Relationship between Education, Knowledge, and The Use of Maternal Referral Services at The Community Health Center in Langkat, North Sumatera

Siti Maryam Hasibuan


Universitas Sumatera Utara, Medan



Background:  In 203, World Health Organization (WHO) estimated that 289,000 wo­men had died during pregnancy and childbirth worldwide. These deaths could have been reduced if mo­thers had visited maternal health services during pregnancy, childbirth, and during the month after delivery. Maternal health services are important to ensure women and children’s health. This study aimed to estimate the relationship bet­ween education, knowledge, and the use of ma­ter­nal referral services at the com­mu­nity health center in Langkat, North Sumatera.

Subjects and Method: This was a cross-sectional study conducted at PantaiCermin com­munity health center, Langkat, North Sumatera, in 2018. A total of 56 mothers du­ring preg­nan­cy, childbirth, and during the month after delivery was selected for this stu­dy. The dependent vari­able was the use of maternal referral services. The inde­pen­dent variables were maternal edu­cation and knowledge. The data were collected by qu­es­tionnaire and analyzed by chi square.

Results: 62.5% of mothers had low education level, 64.3% had poor knowledge, and 66.1% did not use maternal referral services. The use of maternal referral services was posi­tively associated with high maternal education (PR= 1.62; 95% CI= 0.10 to 2.63; p=0.049), and good maternal knowledge (PR= 1.73; 95% CI= 1.03 to 2.90; p= 0.029).

Conclusion: The use of maternal referral services is positively associated with high mater­nal education and good maternal knowledge.

Keywords: education,knowledge, maternal referral services, community health cen­ter

Correspondence: Siti Maryam Hasibuan. Universitas Sumatera Utara, Medan, North Sumatera.

Email: Maryam­




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