Faktor-Faktor Terjadinya Kematian Neonatal Di Indonesia (Analisis Data Sdki 2017)

Mochtar Ghaffar Ramadhan, Ulya Qoulan Karima, Terry Y.R Pristya, Chahya Kharin Herbawani

Abstract

Kematian neonatal merupakan masalah yang harus diselesaikan dalam SDGs. Sama halnya di Indonesia, masih adanya ketimpangan antara target RPJMN 2020-2024 untuk menurunkan angka kematian neonatal menjadi 10 per 1000 kelahiran hidup. Penelitian ini bertujuan untuk mengetahui faktor-faktor terjadinya kematian neonatal di Indonesia sebagai salah satu cara untuk mencapai target RPJMN. Penelitian ini menggunakan desain studi potong lintang dengan analisis data sekunder SDKI 2017. Sampel yang digunakan penelitian ini adalah 34.972 wanita usia subur usia 15-49 tahun yang pernah melahirkan di Indonesia. Analisis menggunakan pembobotan dan analisis yang digunakan adalah analisis spasial, Chi-Square, dan regresi logistik ganda. Hasil analisis bivariat menunjukkan adanya hubungan faktor sosial-ekonomi (pekerjaan ibu dan status kekayaan), faktor ibu (usia ibu, paritas, jarak kehamilan, dan komplikasi persaslinan), faktor bayi (berat badan lahir), dan faktor pelayanan kesehatan (antenatal care dan penolong persalinan) dengan kejadian kematian neonatal. Hasil analisis multivariat menunjukkan bahwa variabel BBLR (P value<0,0001; POR=12,58; 95% CI=8,07-19,63), paritas (P value=0,001; POR=2,29; 95% CI=1,38-3,80) serta pekerjaan ibu (P value=0,002; POR=2,11; 95% CI=1,32-3,36) masuk ke dalam model akhir multivariat. Simpulan penelitian ini menyatakan bahwa BBLR merupakan variabel yang paling berpengaruh terhadap kejadian kematian neonatal di Indonesia.

Keywords

faktor-faktor, Indonesia, kematian neonatal

Full Text:

PDF

References

Ngoyo MF. Mengawal Sustainable Development Goals (SDGs); Meluruskan Orientasi Pembangunan yang Berkeadilan. Sosioreligius J Ilm Sosiol Agama. 2015;I(1):77–88.

UNDP. Goal 3: Good health and well-being [Internet]. United Nation Development Programme. 2021 [cited 2021 Apr 11]. Available from: https://www.undp.org/content/undp/en/home/sustainable-development-goals/goal-3-good-health-and-well-being.html#targets

UNICEF. Neonatal mortality - UNICEF DATA [Internet]. UNICEF. 2019 [cited 2021 Apr 6]. Available from: https://data.unicef.org/topic/child-survival/neonatal-mortality/

USAID. Neonatal mortality rate (NMR) [Internet]. Data for Impact of United States Agency for International Development. 2021 [cited 2021 Apr 12]. Available from: https://www.data4impactproject.org/prh/womens-health/newborn-health/neonatal-mortality-rate-nmr/

WHO. Neonatal mortality rate (per 1000 live births) [Internet]. World Health Organitation. 2021 [cited 2021 Apr 12]. Available from: https://www.who.int/data/gho/indicator-metadata-registry/imr-details/67

Andegiorgish AK, Andemariam M, Temesghen S, Ogbai L, Ogbe Z, Zeng L. Neonatal mortality and associated factors in the specialized neonatal care unit Asmara, Eritrea. BMC Public Health. 2020;20(1):1–9.

WHO. Newborns: improving survival and well-being [Internet]. World Health Organitation. 2019 [cited 2021 Apr 6]. Available from: https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-mortality

World Bank. Mortality rate, neonatal (per 1,000 live births) - Indonesia [Internet]. World Bank. 2019 [cited 2021 Apr 6]. Available from: https://data.worldbank.org/indicator/SH.DYN.NMRT?end=2019&locations=ID&start=2013

Soleman SR. The Trends of Neonatal Mortality Rate Among South East Asia Countries from 2000-2017. Dis Prev Public Heal J. 2020;14(2):90–100.

BPS. Angka Kematian Neonatal (AKN) Dan Angka Kematian Bayi Per 1000 Kelahiran Menurut Provinsi 2012-2017 [Internet]. Badan Pusat Statistik. 2017. Available from: https://www.bps.go.id/indicator/30/1383/1/angka-kematian-neonatal-akn-dan-angka-kematian-bayi-per-1000-kelahiran-menurut-provinsi.htm

Kementrian Kesehatan RI. Indikator Program Kesehatan Masyarakat Dalam RPJMN dan Renstra Kementerian Kesehatan Tahun 2020-2024. Kementrian Kesehatan RI. Jakarta: Kementrian Kesehatan RI; 2020.

BKKBN. Survei Demografi dan Kesehatan Indonesia (SDKI). Jakarta: BKKBN; 2017.

Mosley WH, Chen LC. An Analytical Framework For The Study of Child Survival in Developing Countries. Bull World Heal Organ. 2003;81(2):140–5.

Elida S, Siregar SMF, Husna A, Fera D, Azwar. The Influence of Maternal Age, Parity and Education on Infant Mortality in West Aceh Regency. J-Kesmas J Fak Kesehat Masy (The Indones J Public Heal. 2019;6(2):80–6.

