Instrument of Inequality in Accessibility of Maternal and Child Health Services, for early detection of stunting: Cross-Sectional Study

Inequality of access to health services (health inequalities) triggers differences in the quality of services to vulnerable groups (mothers and children), which increases the risk of stunting. This risk is higher in poor families. The purpose of this study was to create a valid and reliable instrument to measure differences in access to maternal and child health services. The design of this study was case-control study with a retrospective cohort design , with the matching variables in the case group are poor families, the inclusion criteria are not having their own home, daily worker status, having children aged 0-23 months, registered as recipients of social assistance from the local villages. The inclusion criteria for the control group were poor families who did not have stunting children. The sample size in each group was 90 people. Statistical analysis used the Cronbach Alfa test. The results of the study found that the mother's education was generally high school in the control group and junior high school in the case group, respectively 44.4% and 33.3%. Mother's occupation is the informal sector in the control and case respectively 95.6%. Stunting between 33.3% -40% in poor families is higher in those who experience inequality in access to maternal and child health services. The results of the analysis of validity and reliability are known to have the value of Cronbach Alfa = 0.67 (Valid & Reliable). Conclusion access to maternal and child health services can be measured using the instrument. The suggestion is that this instrument can be used for the early detection of stunting risk in poor families.