Geospatial Access to Emergency Obstetric Surgery in Indonesia: Is Travel Time for Access Too Long?
2024

Access to Emergency Obstetric Surgery in Indonesia

Sample size: 3202 publication 10 minutes Evidence: moderate

Author Information

Author(s): Tjokroprawiro Brahmana Askandar, Sulistya Hanif Ardiansyah, Muharram Farizal Rizky, Ulhaq Renata Alya, Izza Alifina, Prasetyo Budi, Novitasari Khoirunnisa, Wiweko Budi, Habibie Pandu Hanindito, Lukmana Arya Ananda Indrajaya, Asari Muhammad Muhibuddin Hilmy

Primary Institution: Universitas Airlangga

Hypothesis

What percentage of Indonesian women of reproductive age can access emergency obstetric services within a 2-hour travel time?

Conclusion

While 94.5% of Indonesian women of reproductive age can access emergency obstetric surgical care within 2 hours, significant disparities exist in certain provinces.

Supporting Evidence

  • 89.2% of hospitals in Indonesia have an obstetric gynecologist.
  • 94.5% of women of reproductive age live within 2 hours of a hospital providing emergency obstetric surgery.
  • Eight provinces have low access to emergency obstetric surgical care.

Takeaway

Most women in Indonesia can get to a hospital for emergency surgery quickly, but some areas are still too far away.

Methodology

Geospatial analysis using hospital data and population estimates to assess access to emergency obstetric services.

Potential Biases

Potential clustering of OBGYNs in urban areas may skew access estimates.

Limitations

The study did not account for travel by boat or air, which may affect access in remote areas.

Participant Demographics

Women of reproductive age (15-49 years) in Indonesia.

Statistical Information

P-Value

p<0.0001

Statistical Significance

p<0.01

Digital Object Identifier (DOI)

10.5334/aogh.4598

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