Factors Affecting Utilization of Birth Delivery Service at Community Health Center, Depok, West Java

Immaculata Agata Bornok Rettauli, Sri Wahyuningsih, Citra Ayu Aprilia 


Faculty of Medicine, UPN Veteran Jakarta



Background: Birth delivery at a health facility has the opportunity to receive high impact intervention, including management of eclampsia and hemorrhage, neonatal resuscitation, support for early initiation, exclusive breast feeding support, and immediate treatment of suspected infection. Therefore, on the supply side, an assessment of the provision of institutional delivery services is crucial to reduce risk of maternal mortality and morbidity. On the demand side, this study aimed to determine factors affecting utilization of birth delivery service at community health center, Depok, West Java.

Subjects and Method: This was a cross sectional study conducted at a community health center, Depok, West Java. A sample of 88 pregnant women was selested for this study. The dependent variable was utilization of birth delivery service. The independent variables were age, education level, knowledge, attitude, employment status, family income, family support, and insurance status. Data were collected by a set of questionnaire and analyzed by a multiple logistic regression.

Results: The utilization of birth delivery service increased with good knowledge (OR= 4.3; 95% CI= 1.53 to 8.30), positive attitude (OR= 1.65; 95% CI= 1.21 to 5.43), high family income (OR= 2.91; 95% CI= 1.23 to 6.21), being insured (OR= 3.50; 95% CI= 2.15 to 7.16), and strong family support (OR= 2.31; 95%CI = 1.33 to 4.60).

Conclusion: The utilization of birth delivery service increases with good knowledge, positive attitude, high family income, being insured, and strong family support.

Keywords: utilization, birth delivery service, knowledge, attitude, family income, use of insurance, family support.

Correspondence:  Sri Wahyuningsih. Faculty of Medicine, UPN ―Veteran Jakarta. Email: dr_sriwahyuningsih@yahoo.com. Mobile: 081287552465.

DOI: https://doi.org/10.26911/the6thicph.03.86

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