Gender Equality Issues in the Utilization of Maternal and Child Health Services at Rumah Sakit Tk. III Brawijaya Surabaya
DOI:
https://doi.org/10.38156/gesi.v9i1.371Kata Kunci:
Gender equality, maternal health, child health, healthcare access, healthcare decision-makingAbstrak
Gender equality in access to healthcare services is an important indicator in health development, particularly in maternal and child health services. This qualitative case study analyzes gender equality in the utilization of maternal and child health services at Tk. III Brawijaya Hospital Surabaya. The study was conducted in November 2024 through interviews with four inpatients, supported by observation and documentation. The results show positive developments in gender equality regarding healthcare decision-making, with women showing initiative in accessing health services while still maintaining family consultation. Information access has improved through digital platforms, particularly social media, enabling better healthcare decisions. Healthcare service utilization was found to be relatively accessible, though some barriers exist in public health centers. Social and cultural aspects indicate harmonious spousal roles with traditional beliefs being approached wisely. The study concludes that while progress has been made in gender equality for maternal and child healthcare access, continued support for women's empowerment in healthcare decision-making is needed.
Referensi
Anindya, K., Lee, J. T., McPake, B., Wilopo, S. A., Millett, C., & Carvalho, N. (2020). Impact of Indonesia’s national health insurance scheme on inequality in access to maternal health services: A propensity score matched analysis. Journal of Global Health, 10(1), 1–12. https://doi.org/10.7189/JOGH.10.010429
Damayanti, N. A., Wulandari, R. D., Ridlo, I. A., Azzahra, L., Akrimah, W. D., Rahmah, F., & Anis, W. (2023). Gender Equality in Decision Making on the Utilization of Health Services in Urban and Rural Areas, Indonesia. Indonesian Journal of Health Management, 11(2), 132–142. https://doi.org/10.14710/jmki.11.2.2023.132-142
Ministry of Health. (2023). Indonesian Health Profile 2023. Ministry of Health of the Republic of Indonesia.
Lidwina, A. (2021). Maternal Mortality Rate in Southeast Asia (2017).
Meerpohl, H. (2019). OPINION : Roots and Wings : Indonesia ´ s way to improvements of women ´ s health care. 27(3), 90–93.
Mentari, G. B., & Susilawati, S. (2022). Factors Affecting Access to Health Services in Indonesia. Journal of Health Science, 3(6), 767–773. https://doi.org/10.46799/jhs.v4i06.512
Natasya, M., & Dewi, R. (2022). Analysis of Gender Mainstreaming in Health Programs in Indonesia: Sustainable Public Health Development Solutions. December.
Regulation of the Minister of Women's Empowerment and Child Protection of the Republic of Indonesia. (2022).
Permatasari, P., Cahya, A., & Wenny, D. M. (2021). Determinants of Health Service Utilization in South Tangerang City in 2020. Ikraith-Economics, 4(3), 54–63.
SDGs, S. N. (2023). SDGs KNOWLEDGE HUB.
Sumarmi, S. (2017). Socio-ecological model of health behavior and a continuum of care approach to reduce maternal mortality rates. The Indonesian Journal of Public Health, 12(1), 129. https://doi.org/10.20473/ijph.v12i1.2017.129-141
Susiana, S. (2019). Maternal Mortality Rate: Causative Factors and Efforts to Handle It.
WHO. (2023). Gender Equality in Healthcare Access: Southeast Asia Report. World Health Organization.
Krzyż, E. Z., Antunez Martinez, O. F., & Lin, H. R. (2023). Uses of Andersen health services utilization framework to determine healthcare utilization for mental health among migrants—a scoping review. Frontiers in Public Health, 11(December), 1–13. https://doi.org/10.3389/fpubh.2023.1284784