & Childbirth;2007, Vol. 7, p26 

    Background: The fulfilment of expectations, labour pain, personal control and self-efficacy determine the postpartum evaluation of birth. However, researchers have seldom considered the multiple determinants in one analysis. To explore to what extent the results can be generalised...

  • Factors associated with the utilisation of postnatal care services among the mothers of Nepal: analysis of Nepal Demographic and Health Survey 2011. Khanal, Vishnu; Adhikari, Mandira; Karkee, Rajendra; Gavidia, Tania // BMC Women's Health;2014, Vol. 14 Issue 1, p1 

    Background Postnatal care is essential to save the life of the mother and newborn. Knowledge on the determinants of postnatal care assists the policy makers to design, justify and implement appropriate interventions. The current study aimed to analyse the factors associated with utilisation of...

  • Individual and community determinants of neonatal mortality in Ghana: a multilevel analysis. Kayode, Gbenga A.; Ansah, Evelyn; Agyepong, Irene Akua; Amoakoh-Coleman, Mary; Grobbee, Diederick E.; Klipstein-Grobusch, Kerstin // BMC Pregnancy & Childbirth;2014, Vol. 14 Issue 1, p1 

    Background Neonatal mortality is a global challenge; identification of individual and community determinants associated with it are important for targeted interventions. However in most low and middle income countries (LMICs) including Ghana this problem has not been adequately investigated as...

  • The Prevention of Postpartum Hemorrhage in the Community. Souza, João Paulo // PLoS Medicine;Oct2013, Vol. 10 Issue 10, p1 

    : João Paulo Souza discusses the implications of a study by Cynthia Stanton and colleagues for the prevention and management of postpartum hemorrhage in the community, particularly in low-income countries, and outlines the remaining challenges. Please see later in the article for the Editors'...

  • Postpartum Services for Adolescent Mothers: Part 2. Cartoof, Virginia G. // Child Welfare;Dec79, Vol. 58 Issue 10, p673 

    This paper follows up an article by the same author in the December 1978 issue of CHILD WELFARE. A key factor in the postpartum program is the offering of help to all participants of a prenatal program, whether or not it is sought.

  • LET'S USE MIDWIVES--TO SAVE BABIES. Hollman, Louis // Saturday Evening Post;11/21/1964, Vol. 237 Issue 41, p8 

    Presents the view of the author on the introduction of midwifery for maternity care in the U.S. Statistics of infant death rate in the country; Information on modern mid wives; Opinion of patients on the issues related to the introduction of midwifery; Advantages of introducing midwifery for...

  • The Egypt National Perinatal/Neonatal Mortality Study 2000. Campbell, Oona; Gipson, Reginald; El Mohandes, Ayman; Issa, Adel Hakim; Matta, Nahed; Mansour, Esmat; Mohsen, Lamiaa // Journal of Perinatology;May2004, Vol. 24 Issue 5, p284 

    To estimate stillbirth, perinatal (PMR) and neonatal mortality rates (NMR) in Egypt and to assign main causes of death. Data were collected from a representative sample of women who gave birth from 17,521 households which were included in the Egypt Demographic and Health Survey (EDHS) 2000....


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics