Study on the Effect of Maternal Death Determinant in Lampung Province using Structural Equation Modeling-AMOS

Abstract

Background: Maternal mortality has become an indicator of health and socioeconomic development and reflected by all national health systems and intersectoral collaborations. High maternal mortality rate is caused by several factors such as environmental health, socioecomnomic, mother health status, health services utilization, health services access and pregnancy complication.
Purpose: This study was identify the significant effect of the determinants maternal health and incidence of maternal death.
Research Methodology: This study was an observational study with crossectional design, This study was conducted in Province Lampung, Indonesia, in 2019. Population of this research consisted of situation maternal health in provience Lampung. Sampel in this study were 194 consisting of case group and control group. Data was collected and then analyzed using Structural Equation Modeling (SEM).
Results: Socioeconomy, environmental health, maternal health status, health services access, health services utilization, and pregnancy complication presented strong effects to maternal health. waste management (λ=3.728), food variety (λ=0.860), transportation ownership (λ=7.568), Antenatal care (λ=0.917) and preeclampsia (λ=2.699) were indicators which have the strongest correlation to their latent variables
Conclusion: This study results demonstrated that maternal mortality is closely related to the insufficiency of social determinants (occupation, income and social status) and environmental health (water quality and sanitation).