Determinants of Neonatal Mortality: A Case Study in Sleman District

https://doi.org/10.22146/jkr.76062

Abdul Wahab(1*), Prima Dhewi Ratrikaningtyas(2), Esti Kurniasih(3), Rizka Aziza Darwis(4), Siti Na’imah(5)

(1) Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health, and Nursing – Universitas Gadjah Mada
(2) Sleman HDSS (Health Demography Surveillance System), Faculty of Medicine, Public Health and Nursing – Universitas Gadjah Mada
(3) Health District Office of Sleman Regency Yogyakarta
(4) Maternal and Child Health Division, Public Health Program Study, Faculty of Medicine, Public Health, and Nursing – Universitas Gadjah Mada
(5) Department of Nursing, Nursing Sciences Program – College of Health Sciences Guna Bangsa Yogyakarta Corespondence:
(*) Corresponding Author

Abstract


Background: Neonatal mortality is a significant global health problem. Most of the cases occur in low and middle-income countries including Indonesia. In Sleman District, Yogyakarta for the last five years, the neonatal mortality rate has not improved and remains high. This research aimed to identify the root causes of newborn deaths in Sleman District.

Methods: A case study approach was used with qualitative methods to describe and discuss five infant mortality cases in Sleman District. This study involved in-depth interviews with 3 mothers of neonates as the main informants, three public figures as society representatives, and other health stakeholders represented by local midwives in Sleman District.

Results adn Discussion: There were 12 sub-themes identified in this study that reflected 3 main themes associated with neonatal mortality which are: 1) the neonates’ condition: premature birth, pneumonia, low birthweight, and immaturity of vital organs; 2) the maternal factors: psychological stress, hypertension, diabetes, and obesity; and 3) the healthcare system: midwives’ roles, village cadre roles, and health data collection of mothers and children.

Conclusion: Generally, the causes of neonatal mortality were due to prematurity and multiple fetuses; therefore, in-depth screening is needed to prevent neonatal mortality.

Keywords: Determinant; Neonatal Mortality; Healthcare System; Case Study.

 


Keywords


Determinant; Neonatal Mortality; Healthcare System; Case Study

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References

  1. UNICEF, 2020, Neonatal Mortality: The Neonatal Period Is the Most Vulnerable Time for a Child. accessed 20-03-20, available at https://data.unicef.org/topic/child-survival/neonatal-mortality/
  2. Abdullah A, Hort K, Butu Y, Simpson L. Risk factors associated with neonatal deaths: A matched case-control study in Indonesia. Glob Health Action. 2016;9(1).
  3. Dirjen Yankes Kemenkes R.I., Upaya akselerasi penurunan prevalensi PTM & penurunan AKI-AKN melalui pemenuhan sarana-prasarana di fasilitas kesehatan disampaikan dalam RKN.
  4. Wang, H., Gao, X., Liu, C., Yan, C., Lin, X., Yang, C., ... & Chinese Collaborative Study Group for Neonatal Respiratory Diseases. (2012). Morbidity and mortality of neonatal respiratory failure in China: surfactant treatment in very immature infants. Pediatrics, 129(3), e731-e740.
  5. Ali I, Batta RI, Yaseen RM, Hasson J. Antenatal corticosteroids and fetal lung immaturity in preterm birth. Heliyon [Internet]. Elsevier Ltd; 2020;6(6):e04116. Available from: https://doi.org/10.1016/j.heliyon.2020.e04116
  6. Tang et al. 2005. Respiratory morbidity and lung function in preterm infants of 32 to 36 weeks’ gestational age. NIH Public Access. 2010;23(1):1–7.
  7. Jones AJ, Starling LD, Keith T, Nicholl R, Seale AN. When pneumonia does not respond to antibiotics: a challenging neonatal diagnosis. Archives of Disease in Childhood: Education and Practice Edition. 2014;99(5):221–30.
  8. Suraya I. Determinan kematian neonatal pada bayi berat lahir rendah di Indonesia (Analisis Data SDKI 2002-2003 dan 2007). ARKESMAS (Arsip Kesehat Masyarakat). 2017;2(1):126–34.
  9. Simbolon D. Berat Lahir dan Kelangsungan Hidup Neonatal di Indonesia Birth Weight and Neonatal Survival in Indonesia. 2015;(95).
  10. Nofiana D, Pertiwi G. Analisis Bayi dengan Berat Badan Lahir Rendah (BBLR) di Kabupaten Sleman Tahun 2013. J Bumi Indonesia. 2016;5(4):228787.
  11. Berger, H., Melamed, N., Davis, B. M., Hasan, H., Mawjee, K., Barrett, J., ... & Ray, J. G. (2020). Impact of diabetes, obesity and hypertension on preterm birth: Population-based study. PloS one, 15(3), e0228743.:1–12. Available from: http://dx.doi.org/10.1371/journal.pone.0228743
  12. Meisuri, N. P., Irianto, M. G., & Ungu, B. (2018). Faktor determinan yang mempengaruhi kejadian kematian perinatal. Jurnal Majority, 7(3), 121-127.
  13. Crump C, Sundquist J, Sundquist K. Preterm birth and risk of type 1 and type 2 diabetes: a national cohort study. Diabetologia; 2020;508–18.
  14. Hackethal V. Type 1 diabetes tied to increased risk for preterm birth. Medscape. 2019;2.
  15. Ae-Ngibise, K. A., Wylie, B. J., Boamah-Kaali, E., Jack, D. W., Oppong, F. B., Chillrud, S. N., ... & Lee, A. G. (2019). Prenatal maternal stress and birth outcomes in rural Ghana: sex-specific associations. BMC pregnancy and childbirth, 19(1), 1-8.
  16. Bush NR, Savitz J, Coccia M, Jones-Mason K, Adler N, Boyce WT, et al. Maternal stress during pregnancy predicts infant infectious and noninfectious illness. J Pediatric. Elsevier Inc; 2021;228:117–125.e2. Available from: https://doi.org/10.1016/j.jpeds.2020.08.041
  17. Wang, H., Gao, X., Liu, C., Yan, C., Lin, X., Dong, Y., & Sun, B. (2017). Surfactant reduced the mortality of neonates with birth weight⩾ 1500 g and hypoxemic respiratory failure: a survey from an emerging NICU network. Journal of Perinatology, 37(6), 645-651. Available from: http://dx.doi.org/10.1038/jp.2016.272
  18. Lamama, V., Solang, S. D., & Korompis, M. D. (2015). Pengaruh Penyuluhan Tentang Pemeriksaan Kehamilan Terhadap Peningkatan Pengetahuan Ibu Hamil. JIDAN (Jurnal Ilmiah Bidan), 3(1), 66-72.
  19. Pesisir W, Abeli K, Kasus S, Kendari K. Peran bidan dan dukun dalam perawatan kehamilan ibu hamil di wilayah pesisir kecamatan abeli (studi kasus) kota kendari 2016. Thesis Univ Halu Oleo. 2016;
  20. Rachmawati, A. I., Puspitasari, R. D., & Cania, E. (2017). Faktor-faktor yang memengaruhi kunjungan antenatal care (ANC) ibu hamil. Jurnal Majority, 7(1), 72-76.
  21. Febriyanti, S. N. U., & Yulianti, E. (2017). Peran Kader Kesehatan dalam Mensukseskan Program Kelas Ibu Hamil di Wilayah Kerja Puskesmas Kedungmundu. Jurnal SMART Kebidanan, 3(1), 52-61



DOI: https://doi.org/10.22146/jkr.76062

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