Standardized Antenatal Care and Utilization of Skilled Birth Attendants in Indonesia
Keywords:Standardized ANC, utilization of SBAs
Context: Delivery with skilled birth attendants (SBAs) can lower maternal mortality rates. By 2013, the
utilization of SBAs in Indonesia had reached 87.1%. This figure was still below the target of the Ministry of
Health. The aim of this study was to determine the association of standardized antenatal care (ANC) with
the utilization of SBAs. The study design was cross-sectional. The study sample consisted of respondents
(N = 2,986) to the 2012 Indonesia Demographic and Health Survey (IDHS) (i.e., married women aged
15–49 years) who had a live birth a year prior to the survey. The data were analyzed by logistic regression.
The results showed that almost all women (93.9%) utilized SBAs. The association of standardized ANC
with the utilization of SBAs differed according to region, with women who attended four ANC visits and
received the full complement of ANC services having the greatest opportunity to choose health workers as
birth attendants as compared with women who did not attend four-visits and did not receive all components
of ANC services.