The education role on institutional delivery among teenage mothers in Indonesia: A national wide survey
Objectives: Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR) in Indonesia are still high. The government encourages institutional births to reduce these numbers. Meanwhile, early marriage is still a problem in Indonesia. The study examines the role of education level on institutional d...
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| Language: | English |
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Elsevier
2025-03-01
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| Series: | Clinical Epidemiology and Global Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213398425000594 |
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| author | Ratna Dwi Wulandari Agung Dwi Laksono Yuly Astuti |
| author_facet | Ratna Dwi Wulandari Agung Dwi Laksono Yuly Astuti |
| author_sort | Ratna Dwi Wulandari |
| collection | DOAJ |
| description | Objectives: Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR) in Indonesia are still high. The government encourages institutional births to reduce these numbers. Meanwhile, early marriage is still a problem in Indonesia. The study examines the role of education level on institutional delivery among teenage mothers in Indonesia. Methods: The secondary analysis of the 2023 Indonesian Health Survey involved a sample of 609 teenage moms. We analyzed the relationship between institutional delivery and education level and seven control variables: residence, age, marital status, work status, wealth, insurance, antenatal care (ANC), and parity. The study employed binary logistic regression for the final stage. Results: The result showed that only 49.7 % of adolescent mothers in Indonesia deliver their babies in institutional settings. Regarding education, teenage mothers in primary school are 2.268 times more likely than those without education to perform institutional delivery (95%CI 2.185–2.355). Adolescent mothers with junior high school are 4.545 times more likely to achieve institutional delivery than those without education (95%CI 4.380–4.716). Moreover, teenage mothers with senior high school are 5.040 times more likely to childbirth in institutional settings than those without education (95%CI 4.837–5.252). The findings indicated that higher education correlates with an increased likelihood of institutional delivery. Conclusions: Education levels were associated with institutional delivery among teenage mothers. The better the education level, the higher the possibility of performing institutional delivery. The study implies that improving education levels among adolescent mothers in Indonesia could increase the likelihood of institutional delivery, potentially reducing MMR and IMR. |
| format | Article |
| id | doaj-art-7cdbd844f2534661a72dd2dc39baa9d5 |
| institution | DOAJ |
| issn | 2213-3984 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
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| series | Clinical Epidemiology and Global Health |
| spelling | doaj-art-7cdbd844f2534661a72dd2dc39baa9d52025-08-20T02:47:27ZengElsevierClinical Epidemiology and Global Health2213-39842025-03-013210197010.1016/j.cegh.2025.101970The education role on institutional delivery among teenage mothers in Indonesia: A national wide surveyRatna Dwi Wulandari0Agung Dwi Laksono1Yuly Astuti2Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia; Corresponding author. Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia.National Research and Innovation Agency, Republic of Indonesia, Jakarta, Indonesia; Persakmi Institute, Surabaya, IndonesiaNational Research and Innovation Agency, Republic of Indonesia, Jakarta, IndonesiaObjectives: Maternal Mortality Ratio (MMR) and Infant Mortality Rate (IMR) in Indonesia are still high. The government encourages institutional births to reduce these numbers. Meanwhile, early marriage is still a problem in Indonesia. The study examines the role of education level on institutional delivery among teenage mothers in Indonesia. Methods: The secondary analysis of the 2023 Indonesian Health Survey involved a sample of 609 teenage moms. We analyzed the relationship between institutional delivery and education level and seven control variables: residence, age, marital status, work status, wealth, insurance, antenatal care (ANC), and parity. The study employed binary logistic regression for the final stage. Results: The result showed that only 49.7 % of adolescent mothers in Indonesia deliver their babies in institutional settings. Regarding education, teenage mothers in primary school are 2.268 times more likely than those without education to perform institutional delivery (95%CI 2.185–2.355). Adolescent mothers with junior high school are 4.545 times more likely to achieve institutional delivery than those without education (95%CI 4.380–4.716). Moreover, teenage mothers with senior high school are 5.040 times more likely to childbirth in institutional settings than those without education (95%CI 4.837–5.252). The findings indicated that higher education correlates with an increased likelihood of institutional delivery. Conclusions: Education levels were associated with institutional delivery among teenage mothers. The better the education level, the higher the possibility of performing institutional delivery. The study implies that improving education levels among adolescent mothers in Indonesia could increase the likelihood of institutional delivery, potentially reducing MMR and IMR.http://www.sciencedirect.com/science/article/pii/S2213398425000594Teenage mothersInstitutional deliveryInstitutional birthMaternal healthPublic health |
| spellingShingle | Ratna Dwi Wulandari Agung Dwi Laksono Yuly Astuti The education role on institutional delivery among teenage mothers in Indonesia: A national wide survey Clinical Epidemiology and Global Health Teenage mothers Institutional delivery Institutional birth Maternal health Public health |
| title | The education role on institutional delivery among teenage mothers in Indonesia: A national wide survey |
| title_full | The education role on institutional delivery among teenage mothers in Indonesia: A national wide survey |
| title_fullStr | The education role on institutional delivery among teenage mothers in Indonesia: A national wide survey |
| title_full_unstemmed | The education role on institutional delivery among teenage mothers in Indonesia: A national wide survey |
| title_short | The education role on institutional delivery among teenage mothers in Indonesia: A national wide survey |
| title_sort | education role on institutional delivery among teenage mothers in indonesia a national wide survey |
| topic | Teenage mothers Institutional delivery Institutional birth Maternal health Public health |
| url | http://www.sciencedirect.com/science/article/pii/S2213398425000594 |
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