MARITAL STATUS ROLE IN DELAYED ANTENATAL CARE INITIATION AMONG INDONESIAN MADURESE

Authors

DOI:

https://doi.org/10.58185/jkr.v15i2.284

Keywords:

Antenatal Care, Marital Status, Madurese, Maternal Health, Big Data

Abstract

Background: The diversity of marital status in Madura, influenced by the socio-cultural context, has the potential to cause delays in initiating ANC visits. Objective: The study aimed to explore the role of marital status in delayed Antenatal Care (ANC) initiation among Madurese women in Indonesia. Method: The secondary analysis utilized the 2023 Indonesian Health Survey data. The study analyzed 551 women who delivered babies within the last five years. In addition to delayed ANC initiation as the outcome variable and marital status as the exposure variable, we examined eight control variables: regency, residence, age, education, employment, wealth, insurance, and parity. Binary logistic regression was employed in the final analysis. Results: The findings indicate that 23.3% of Indonesian Madurese women delayed ANC initiation. Currently, 3.2% of Madurese women are either divorced or widowed.  In terms of marital status, divorced/widowed Indonesian Madurese women are likely 5.726 times more to have delayed ANC initiation than those married group (95% CI 5.432-6.035). Moreover, the study found eight control variables associated with delayed ANC initiation: regency, residence type, age group, marital status, education level, employment, wealth, health insurance ownership, and parity. Conclusion: The study concluded that marital status was associated with delayed ANC initiation among Indonesian Madurese women. Divorced/widowed Madurese women were likely five times more to have delayed ANC initiation than married women.

References

Unicef. Maternal mortality [Internet]. Unicef Data. 2023 [cited 2024 Oct 22]. p. 1. Available from: https://data.unicef.org/topic/maternal-health/maternal-mortality/

Khalil A, Samarad A, O’Brieng P, Coutinho CM, Quintanah SM, Ladhani SN. A call to action: the global failure to effectively tackle maternal mortality rates. Lancet Glob Heal [Internet]. 2023;11(8):e1165–7. Available from: https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(23)00247-4/fulltext

BPS. Angka Kematian Ibu/AKI (Maternal Mortality Rate/MMR) Hasil Long Form SP2020 Menurut Provinsi, 2020 [Internet]. bps.go.id. Badan Pusat Statistik; 2023 [cited 2025 Mar 4]. p. 1. Available from: https://www.bps.go.id/id/statistics-table/1/MjIxOSMx/angka-kematian-ibu-aki-maternal-mortality-rate-mmr-hasil-long-form-sp2020-menurut-provinsi-2020.html

Deny. Angka Kematian Ibu di Jatim Terendah Sepanjang Tujuh Tahun Terakhir [Internet]. Kominfo Jatim. 2023 [cited 2025 Mar 4]. p. 1. Available from: https://kominfo.jatimprov.go.id/berita/angka-kematian-ibu-di-jatim-terendah-sepanjang-tujuh-tahun-terakhir?utm

Dinas Kesehatan Provinsi Jawa Timur. Profil Kesehatan Provinsi Jawa Timur Tahun 2023 [Internet]. 2024. 1–378 p. Available from: https://dinkes.jatimprov.go.id/userfile/dokumen/PROFIL%20KESEHATAN%20PROVINSI%20JAWA%20TIMUR%20TAHUN%202023.pdf

BPS Provinsi Jawa Timur. Jumlah Cerai Talak Menurut Kabupaten/Kota di Provinsi Jawa Timur, 2020-2022 [Internet]. jatim.bps.go.id. 2023 [cited 2025 Mar 4]. p. 1. Available from: https://jatim.bps.go.id/id/statistics-table/1/MzAyNyMx/jumlah-cerai-talak-menurut-kabupaten-kota-di-provinsi-jawa-timur--2020-2022.html

Wulandari RD, Laksono AD, Nantabah ZK. Effect of Marital Status on Completeness of Antenatal Care Visits among Childbearing Age Women in Rural Indonesia. Medico-Legal Updat. 2020;20(4):1432–7. Available from: https://doi.org/10.37506/mlu.v20i4.1858

Febrianto PT. Strategi Bertahan Hidup Ibu Tunggal Mahasiswa Universitas Selama Pandemi COVID-19. Society [Internet]. 2021;9(1):20–39. Available from: https://societyfisipubb.id/index.php/society/article/view/301

Rachmayanti RD, Diana R, Anwar F, Khomsan A, Riyadi H, Christianti DF, et al. Culture, traditional beliefs and practices during pregnancy among the Madurese tribe in Indonesia. Br J Midwifery [Internet]. 2023;31(3):1. Available from: https://doi.org/10.12968/bjom.2023.31.3.148

The Indonesian Ministry of Health. The 2023 Indonesian Health Survey. Jakarta; 2024.

