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The Affecting of Demographic Factors on Utilization of Postpartum Health Service

Kusmirawati Kusmirawati, Fadila Alfiasari, Amanda Via Maulinda, Melinda Febianca Gaurinindi, Afifah Noer, Shofia Nur Fadhila, Salwa Annisaa, Putri Hapsari, Septyandi Ramadhan, Rendi Adiansa

Abstract

Background: Based on research states that the prevalence rate of complete postpartum visits
(KF) in Indonesia is 37%, where this figure has increased from 2013 of 32.1%. The problem with
the achievement of postpartum visits in Indonesia is that the underdeveloped areas mentioned in
Presidential Decree Number 63 of 2020, namely North Sumatra, Central Sulawesi, Maluku, Papua
and West Papua, occupy the bottom 6 provinces in the complete postnatal visit. The province of
West Papua is the region with the lowest KF coverage rate in Indonesia.
Subjects and Method: Metaanalysis conducted using the PRISMA systematic guidelines.
Population= puerperium mother, Intervention= Urban, Comparison= Rural, Outcome= Utility of
postnatal health service. The process of searching for articles was carried out between 2005 and
2021 using a database search engine consisting of; PubMed, Science Direct, Springer Link, and
Google Scholar. Based on the database search, there were ten articles that met the criteria with a
crosssectional design and observational studies and research that discussed demographic factors
(urban & rural) on health care facilities.
Results: The results of the analysis had high heterogeneity between studies I2= 94%, so that the
Random Effect Model was used. Postnatal mothers living in urban areas increased by 1.48 times in
utilizing postnatal care health services compared to postnatal mothers living in rural areas.
however it was not statistically significant (SMD= 1.48; 95% CI= 0.90 to 2.44; p= 0.012).
Conclusion: Postpartum women who live in urban areas use postpartum health services more
than postpartum women who live in rural areas.
Keywords: postpartum, postnatal visit, demographic factors

Correspondence: Kusmirawati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A,
Surakarta 57126, Central Java. Email: rendiadiansa@student.uns.ac.id Mobile Number: 08816008735.

Journal of Health Policy and Management (2022), 07(03): 176-184
https://doi.org/10.26911/thejhpm.2022.07.03.01

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