The Relationship Between the Health Service Marketing Mix and the Decision to Choose a Place of Delivery Among Mothers in Rantau Nangka Village, Sungai Pinang Subdistrict, Banjar Regency
DOI:
https://doi.org/10.47134/ijatm.v2i4.103Keywords:
Marketing Mix, Delivery Place Decision, Health Facilities, Pregnant Women, Rural Health ServicesAbstract
Childbirth is a complex physiological process influenced by medical, social, and cultural factors. The choice of delivery place significantly affectss the safety of both mother and baby. Although nationally there has been an increase in deliveries at healthcare facilities, many mothers in rural areas still choose to give birth outside official facilities. In Rantau Nangka Village, Banjar Regency, deliveries outside healthcare facilities rose from 30% in 2020 to 54.37% in 2024. This decision is influenced by various factors that can be analyzed through the marketing mix approach (product, price, place, promotion, people, process, and physical evidence). To analyze the relationship between the marketing mix and the decision in choosing the place of delivery. A quantitative cross-sectional study conducted in Rantau Nangka Village (October 2024–June 2025) with a total sample of 35 third-trimester pregnant women. Data were collected using a closed-ended Likert scale questionnaire and analyzed using the Chi-Square test. The majority of respondents rated the elements of product (60%), promotion (57.1%), price (60%), people (91.4%), process (94.3%), and physical evidence (62.9%) as good. Eighty percent chose to deliver in healthcare facilities. There was a significant relationship between place of delivery and product (p=0.006), promotion (p=0.010), price (p=0.006), and physical evidence (p=0.003). No significant relationship was found with place (p=0.735), healthcare personnel (p=0.546), and process (p=0.446). Several elements of the marketing mix significantly influence the decision of delivery place. Therefore, targeted promotion strategies and service quality improvements in rural areas are needed to increase deliveries at healthcare facilities.
References
Assyifa, D., et al. (2024). Marketing mix relationship analysis on outpatient loyalty at South Tangerang City General Hospital. Muhammadiyah International Public Health & Medicine Proceedings.
Astuti, et al. (2024). The impact of marketing mix on patient loyalty and satisfaction. E-Journal Universitas Almuslim.
Bohren, M. A., et al. (2020). Strategies to improve maternal health care seeking in low resource settings: A systematic review. Reproductive Health, 17(1), 1–10.
Budiman, C., & Achmadi, H. (2023). The effect of marketing mix on patient satisfaction and their impact on patient loyalty in hospital inpatients. Indonesian Health Management Journal.
Fitriani, D., & Santoso, H. (2021). The effect of physical facilities on patient interest in using community health center services. Journal of Public Health, 16(3), 120–128.
Ginting, R. B. (2021). The effect of service marketing mix on inpatient satisfaction. STIKES YRSDS Journal.
Haryanti, N., et al. (2019). Transparency of health service costs and its impact on patient satisfaction. Journal of Health Administration, 7(2), 98–105.
Khan, K. S., Wojdyla, D., Say, L., Gulmezoglu, A. M., & Van Look, P. F. (2014). WHO analysis of causes of maternal death: A systematic review. The Lancet, 367(9516), 1066–1074. https://doi.org/10.1016/S0140-6736(06)68397-9
Kotler, P., & Keller, K. L. (2019). Marketing management (15th ed.). Pearson.
Lestari, I. D., et al. (2021). The effect of service quality perception on the utilization of health facilities. Indonesian Journal of Health Administration, 9(2), 120–128.
Nuraini, T., et al. (2021). Health promotion strategies to increase the utilization of maternal health services. Indonesian Journal of Health Promotion, 16(1), 55–62.
Prasetyo, E., & Wulandari, S. (2019). Health service promotion strategies and their influence on the choice of place of delivery. Journal of Health Administration, 8(1), 55–62.
Putri, A. D., & Rahmawati, S. (2022). Factors influencing the choice of place of delivery among pregnant women in urban areas. Journal of Public Health, 17(1), 45–53.
Safi'i, A., Nugroho, B., et al. (2021). Impact of marketing mix "physical environment" on outpatient satisfaction. Journal of Public Health, 12(2), 112–119.
Simbolon, M., Santosa, H., et al. (2022). Hospital place marketing strategies: Literature review (2018–2022). Journal of Public Health, 17(1), 120–128.
Susanti, R. (2019). The influence of accessibility on the choice of health facilities for pregnant women. Journal of Health, 11(3), 120–127.
Wahyuni, S., & Nugroho, A. (2021). The effect of service processes on patient satisfaction at health centers in region X. Journal of Health Service Management, 10(1), 12–20.
WHO. (2016). Maternal mortality fact sheet. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/maternal-mortality
WHO. (2020). WHO recommendations: Intrapartum care for a positive childbirth experience. World Health Organization.
WHO. (2021). Improving maternal and newborn health and survival and reducing stillbirth: Progress report 2021. World Health Organization.
Wulandari, S., & Yuliana, D. (2020). Factors influencing mothers in choosing a place of delivery at the Community Health Center. Journal of Reproductive Health, 11(1), 45–51.
Zeithaml, V. A. (1988). Consumer perceptions of price, quality, and value: A means–end model and synthesis of evidence. Journal of Marketing, 52(3), 2–22.
Zeithaml, V. A., Bitner, M. J., & Gremler, D. D. (2018). Services marketing: Integrating customer focus across the firm (7th ed.). McGraw Hill Education.


