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Kata kunci : Kematian Neonatal, Jarak Kelahiran, SDKI 2012
Infant Mortality Rate is one of development indicator from a nation. Neonatal mortality (0-28 days) accounts for more than half (59.4%) of infant mortality. Based on the 2012 IDHS data the neonatal mortality rate decreased by 41%, from 32/1000 live births in 1991 to 19/1000 live births in 2007. But in the last two periods, there are stagnant condition of neonatal mortality rate, which is 19/1000 live births in 2007 and 2012. One of the factors that can increase neonatal mortality is birth spacing. This study aims to know the relationship between birth spacing and the incidence of neonatal death. This research is an analysis of data of Indonesia Demographic and Health Survey (SDKI) 2012. The research design is using case control study with the number of sample are 102 cases and 306 controls. Cases are infants who have neonatal death and the last child in a single labor. And control is a baby that lives past the age of 28 days. Multivariate analysis is using logistic regression showed that there was a significant difference of risk for neonatal mortality between mothers with birth spacing 78 months compared with 28-77 month of birth spacing. Mothers with birth spacing 78 months, mothers with birth spacing > 78 months had a risk of neonatal deaths of 1.95 times (95% CI: 1,126-3,368) compared with 28-77 months of birth spacing.
Keywords: Birth spacing, antenatal death, case control study, IDHS 2012
Contraceptive injection is the most popular contraception method in 2012. This method offers several advantages, but on the other hand, it also has many side effects for acceptors’s health. The study purpose is to analyze the relationship between individual characteristics and family planning services with the use of injectable contraceptives in family planning acceptors in Indonesia in 2012. This study uses cross sectional study design and secondary data analysis of 2012 Indonesia Demographic Health Survey.
Kejadian BBLR belum menunjukkan penurunan signifikan baik ditingkat global, nasional maupun daerah. Di Indonesia, rata-rata proporsi berat badan lahir <2500 gram Tahun 2018 adalah 6,2% dengan daerah tertinggi yaitu Pulau Sulawesi (7,08%) (Riskesdas 2018). Bayi berat lahir rendah memiliki risiko lebih tinggi untuk mengalami morbiditas dan mortalitas. Penelitian ini bertujuan untuk mengetahui gambaran prevalensi kejadian BBLR di Pulau Sulawesi berdasarkan faktor demografi dan psikososial, faktor obstetri, komplikasi kehamilan, status merokok ibu dan antenatal care. Desain studi cross sectional deskriptif dengan analisis univariat menggunakan data Survei Demografi Kesehatan Indonesia Tahun 2012 dan 2017. Jumlah sampel dalam penelitian ini adalah 564 (SDKI 2012) dan 613 (SDKI 2017). Hasil penelitian pada SDKI 2017 menunjukkan peningkatan dalam beberapa aspek dibandingkan SDKI 2012 seperti penurunan kelahiran BBLR, peningkatan pendidikan, pekerjaan ibu, status perkawinan, paritas, interval kelahiran, kunjungan pemeriksaan awal ANC serta penanganan komplikasi kehamilan di fasilitas kesehatan. Namun, ada beberapa variabel yang mengalami penurunan dan stagnasi seperti usia ibu, status ekonomi, kesehatan di perdesaan, komplikasi kehamilan, merokok, frekuensi ANC dan kualitas ANC. Saran dengan berkolaborasi dengan lintas sektor, penguatan Program Keluarga Harapan (PKH) serta peningkatan kuantitas dan kualitas pelayanan kesehatan ibu dan bayi.
Incidence of LBW has not shown a significant decrease either at global, national, and regional levels. In Indonesia, average proportion of birth weight <2500 grams in 2018 was 6.2% with the highest area being Sulawesi Island (7.08%). Low birth weight have a higher risk of morbidity and mortality. This study aims to describe the prevalence of LBW in Sulawesi Island based on demographic and psychosocial factors, obstetric factors, pregnancy complications, maternal smoking status, and antenatal care. Descriptive cross-sectional study design with univariate analysis using data from the 2012 and 2017 Indonesian Health Demographic Survey. The number of samples in this study was 564 (2012 IDHS) and 613 (2017 IDHS). The results of the 2017 IDHS study showed improvements in several aspects compared to the 2012 IDHS, such as a decrease in LBW, an increase in education, maternal employment, marital status, parity, birth intervals, first ANC check-up and treatment of pregnancy complications at health facilities. However, there are several variables that have decreased and stagnated such as maternal age, economic status, health in rural areas, pregnancy complications, smoking, ANC frequency and quality. Suggestions by collaborating with cross-sectors, strengthening the Program Keluarga Harapan (PKH) and increasing Program Makanan Tambahan (PMT) for pregnant women.