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All Journal Proceeding Mulawarman International Conference on Tropical Public Health
Ardianto, Ratno
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Public Health

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Planned Delivery Place Preferences among Pregnant Women Visiting Puskesmas Lempake Huda, Muhammad Nur; Ardianto, Ratno; Rohmah, Nur; Bahtiar, Rahmat
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain key health indicators in Indonesia. According to data from the Indonesian Ministry of Health (2023), maternal deaths increased compared to the previous year. This study aimed to describe the delivery place preferences among pregnant women visiting Puskesmas Lempake and the factors influencing their decisions. Objective : To identify the characteristics and delivery place preferences planned by pregnant women attending Puskesmas Lempake Research Methods/ Implementation Methods : A descriptive quantitative study was conducted among all third-trimester pregnant women who visited Puskesmas Lempake in September 2025, with total sampling applied. Data were collected through structured questionnaires and secondary medical records. The data were analyzed using descriptive statistics of frequency and percentage Results : Most pregnant women were aged 20-35 years and had a senior high school level of educaction. Hospitals were the most preferred delivery places, followed by private clinics or independent midwives, and Puskesmas Lempake. Decisions regarding delivery place were primarily made by the pregnant women themselves and were largely supported by their husbands. Distance, cost, and family advice were the main reasons for choosing Puskesmas, while those who did not choose it cited inadequate facilities and previous clinical complications. Conclusion/Lesson Learned : The study highlights the need to strengthen health promotion and improve delivery facilities at Puskesmas Lempake. Increasing medical staff, particularly emergency doctors, and educating pregnant women and families about the importance of delivering at healthcare facilities are strongly recommended to reduce MMR and IMR.
Health Behaviour in Family Planning Service Utilization and Policy Implications for Health Promotion in Indonesia. Sulkhi, Muhammad Ragil Dzihnu; Rohmah, Nur; Ardianto, Ratno
Mulawarman International Conference on Tropical Public Health Vol. 2 No. 2 (2025): The 4th MICTOPH
Publisher : Faculty of Public Health Mulawarman University, Indonesia

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Background : The utilization of modern contraceptive methods has shown little improvement over the past decade. This stagnation indicating that barriers to Family Planning (FP) utilization may be rooted not merely in awareness or attitudes, but in access and service constraints within the health system. Objective : this study aims to examine the determinants of access and service barriers to family planning utilization in East Kalimantan, Indonesia. Research Methods/ Implementation Methods : This study is a cross-sectional design utilizing secondary data from the Indonesian Family Data Updating Survey 2024. A total of 217536 married women of reproductive age (15-49 years old) were included. Independent variables were age, marriage age, education level, insurance status, employment status, and ideal number of child. Dependent variable were barriers to family planning service. Chi-Square tests and Logistic Regression were included. Results : Of the 217,536 married women of reproductive age, the majority of respondents reported barriers categorized as non-access (57.4%) and (42.0%), only 0.6% reporting access barriers. Bivariate analysis established that all factors examined were significantly associated with the type of reported barriers. Service barriers were strongly determined by women aged 35–49 years (OR = 5.266), no formal education (OR = 1.155), informal occupation (OR = 1.178), and desiring more than two children (OR = 1.659). Access barriers was influenced by uninsured women (OR = 1.754) and no formal education (OR = 2.526). Conclusion/Lesson Learned : Policy interventions that enhance the availability, affordability, and quality of contraceptive services is essential to help the Indonesian Government designing integrated contraceptive programs to reduce inequalities in access and service barriers.
Co-Authors Bahtiar, Rahmat Huda, Muhammad Nur Nur Rohmah Sulkhi, Muhammad Ragil Dzihnu