Fonseca SC, Flores PVG, Camargo KR, Pinheiro RS, Coeli CM. Maternal education and age: inequalities in neonatal death. Rev Saude Publica. 2017;51(94):1–7.

Lolong DB, Pangaribuan L. Hubungan Kunjungan K4 dengan Kematian Neonatal Dini di Indonesia (Analisis Lanjut Data RISKESDAS 2013). Media Litbangkes. 2015;25(3):139–46.

Rachmadian AP, Shodikin MA, Komariah C. Faktor-Faktor Risiko Kematian Bayi Usia 0-28 Hari di RSD dr. Soebandi Kabupaten Jember. J Agromedicine Med Sci. 2018;4(2):60–5.

Pongpanich S, Ghaffar A, Ghaffar N, Mehmood T. Skilled birth attendance in Balochistan, Pakistan. Asian Biomed. 2016;10(1):25–34.

Laksono AD, Wulandari RD. Understanding neonatal death in urban area in indonesia. Medico-Legal Updat. 2020;20(2):825–9.

Yi B, Wu L, Liu H, Fang W, Hu Y, Wang Y. Rural-urban differences of neonatal mortality in a poorly developed province of China. BMC Public Health. 2011;11(477).

Yu TH, Matthes N, Wei CJ. Can urban-rural patterns of hospital selection be changed using a report card program. A nationwide observational study. Int J Environ Res Public Health. 2018;15(9):1827.

Azizah I, Handayani OK. Kematian Nonatal Di Kabupaten Grobogan. Higeia J Public Heal. 2017;1(4):72–85.

Mafticha E. Faktor yang Mempengaruhi Kejadian Kematian Neonatal di Indonesia. Hosp Majapahit. 2016;8(2):42–53.

Masitoh S, Theresia, Karningsih. Asfiksia Faktor Dominan Penyebab Kematian Neonatal. J Ilmu dan Teknol Kesehat. 2014;1(2):163–8.

Tidy C. Gravidity and Parity Definitions (Implications in Risk Assessment) [Internet]. Patient. 2019 [cited 2021 Apr 19]. Available from: https://patient.info/doctor/gravidity-and-parity-definitions-and-their-implications-in-risk-assessment

Kibria GM Al, Burrowes V, Choudhury A, Sharmeen A, Ghosh S, Mahmud A, et al. Determinants of early neonatal mortality in Afghanistan: an analysis of the Demographic and Health Survey 2015. Global Health. 2018;14(47).

Rofiqoch I, Effendi JS, Bratakoesoema DS. Hubungan Umur Ibu, Paritas dan Penolong Persalinan dengan Kematian Neonatal di Wilayah Kerja Puskesmas Kabupaten Banjarnegara tahun 2013. J Kesehat Reproduksi. 2016;3(1):60–8.

WHO. Early initiation of breastfeeding [Internet]. World Health Organization. 2019 [cited 2021 Apr 19]. Available from: https://www.who.int/elena/titles/commentary/early_breastfeeding/en/

Oot L, Sommerfelt AE, Sethuraman K, Ross J. Estimating the Effect of Suboptimal Breastfeeding Practices on Child Mortality: A Model in PROFILES for Country-Level Advocacy. Washington DC: Food and Nutrition Technical Assistance III Project (FANTA); 2015.

Limaso AA, Dangisso MH, Hibstu DT. Neonatal survival and determinants of mortality in Aroresa district, Southern Ethiopia: A prospective cohort study. BMC Pediatr. 2020;20(1).

WHO. Global Nutrition Targets 2025 : Low Birth Weight Policy Brief. Switzerland: WHO; 2014.

National Institute of Health. Birth Weight [Internet]. MedlinePlus. 2021 [cited 2021 Apr 19]. Available from: https://medlineplus.gov/birthweight.html

Rini DS, Puspitasasri N. Hubungan Status Kesehatan Neonatal Dengan Kematian Bayi. J Biometrika dan Kependud. 2014;3(1):73–80.

Kementerian Kesehatan RI. Buku Ajar Kesehatan Ibu dan Anak. Departemen Kesehatan Republik Indonesia. Jakarta: Pusat Pendidikan dan Pelatihan Tenaga Kesehatan; 2015.

United Nations Population Fund. Maternal and Neonatal health in East and South-East Asia. United Nations Population Fund. 2006. p. 1–37.

Ajaari J, Masanja H, Weiner R, Abokyi SA, Agyei SO. Impact of Place of Delivery on Neonatal Mortality in Rural Tanzania. Int J MCH AIDS. 2012;1(1):49–59.

Ibor EK, Joan I, Offiong I, Chigozie U. Predictors of neonatal mortality in a tertiary institution of a developing country. Iran J Neonatol. 2020;11(4):9–13.

University of Rochester Medical Center. Low Birth Weight. In: Health Encyclopedia [Internet]. 2021 [cited 2021 Jul 13]. Available from: https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=p02382

Basyadi AM, Martawardaya B. No More Grieving Parents : Determinant of Neonatal Death in Indonesia. Jakarta; 2020.

DOI: http://dx.doi.org/10.51181/bikfokes.v3i2.6682

Refbacks

  • There are currently no refbacks.