Empowering Young Married Women Expands Access to Healthcare Utilization in Indonesia
Abstract
Child marriage has become a major issue in Indonesia, and it is frequently associated with issues of education and employment status. Furthermore, it might serve as a barrier to these young married women seeking healthcare services. The purpose of this study is to assess health-care utilization among Indonesian young married women aged 15 to 19, by considering the role of women's empowerment. This study included 4,017 young married women aged 15 to 24 years from the Indonesia Demographic and Health Survey (IDHS) 2017 dataset. Age was not associated with healthcare utilization. Pregnant women and young married women with children under five were more likely to use health care services (AOR:5.29; AOR:3.01). Young married women from middle and upper-income families who had a bank account and daily internet access had the highest chance of receiving healthcare services. Respondents who participated in 1 to 2 decision making were 1.5 times more likely to visit a health facility. Young married women who agreed to domestic violence for three or more reasons were less likely to visit a health facility. Young married women should have 'resources' and 'agency' to be able to access healthcare services. Children played a critical role in empowering these women to seek health care.
Abstrak: Perkawinan anak masih menjadi masalah utama di Indonesia, dan sering kali dikaitkan dengan pendidikan dan status pekerjaan. Ditambah lagi, salah satu masalah yang dihadapi wanita muda yang menikah adalah mencari layanan perawatan Kesehatan. Tujuan dari kajian ini adalah untuk mengkaji pemanfaatan layanan kesehatan pada wanita muda yang menikah di Indonesia yang berusia 15-19 tahun, dengan mempertimbangkan peran pemberdayaan perempuan. Pengukuran pemberdayaan perempuan sesuai yang disarankan oleh Kabeer. Studi potong lintang menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) 2017. Penelitian ini melibatkan 4.017 wanita muda yang menikah berusia 15-24 tahun. Umur tidak berhubungan dengan pemanfaatan layanan kesehatan. Wanita dengan anak balita tiga kali lebih menggunakan layanan Kesehatan dibandingkan mereka yang tidak memiliki anak balita. Wanita dari rumah tangga menengah ke atas yang memiliki rekening bank dan akses internet setiap hari memiliki peluang tertinggi untuk menerima layanan Kesehatan. Wanita yang terlibat dalam 1-2 pengambilan keputusan 1,5 kali lebih besar untuk mengunjungi fasilitas Kesehatan. Wanita yang setuju dengan lebih dari 3 alasan kekerasan rumah dalam tangga cenderung tidak mengunjungi fasilitas Kesehatan. Berdasarkan hal ini, sebaiknya wanita muda yang menikah memiliki sumber daya dan mediator/agensi untuk dapat mengkases layanan Kesehatan. Anak-anak berperan penting dalam memperdayakan wanita untuk mencari perawatan Kesehatan.
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References
Acharya, D. R., Bell, J. S., Simkhada, P., Van Teijlingen, E. R., & Regmi, P. R. (2010). Women’s autonomy in household decision-making: A demographic study in Nepal. Reproductive Health, 7(1), 1–12. https://doi.org/10.1186/1742-4755-7-15
Ahmed, S., Creanga, A. A., Gillespie, D. G., & Tsui, A. O. (2010). Economic status, education and empowerment: Implications for maternal health service utilization in developing countries. PLoS ONE, 5(6). https://doi.org/10.1371/journal.pone.0011190
Al-Shami, S. S. A., Majid, I., Mohamad, M. R., & Rashid, N. (2017). Household welfare and women empowerment through microcredit financing: Evidence from Malaysia microcredit. Journal of Human Behavior in the Social Environment, 27(8), 894–910. https://doi.org/10.1080/10911359.2017.1345341
Albert, I., Trommsdorff, G., Mayer, B., & Schwarz, B. (2005). Value of Children in Urban and Rural Indonesia : Socio-Demographic Indicators, Cultural Aspects, and Empirical Findings. In G. Trommsdorff & B. Nauck (Eds.), The Value of Children in Cross-cultural Perspective. Case Studies from Eight Societies. Lengerich: Pabst Science.
Badan Pusat Statistik. (n.d.). Indeks Pemberdayaan Gender (IDG) 2019-2020. Retrieved March 21, 2022, from https://www.bps.go.id/indicator/40/468/1/indeks-pemberdayaan-gender-idg-.html
Badan Pusat Statistik, UNICEF, & PUSKAPA. (2020). Pencegahan Perkawinan Anak: Percepatan yang Tidak Bisa Ditunda. Retrieved from https://www.unicef.org/indonesia/media/2851/file/Child-Marriage-Report-2020.pdf
Badiane, A., Diouf, A., Sylla, P. M. D. D., Cissé, N. S., Idohou-Dossou, N., Dramaix, M., … Donnen, P. (2021). Body composition and determinant factors among mother–child pairs (6–8 months) in rural areas of Senegal. Maternal and Child Nutrition, 17(3), 1–12. https://doi.org/10.1111/mcn.13174
National Population and Family Planning Board (BKKBN) [Government of Indonesia], Statistics Indonesia (BPS) [Government of Indonesia], & Ministry of Health (Kemenkes) [Government of Indonesia]. (2017). IDN_2017_DHS_v01_M. Retrieved from http://www.dhsprogram.com/
National Population and Family Planning Board (BKKBN), Statistics Indonesia (BPS), Ministry of Health (Kemenkes), & ICF. (2018). Indonesia Demographic and Health Survey 2017. Jakarta, Indonesia: BKKBN, BPS, Kemenkes, and ICF.
Boateng, G. O., Kuuire, V. Z., Ung, M., Amoyaw, J. A., Armah, F. A., & Luginaah, I. (2014). Women’s Empowerment in the Context of Millennium Development Goal 3: A Case Study of Married Women in Ghana. Social Indicators Research, 115(1), 137–158.
