The Relationship Between Residential Distance and the Utilization of Midwifery Services Among Pregnant Women

DOI: https://doi.org/10.33650/minsight.v2i1.15515
Authors

(1) * Kintan Anissa   (Universitas Dehasen, Bengkulu, Indonesia)  
        Indonesia
(2)  Nimas Ayu Lestari Nurjanah   (Universitas Dehasen, Bengkulu, Indonesia)  
        Indonesia
(*) Corresponding Author

Abstract


This study aimed to analyze the relationship between residential distance and the utilization of midwifery services among pregnant women. Access to maternal health services remains an important factor influencing the quality of antenatal care, particularly in areas with limited transportation and health facilities. This research employed a quantitative analytic design with a cross-sectional approach. The study population consisted of pregnant women who attended maternal health services at selected healthcare facilities. Data were collected using structured questionnaires and analyzed using statistical tests to determine the association between residential distance and the utilization of midwifery services. The results showed that pregnant women living closer to healthcare facilities were more likely to utilize midwifery services regularly compared to those living farther away. Distance was identified as a significant factor affecting the frequency of antenatal visits and access to skilled maternal healthcare. In addition, transportation availability and socioeconomic conditions also influenced service utilization. The findings imply that improving accessibility to maternal healthcare services, including transportation support and equitable distribution of midwifery facilities, may increase the utilization of antenatal care among pregnant women and contribute to better maternal and fetal health outcomes.

Keywords

Residential Distance, Utilization of Midwifery Services, Pregnant Women



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References


Acup, W. (2023). Factors associated with first antenatal care (ANC) attendance within 12 weeks of pregnancy among women in Lira City, Northern Uganda: a facility-based cross-sectional study. BMJ Open, 13(7). https://doi.org/10.1136/bmjopen-2022-071165

Amungulu, M. E. (2023). An investigation of factors affecting the utilization of antenatal care services among women in post-natal wards in two Namibian hospitals in the Khomas region. Journal of Public Health in Africa, 14(3). https://doi.org/10.4081/jphia.2023.2154

Anguzu, R. (2023). Spatial accessibility to health facilities among pregnant women with and without exposure to intimate partner violence in Uganda. BMC Pregnancy and Childbirth, 23(1). https://doi.org/10.1186/s12884-023-06084-5

Azimi, S. (2025). Access to urban community mental health services: does geographical distance play a role? Social Psychiatry and Psychiatric Epidemiology, 60(4), 849–857. https://doi.org/10.1007/s00127-024-02779-y

Cotner, B. A. (2023). Barriers and Facilitators to Accessing Rehabilitation Health Care: A Veterans Affairs Traumatic Brain Injury Model Systems Qualitative Study. Archives of Physical Medicine and Rehabilitation, 104(3), 380–389. https://doi.org/10.1016/j.apmr.2022.09.020

Cuervo, L. G. (2024). Improving accessibility to radiotherapy services in Cali, Colombia: cross-sectional equity analyses using open data and big data travel times from 2020. International Journal for Equity in Health, 23(1). https://doi.org/10.1186/s12939-024-02211-6

Deng, S. (2023). On the geographic access to healthcare, beyond proximity. Geospatial Health, 18(2). https://doi.org/10.4081/gh.2023.1199

Dusingizimana, T. (2023). Predictors for achieving adequate antenatal care visits during pregnancy: a cross-sectional study in rural Northwest Rwanda. BMC Pregnancy and Childbirth, 23(1). https://doi.org/10.1186/s12884-023-05384-0

Fofana, A. (2025). Utilization of Primary Health Care Services among Adults in Urban and Rural Margibi County Liberia. Ankara Medical Journal, 25(3), 220–234. https://doi.org/10.5505/amj.2025.78379

Gurara, M. K. (2023). Determinants of maternal healthcare utilisation among pregnant women in Southern Ethiopia: a multi-level analysis. BMC Pregnancy and Childbirth, 23(1). https://doi.org/10.1186/s12884-023-05414-x

Khan, B. A. A. (2025). Exploring challenges in accessing primary healthcare for pregnant women in Pakistan: a qualitative descriptive study. BMC Health Services Research, 25(1). https://doi.org/10.1186/s12913-024-11637-1

Lin, S. (2024). Visitors’ recreational & leisure experiences in urban river corridors? A case study of Hutuo River in Shijiazhuang, China. Urban Forestry and Urban Greening, 98. https://doi.org/10.1016/j.ufug.2024.128416

Liu, X. (2025). Informing equitable access to care: a cross-sectional study of travel burden to primary and rheumatology care for people with rheumatoid arthritis. International Journal for Equity in Health, 24(1). https://doi.org/10.1186/s12939-025-02439-w

Myburgh, N. (2024). Factors affecting antenatal care attendance in Soweto, Johannesburg: The three-delay model. African Journal of Primary Health Care and Family Medicine, 16(1), 1–9. https://doi.org/10.4102/PHCFM.V16I1.4333

Neto, V. P. (2024). Inequalities in the geographic access to delivery services in Brazil. BMC Health Services Research, 24(1). https://doi.org/10.1186/s12913-024-12042-4

Olubodun, T. (2024). Regional trends, spatial patterns and determinants of health facility delivery among women of reproductive age in Nigeria: A national population based cross-sectional study. Plos One, 19(10). https://doi.org/10.1371/journal.pone.0312005

Petros, Y. (2023). Utilization of pregnant women waiting area and associated factors among mothers at Damboya District, Kembata Tembaro Zone, Southern Ethiopia. Pan African Medical Journal, 46. https://doi.org/10.11604/pamj.2023.46.89.33071

Poondi, N. (2024). Mapping pharmacy deserts in North Carolina: a geospatial analysis and its implications for University of North Carolina Health’s catchment population. Journal of the American Pharmacists Association, 64(6). https://doi.org/10.1016/j.japh.2024.102215

Ramsey-Soroghaye, B. N. (2024). Challenges That Hinder Pregnant Mothers and Their Utilization of Maternal Healthcare Services in Nigeria. Journal of Social Service Research, 50(5), 834–846. https://doi.org/10.1080/01488376.2024.2378786

Sugg, M. (2025). Mapping maternity care deserts: Driving distance and health outcomes in North Carolina. Journal of Rural Health, 41(2). https://doi.org/10.1111/jrh.70020

Syairaji, M. (2024). Trends and causes of maternal mortality in Indonesia: a systematic review. BMC Pregnancy and Childbirth, 24(1). https://doi.org/10.1186/s12884-024-06687-6

Thasineku, O. C. (2025). Associated factors for the utilization of institutional delivery services in Nepal: Findings from the Nepal Demographic Health Survey, 2022. Plos One, 20(5). https://doi.org/10.1371/journal.pone.0322309

Wei, L. (2024). Research on the village layout optimization in China’s developed areas based on daily life circles. Environmental Science and Pollution Research, 31(10), 15958–15972. https://doi.org/10.1007/s11356-024-31978-y

Woodward, R. (2023). Association of prenatal stress with distance to delivery for pregnant women in Western North Carolina. Midwifery, 118. https://doi.org/10.1016/j.midw.2022.103573

Yamamoto, T. (2023). Change in Geographic Accessibility to Dental Clinics Affects Access to Care. In Journal of Dental Research (Vol. 102, Issue 7, pp. 719–726). https://doi.org/10.1177/00220345231167771

Yang, Y. (2023). Disparities and determinants of maternal health services utilization among women in poverty-stricken rural areas of China: a cross-sectional study. BMC Pregnancy and Childbirth, 23(1). https://doi.org/10.1186/s12884-023-05434-7


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