The Influence of Individual Characteristics, Distance, Cost, and Tangibles on Decisions to Choose a Place of Birth
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Abstract
Quality and affordable delivery services are key to reducing maternal and infant mortality rates. This study aims to analyze the influence of individual characteristics, distance, cost, and tangible quality on mothers' decisions regarding the choice of delivery location at the Bonebakal Health Center in Central Sulawesi. The study employed a quantitative approach with a cross-sectional design, involving 35 pregnant women as respondents who were selected purposively. Data analysis was carried out using the chi-square test and multiple logistic regression. The results showed that age, education, distance, and tangible quality had a significant influence on the decision to choose a place of delivery (p <0.05). Tangible was the most dominant factor with an OR value of 5.783. In contrast, occupation, income, and cost did not have a significant effect in the final model. The regression model was proven valid and explained 74.5% of the variation in decisions (Nagelkerke R² = 0.745). These results highlight the importance of enhancing the physical quality of delivery facilities and education tailored to maternal characteristics, in order to support the selection of a safe and standardized place of delivery.
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How to Cite
Bantoyot, F., Syaodih, E., & Handayani, N. (2025). The Influence of Individual Characteristics, Distance, Cost, and Tangibles on Decisions to Choose a Place of Birth. ProBisnis : Jurnal Manajemen, 16(3), 337–344. Retrieved from https://ejournal.joninstitute.org/index.php/ProBisnis/article/view/978
References
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Anggraini, N. (2021). The Role of Parents in Early Childhood Language Development. Metafora: Jurnal Pembelajaran Bahasa Dan Sastra, 7(1), 43–54.
Anggraini, N. V., Apriyanti, E., Agustina, A. N., & Fathmanda, M. (2020). Respondent Characteristics and Distance of Maternity Place Influence Mothers in Choosing Maternity Place in RW 03, Kemiri Muka Village, Beji District, Depok. Jurnal Keperawatan Widya Gantari Indonesia, 4(1), 43–51.
Anisah, A., Rohendi, A., & Rahim, A. H. (2023). The Influence of Service Quality and Patient Satisfaction on Outpatient Loyalty at Karawang Lung Specialist Hospital. Innovative: Journal Of Social Science Research, 3(4), 9151–9164.
Azis, R., & Syafar, M. (2022). Analysis of Factors Influencing the Selection of Pregnant Women's Delivery Places in the Lasusua Health Center Work Area, North Kolaka Regency in 2021. NERSMID: Jurnal Keperawatan Dan Kebidanan, 5(1), 53–71.
Bangki, Z., Ramadhan, S., & Didi, L. (2023). The effectiveness of the midwife and traditional birth attendant partnership program in reducing maternal and infant mortality rates in North Buton Regency. Administratio Jurnal Ilmiah Ilmu Administrasi Negara, 126–134.
Bishanga, D. R., Massenga, J., Mwanamsangu, A. H., Kim, Y.-M., George, J., Kapologwe, N. A., Zoungrana, J., Rwegasira, M., Kols, A., Hill, K., Rijken, M. J., & Stekelenburg, J. (2019). Women's Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania. International Journal of Environmental Research and Public Health, 16(3), 481. https://doi.org/10.3390/ijerph16030481
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Darussalam, H., & Rahmawati, E. (2019). Analysis of Family Income, Childbirth Costs, Access to Information, and National Health Insurance Participation, with Selection of Childbirth Places in Muara Rapak Village, Balikpapan City. MMJ (Mahakam Midwifery Journal), 4(1), 375–388.
Dinengsih, S., Kundaryanti, R., & Nurdiani, L. (2024). The Analysis of Factors of Pregnant Mother Satisfaction with 10T Antenatal Services in Garut, West Java. Jurnal Kebidanan Midwiferia, 10(1), 19–34.
Ekawati, S., & Andriani, H. (2022). Marketing Mix Strategy of Yadika Pondok Bambu Hospital Health Services During the COVID-19 Pandemic. Jurnal Medika Hutama, 3(02 Januari), 2073–2083.
Fauzia, R. (2014). Factors Related to Decisions on Choosing a Place of Delivery for Patients at the Obstetrics and Gynecology Polyclinic at the Kemang Medical Care Women and Children's Hospital in 2014.
Fitrianeti, D., Waris, L., & Yulianto, A. (2018). Factors Influencing Pregnant Women's Choices of Birth Assistance in the Malakopa Health Center Work Area, Mentawai Islands Regency. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 2(3), 153–162.
