Determinants of Family Empowerment in Utilizing Health Services in Kupang, Indonesia: A Cross-Sectional Study

Abstract

Complications during pregnancy, childbirth, and postpartum are responsible for maternal deaths, however, childbirth in health facilities is far from the Strategic Plan target (88.9%). The majority of Timorese people still live with their parents, so care decisions depend on the parents/relatives. There is a tradition of "Se'i-tatobi), namely that mothers and babies will bathe in hot water and have a fire during the postpartum period. Apart from that, Timorese society is a patriarchal society where women do not have a significant position which can be seen from the weak position of women relative to men. Method. This research uses mixed method research, this research looks for the influence between variables, carried out with a cross-sectional research design. The research target population is families (mother-in-law, biological mother, or other relatives involved) who have pregnant women in the third trimester of pregnancy in Kupang Regency. The number of puskesmas in Kupang Regency is 26 puskesmas. The sample required is relatively large, the minimum required is up to 50 data samples for a predictor (independent) variable. It can select relationships because it uses a non-linear log transformation approach to predict odds so it uses a logistic regression analysis test. Result. Based on the data above, it shows that of the ten independent variables, there are 2 variables, namely parity and husband's job, which do not affect family empowerment, while the variables of mother's age, mother's education, husband's age, husband's education, place of birth of last child, helper, access, birth status are significant. influencing family empowerment. Conclusion Based on the data above, the mother's age, mother's education, husband's age, husband's education, place of birth of the last child, helper, and access also show family empowerment which significantly influences the family's ability to use it.