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All Journal Proceedings of the International Conference on Applied Science and Health Global Health Management Journal Public Health and Preventive Medicine Archive
Putra, I Gusti Ngurah Edi
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Education Health Professions Medicine & Pharmacology Nursing Public Health

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ADDRESSING GENDER INEQUALITY TO IMPROVE MATERNAL HEALTH IN INDONESIA: A NARRATIVE LITERATURE REVIEW Putra, I Gusti Ngurah Edi
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.194 KB)

Abstract

Introduction: High maternal mortality ratio (MMR) remains a pressing public health issue in Indonesia. Despite many studies have been conducted to identify the associated factors from medical and socio-cultural perspectives, fewer studies and discussion appeared to focus on another social dimension such as gender norms, which is not explored deeply in the context of Indonesia. Aims: This paper aimed to discuss how gender inequality affects maternal health in Indonesia and practical strategies needed to address gender inequality in improving maternal health outcomes in Indonesia.  Methods: This was a narrative literature review, based on several types of documents: research article, literature review, systematic review, books, and reports from institutions. Those would be reviewed and adjusted with the context of Indonesia in terms of how gender inequality affects maternal health, followed by the synthesis of argumentative ideas related to the practical strategies needed to address this issue.Results: The well-maintained patriarchal system and gender norms in Indonesia leads to gender inequality as one of the social factors contributing to maternal health outcomes. Gender inequality works to influence maternal health outcomes through structural and individual level factors, in which, influence women?s power and ability in the decision-making process and impact on women?s demand for maternal health service utilization. In addition, implemented maternal health programmes have not fully addressed gender inequality in Indonesia so far.Conclusion: To address gender inequality in order to improve maternal health, some strategies are suggested, such as women empowerment, men engagement to be supportive, and strengthening the protection of women?s reproductive rights.
The International Conferences on Applied Science and Health (ICASH): Efforts and Commitments in Translating Research Results into Policy and Practices, for a Better Society Widyastari, Dyah Anantalia; Sinaga, Doni Marisi; Wibowo, Canggih Puspo; Rahman, Pamuko Aditya; Noor, Hafizh Muhammad; Irawan, Dimas Sondang; Fatmarizka, Tiara; Diary, Dwina Gustia; Putra, I Gusti Ngurah Edi; Maretalinia, Maretalinia; Viniriani, Marina Ayu; Destiwi, Monita; Shidiq, Galih Albarra; Pratiwi, Ivana Aprilia; Kusuma, Made Dian Shanti; Dharmapatni, Ni Wayan Kesari; Pratama, Mahendrawan Nugraha Aji; Norsaputra, Ary; Pancanugraha, Andi; Kurniawan, Febrian Hendra; Putra, Wahyu Manggala; Fattah, Rifqi Abdul; Moehas, Puput Kusumawardani; Samosir, Ricky Alexander; Hananto, Andang Adi Fitria; Agastya, I Gusti Ngurah; Susilo, Taufik Eko; Vejvisithsakul, Pichpisith Pierre; Nauphar, Donny; Sari, Ariestya Indah Permata; Macnab, Andrew John
GHMJ (Global Health Management Journal) Vol 3, No 3 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (787.653 KB) | DOI: 10.35898/ghmj-33451

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Association between empowerment factors and the utilization of long-acting and permanent contraceptive methods among married women in Indonesia Artini, Ni Nyoman Astri; Martha, Evi; Putra, I Gusti Ngurah Edi
Public Health and Preventive Medicine Archive Vol. 9 No. 1 (2021)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (827.916 KB) | DOI: 10.53638/phpma.2021.v9.i1.p08

Abstract

Background and purpose: The use of long-acting and permanent methods (LAPMs) of contraception becomes one of the government’s efforts to ensure the continuity of family planning program. Factors associated with the LAPMs use can be contingent upon the study context or setting that includes socio-demographic, social and cultural norms, and women empowerment factors. This study aims to examine the associations between women empowerment and the LAPMs use. Methods: This was a cross-sectional study involving 97,316 records of married women aged 15-49 years, retrieved from three rounds of the Indonesia Demographic and Health Survey/IDHS (2007, 2012, and 2017). The dependent variable is the LAPMs use, whereas the main independent variables were women empowerment factors (i.e., educational level, occupational status, participation in household decision-making, attitude toward wife-beating). Adjusted associations between women empowerment and the LAMPs use were examined using binary logistic regression by controlling the influence of sociodemographic variables as potential confounders. Results: About half of women in this study were 35-49 years old and completed primary education. Education level was found to be positively associated with the use of LAPMs. Working women increased the likelihood of using LAPMs by 1.10 (95%CI: 1.03-1.17) times. In addition, those who approved for being beaten by their husband in any circumstance were less likely to use LAPMs (OR=0.91; 95%CI: 0.86-0.97). However, participation in household decision-making was not associated with the LAMPs use. Conclusion: Women empowerment factors that included educational level, occupational status, and the attitude toward wife-beating were associated with the use of LAPMs among Indonesian married women. Therefore, improving women empowerment by increasing women’s educational level, participation in labor force, and reducing women’s vulnerability to domestic violence can increase the uptake of LAPMs.
Co-Authors Agastya, I Gusti Ngurah Artini, Ni Nyoman Astri Destiwi, Monita Diary, Dwina Gustia Dimas Sondang Irawan Dinar Lubis Doni Marisi Sinaga, Doni Marisi Donny Nauphar Dyah Anantalia Widyastari Evi Martha Fattah, Rifqi Abdul Hananto, Andang Adi Fitria Jamhari Jamhari Kadek Tresna Adhi Kurniawan, Febrian Hendra Macnab, Andrew John Made Dian Shanti Kusuma Maretalinia, Maretalinia Moehas, Puput Kusumawardani Ni Ketut Sutiari Ni Putu Widarini Ni Wayan Kesari Dharmapatni Noor, Hafizh Muhammad Norsaputra, Ary Pancanugraha, Andi Pratama, Mahendrawan Nugraha Aji Pratiwi, Ivana Aprilia Putra, Wahyu Manggala Rahman, Pamuko Aditya Samosir, Ricky Alexander Sari, Ariestya Indah Permata Shidiq, Galih Albarra Tiara Fatmarizka Vejvisithsakul, Pichpisith Pierre Viniriani, Marina Ayu Wibowo, Canggih Puspo