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Hidayati, N., & Fitriani, I. S. (2021). The Influence of Parenting Type on Behavior in Facing Secondary Sexual Changes of Female Adolescents at SMPN 1 Siman Ponorogo. Indonesian Journal for Health Sciences, 5(1), 8–19.
Khasanah, U. (2017). Decision Making on Choosing a Place of Birth Reviewed from the Characteristics of Needs. Kendedes Midwifery Journal, 3(1).
Koesbardiati, T. (2017). Relationship between Childbirth Guarantee, Distance of Residence, Travel Time, and Community Habits towards the Use of Childbirth Places in South Central Timor Regency. Jurnal Info Kesehatan, 15(1).
Meilani, M., & Insyiroh, A. N. (2023). Respectful Women Care in Midwifery. Penerbit K-Media.
Ministry of Health of the Republic of Indonesia. (2020). Indonesia Health Profile 2019. Ministry of Health of the Republic of Indonesia.
Muni, A. O., Littik, S. K. A., & Kenjam, Y. (2022). Factors Related to the Selection of Childbirth Places in the Tarus Health Center Work Area. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(4), 569–580.
Ningrum, S. P. (2017). Psychological Factors Affecting Postpartum Blues. Psympathic: Jurnal Ilmiah Psikologi, 4(2), 205–218.
Nst, I. N., & Harahap, I. P. (2021). Factors Influencing Mothers' Decisions in Choosing a Place and Childbirth Assistance in Rondaman Village. Jurnal Ilmiah Kesehatan Diagnosis, 16(1), 1–8.
Nugraha, A. C., Syaodih, E., Handayani, N., & Andikarya, R. O. (2023). The Influence of Health Service Quality on Patient Satisfaction and Loyalty at Ramahadi Hospital, Purwakarta. Prosiding Magister Manajemen ARS University, 1, 95–106.
Nugraheni, W. P., Mubasyiroh, R., & Hartono, R. K. (2020). The Influence of Jaminan Kesehatan Nasional (JKN) on the Cost of Delivery Services in Indonesia. PLOS ONE, 15(7), e0235176. https://doi.org/10.1371/journal.pone.0235176
Nuhan, M. V. (2021). The Influencing Factors of Choosing a Delivery Place in the Working Area of Sikumana Health Center.
Nurasih, N., & Nurrochmi, E. (2017). Analysis of Reasons for Choosing to Give Birth at Home in the Work Area of Sitopeng Health Center, Cirebon City in 2016. Care: Jurnal Ilmiah Ilmu Kesehatan, 5(3), 345–358.
Nurrizka, R. H., Nurdiantami, Y., & Makkiyah, F. A. (2021). Pregnant Women's Access to Health Services During the COVID-19 Pandemic. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 10(2), 94–99.
Nuryantiningsih, I. (2017). Critique of Regulations Concerning Women's Reproductive Health in Indonesia: A Human Rights Perspective. Jurnal Ilmu Hukum: ALETHEA, 1(1), 1–18.
Purwatiningsih, Y. (2020). Analisis Faktor yang Mempengaruhi Keputusan Ibu Hamil dalam Memilih Tempat Persalinan di Klinik Bersalin Ranti. Jurnal Ilmiah Kesehatan, 2(2), 1–17.
Puteri, D. A., Syaodih, E., Agung, I. W. P., & Andikarya, O. (2024). The influence of the quality of health services on the interest in repeat visits by BPJS patients at the Kirana Medika Bandung clinic. Jurnal Manajemen Rumah Sakit, 2(1).
Putra, M. A. R., Yo, E. C., Phowira, J., & Anggraeni, T. D. (2020). Efforts to Reduce Maternal Mortality Rates Due to Postpartum Hemorrhage in Indonesia through Innovation in the Health Service System. Cermin Dunia Kedokteran, 47(10), 785–791.
Rambu, S. H., Rahmadani, N., & Mustari, S. (2022). Relationship between Knowledge and Distance of Residence with the Selection of Birthing Assistance for Mothers in the Work Area of Katobu Health Center, Muna Regency. Jurnal Mitrasehat, 12(1), 1–7.
Rapheal, E., Prithviraj, R., Campbell, S., Stoddard, S. T., & Paz-Soldan, V. A. (2023). Using the Health Belief Model to Predict Pre-Travel Health Decisions among U.S.-Based Travelers. The American Journal of Tropical Medicine and Hygiene, 109(4), 937–944. https://doi.org/10.4269/ajtmh.22-0633
Rocmaeda, S. (2025). Analysis of Factors Related to the Selection of Childbirth Places in the Working Area of the West Kairatu Health Center. Jurnal Ilmiah Kesehatan Delima, 7(2), 321–324.
