Determinants of Antenatal Care Visits in Indonesia with Synthetic Minority Over-Sampling Techniques for Imbalance Data
Determinan Kunjungan Antenatal Care di Indonesia dengan Teknik Synthetic Minority Over-Sampling untuk Imbalanced Data
DOI:
https://doi.org/10.29244/ijsa.v7i2p86-104Keywords:
antenatal care, binary logistic regression, infant mortality, maternal deathAbstract
Maternal mortality and infant mortality are two indicators that describe the degree of public health as well as indicators of sustainable development in Indonesia. The acceleration of reduction these two indicators must be supported by antenatal care services since pregnancy for the safety of mothers and babies. Based on the results of the IDHS 2017, antenatal care coverage in Indonesia (77.4%) is still far from the target in 2024 (95%.) This study used logistic regression analysis with Synthetic Minority Oversampling Technique (SMOTE) resampling method because of imbalance data to explore the determinants of complete antenatal care visits in Indonesia and descriptive analysis to find out an overview of complete antenatal care associated with factors that are considered influencing it. Data that was used in this study is the Indonesia Demographic and Health Survey (IDHS) 2017 with unit of analysis for women of childbearing age who are married or live together and gave birth to their last child in the period 2012-2017. The logistic regression results of the SMOTE method show that the variables of mother's education, husband's work status, knowledge of pregnancy danger signs, distance to health facilities, timing first antenatal check, mother's age, economic status, birth order, and number of problems during pregnancy significantly affect the completeness of antenatal care visits. The policy recommendations in this study are expected to be adopted by government to increase antenatal care visits in Indonesia as an effort to reduce maternal and infant mortality.
Downloads
References
Abbas, A. M., Rabeea, M., Hafiz, H. A. A., & Ahmed, N. H. (2017). Effects of irregular antenatal care attendance in primiparas on the perinatal outcomes: A cross sectional study. Proceedings in Obstetrics and Gynecology, 7(2).
Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 1–10.
Arifiyanti, A. A., & Wahyuni, E. D. (2020). Smote: Metode Penyeimbang Kelas Pada Klasifikasi Data Mining. SCAN-Jurnal Teknologi Informasi Dan Komunikasi, 15(1), 34–39.
Arthur, E. (2012). Wealth and antenatal care use: Implications for maternal health care utilisation in Ghana. Health Economics Review, 2(1), 1–8.
BAPPENAS. (2019). Pencapaian tujuan 3: Kehidupan sehat dan sejahtera. http://sdgs.bappenas.go.id/laporan-sdgs-2019/
Chanda, S. K., Ahammed, B., Howlader, M. H., Ashikuzzaman, M., Shovo, T.-E.-A., & Hossain, M. T. (2020). Factors associating different antenatal care contacts of women: A cross-sectional analysis of Bangladesh demographic and health survey 2014 data. PLoS One, 15(4), e0232257.
Cumber, S. N., Diale, D. C., Stanly, E. M., & Monju, N. (2016). Importance of antenatal care services to pregnant women at the Buea regional hospital Cameroon. J Fam Med Health Care, 2(4), 23–29.
Efendi, F., Chen, C.-M., Kurniati, A., & Berliana, S. M. (2017). Determinants of utilization of antenatal care services among adolescent girls and young women in Indonesia. Women & Health, 57(5), 614–629.
Hijazi, H. H., Alyahya, M. S., Sindiani, A. M., Saqan, R. S., & Okour, A. M. (2018). Determinants of antenatal care attendance among women residing in highly disadvantaged communities in northern Jordan: A cross-sectional study. Reproductive Health, 15(1), 1–18.
Hosmer Jr, D. W., Lemeshow, S., & Sturdivant, R. X. (2013). Applied logistic regression (Vol. 398). John Wiley & Sons.
Jusniany, M., Mutahar, R., & Utama, F. (2016). Determinan Pemanfaatan Pelayanan Antenatal Yang Adekuat Di Indonesia (Analisis Data Sdki 2012). Jurnal Ilmu Kesehatan Masyarakat, 7(3).
Kementerian Kesehatan Indonesia. (2013). Profil Kesehatan Indonesia 2012. https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2012.pdf
Kementerian Kesehatan Indonesia. (2017). Rencana Strategis Kementerian Kesehatan Tahun 2015-2019. http://ppid.kemkes.go.id/uploads/img_5cd07f7e6d039.pdf
Kementerian Kesehatan Indonesia. (2018). Profil Kesehatan Indonesia 2017. https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-Indonesia-tahun-2017.pdf
Kementerian Kesehatan Indonesia. (2020). Rencana Strategis Kementerian Kesehatan Tahun 2020-2024. https://farmalkes.kemkes.go.id/unduh/renstra-kemenkes-tahun-2020-2024/#
Lunardon, N., Menardi, G., & Torelli, N. (2014). ROSE: A Package for Binary Imbalanced Learning. R Journal, 6(1).
Okedo-Alex, I. N., Akamike, I. C., Ezeanosike, O. B., & Uneke, C. J. (2019). Determinants of antenatal care utilisation in sub-Saharan Africa: A systematic review. BMJ Open, 9(10), e031890.
Pandey, S., & Karki, S. (2014). Socio-economic and demographic determinants of antenatal care services utilization in Central Nepal. International Journal of MCH and AIDS, 2(2), 212.
Purbaningrum, S. A., Qadrijati, I., Adriani, R. B., & Prasetya, H. (2019). Multilevel analysis on the determinants of antenatal care visit at community health center in Madiun, East Java. Journal of Maternal and Child Health, 4(3), 180–189.
Roobiati, N. F., Sumiyarsi, I., & Musfiroh, M. (2019). Hubungan Tingkat Pengetahuan Tentang Tanda Bahaya Kehamilan Trimester Iii Dengan Motivasi Ibu Melakukan Antenatal Care Di Bidan Praktik Swasta Sarwo Indah Boyolali. Jurnal Kesehatan, 12(1), 30–39.
Saad–Haddad, G., DeJong, J., Terreri, N., Restrepo–Méndez, M. C., Perin, J., Vaz, L., Newby, H., Amouzou, A., Barros, A. J., & Bryce, J. (2016). Patterns and determinants of antenatal care utilization: Analysis of national survey data in seven countdown countries. Journal of Global Health, 6(1).
Vogel, J. P., Dowswell, T., Lewin, S., Bonet, M., Hampson, L., Kellie, F., Portela, A., Bucagu, M., Norris, S. L., Neilson, J., & others. (2019). Developing and applying a’living guidelines’ approach to WHO recommendations on maternal and perinatal health. BMJ Global Health, 4(4), e001683.
World Health Organization. (2000). Mother-baby package: Implementing safe motherhood in countries.
World Health Organization. (2002). Antenatal care randomized trial: Manual for the implementation of the new model. Geneva, 2001. Who/Rhr/01.30.
World Health Organization. (2006). The world health report 2006: Working together for health. World Health Organization.
World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization.
Zuhair, M., & Roy, R. B. (2017). Socioeconomic determinants of the utilization of antenatal care and child vaccination in India. Asia Pacific Journal of Public Health, 29(8), 649–659.
