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All Journal IAES International Journal of Artificial Intelligence (IJ-AI) Media Kesehatan Masyarakat Indonesia Media Penelitian dan Pengembangan Kesehatan Jurnal Kesehatan Masyarakat Medical Journal of Indonesia Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Preventia Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Jurnal Informasi Kesehatan Indonesia (JIKI) Jurnal Kesehatan Manarang Indonesian Journal of Medicine Proceedings of the International Conference on Applied Science and Health Jurnal Ilmiah Kesehatan MEDIA INFORMASI Surya Medika: Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat Jurnal Ilmiah Kesehatan PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Indonesia : Manajemen Informatika dan Komunikasi MAHESA : Malahayati Health Student Journal Endemis Journal Jurnal EduHealth Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Gemakes: Jurnal Pengabdian Kepada Masyarakat Berita Kedokteran Masyarakat Women Midwives and Midwifery Jurnal Indonesia : Manajemen Informatika dan Komunikasi Jurnal Ekonomi Kesehatan Indonesia Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan Jurnal Info Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Preventia : The Indonesian Journal of Public Health
Kemal N. Siregar
Departemen Biostatistik Dan Kependudukan, Fakultas Kesehatan Masyarakat, Universitas Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Nursing Public Health Veterinary

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Unraveling the Drivers of Inequality in Maternal Healthcare Utilization in Indonesia: A Decomposition Analysis Wahyuningsih, Wji; Siregar, Kemal N; Nurhakiki, Syifa
Jurnal Ekonomi Kesehatan Indonesia Vol. 10, No. 2
Publisher : UI Scholars Hub

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Abstract

This study assessed socioeconomic inequalities in maternal healthcare utilization in Indonesia and identifies key factors driving these inequalities. We used data from 2013 and 2023 Indonesian Health Surveys, comprised of a total unweighted sample of 15,638 and 9,923 women aged 15-49 in the 2013 and 2023, respectively. Concentration index (CI) measured wealth-based inequality, and decomposition analysis identified primary drivers of inequalities in maternal healthcare access. Overall maternal healthcare service utilization has increased, but significant inequalities persist. Antenatal care showed minimal improvement, with the CI rising from 0.059 to 0.079, indicating a persistent higher socioeconomic distribution. Facility-based deliveries improved, with the CI decreasing from 0.115 to 0.039. Cesarean section inequality, though reduced, remains high, with CI declining from 0.299 to 0.158. Decomposition analysis revealed that socioeconomic status, women’s education, and geographic location were the primary drivers of inequalities in maternal healthcare utilization. While Indonesia has made progress in increasing facility-based deliveries, especially among the poorest women, inequalities persist in antenatal care and cesarean section. Pro-poor policies must address these multidimensional barriers by improving access to education, particularly for women, and implementing region-specific interventions, especially in eastern Indonesia, which lags in healthcare development.
Co-Authors Abdul Chairy, Abdul Abdurrahman, Eka Santy Adrian, Verry Aenaya Delavera Agustin Kusumayati Amanda Widlanisia Amelia, Dwirani Anggi Anitia Antarsih, Novita Rina Aria Kekalih Artha Prabawa Asri C. Adisasmita Atmiroseva, Atmiroseva Ayoub, Harun Yussuf Bagus, Nurzahara Bahar, Ryza Jazid Besral . Budi Utomo Cahyati, Ai Caroline Endah Wuryaningsih, Caroline Endah Delavera, Aenaya Delmaifanis, Delmaifanis Detty Siti Nurdiati Dewi Nirmala Sari Dian Kistiani Irawaty Diana Diana Diny Nahrudiani Dodi Angga Kusuma Dumilah Ayuningtyas Dwiraswati, Oke Elfiyani, Nur Khotimah Elly Nurachmah Enny Yuliana Falupi, Lilik Aryani Fatmawati, Lady Farah Firjatullah, Clarissa T Hadi Pratomo Hamidah Indrihapsari Hanafi, Nurrachda Hanny Nilasari Hardya Gustada Hikmahrachim Hartono Gunardi Hasnia Jondu Haswinzky, Rose Amalia Helmi Safitri Hikmahrachim, Hardya Gustada Ilyas, Arief Azhari Indra Supradewi Indriany, Finna Indrihapsari, Hamidah Intan Rachmita Sari Intan Rachmita Sari Irawaty, Dian Kristiani Jondu, Hasnia Kalamullah Ramli Kayika, I Putu Gede Kurniawan, Kristian Kusuma, Dodi Angga Laily Hanifah Lamria Pangaribuan Lesmana, Elvira Martya Rahmaniati Masfuri - Milla Herdayati, Milla Misana, Fatima Nur Muhammad Sapoan Hadi Nasir, Narila Mutia Ni Komang Novi Suryani Ning Sulistiyowati Nopianto Ricaesar Novianti Novianti Nurhakiki, Syifa Nurillah Amaliah Nurizin, Dion Zein Nurrahma Fitria Ramadhani Nurul Fadhilah Nurul Fadhilah Nurul Fadhilah Oke Dwiraswati Okky Assetya Pratiwi Oon Fatonah Akbarini Pamadi, Nayaka Nayottama Pohan, Tiur Febrina Popy Yuniar Popy Yuniar Pradita Siregar, Rohana Uly Purwowiyoto, Budhi Setianto Rahmadewi Rahmadewi Ramadhani, Nurrahma Fitria Retnowati Retnowati Retnowati Retnowati Ricaesar, Nopianto Rikawarastuti Rikawarastuti Rikawarastuti Ruddy J Suhatril Ryza Jazid Sabarinah Prasetyo Sabarinah Sabarinah, Sabarinah Safitri, Helmi Sagita, Silvia Saini, Izzatul Mardiah Sam Tito, Julius Shifa, Naili Siregar, Rohana Uly Pradita Siti Aisah SITI AISAH Siti Aisah Siti Jumhati Solly Aryza Srimayarti, Berly Nisa Suparmi Suparmi Supriyanti Supriyanti Sutanto Priyo Hastono Sutedja, Indrajani Suwandono, MPH, DR. PH, Dr. Agus Tambunan, Regina Tiasari, Anisa Tin Afifah Tiopan Sipahutar Titis Risti Yulianti Titis Risti Yulianti Tris Eryando Verry Adrian Violila, Vallery Wahyuningsih, Wji Wardhani, Dara A Widlanisia, Amanda Wresti Indriatmi B. Makes Yuliana, Enny Yulianti, Titis Risti Yuni Sari Romadhona