Abstrak: Ada hubungan antara frekuensi antenatal care (ANC) dengan kematian neonatal di Indonesia. Bagi ibu hamil agar melakukan antenatal care (ANC) minimal 4 kali selama masa kehamilan sesuai anjuran pemerintah dan WHO dalam rangka meningkatkan pengetahuan tentang pemeriksaan kehamilan dasar sehingga memiliki motivasi untuk meningkatkan kesehatan ibu dan janin. Sehingga dapat menurunkan angka kematian neonatal di Indonesia

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Abstrak: BBLR merupakan salah satu indikator penting untuk menggambarkan kesehatan masyarakat. Di Indonesia, prevalensi BBLR mengalami stagnanisasi bahkan meningkat yaitu 6,7% pada 2007 menjadi 7,3% pada 2012. Banyak faktor yang memengaruhi BBLR, salah satunya adalah pelayanan ANC. Penelitian ini bertujuan untuk melihat hubungan frekuensi dan kualitas pelayanan ANC terhadap kejadian BBLR dengan menggunakan data SDKI 2012. Penelitian ini menggunakan desain penelitian potong lintang dengan menggunakan kuesioner SDKI 2012. Study participant dalam studi ini sebanyak 13.413 Hasil analisis ditemukan prevalensi BBLR sebesar 6,9%. Karateristik BBLR lahir dengan berat badan rata-rata yaitu 2055,11 gr dan berat badan terendah lahir dengan berat 700 gr. Faktor yang secara statitstik berhubungan dengan BBLR adalah frekuensi, kualitas ANC, pekerjaan ibu pendidikan ibu, komplikasi kehamilan, paritas, dan status ekonomi. Dari hasil analisis logistic regression ditemukan ibu dengan riwayat komplikasi kehamilan serta mendapatkan frekuensi ANC yang buruk, memiliki risiko melahirkan BBLR 2,772 kali dibandingkan ibu yang tidak mengalami riwayat komplikasi kehamilan dan mendapatkan frekuensi ANC yang baik. Serta ibu yang mendapatkan kualitas pelayanan antenatal dengan kualitas buruk berisiko 1,126 kali lebih besar untuk melahirkan BBLR dibandingkan dengan ibu yang mendapatkan kualitas pelayanan antenatal baik setelah dikontrol variabel frekuensi ANC. Namun, hasil analisis ini menunjukkan bahwa hubungan frekuensi dan kualitas ANC dengan BBLR tidak signifikan dengan mempertimbangkan p value >0,05 dan CI rentangnya melewati angka 1. Terdapat potensi bias seleksi yang besar dimana missing pada studi partisipan sebanyak 19%. Kata Kunci: BBLR, Frekuensi dan Kualitas, Antenatal Care LBW is one of indicators to describe public health. In Indonesia, the prevalence of LBW increased by 6.7% in 2007 to 7.3% in 2012. Many factors affect the LBW, one of which is the ANC. This study aims to see the relationship of frequency and quality of ANC service to the occurrence of LBW by using data of SDKI 2012. This is a cross sectional study using the questionnaire SDKI 2012. Study participant in this study as many as 13,413. The results showed the prevalence of LBW by 6.9% . Characteristics of LBW was born with an average body weight of 2055.11 gr and the lowest is 700 gr. Factors that are statistically associated with LBW are frequency, ANC quality, maternal education, work, pregnancy complications, parity, and economic status. From the results of logistic regression analysis found that women with a history of complications and lack of ANC frequency, has a risk of giving birth to LBW 2,772 times to mothers who had no pregnancy complication and had good ANC. As well as mothers who received quality antenatal service with poor quality 1.126 times larger to give birth to LBW with mothers who have good quality antenatal care after controlled by ANC frequency. However, the results of this analysis show that the relationship of frequency and quality of ANC to BBLR is not significant with p value> 0,05 and CI range exceeds the number 1. There is a large selection potential bias which showed by 19% missing data from eligible population. Keywords: Low Birthweight, Frequency and Quality, Antenatal Care