Setyaningsih, E., Hatini, E. E., & Natalina, R. (2023). Analysis of Factors in Choosing a Place of Delivery in the Working Area of the Tangkiling Health Center UPT. Jurnal Surya Medika (JSM), 9(3), 77–83.
Siallagan, E. A. (2017). Analysis of Factors Influencing Mothers in Choosing Home Birth by Midwives at Pancur Batu Health Center, Deli Serdang Regency in 2016. Elisabeth Health Journal, 2(2), 15–24.
Situmorang, T. R. R., Nababan, D., Sipayung, R., Silitonga, E. M., & Brahmana, N. E. (2022). Factors Related to Mothers' Choices of Place of Birth in the Working Area of Hutagalung Health Center, Humbang Hasudutan Regency, in 2021. Journal of Healthcare Technology and Medicine, 7(2).
Sujarwinata, T. H., Syaodih, E., & Rahim, A. H. (2023). The Influence of Job Satisfaction on Service Quality and Patient Satisfaction. Service Management Triangle: Jurnal Manajemen Jasa, 5(2), 69–78.
Syahnita, H., Rahayu, S., & Djafri, D. (2021). Analysis of Decision Factors of Mothers in Giving Birth in Choosing a Place of Delivery Services in the Working Area of Ulee Kareng Health Center, Banda Aceh City. Jurnal SAGO Gizi Dan Kesehatan, 2(2), 150–157.
Timisela, J., & Samallo, A. (2021). v. Global Health, 6(4).
WHO. (2019). Trends in Maternal Mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: executive summary. World Health Organization.
WHO. (2020). WHO Labour Care Guide: User's Manual.
WHO. (2023). Trends in Maternal Mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. World Health Organization.
Widodo, H. T., & Hidayat, C. T. (2024). The Relationship between Tangible Dimensions and Patient Satisfaction at the Aisyiyah Ambulu Inpatient Primary Clinic. The Indonesian Journal of Health Science, 16(1).
Wijaya, H., Rohendi, A., & Mulyani, K. (2024). The Influence of Trust, Service Quality, and Price Fairness on Patient Satisfaction at Clinic S, South Tangerang. Innovative: Journal Of Social Science Research, 4(1), 2446–2457.
Adipriati, D. (2007). Determinants of Birth Place Selection in Cirebon Regency, 2004. Kesmas, 1(4), 188–192.
Ainurrahmah, Y. (2017). The Influence of Community Health Center Management on Access to Health Services to Achieve Quality Health Services. Jurnal Publik: Jurnal Ilmiah Bidang Ilmu Administrasi Negara, 11(2), 239–256.
Anggraini, N. (2021). The Role of Parents in Early Childhood Language Development. Metafora: Jurnal Pembelajaran Bahasa Dan Sastra, 7(1), 43–54.
Anggraini, N. V., Apriyanti, E., Agustina, A. N., & Fathmanda, M. (2020). Respondent Characteristics and Distance of Maternity Place Influence Mothers in Choosing Maternity Place in RW 03, Kemiri Muka Village, Beji District, Depok. Jurnal Keperawatan Widya Gantari Indonesia, 4(1), 43–51.
Anisah, A., Rohendi, A., & Rahim, A. H. (2023). The Influence of Service Quality and Patient Satisfaction on Outpatient Loyalty at Karawang Lung Specialist Hospital. Innovative: Journal Of Social Science Research, 3(4), 9151–9164.
Azis, R., & Syafar, M. (2022). Analysis of Factors Influencing the Selection of Pregnant Women's Delivery Places in the Lasusua Health Center Work Area, North Kolaka Regency in 2021. NERSMID: Jurnal Keperawatan Dan Kebidanan, 5(1), 53–71.
Bangki, Z., Ramadhan, S., & Didi, L. (2023). The effectiveness of the midwife and traditional birth attendant partnership program in reducing maternal and infant mortality rates in North Buton Regency. Administratio Jurnal Ilmiah Ilmu Administrasi Negara, 126–134.
