DOES HUSBAND AFFECT MATERNAL MORTALITY? A CASE CONTROL STUDY IN INDONESIA
Maternal Mortality Rate is still reported high in Brebes Regency, Indonesia despite many attempts having been taken by the government. The Determinant of maternal mortality should be studied to find out the appropriate preventive intervention. Many researches conducted using 3 delays need more comprehensive study. This research aimed to analyze the determinant of maternal mortality. This research used case control design with 29 cases and 116 controls. The sample was taken purposively using government’s documentation, while control was selected randomly from the village midwife’s record. Data was collected from the result of interview with respondents using questionnaire and seeing maternal health records. Data was analyzed using multivariate analysis with SPSS 21 help with logistical regression test. The determinants of maternal mortality are social-economic in the form of husband’s education (OR 0.126; 95%CI 0.026-0.614; p=0.010), husband’s support (OR 0.387; 95% CI 0.129-1.159; p=0.090), house status (OR 5.980; 95% CI 1.535-23.304; p=0.010), and decision making (OR 0.343; 95% CI 0.108-1.093; p=0.070); maternal reproductive status in the form of pregnancy interval (OR 5.806; 95% CI 1.609-20.946; p=0.007), and parity (OR 33.949; 95%CI 3.876-297.354; p=0.001); and maternal health status in the form of disease history (OR 3,322. 95% CI 0.885-12,473; p=0.075). Government should improve maternal health and reproductive status, and social-economic status of family particularly by involving husbands in maternal health intervention.
Copyright (c) 2020 Indah Iswati, Zahroh Shaluhiyah, Farid Agushybana
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