Abstrak: Based on 2012 IDHS, neonatal mortality rate in Indonesia reached 19/1000 live births. This figure is still far from the SDGs target by 2030, i.e 12/1000 live births. Several studies have shown that government health budget allocations that are influenced by regional income and social determinants of health have a role in reducing neonatal mortality. This study aims to look at the description of regional income, health financing in the APBD, adequacy of health personnel, and social determinants of health and its correlation with neonatal mortality at the regency/city level in Indonesia in 2016. The method used for this study is ecological study by analyzing secondary data. The statistical test used is correlation for numerical variables and chi-square for categorical variables with 4 strata of area analysis, i.e national, city, regency, and rural area. The results of this study indicate that there is no significant correlation between local income level and neonatal mortality rate, but it is found a correlation trend between health budget allocation percentage and neonatal mortality rate. In addition, social determinants of health variable also has a tendency to correlate with the neonatal mortality rate, except for the unemployment rate variable.

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Latar belakang: Kematian bayi dua pertiga nya terjadi pada periode neonatal. Pelayanan antenatal adalah pelayanan yang diberikan kepada ibu hamil secara berkala untuk menjaga kes*hatan ibu dan janinnya yang terdiri dari pemeriksaan kehamilan dan koreksi terhadap penyimpangan yang ditemukan, pemberian intervensi dasar, serta mendidik dan memotivasi ibu hamil agar dapat merawat dirinya selama hamil dan mempersiapkan persalinannya. Perawatan neonatal yang memadai diperlukan selain perawatan antenatal dan pertolongan persalinan yang adekuat dalam upaya menurunkan kematian bayi karena infeksi pasca lahir seperti tetanus neonatorum dan sepsis, hipotermia dan asfiksia. Tujuan: Diketahuinya kelangsungan hidup bayi selama 28 hari serta perbedaan kelangsungan hidup bayi selama 28 hari berdasarkan kunjungan ANC dan perawatan postnatal. Metode: Desain kohort retrospektif dengan memanfaatkan data SDKJ tahun 20022003 berjumlah 13.240 sampel. Analisis data univariat, bivariat dan multivariat dengan interaksi. Hasil dan Diskusi: Kelangsungan hidup bayi pada periode neonatal probabilitasnya secara keseluruhan sebesar 98,75% ; probabilitas kelangsungan hidup bayi pada periode neonatal berdasarkan kunjungan ANC yang baik sebesar 99,47% ; probabilitas kelangsungan hidup bayi pada periode neonatal berdasarkan perawatan postnatal yang baik sebesar 98,79% ; sedangkan probabilitas kelangsungan hidup bayi pada periode neonatal berdasarkan kunjungan ANC dan perawatan postnatal yang baik sebesar 98,15%. Kesimpulan dan Saran: Meningkatkan kunjungan ANC dan perawatan postnatal karena akan memberikan probabilitas kelangsungan hidup bayi yang besar. Serta peningkatan jumlah dan kualitas serta pemerataan penempatan tenaga kesehatan dan juga meningkatxan akses masyarakat untuk memanfaatkan fasilitas kesehatan.

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 Background: Two third of infant mortality are occurred in neonatal period. Antenatal service is a service which is given to pregnant women periodically to maintain and improve the health status of pregnant women and their fetus. Antenatal service consist of checking the pregnancy and correcting any deviation found in the pregnancy, also giving health education and motivating the mother to keep on caring themselves and prepare for the delivery. Beside adequate antenatal care and delivery attendance, adequate neonatal care is also needed as part of effort to decrease neonatal mortality due to post-natal infection such as tetanus neonatorum and sepsis, hypothermia and asphyxia. Aims: To identity the neonatal survival and the difference of neonatal survival based on ANC visit and postnatal care. Design: Retrospective cohort design using DHS data in 2002-2003 which is consist of 13,240 samples. Methodology: The data are analyzed using univariate, bivariate, and multivariate with interaction. Results: The probability of infant survival in neonatal period is 98.75%; the probability of infant survival in neonatal period based on ANC visit is 99.47%; the probability of infant survival in neonatal period based on postnatal care is 98.79%; whereas the probability of infant survival in neonatal period based on ANC visit and posinatal care is 98.15%. Conclusion: ANC visit and post natal care should be increased since they will increase the probability of neonatal survival. Quantity, quality and distribution of health workers should be improved, and the accessibility of health facilities towards the community should also be increased.