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variables from baseline survey with delay in first pregnancy from follow up survey was tested by cross-tabulation,
Chi-square test and MLR.

Results: Very few girls received family/sex life education during adolescence age in the survey setting. Spousal
age gap and the women who are having a highly educated husband get support from her husband in delaying
the first pregnancy.

Conclusion: Family life/sex education programmes for adolescents and young girls are there however, very low
coverage urges a need to relook the gaps and barriers of the implementation. Programmes to strengthen these
skills among young girls can help them in the transition to healthy motherhood.

839 Strengthening Maternal and Child Health Services for Indigenous Papuans:
Evidence from Sorong and Tambrauw Districts, West Papua Province

Widayatun Widayatun, Zainal Fatoni
Research Center for Population LIPI, Jakarta, Indonesia

Categories

10. Special population groups (Youth, Persons with Disability, etc.)

Abstract

Maternal and child health issues among indigenous Papuans are part of human rights, so the fulfillment of adequate
services is also the fulfillment of human rights. This situation is reflected by various indicators of maternal and child
health among these population group which is still far below the national average. Based on a 2019 study using
qualitative approach through interviews, focus group discussion, and observation in Sorong and Tambrauw
Districts, this paper aims to provide alternative strategies for improving maternal and child health services in West
Papua Province. The study found that maternal and child health services face various challenges related to the
limitations of structural and socio-cultural aspects. Structural aspects are reflected in the form of health facilities and
infrastructure as well as institutional and regulatory issues, while socio-cultural aspects are related to health service
users’ customs, habits and behaviors starting from adolescence, during pregnancy, during childbirth, until
breastfeeding period. Therefore, this study recommends an upstream-downstream approach during the essential
life cycle to improve maternal and child health services for indigenous Papuans. This approach should consider
structural aspects as well as socio-cultural of these populations.

1349 Why India Lack Behind the World in Term of Utilization of Maternal Health Care
Services: Causes and Consequences

Rahul Kumar Jha, Shriya Bajaj, Rambabu Bhagat
International Institute for Population Sciences, Mumbai, India