Faculty of Public Health - Andalas University - OCS, 13th IEA SEA Meeting and ICPH - SDev

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Inequality analysis of reproductive, maternal and child health care: Result from The 2017 Indonesia Demographic and Health Survey (IDHS)
Tin Afifah

Last modified: 2018-08-06

Abstract


Background Indonesia still faces the coverage gap in reproductive, maternal and child health (RMCH) care among population group. It is necessary to monitor RMCH equity to achieve universal health coverage. The study aims to provide information on the health equity status in RMCH.Materials and methods We used the 2017 Indonesia Demographic and Health Survey (IDHS) using cross-sectional design. We analyzed inequality coverage of RMCH indicators such as methods of current contraceptive use, antenatal care at least four times/K4, and skilled birth attendant using dimensions of stratification (residence, mother’s education and wealth quintiles). In the analysis, we quantify inequality in the form of simple and complex measures using HEAT Plus software.Results Study found that inequity across residence, mother’s education and wealth quintile for three RMCH indicators still persists, for example difference within mother’s education for complete basic immunization is 26 percentage points. Mothers and children from the poorest household, least educated mothers and living in rural areas are disadvantaged which have the lowest coverage in RMCH indicators. Conclusions Based on this findings, we can identify disadvantaged people in accessing RMCH services. Therefore, universal health coverage needs to be improved in order to reduce inequity in access of RMCH services.

Acknowledgements

We wish to express our gratitude to the National Institute of Health Research and Development which has facilitated the writing process of this paper.

 

Keywords: reproductive health, maternal health care, child immunization, antenatal care, skilled birth attendant.

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