Croft, T. N., Marshall, A. M. J., & Allen, C. K. (2018). Guide to DHS Statistics. Rockville, Maryland, USA: ICF. Retrieved from https://dhsprogram.com/data/Guide-to-DHS-Statistics/Guide_to_DHS_Statistics_DHS-7.htm
De Groot, R., Kuunyem, M. Y., Palermo, T., Osei-Akoto, I., Adamba, C., Darko, J. K., … Caparello, A. (2018). Child marriage and associated outcomes in northern Ghana: A cross-sectional study. BMC Public Health, 18(1). https://doi.org/10.1186/s12889-018-5166-6
Delprato, M., Akyeampong, K., & Dunne, M. (2017). Intergenerational Education Effects of Early Marriage in Sub-Saharan Africa. World Development, 91, 173–192. https://doi.org/10.1016/j.worlddev.2016.11.010
Fernandez, A., Della Giusta, M., & Kambhampati, U. S. (2015). The Intrinsic Value of Agency: The Case of Indonesia. World Development, 70, 92–107. https://doi.org/10.1016/j.worlddev.2014.12.020
Ginossar, T., & Nelson, S. (2010). La Comunidad Habla: Using Internet Community-Based Information Interventions to Increase Empowerment and Access to Health Care of Low Income Latino/a Immigrants. Communication Education, 59(3), 328–343. https://doi.org/10.1080/03634521003628297
Htun, N. M. M., Hnin, Z. L., & Khaing, W. (2021). Empowerment and health care access barriers among currently married women in Myanmar. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10181-5
Kabeer, N. (1999). Resources, agency, achievements: Reflections on the measurement of women’s empowerment. Development and Change, 30(3), 435–464. https://doi.org/10.1111/1467-7660.00125
Kemenkes. (2020). Profil Kesehatan Indonesia Tahun 2019. Retrieved March 21, 2022, from https://pusdatin.kemkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-indonesia-2019.pdf
Klugman, J., Hanmer, L., Twigg, S., Hasan, T., McCleary-Sills, J., & Santamaria, J. (2014). Voice and Agency: Empowering Women and Girls for Shared Properity. World Bank Groups. Washington, DC: World Bank Group. Retrieved from https://openknowledge.worldbank.org/handle/10986/19036
Murshid, N. S. (2018). Microfinance Participation and Women’s Decision-Making Power in the Household in Bangladesh. Journal of Social Service Research, 44(3), 308–318. https://doi.org/10.1080/01488376.2018.1472170
Narciso, V. J. S., & Henriques, P. D. S. (2020). Does the matrilineality make a difference? Land, kinship and women’s empowerment in Bobonaro district, Timor-Leste. Journal of the Asia Pacific Economy, 25(2), 348–370. https://doi.org/10.1080/13547860.2019.1665295
Naslund, J. A., Aschbrenner, K. A., Marsch, L. A., & Bartels, S. J. (2016). The future of mental health care: Peer-To-peer support and social media. Epidemiology and Psychiatric Sciences, 25(2), 113–122. https://doi.org/10.1017/S2045796015001067
Osamor, P., & Grady, C. (2018). Factors associated with women’s health care decision making autonomy: Emperical evidence from Nigeria. J Biosoc Sci, 50(1), 70–85. https://doi.org/10.1017/S0021932017000037
Parsons, J., Edmeades, J., Kes, A., Petroni, S., Sexton, M., & Wodon, Q. (2015). Economic Impacts of Child Marriage: A Review of the Literature. Review of Faith and International Affairs, 13(3), 12–22. https://doi.org/10.1080/15570274.2015.1075757
Puspitasari, M. D., Rahmadhony, A., Prasetyo, S., & Fadila, W. (2020). Early Childhood Parenting Practices in Indonesia. Population Review, 59(2). https://doi.org/10.1353/prv.2020.0006
Rammohan, A., & Johar, M. (2009). The determinants of married women’ s autonomy in Indonesia. Feminist Economics, 15(4), 31–55. https://doi.org/10.1080/13545700903153989
Sado, L., Spaho, A., & Hotchkiss, D. R. (2014). The influence of women’s empowerment on maternal health care utilization: Evidence from Albania. Social Science & Medicine, 114, 169–177. https://doi.org/10.1016/j.socscimed.2014.05.047
Samarakoon, S., & Parinduri, R. A. (2015). Does Education Empower Women? Evidence from Indonesia. World Development, 66, 428–442. https://doi.org/10.1016/j.worlddev.2014.09.002
Shirazi, F. (2012). Information and communication technology and women empowerment in Iran. Telematics and Informatics, 29(1), 45–55. https://doi.org/10.1016/j.tele.2011.02.001
Van De Belt, T. H., Engelen, L. J. L. P. G., Berben, S. A. A., Teerenstra, S., Samsom, M., & Schoonhoven, L. (2013). Internet and social media for health-related information and communication in health care: Preferences of the Dutch general population. Journal of Medical Internet Research, 15(10), 1–11. https://doi.org/10.2196/jmir.2607
Voronca, D., Walker, R. J., & Egede, L. E. (2018). Relationship between Empowerment and Wealth: Trends and Predictors in Kenya between 2003 and 2008-09. International Journal of Public Health, 63(5), 641–649. https://doi.org/10.1007/s00038-017-1059-1
Yadav, A. K., Sahni, B., & Jena, P. K. (2021). Education, employment, economic status and empowerment: Implications for maternal health care services utilization in India. Journal of Public Affairs, 21(3). https://doi.org/10.1002/pa.2259Article Statistic
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