Bishanga, D. R., Massenga, J., Mwanamsangu, A. H., Kim, Y.-M., George, J., Kapologwe, N. A., Zoungrana, J., Rwegasira, M., Kols, A., Hill, K., Rijken, M. J., & Stekelenburg, J. (2019). Women's Experience of Facility-Based Childbirth Care and Receipt of an Early Postnatal Check for Herself and Her Newborn in Northwestern Tanzania. International Journal of Environmental Research and Public Health, 16(3), 481. https://doi.org/10.3390/ijerph16030481
Bukhari, I., Kamal, B., & Sari, M. K. (2018). The Influence of Service Quality, Corporate Image, and Satisfaction on Inpatient Loyalty at Mitra Keluarga Hospital, Tegal. Monex: Journal of Accounting Research, 7(1).
Darussalam, H., & Rahmawati, E. (2019). Analysis of Family Income, Childbirth Costs, Access to Information, and National Health Insurance Participation, with Selection of Childbirth Places in Muara Rapak Village, Balikpapan City. MMJ (Mahakam Midwifery Journal), 4(1), 375–388.
Dinengsih, S., Kundaryanti, R., & Nurdiani, L. (2024). The Analysis of Factors of Pregnant Mother Satisfaction with 10T Antenatal Services in Garut, West Java. Jurnal Kebidanan Midwiferia, 10(1), 19–34.
Ekawati, S., & Andriani, H. (2022). Marketing Mix Strategy of Yadika Pondok Bambu Hospital Health Services During the COVID-19 Pandemic. Jurnal Medika Hutama, 3(02 Januari), 2073–2083.
Fauzia, R. (2014). Factors Related to Decisions on Choosing a Place of Delivery for Patients at the Obstetrics and Gynecology Polyclinic at the Kemang Medical Care Women and Children's Hospital in 2014.
Fitrianeti, D., Waris, L., & Yulianto, A. (2018). Factors Influencing Pregnant Women's Choices of Birth Assistance in the Malakopa Health Center Work Area, Mentawai Islands Regency. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 2(3), 153–162.
Handayani, L., Kabuhung, E. I., & Afriani, Y. (2019). Determinants of Selection of Place of Delivery at North Tapin Health Center. Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, 10(1), 200–211.
Hidayati, N., & Fitriani, I. S. (2021). The Influence of Parenting Type on Behavior in Facing Secondary Sexual Changes of Female Adolescents at SMPN 1 Siman Ponorogo. Indonesian Journal for Health Sciences, 5(1), 8–19.
Khasanah, U. (2017). Decision Making on Choosing a Place of Birth Reviewed from the Characteristics of Needs. Kendedes Midwifery Journal, 3(1).
Koesbardiati, T. (2017). Relationship between Childbirth Guarantee, Distance of Residence, Travel Time, and Community Habits towards the Use of Childbirth Places in South Central Timor Regency. Jurnal Info Kesehatan, 15(1).
Meilani, M., & Insyiroh, A. N. (2023). Respectful Women Care in Midwifery. Penerbit K-Media.
Ministry of Health of the Republic of Indonesia. (2020). Indonesia Health Profile 2019. Ministry of Health of the Republic of Indonesia.
Muni, A. O., Littik, S. K. A., & Kenjam, Y. (2022). Factors Related to the Selection of Childbirth Places in the Tarus Health Center Work Area. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat, 1(4), 569–580.
Ningrum, S. P. (2017). Psychological Factors Affecting Postpartum Blues. Psympathic: Jurnal Ilmiah Psikologi, 4(2), 205–218.
Nst, I. N., & Harahap, I. P. (2021). Factors Influencing Mothers' Decisions in Choosing a Place and Childbirth Assistance in Rondaman Village. Jurnal Ilmiah Kesehatan Diagnosis, 16(1), 1–8.
Nugraha, A. C., Syaodih, E., Handayani, N., & Andikarya, R. O. (2023). The Influence of Health Service Quality on Patient Satisfaction and Loyalty at Ramahadi Hospital, Purwakarta. Prosiding Magister Manajemen ARS University, 1, 95–106.
Nugraheni, W. P., Mubasyiroh, R., & Hartono, R. K. (2020). The Influence of Jaminan Kesehatan Nasional (JKN) on the Cost of Delivery Services in Indonesia. PLOS ONE, 15(7), e0235176. https://doi.org/10.1371/journal.pone.0235176
Nuhan, M. V. (2021). The Influencing Factors of Choosing a Delivery Place in the Working Area of Sikumana Health Center.
Nurasih, N., & Nurrochmi, E. (2017). Analysis of Reasons for Choosing to Give Birth at Home in the Work Area of Sitopeng Health Center, Cirebon City in 2016. Care: Jurnal Ilmiah Ilmu Kesehatan, 5(3), 345–358.
