Ecological Study of Healthcare Childbirth in Indonesia: Does Antenatal Care Matter?
Keywords:healthcare childbirth, ecological analysis, maternal health, health policy
The Indonesian government is encouraging childbirth in healthcare to reduce maternal mortality in
Indonesia, which is still high.This study aims to conduct an ecological analysis related to the factors that
affect Indonesia’s healthcare childbirth.The researchconducted the ecological analysis using secondary data
from the Ministry of Health of the Republic of Indonesia report in 2018. The study takes all provincesas
samples. Apart from the proportion of healthcare childbirth, four other variables analyzed as independent
variables were the proportion of antenatal care 1st visit, the proportion of antenatal care 4th visit, the ratio of
health center per district, and the hospital per 100,000 population ratio. Data were analyzed using a scatter
plot.The study results found a tendency for the proportion of healthcare childbirth to be lower in the eastern
than other Indonesia regions. The study also found that the higher the antenatal care 1st visit in a province,
the higher the proportion of healthcare childbirth in that province.Meanwhile, the higher the antenatal care
4th visit in a region, the higher the proportion of healthcare childbirth in that region. The higher the ratio of
health centers per district in a province, the higher the proportion of healthcare childbirth in that province.
Moreover, the higher ratio of health centers per district in an area, the higher the proportion of healthcare
childbirth in that area.The study concluded that four independent variables were analyzed ecologically
related to healthcare childbirthin Indonesia.
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