Wulandari RD, Laksono AD, Prasetyo YB, Nandini N. Socioeconomic Disparities in Hospital Utilization Among Female Workers in Indonesia: A Cross-Sectional Study. J Prim Care Community Heal [Internet]. 2022;13:1–7. Available from: https://pubmed.ncbi.nlm.nih.gov/35068256/

Laksono AD, Wulandari RD, Ermawan D, Mph E, Mph TT. Role of Socioeconomic Status in National Health Insurance Ownership in Indonesia’ s Rural Areas. J Res Health Sci. 2024;24(1):e00608–e00608. Available from: https://doi.org/10.34172/jrhs.2024.143

Megatsari H, Laksono AD, Herwanto YT, Sarweni KP, Geno RAP, Nugraheni E, et al. Does husband/partner matter in reduce women’s risk of worries?: Study of psychosocial burden of covid-19 in indonesia. Indian J Forensic Med Toxicol. 2021;15(1):1101–6. Available from: https://doi.org/10.37506/ijfmt.v15i1.13564

Rurangirwa AA, Mogren I, Nyirazinyoye L, Ntaganira J, Krantz G. Determinants of poor utilization of antenatal care services among recently delivered women in Rwanda; a population based study. BMC Pregnancy Childbirth [Internet]. 2017;17(1):142. Available from: https://pubmed.ncbi.nlm.nih.gov/28506265/

Laksono AD, Wulandari RD, Rohmah N, Matahari R. Husband’s support in wife’s ANC in eastern Indonesia: Do regional disparities exist? J Adm Kesehat Indones. 2022;10(2):197–205. Available from: https://doi.org/10.20473/jaki.v10i2.2022.197-205

Megatsari H, Laksono AD, Herwanto YT, Sarweni KP, Geno RAP, Nugraheni E, et al. Does husband/partner matter in reduce women’s risk of worries?: Study of psychosocial burden of covid-19 in indonesia. Indian J Forensic Med Toxicol. 2021;15(1):1101–6. Available from: https://doi.org/10.37506/ijfmt.v15i1.13564

Muqoddam F. Resiliensi Single Mother Madura: Potret Ketahanan Perempuan Pedesaan Madura Yang Hidup Tanpa Suami. Hudan Lin-Nas J Ilmu Sos dan Hum [Internet]. 2024;5(2):263–82. Available from: https://ejournal.unia.ac.id/index.php/hudanlinnaas/article/view/1807

Himawan KK, Bambling M, Edirippulige S. What Does It Mean to Be Single in Indonesia? Religiosity, Social Stigma, and Marital Status Among Never-Married Indonesian Adults. SAGE Open. 2018;8(3). Available from: https://doi.org/10.1177/2158244018803132

Himawan KK, Bambling M, Edirippulige S. Modernization and singlehood in Indonesia: Psychological and social impacts. Vol. 40, Kasetsart Journal of Social Sciences. Kasetsart University Research and Development Institute; 2019. p. 499–506. Available from: https://so04.tci-thaijo.org/index.php/kjss/article/view/242197/164631

Ipa M, Laksono AD, Wulandari RD. The Role of Travel Time on Hospital Utilization in the Islands Area: A Cross-Sectional Study in the Maluku Region, Indonesia, in 2018. Indian J Community Med. 2023;48(2):269–73. Available from: https://doi.org/10.4103/ijcm.ijcm_229_22

Widiantoro R, Khairunnisa, Furqon MFM, Murti B, Handayani AF. Effects of Husband Support, Family Income, Employed Mothers, and Antenatal Care Visit on Exclusive Breastfeeding. J Matern Child Heal. 2024;9(1):62–77. Available from: https://doi.org/10.26911/thejmch.2024.09.01.06

Laksono AD, Wulandari RD. Determinant of the Puskesmas Utilization in Madura Island. Indian J Public Heal Res Dev. 2019;10(11):576–81. Available from: https://doi.org/10.5958/0976-5506.2019.03802.6

Laksono AD, Rukmini R, Wulandari RD. Regional disparities in antenatal care utilization in Indonesia. PLoS One. 2020;15(2):e0224006. Available from: https://doi.org/10.1371/journal.pone.0224006

Wulandari RD, Laksono AD, Rohmah N. Urban-rural disparities of antenatal care in South East Asia: a case study in the Philippines and Indonesia. BMC Public Health [Internet]. 2021;21(1):1–9. Available from: https://doi.org/10.1186/s12889-021-11318-2

Denny HM, Laksono AD, Matahari R, Kurniawan B. The Determinants of Four or More Antenatal Care Visits Among Working Women in Indonesia. Asia-Pacific J Public Heal. 2022;34(1):51–6. Available from: https://doi.org/10.1177/10105395211051237

Laksono AD, Wulandari RD, Matahari R. Does a Husband’s Education Matter in Antenatal Care Visits Involvement?: Study on the Poor in Indonesia. 2020;(September):1–14. Available from: https://doi.org/10.21203/rs.3.rs-76095/v1

Vasconcelos A, Sousa S, Bandeira N, Alves M, Papoila AL, Pereira F, et al. Determinants of antenatal care utilization – contacts and screenings – in Sao Tome & Principe: a hospital-based cross-sectional study. Arch Public Heal. 2023;81(1):107. Available from: https://doi.org/10.1186/s13690-023-01123-1

Wang H, Frasco E, Takesue R, Tang K. Maternal education level and maternal healthcare utilization in the Democratic Republic of the Congo: an analysis of the multiple indicator cluster survey 2017/18. BMC Health Serv Res. 2021;21(850):1–13. Available from: https://doi.org/10.1186/s12913-021-06854-x

Ilori T, Adewale BA, Obembe TA, Morakinyo OM. Socio-economic factors associated with antenatal care in Nigeria. Afr J Reprod Health [Internet]. 2022;26(8):123–33. Available from: https://pubmed.ncbi.nlm.nih.gov/37585038/

Novignon J, Ofori B, Tabiri KG, Pulok MH. Socioeconomic inequalities in maternal health care utilization in Ghana. Int J Equity Health. 2019;18(1):141. Available from: https://doi.org/10.1186/s12939-019-1043-x

Wulandari RD, Laksono AD. Does health insurance affect the completeness of antenatal care? Unnes J Public Heal. 2021;10(2):110–9. Available from: https://doi.org/10.15294/ujph.v10i2.38096

Yaya S, Da F, Wang R, Tang S, Ghose B. Maternal healthcare insurance ownership and service utilisation in Ghana: Analysis of Ghana demographic and health survey. PLoS One. 2019;14(4):1–13. Available from: https://doi.org/10.1371/journal.pone.0214841

Wekesa NM, Wanjihia V, Makokha, Lihana A, Ngeresa RW, Kaneko JAS, et al. High Parity and Low Education are Predictors of Late Antenatal Care initiation among Women in Maternal and Child Health Clinics in Kwale County, Kenya. J Heal Med Nurs [Internet]. 2018;50:1–12. Available from: https://www.researchgate.net/publication/329707595

Boka A, Alemu M, Gela D. Delayed antenatal care and associated factors among pregnant women attending health facilities in Addis Ababa, Ethiopia. Afr J Midwifery Womens Health [Internet]. 2023;17(3). Available from: https://doi.org/10.12968/ajmw.2022.0036

Mulondo SA. Factors associated with underutilisation of antenatal care services in Limpopo, South Africa. Br J Midwifery. 2020;28(11):788–95. Available from: https://doi.org/10.12968/bjom.2020.28.11.788

Pratiwi NL, Fitrianti Y, Nuraini S, Rachmawati T, Laksono AD, Afreni M, et al. Concealed Pregnant Women or Kemel of Gayo Ethnic in Blang Pegayon District, Gayo Lues District, Aceh. Bull Heal Syst Res. 2019;22(2):81–90. Available from: https://doi.org/10.22435/hsr.v22i2.1693

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Published

2024-12-31

How to Cite

Rohmah, N., & Laksono, A. D. (2024). MARITAL STATUS ROLE IN DELAYED ANTENATAL CARE INITIATION AMONG INDONESIAN MADURESE . JURNAL KESEHATAN REPRODUKSI, 15(2), 173–186. https://doi.org/10.58185/jkr.v15i2.284