![]() ![]() Indonesia, with an MMR of 126 per 100,000 live births (2010–15), is one of 39 countries that are categorized as making progress in reducing maternal deaths. Sub-Saharan Africa and Southern Asia account for 66 and 22% of the global maternal deaths, respectively. ![]() Approximately 99% of the global maternal deaths are reported from developing regions. In 2015, the estimated global MMR was 216 per 100,000 live births, with a total of 303,000 maternal deaths. Reducing Maternal Mortality Ratio (MMR) is the biggest challenge in developing countries. We recommend strengthening of existing maternal and child health program with a particular emphasis on complete and quality antenatal care, health education on danger signs of pregnancy and childbirth, and promoting positive attitudes towards healthcare facilities. Also, the interaction between attitude and access to healthcare showed a significant influence on childbirth at healthcare facilities. Knowledge of pregnancy danger signs was an independent correlate of childbirth at healthcare facilities. Utilization of healthcare facilities for childbirth was low in Kuantan Singingi regency. There was an interaction between attitude and access to healthcare influencing delivery at healthcare facilities. Knowledge about pregnancy danger signs (PR = 1.59, 95%CI:1.15–2.2), attitude towards healthcare services (PR = 0.79, 95%CI:0.33–1.89), and access to health care services (PR = 0.39, 95%CI:0.18–0.84) were the dominant factors of childbirth at healthcare facilities. Only 54.4% (174) of the 320 mothers delivered at healthcare facilities. Prevalence Ratio (PR) with a 95% confidence interval (CI) for childbirth at healthcare facilities was the key outcome measure. We used Cox regression analysis to determine the factors associated with delivery at healthcare facilities. ![]() ![]() Trained data enumerators collected the relevant data by using a pre-tested semi-structured questionnaire. We selected 320 mothers from 15 sub-districts who delivered in the last 3 months (February–April 2017). We conducted a community-based cross-sectional study in 15 sub-districts of Kuantan Singingi regency from May–June 2017. This study aimed to determine the factors associated with healthcare facility utilization for childbirth in Kuantan Singingi regency, Riau province, Indonesia 2017. Optimum use of available healthcare facilities for delivery can avert maternal deaths. The current MMR in Indonesia is 126/100,000 live births. Reducing maternal mortality ratio (MMR) is a high priority public health issue in developing countries such as Indonesia. ![]()
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