Nurrizka, R. H., Nurdiantami, Y., & Makkiyah, F. A. (2021). Pregnant Women's Access to Health Services During the COVID-19 Pandemic. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 10(2), 94–99.
Nuryantiningsih, I. (2017). Critique of Regulations Concerning Women's Reproductive Health in Indonesia: A Human Rights Perspective. Jurnal Ilmu Hukum: ALETHEA, 1(1), 1–18.
Purwatiningsih, Y. (2020). Analisis Faktor yang Mempengaruhi Keputusan Ibu Hamil dalam Memilih Tempat Persalinan di Klinik Bersalin Ranti. Jurnal Ilmiah Kesehatan, 2(2), 1–17.
Puteri, D. A., Syaodih, E., Agung, I. W. P., & Andikarya, O. (2024). The influence of the quality of health services on the interest in repeat visits by BPJS patients at the Kirana Medika Bandung clinic. Jurnal Manajemen Rumah Sakit, 2(1).
Putra, M. A. R., Yo, E. C., Phowira, J., & Anggraeni, T. D. (2020). Efforts to Reduce Maternal Mortality Rates Due to Postpartum Hemorrhage in Indonesia through Innovation in the Health Service System. Cermin Dunia Kedokteran, 47(10), 785–791.
Rambu, S. H., Rahmadani, N., & Mustari, S. (2022). Relationship between Knowledge and Distance of Residence with the Selection of Birthing Assistance for Mothers in the Work Area of Katobu Health Center, Muna Regency. Jurnal Mitrasehat, 12(1), 1–7.
Rapheal, E., Prithviraj, R., Campbell, S., Stoddard, S. T., & Paz-Soldan, V. A. (2023). Using the Health Belief Model to Predict Pre-Travel Health Decisions among U.S.-Based Travelers. The American Journal of Tropical Medicine and Hygiene, 109(4), 937–944. https://doi.org/10.4269/ajtmh.22-0633
Rocmaeda, S. (2025). Analysis of Factors Related to the Selection of Childbirth Places in the Working Area of the West Kairatu Health Center. Jurnal Ilmiah Kesehatan Delima, 7(2), 321–324.
Setyaningsih, E., Hatini, E. E., & Natalina, R. (2023). Analysis of Factors in Choosing a Place of Delivery in the Working Area of the Tangkiling Health Center UPT. Jurnal Surya Medika (JSM), 9(3), 77–83.
Siallagan, E. A. (2017). Analysis of Factors Influencing Mothers in Choosing Home Birth by Midwives at Pancur Batu Health Center, Deli Serdang Regency in 2016. Elisabeth Health Journal, 2(2), 15–24.
Situmorang, T. R. R., Nababan, D., Sipayung, R., Silitonga, E. M., & Brahmana, N. E. (2022). Factors Related to Mothers' Choices of Place of Birth in the Working Area of Hutagalung Health Center, Humbang Hasudutan Regency, in 2021. Journal of Healthcare Technology and Medicine, 7(2).
Sujarwinata, T. H., Syaodih, E., & Rahim, A. H. (2023). The Influence of Job Satisfaction on Service Quality and Patient Satisfaction. Service Management Triangle: Jurnal Manajemen Jasa, 5(2), 69–78.
Syahnita, H., Rahayu, S., & Djafri, D. (2021). Analysis of Decision Factors of Mothers in Giving Birth in Choosing a Place of Delivery Services in the Working Area of Ulee Kareng Health Center, Banda Aceh City. Jurnal SAGO Gizi Dan Kesehatan, 2(2), 150–157.
Timisela, J., & Samallo, A. (2021). v. Global Health, 6(4).
WHO. (2019). Trends in Maternal Mortality 2000 to 2017: Estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division: executive summary. World Health Organization.
WHO. (2020). WHO Labour Care Guide: User's Manual.
WHO. (2023). Trends in Maternal Mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. World Health Organization.
Widodo, H. T., & Hidayat, C. T. (2024). The Relationship between Tangible Dimensions and Patient Satisfaction at the Aisyiyah Ambulu Inpatient Primary Clinic. The Indonesian Journal of Health Science, 16(1).
Wijaya, H., Rohendi, A., & Mulyani, K. (2024). The Influence of Trust, Service Quality, and Price Fairness on Patient Satisfaction at Clinic S, South Tangerang. Innovative: Journal Of Social Science Research, 4(1), 2446–2457.