scholarly journals Ernawati Koto

2021 ◽  
Author(s):  
GOVERNANCE: JURNAL POLITIK LOKAL DAN PEMBANGUNAN
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Learning Process ◽  
Qualitative Method ◽  
Communication Competence ◽  
Infant Mortality Rate ◽  
Knowledge And Skills ◽  
The Village ◽  
Depth Interviews ◽  
Village Midwife

The purpose of this study is to analyze the communication competence of village midwives and TBAs in supporting the decrease of maternal and infant mortality rate and to analyze the efforts of village midwives and TBAs in maintaining partnership in Singkohor sub-district of Aceh Singkil district. The method used is qualitative method with constructivist paradigm. Data were collected based on in-depth interviews on 6 informants consisting of 3 village midwives and 3 dukun bayi. The results showed that the midwives 'midwives' partnership and midwife communications process worked well. The communication competence of village midwives and midwives is seen from the motivation, knowledge and skills indicate that the motivation of the village midwife to partner with the dukun baby is due to the belief and closeness of the community to the midwife whose knowledge is gained from the experience passed down from generation to generation while the shaman has motivation partnering with the village midwife because the TBA believes in the credibility of midwives in handling childbirth where knowledge is gained from the learning process.

scholarly journals MOTIVASI BIDAN DALAM PELAKSANAAN INISIASI MENYUSU DINI DI WILAYAH KERJA PUSKESMAS AMBARAWA

2017 ◽  
Vol 3 (2) ◽  
pp. 56
Author(s):  
Putri Kusuma Wardhani
Keyword(s):  
Public Health ◽  
Infant Mortality ◽  
Qualitative Method ◽  
Sampling Technique ◽  
Infant Mortality Rate ◽  
Important Indicator ◽  
Purposive Sampling ◽  
Early Initiation Of Breastfeeding ◽  
The Village ◽  
Initiation Of Breastfeeding

Latar Belakang: Angka Kematian Bayi (AKB) merupakan salah satu indikator penting dalam menentukan tingkat Kesehatan masyarakat, 22% kematian bayi baru lahir yaitu kematian bayi yang terjadi dalam satu bulan pertama dapat dicegah melalui IMD. IMD diyakini mampu mengurangi risiko kematian balita hingga 22% namun pelaksanaan IMD di wilayah kerja Puskesmas Ambarawa sudah dilaksanakan oleh para Bidan walaupun tidak dilakukan selama satu jam penuh (antara 30 menit sampai satu jam). Tujuan Penelitian: untuk mengeksplorasi motivasi bidan dalam pelaksanaan IMD di wilayah kerja Puskesmas Ambarawa. Metode Penelitian: Penelitian ini menggunakan metode kualitatif dengan menggunakan teknik wawancara mendalam (indeph interview). Teknik pengambilan sampling dengan teknik  purposive sampling. Jumlah partisipan sebanyak 3 orang bidan di wilayah kerja Puskesmas Ambarawa. Hasil: Hasil wawancara mendalam pada partisipan didapatkan informasi tentang pengetahuan IMD, prinsip IMD, keuntungan IMD berfokus pada ibu dan bayi, adanya faktor pendukung IMD dari pelatihan dan sosialisasi serta dukungan keluarga, faktor penghambat sangat kecil karena budaya dan adat istiadat yang masih ada di suatu desa. Kesimpulannya motivasi Bidan tentang pelaksanaan IMD sudah baik, namun masih ada penghambat dari adat istiadat dan budaya. Kata kunci: Motivasi; Bidan; Pelaksanaan IMD.  MIDWIFE MOTIVATION IN THE IMPLEMENTATION OF EARLY INITIATION OF BREASTFEEDING IN THE WORKING AREA OF PUSKESMAS AMBARAWA Abstract Background: Infant Mortality rate (IMR) is one of important indicator in determining the level of public health, 22% of newborn deaths that occurred in the first month can be prevented through the EIB. EIB is believed to reduce the risk of infant mortality by 22%. The implementation of EIB in Puskesmas Ambarawa already carried out by the midwives although not conducted for one hour (between 30 minutes to one hour). Purpose: The purpose of this study was to explore the motivation of midwives in the implementation of the EIB in Puskesmas Ambarawa. Method: A qualitative method which uses indepth interview was conducted in this study. Sampling technique that uses was purposive sampling technique. The participants of the study were three midwives in Puskesmas Ambarawa..Result:  The result of the study based on indepth interviews in participants show that the knowledge of EIB, principle of EIB, the benefit of EIB are focused on mothers and babies. The supporting factors of EIB derived from training, sosialization and family suport. Several inhibitting factors occured because of culture and customs that still exist in the village. The conclusionis that midwives motivation about the implementation of EIB has been good, but there is an obstacle that derived from traditions and culture. Keyword : Motivation, Midwife, Implementation of the EIB

scholarly journals THE ANALYSIS OF VILLAGE MIDWIFE PERFORMANCE IN REDUCING MATERNAL AND INFANT MORTALITY RATE

2020 ◽  
Vol 8 (2) ◽  
pp. 141
Author(s):  
Tumartony Thaib Hiola ◽  
Bun Yamin M. Badjuka
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Health Workers ◽  
Well Being ◽  
Infant Mortality Rate ◽  
District Health ◽  
Cross Sectional ◽  
Care Training ◽  
Village Midwife ◽  
Childbirth Care

Background: The most essential aspect to reduce the number of maternal and newborn mortality is midwife competence. Midwives have a great role to be able to handle variety of health services (antepartum, intrapartum, and postpartum) to avoid or decrease the maternal and infant mortality rate. Performance of health workers, particularly midwives, is the most crucial in affecting the quality and quantity of midwives’ services to  enhance the national health development.Aim: This study analyzed factors affecting village midwife performance for reducing maternal and infant mortality in seek for achieving Bone Bolango cemerlang or bright Bone Balango as the vision of Bone Bolango District in 2021.Methods: This study was an analytical survey with a cross-sectional approach. It was conducted from March to June 2019 in the working area of Bone Bolango District Health Office. There were 227 people from 19 primary healthcare centers as the population, and the sample size was 227 selected by using the total sampling technique. The data were collected by distributing questionnaires to the respondents and using secondary data. The data processing was done through chi-square test and multiple logistic regression with backward wald method.Results: Midwife performance in Bone Bolango District was assessed based on several variables. Most of them were ≥ 25 years old (80.6%); worked for ≥ five years (58,6%); mostly had not participated in any normal childbirth care training (76.7%); had a good competence (96.5%); had good resources/equipment (79.7%); had a good reward (92.5%); had a good attitude (76.2%); had a good motivation (90.7%). There were 12 maternal mortalities from 2017 to 2019 handled by only 11 midwives (4.8%). On the other hand, infant mortality rate (IMR) reached 25 cases in the same years; of 227 midwives, these cases were handled by only 21 midwives (9.3%).Conclusion: A midwife as a part of the health workers has an important role to increase the quality of maternal and child well-being program. Some variables that became indicators of midwife performance and had an effect on reducing the MMR and IMR included work period, reward, and motivation. This study recommends that all midwives have to be provided with a normal childbirth care training in the working area and increased rewards in the process of labor and delivery. Keywords: midwives, performance, maternal mortality rate, infant mortality rate.

Perbandingan Linieritas Dalam Pendeteksian Faktor-Faktor Yang Mempengaruhi Angka Kematian Bayi Di Provinsi Aceh

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Desfira Ahya ◽  
Inas Salsabila ◽  
Miftahuddin
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Linear Model ◽  
Health Workers ◽  
Additive Model ◽  
Infant Mortality Rate ◽  
Mortality Data ◽  
Important Indicator ◽  
Penalized Spline ◽  
Aceh Province

Angka Kematian Bayi/ Infant Mortality Rate (IMR) merupakan indikator penting dalam mengukur keberhasilan pengembangan kesehatan. Nilai IMR juga dapat digunakan untuk mengetahui tingkat kesehatan ibu, kondisi kesehatan lingkungan dan secara umum, tingkat pengembangan sosio-ekonomi masyarakat. Penelitian ini bertujuan untuk memperoleh model IMR terbaik menggunakan tiga pendekatan: Model Linear, Model Linear Tergeneralisir dan Model Aditif Tergeneralisir dengan basis P-spline. Sebagai tambahan, berdasarkan model tersebut akan terlihat variabel yang mempengaruhi tingkat kematian bayi di provinsi Aceh. Penelitian ini menggunakan data jumlah kematian bayi di tahun 2013-2015. Data dalam penelitian ini diperoleh dari Profil Kesehatan Aceh. Hasil menunjukkan bahwa model terbaik dalam menjelaskan angka kematian bayi di provinsi Aceh tahun 2013-2015 ialah Model Linear Tergeneralisir dengan basis P-spline menggunakan parameter penghalusan 100 dan titik knots 8. Faktor yang sangat mempengaruhi angka kematian ialah jumlah pekerja yang sehat.   Infant mortality rate (IMR) is an important indicator in measuring the success of health development. IMR also can be used to knowing the level of maternal health, environmental health conditions and generally the level of socio-economic development in community. This research aims to get the best model of infant mortality data using three approaches: Linear Model, Generalized Linear Model and Generalized Additive Model with Penalized Spline (P-spline) base. In addition, based on the model can be seen the variables that affect to infant mortality in Aceh Province. This research uses data number of infant mortality in Aceh Province period 2013-2015. The data in this research were obtained from Aceh’s Health Profile. The results show that the best model can be explain infant mortality rate in Aceh Province period 2013-2015 is GAM model with P-spline base using smoothing parameter 100 and knots 8. Factor that high effect to infant mortality is number of health workers.

Empirical analysis of factors influencing the public health expenditure in Malaysia

2018 ◽  
Vol 6 (3) ◽  
pp. 1
Author(s):  
Kok Wooi Yap ◽  
Doris Padmini Selvaratnam
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Health Expenditure ◽  
Price Index ◽  
Infant Mortality Rate ◽  
Public Health Expenditure ◽  
The Public ◽  
Empirical Results ◽  
Per Capita

This study aims to investigate the determinants of public health expenditure in Malaysia. An Autoregressive Distributed Lag (ARDL) approach proposed by Pesaran & Shin (1999) and Pesaran et al. (2001) is applied to analyse annual time series data during the period from 1970 to 2017. The study focused on four explanatory variables, namely per capita gross domestic product (GDP), healthcare price index, population aged 65 years and above, as well as infant mortality rate. The bounds test results showed that the public health expenditure and its determinants are cointegrated. The empirical results revealed that the elasticity of government health expenditure with respect to national income is less than unity, indicating that public health expenditure in Malaysia is a necessity good and thus the Wagner’s law does not exist to explain the relationship between public health expenditure and economic growth in Malaysia. In the long run, per capita GDP, healthcare price index, population aged more than 65 years, and infant mortality rate are the important variables in explaining the behaviour of public health expenditure in Malaysia. The empirical results also prove that infant mortality rate is significant in influencing public health spending in the short run. It is noted that macroeconomic and health status factors assume an important role in determining the public health expenditure in Malaysia and thus government policies and strategies should be made by taking into account of these aspects.

Measuring Effectiveness Of Economic Growth On Reducing Infant Mortality Rate In Tamilnadu

2019 ◽  
Vol 118 (4) ◽  
pp. 129-141
Author(s):  
Mr. Y. EBENEZER
Keyword(s):  
Economic Growth ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Negative Relationship ◽  
Infant Mortality Rate ◽  
Domestic Product ◽  
Per Capita ◽  
The Impact ◽  
Adf Test ◽  
Bound Test

                   This paper deals with economic growth and infant mortality rate in Tamilnadu. The objects of this paper are to test the relationship between Per capita Net State Domestic Product and infant mortality rate and also to measure the impact of Per capita Net State Domestic Product on infant mortality rate in Tamil Nadu. This analysis has employed the ADF test and ARDL approach. The result of the study shows that IMR got reduced and Per capita Net State Domestic Product increased during the study period. This analysis also revealed that there is a negative relationship between IMR and the economic growth of Tamilnadu. In addition, ARDL bound test result has concluded that per capita Net State Domestic Product of Tamilnadu has long run association with IMR.

scholarly journals The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India

Geographies ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 47-62
Author(s):  
Ujjwal Das ◽  
Barkha Chaplot ◽  
Hazi Mohammad Azamathulla
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Public Hospitals ◽  
Infant Mortality Rate ◽  
Private Institutions ◽  
Public And Private ◽  
Place Of Delivery ◽  
At Home

Skilled birth attendance and institutional delivery have been advocated for reducing maternal, neonatal mortality and infant mortality (NMR and IMR). This paper examines the role of place of delivery with respect to neo-natal and infant mortality in India using four rounds of the Indian National Family Health Survey conducted in 2015–2016. The place of birth has been categorized as “at home” or “public and private institution.” The role of place of delivery on neo-natal and infant mortality was examined by using multivariate hazard regression models adjusted for clus-tering and relevant maternal, socio-economic, pregnancy and new-born characteristics. There were 141,028 deliveries recorded in public institutions and 54,338 in private institutions. The esti-mated neonatal mortality rate in public and private institutions during this period was 27 and 26 per 1000 live births respectively. The study shows that when the mother delivers child at home, the chances of neonatal mortality risks are higher than the mortality among children born at the health facility centers. Regression analysis also indicates that a professionally qualified provider′s antenatal treatment and assistance greatly decreases the risks of neonatal mortality. The results of the study illustrate the importance of the provision of institutional facilities and proper pregnancy in the prevention of neonatal and infant deaths. To improve the quality of care during and imme-diately after delivery in health facilities, particularly in public hospitals and in rural areas, accel-erated strengthening is required.

scholarly journals Socioeconomic, urban‐rural and sex‐based inequality in infant mortality rate: evidence from 2013 Yemen demographic and health survey

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Betregiorgis Zegeye ◽  
Gebretsadik Shibre ◽  
Jemal Haidar ◽  
Gorems Lemma
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Health Equity ