Research centre REACH

Cara menarik pelajar kesehatan ke daerah terpencil di Indonesia: eksperimen pilihan terpisah (How to attract health students to remote areas in Indonesia: a discrete choice experiment)

Sitasi: Efendi, F., Chen, C. M., Nursalam, N., Andriyani, N. W. F., Kurniati, A., & Nancarrow, S. A. (2016). How to attract health students to remote areas in Indonesia: a discrete choice experiment. The International journal of health planning and management31(4), 430-445.

Latar Belakang: Daerah terpencil di Indonesia kekurangan tenaga kesehatan untuk memenuhi kebutuhan kesehatan penduduk. Ada kebutuhan mendesak akan bukti mengenai intervensi untuk menarik tenaga kesehatan dan khususnya pelajar kesehatan untuk melayani di daerah terpencil. Tujuan dari penelitian ini adalah untuk menganalisis preferensi pekerjaan mahasiswa kesehatan untuk mengembangkan kebijakan yang efektif untuk meningkatkan perekrutan dan retensi mahasiswa kesehatan di daerah terpencil. Metode: Eksperimen pilihan diskrit dilakukan untuk menyelidiki preferensi siswa kesehatan tentang karakteristik pekerjaan. Penelitian ini dilakukan di tiga wilayah berbeda di Indonesia, dengan jumlah peserta didik kesehatan 400 orang. Model logit campuran digunakan untuk mengeksplorasi preferensi yang dinyatakan untuk setiap atribut. Hasil: Data dikumpulkan dari 150 mahasiswa kedokteran, 150 perawat dan 100 mahasiswa kebidanan. Mahasiswa kedokteran memberikan preferensi tertinggi untuk menerima bantuan studi, sedangkan mahasiswa perawat memandang gaji sebagai yang paling penting. Mahasiswa kebidanan menghargai fasilitas berkualitas tinggi sebagai atribut penting. Kesimpulan: Studi ini menegaskan pentingnya intervensi kombinasi dalam menarik dan mempertahankan petugas kesehatan di daerah terpencil di Indonesia. Uang bukan satu-satunya faktor yang mempengaruhi preferensi siswa untuk menempati pos pedesaan; manajemen yang baik dan fasilitas yang lebih baik dipandang penting oleh semua mahasiswa kesehatan. Mengatasi preferensi pelajar kesehatan, yang merupakan calon tenaga kerja kesehatan di masa depan, akan membantu negara menyelesaikan masalah perekrutan dan retensi. Hak Cipta © 2015 John Wiley & Sons, Ltd.

Factors influencing Indonesian women’s use of maternal health care services

Kurniati, A., Chen, C. M., Efendi, F., & Berliana, S. M. (2018). Factors influencing Indonesian women’s use of maternal health care services. Health care for women international39(1), 3-18.

Employing the 2012 Indonesia Demographic and Health Survey data, we aimed to examine factors influencing married women to use maternity services. Data of married women who had given birth in the last five years before the survey were included in the analysis (n = 14,672). Factors of education, employment, women’s age at first marriage, age at first birth, spousal education difference, contraceptive use, place of residence, and woman’s attitude toward wife beating were associated with the use of antenatal care, institutional delivery, and postnatal care services. The likelihood of women using those recommended maternal health care services increased along with the increased educational attainment among women and their spouses, and the older age at first birth. Higher schooling years may contribute to improving adequate maternal health care. Community awareness on maternal health issues should be promoted and include the prevention of early marriage, teenage pregnancies, and domestic violence.

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Factors influencing Indonesian women’s use of maternal health care services

Kurniati, A., Chen, C. M., Efendi, F., & Berliana, S. M. (2017). Factors Influencing Indonesian Women’s Use of Maternal Health Care Services. Health Care for Women International, (just-accepted), 00-00.

At the individual level, variables of education, age at the last childbirth, and attitude towards family planning are the strongest predictors of the utilization of ANC services and postnatal care (PNC) in Nigeria (Babalola & Fatusi, 2009).
In the same vein, several studies in Southeast Asian countries with high maternal
mortality also found that women’s education, household wealth index, and residential
place were among the major determinants for the utilization of ANC and PNC (Prusty, Buoy, Kumar, & Pradhan, 2015; Sein, 2012). In their previous study in Indonesia, Beegle, Frankenberg, & Thomas (2001) reported the significant association between variables of age and the husband–wife educational gap, and the use of prenatal and delivery care. Likewise, another study of Indonesia revealed that several factors, such as living in rural region, lower family income, poor maternal knowledge, and high birth orders with closely spaced births (less than two years), had significant associations with the low utilization of ANC (Titaley, Dibley, & Roberts, 2010).
As the reduction of maternal mortality remains significant in the next global development agenda, it is imperative to have a better understanding of the factors
associated with the utilization of three aspects of maternity care ¡ antenatal, delivery, and postnatal services using the most recent available nationwide data. In this study, therefore, authors aimed to examine factors that affect the use of maternal health care services among Indonesian women. We expect that the results of this study contribute to supporting effective policies and approaches as well as identifying further research for improving the utilization of maternal health care.

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