TITLE

Determinants of neonatal mortality in Indonesia

AUTHOR(S)
Titaley, Christiana R.; Dibley, Michael J.; Agho, Kingsley; Roberts, Christine L.; Hall, John
PUB. DATE
January 2008
SOURCE
BMC Public Health;2008, Vol. 8 Issue 1, p232
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Neonatal mortality accounts for almost 40 per cent of under-five child mortality, globally. An understanding of the factors related to neonatal mortality is important to guide the development of focused and evidence-based health interventions to prevent neonatal deaths. This study aimed to identify the determinants of neonatal mortality in Indonesia, for a nationally representative sample of births from 1997 to 2002. Methods: The data source for the analysis was the 2002-2003 Indonesia Demographic and Health Survey from which survival information of 15,952 singleton live-born infants born between 1997 and 2002 was examined. Multilevel logistic regression using a hierarchical approach was performed to analyze the factors associated with neonatal deaths, using community, socio-economic status and proximate determinants. Results: At the community level, the odds of neonatal death was significantly higher for infants from East Java (OR = 5.01, p = 0.00), and for North, Central and Southeast Sulawesi and Gorontalo combined (OR = 3.17, p = 0.03) compared to the lowest neonatal mortality regions of Bali, South Sulawesi and Jambi provinces. A progressive reduction in the odds was found as the percentage of deliveries assisted by trained delivery attendants in the cluster increased. The odds of neonatal death were higher for infants born to both mother and father who were employed (OR = 1.84, p = 0.00) and for infants born to father who were unemployed (OR = 2.99, p = 0.02). The odds were also higher for higher rank infants with a short birth interval (OR = 2.82, p = 0.00), male infants (OR = 1.49, p = 0.01), smaller than average-sized infants (OR = 2.80, p = 0.00), and infant's whose mother had a history of delivery complications (OR = 1.81, p = 0.00). Infants receiving any postnatal care were significantly protected from neonatal death (OR = 0.63, p = 0.03). Conclusion: Public health interventions directed at reducing neonatal death should address community, household and individual level factors which significantly influence neonatal mortality in Indonesia. Low birth weight and short birth interval infants as well as perinatal health services factors, such as the availability of skilled birth attendance and postnatal care utilization should be taken into account when planning the interventions to reduce neonatal mortality in Indonesia.
ACCESSION #
51485596

 

Related Articles

  • Türkiye'de SaÄŸlık Alanında Kullanılmak Ãœzere Bir Sosyoekonomik Ä°ndeks Denemesi. #x0131;r^Nesanir, Nas&; Eser, Erhan // TAF Preventive Medicine Bulletin;Jul/Aug2010, Vol. 9 Issue 4, p277 

    AIM: The purpose of this study is to form a valid and -easy to apply-household-based index of socioeconomic status (SES), to be used in the inequalities in health studies and in causality researches. METHOD: 0-59 month aged children, reproductive aged (15-49) women and household data bases of...

  • Loading, merging and analysing demographic and health surveys using R. Vanderelst, Dieter; Speybroeck, Niko // International Journal of Public Health;Apr2014, Vol. 59 Issue 2, p415 

    No abstract available.

  • Report: Child mortality rises with health worker shortages. Tucker, Charlotte // Nation's Health;Nov/Dec2011, Vol. 41 Issue 9, p10 

    The article discusses the findings of a report which shows an increase in child mortality rates in countries that have a low number of health workers.

  • Child Mortality Inequalities and Linkage with Sanitation Facilities in Bangladesh. Halder, Amal K.; Kabir, M. // Journal of Health, Population & Nutrition;Mar2008, Vol. 26 Issue 1, p64 

    Principal component analysis (PCA) was applied to assets and other household data, collected as part of the Bangladesh Demographic and Health Survey (BDHS) in 2004, to rank individuals according to a household socioeconomic index and to investigate whether this predicts access to the sanitation...

  • Pattern of cause-specific childhood mortality in a malaria endemic area of Burkina Faso. Hammer, Gaël P.; Somé, Florent; Müller, Olaf; Kynast-Wolf, Gisela; Kouyaté, Bocar; Becher, Heiko // Malaria Journal;2006, Vol. 5, p47 

    Background: Reliable mortality data are a prerequisite for planning health interventions, yet such data are often not available in developing countries, particularly in sub-Saharan Africa (SSA). Demographic surveillance systems (DSS) implementing the verbal autopsy (VA) method are the only...

  • Do improvements in outreach, clinical, and family and community-based services predict improvements in child survival? An analysis of serial cross-sectional national surveys. Binkin, Nancy; Chopra, Mickey; Simen-Kapeu, Aline; Westhof, Dirk // BMC Public Health;2011, Vol. 11 Issue 1, p456 

    Background: There are three main service delivery channels: clinical services, outreach, and family and community. To determine which delivery channels are associated with the greatest reductions in under-5 mortality rates (U5MR), we used data from sequential population-based surveys to examine...

  • Why the increase in under five mortality in Uganda from 1995 to 2000? A retrospective analysis.  // BMC Public Health;2011, Vol. 11 Issue 1, p725 

    The article reports on a research which has been conducted to study the reasons for increased mortality rate in under five children. The study is based on comparative retrospective analysis of data from demographic and health surveys in Uganda. The result of the study shows no specific reason...

  • Invasive Pneumococcal Disease among Children in Rural Bangladesh: Results from a Population-Based Surveillance. Arifeen, Shams E.; Saha, Samir K.; Rahman, Sayedur; Rahman, Kazi Mizanur; Rahman, Syed Moshfiqur; Bari, Sanwarul; Naheed, Aliya; Mannan, Ishtiaq; Seraji, M. Habibur R.; Ahmed, Nawshad U.; Hassan, M. Shameem; Huda, Nazmul; Siddik, Ashraf Uddin; Quasem, Iftekhar; Islam, Maksuda; Fatima, Kaniz; AI-Emran, Hassan; Brooks, W. Abdullah; Baqui, Abdullah H.; Breiman, Robert F. // Clinical Infectious Diseases;Mar2009 Supplement 2, Vol. 48, pS103 

    Background. Streptococcus pneumoniae infection is recognized as a global priority public health problem, and conjugate vaccines have been shown to prevent vaccine-type invasive pneumococcal disease (IPD) in children. However, better estimates of the disease burden and reliable population-based...

  • Elsewhere in the Journal.  // Occupational & Environmental Medicine;Dec2008, Vol. 65 Issue 12, p785 

    The article discusses various reports published within the issue including one on the World Health Organization World Mental Health Survey Initiative, another on the recurrent back injuries in a dynamic cohort of carpenters in the United States.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics