TY - JOUR
T1 - Determinants of early neonatal mortality
T2 - secondary analysis of the 2012 and 2017 Indonesia Demographic and Health Survey
AU - Titaley, Christiana Rialine
AU - Mu'asyaroh, Anifatun
AU - Que, Bertha Jean
AU - Tjandrarini, Dwi Hapsari
AU - Ariawan, Iwan
N1 - Publisher Copyright:
2024 Titaley, Mu'asyaroh, Que, Tjandrarini, and Ariawan.
PY - 2024
Y1 - 2024
N2 - Background: Most neonatal deaths occur during the first week of life (i.e., early neonatal deaths). In this analysis, we aimed to investigate the determinants of early neonatal deaths in a nationally representative sample of births in Indonesia over the five years before each survey. Methods: Data were obtained from the 2012 and 2017 Indonesia Demographic and Health Survey (IDHS), including information from 58,902 mothers of children aged <5 years of age. The outcome variable was early neonatal death (death of a newborn within the first six days of life). Explanatory variables were categorized into environmental, household, maternal, pregnancy, childbirth, and child characteristics. Multivariate regression methods were employed for analysis. Results: Increased odds of early neonatal deaths were associated with mothers who lacked formal education or had incomplete primary schooling (adjusted odd ratio [OR] = 2.43, 95% confidence interval [CI]: 1.18–5.01), worked outside the house in agricultural (aOR = 5.94, 95% CI: 3.09–11.45) or non-agricultural field (aOR = 2.98, 95% CI: 1.88–4.72), and were required to make a joint decision about health care with their partner or another household member (aOR = 1.79, 95% CI: 1.12–2.84). Increased odds were also observed in smaller-than-average infants, particularly those who received low-quality antenatal care services (aOR = 9.10, 95% CI: 5.04–16.41) and those whose mothers had delivery complications (aOR = 1.72, 95% CI: 1.10–2.68) or who were delivered by cesarean section (aOR = 1.74, 95% CI: 1.07–2.82). Furthermore, male infants showed higher odds than female infants (aOR = 1.85, 95% CI: 1.23–2.76). Conclusions: A multifaceted approach is essential for curtailing early neonatal mortality in Indonesia. Enabling workplace policies, promoting women's empowerment, strengthening the health system, and improving the uptake of high-quality antenatal care services are among the critical steps toward preventing early neonatal deaths in Indonesia.
AB - Background: Most neonatal deaths occur during the first week of life (i.e., early neonatal deaths). In this analysis, we aimed to investigate the determinants of early neonatal deaths in a nationally representative sample of births in Indonesia over the five years before each survey. Methods: Data were obtained from the 2012 and 2017 Indonesia Demographic and Health Survey (IDHS), including information from 58,902 mothers of children aged <5 years of age. The outcome variable was early neonatal death (death of a newborn within the first six days of life). Explanatory variables were categorized into environmental, household, maternal, pregnancy, childbirth, and child characteristics. Multivariate regression methods were employed for analysis. Results: Increased odds of early neonatal deaths were associated with mothers who lacked formal education or had incomplete primary schooling (adjusted odd ratio [OR] = 2.43, 95% confidence interval [CI]: 1.18–5.01), worked outside the house in agricultural (aOR = 5.94, 95% CI: 3.09–11.45) or non-agricultural field (aOR = 2.98, 95% CI: 1.88–4.72), and were required to make a joint decision about health care with their partner or another household member (aOR = 1.79, 95% CI: 1.12–2.84). Increased odds were also observed in smaller-than-average infants, particularly those who received low-quality antenatal care services (aOR = 9.10, 95% CI: 5.04–16.41) and those whose mothers had delivery complications (aOR = 1.72, 95% CI: 1.10–2.68) or who were delivered by cesarean section (aOR = 1.74, 95% CI: 1.07–2.82). Furthermore, male infants showed higher odds than female infants (aOR = 1.85, 95% CI: 1.23–2.76). Conclusions: A multifaceted approach is essential for curtailing early neonatal mortality in Indonesia. Enabling workplace policies, promoting women's empowerment, strengthening the health system, and improving the uptake of high-quality antenatal care services are among the critical steps toward preventing early neonatal deaths in Indonesia.
KW - low birth weight
KW - maternal education
KW - maternal occupation
KW - mode of delivery
KW - neonatal mortality
KW - preterm
KW - quality of antenatal care
KW - women empowerment
UR - http://www.scopus.com/inward/record.url?scp=85184186208&partnerID=8YFLogxK
U2 - 10.3389/fped.2024.1288260
DO - 10.3389/fped.2024.1288260
M3 - Article
AN - SCOPUS:85184186208
SN - 2296-2360
VL - 12
JO - Frontiers in Pediatrics
JF - Frontiers in Pediatrics
M1 - 1288260
ER -