Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jan 16;9(1):e12980.
doi: 10.1016/j.heliyon.2023.e12980. eCollection 2023 Jan.

Determinants of neonatal deaths in Indonesia: A national survey data analysis of 10,838 newborns

Mahendra Tri Arif Sampurna  1   2 , Kartika Dharma Handayani  2 , Martono Tri Utomo  2 , Dina Angelika  2 , Risa Etika  2 , Agus Harianto  2 , Muhammad Pradhika Mapindra  3 , Muhammad Pradhiki Mahindra  4 , Ferry Efendi  5 , Risma Kerina Kaban  6 , Rinawati Rohsiswatmo  6 , Visuddho Visuddho  7 , Putu Bagus Dharma Permana  7
Affiliations

Determinants of neonatal deaths in Indonesia: A national survey data analysis of 10,838 newborns

Mahendra Tri Arif Sampurna et al. Heliyon. .

Abstract

Background: Neonatal mortality is one of the key impediments in achieving global sustainable development goals, especially in lower middle income countries (LMICs). As an LMIC with the highest reported neonatal mortality rate in Southeast Asia, Indonesia faces inequitable distribution of health facilities across the archipelago. Therefore, in this paper, we aim to evaluate the determinants of neonatal mortality rate in Indonesia to search for better strategies to overcome this problem.

Methods: We conducted an analysis of the 2017 Indonesia Demographic Health Survey dataset of 10,838 live-born infants born from singleton pregnancies in 2017. Using a hierarchical approach, multivariate analysis was conducted to identify potential factors (including socioeconomic, household, and proximate determinants) that contributed to neonatal mortality.

Results: The lack of participation in postnatal care [odds ratio (OR) = 20.394, p = 0.01)] and delivery complications other than prolonged labour (OR = 2.072, p = 0.02) were the maternal factors that significantly associated with increased risk of neonatal death. Regarding neonatal factors, low-birth-weight infants appeared to be more vulnerable to neonatal death (OR = 12.489, p = 0.01).

Conclusion: Low participation in postnatal care, development of labour complications, and low birth weight were associated with higher neonatal mortality. It implies that in a limited resource and geographically challenging country such as Indonesia, improving the quality and optimizing services of public hospitals with equitable distribution of quality health care services in all regions should be prioritized in the efforts of reducing neonatal mortality rate.

Keywords: Determinant; IDHS; Maternal factors; Neonatal death.

PubMed Disclaimer

References

    1. World Health Organization Newborns: improving survival and well-being 2020. https://www.who.int/news-room/fact-sheets/detail/newborns-reducing-morta... accessed.
    1. UNICEF . 2017. Global Levels and Trends in Mortality; pp. 5–28. - DOI
    1. Henry M W., Lincoln C.C. 1984. p. 81. (An Analytical Framework for the Study of Child Survival in Developing Countries). - DOI - PMC - PubMed
    1. UNICEF . Estim Dev by United Nations Inter-Agency Gr Child Mortal Estim; 2018. United Nations Inter-agency Group for Child Mortality Estimation (UN IGME), ‘Levels & Trends in Child Mortality: Report 2018; pp. 1–44.https://childmortality.org/files_v22/download/UN IGME Child Mortality Re...
    1. UNICEF . 2019. Neonatal Mortality.https://data.unicef.org/topic/child-survival/neonatal-mortality/

LinkOut - more resources