Ecological Analysis of Maternity Care in Indonesia in 2018

Abstract

Policies that encourage maternity care to health care facilities are an important effort to reduce maternal
mortality rates. This study aims to analyze the factors related to maternity care coverage in Indonesia. The
ecological analysis was conducted using secondary data from the Ministry of Health of the Republic of
Indonesia report in 2018. All provinces were taken as samples. In addition to coverage of childbirth in health
care facilities as the dependent variable, there were 6 independent variables analyzed in this study, namely
percentage of poor families, a ratio of primary health care/100,000 population, a ratio of hospital/100,000
population, a ratio of gynecologist/100,000 population, a ratio of midwife/100,000 population, and
coverage of health insurance ownership. Data were analyzed using cross-tabulation. The results show the
percentage of poor families tends to have a negative relationship with maternity care coverage. Besides,
four other variables were found to tend to have a positive relationship with maternity care coverage, namely
the ratio of primary health care/100,000 population, the ratio of hospital/100,000 population, the ratio of
gynecologist/100,000 population, and coverage of health insurance ownership. Meanwhile, the ratio of the
midwife/100,000 population was found to have no relationship with maternity care coverage in Indonesia. It
was concluded that 5 variables show the tendency of the relationship with maternity care coverage in health
care facilities in Indonesia.