UNAIR Expert Studies Strategy to Improve Childbirth in Health Facilities

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Illustration by Feri Fenoria

UNAIR NEWS – Until now maternal and child mortality rate is still a major global health problem. According to the World Health Organization (WHO), in 2015 maternal and child mortality rate in Southeast Asia reached 164 deaths per 100,000 live births, while in Indonesia, it is still in the range of 305 per 100,000. It is still very far from the Sustainable Development Goals (SDGs) target to reach the number below 70 deaths per 100,000 live births by 2030.

Therefore, Ferry Efendi RN, M.Sc, Ph.D., as a lecturer of Faculty of Nursing UNAIR conducted a study on factors related to the selection of maternity health facilities. It aims to represent the condition in Indonesia.

“We evaluate what determines mothers to decide the health facility to give birth in the territory of Indonesia,” he said.

The lecturer known as Ferry also said that the study he conducted used Indonesian Health Demographic Survey (SDKI) data in 2012. At the time of data exploration in the study, the 2012 SDKI was chosen because the 2017 SDKI data had not been officially released.

“It is done for the validity of the data that will be used,” he explained.

The SDKI data, Ferry continued, is part of the International Demographic Health Survey (IDHS) conducted by the  Inner City Fund  collected by the Indonesian Central Statistics Agency (BPS) in collaboration with the National Population and Family Planning Agency and the Ministry of Health of the Republic of Indonesia.

“Our exploration classifies urban and rural areas in each province. We limit the sample involved in the analysis process to women who are married and in the age range of 15 to 49 years, “he said.

Furthermore, Ferry also revealed that the implications of his study findings emphasized that the maternal health care program must be expanded and promoted, especially to touch groups of women who are in the poverty, live in rural areas, by campaigning safe childbirth sensitive to local wisdom.

In the end, he also emphasized that strategies focusing on improving the quality of pregnancy visits are highly recommended. As they also determine mother to choose health facilities as the main service in assisting safe delivery.

“We are aware that efforts to improve the welfare of mothers and children during childbirth are also influenced by the availability, utilization, and quality of facilities. Therefore, cross-sectoral coordination to increase the predictors in this study is the main strategy to reduce the MMR, which in turn can improve the welfare of mothers and infants in Indonesia, “he concluded.

Author: Nuri Hermawan

Editor : Khefti Al Mawalia

Details of the research available at:


Ferry Efendi, Ani Rihlatun Ni’mah, Setho Hadisuyatmana, Heri Kuswanto, Linlin Lindayani, and Sarni Maniar Berliana, “Determinants of Facility-Based Childbirth in Indonesia,” The Scientific World Journal, vol. 2019, Article ID 9694602, 7 pages, 2019. https://doi.org/10.1155/2019/9694602.

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