No More Grieving Parents: Determinant of Neonatal Death in Indonesia

Audria Meuthia Basyadi & Berly Martawardaya | 29/05/2020 | Halaman telah dikunjungi 565 kali

Neonatal mortality contributes the highest portion in under-five mortality, globally. Similar pattern also occurred in Indonesia. Additionally, the decreasing rate of neonatal mortality in Indonesia is slower than infant mortality and under-five mortality. In addition to be used as a basis Rencana Pembangunan Jangka Menengah Nasional (RPJMN) 2020-2024, an understanding of the factors associated with neonatal mortality is important as they may differ from factors that affect infant and/or under-five mortality. The data used for this study was the 2017 Indonesia Demographic and Health Survey (IDHS). Respondents of this study include births from ever-married-women, who died during their neonatal period in the past five years preceding the survey.

The results show that opposing trends can be seen in the factors proven to have significance in neonatal death. On one hand, second, third as well as fourth-and-so-on born, low birth weight, neonates with less than 24 months of birth interval compared with preceding birth, neonates with very small birth size, neonates with unemployed fathers had lower chance of surviving neonatal period. On the other hand, female neonates, neonates with unemployed mothers, neonates whose mothers working in agricultural sector, and neonates living in Sumatra, Sulawesi, Nusa Tenggara, Maluku, and Papua were more likely to survive neonatal period. To address these results, provision of reproductive health education, encouragement programs for pregnant women to keep pre-existing medical illness under control and maintain their weight during pregnancy, awareness programs for mothers to take postnatal care, provision of basic education for fathers, law enforcement of more flexible maternity leave, and efforts to strengthen health facilities are needed.

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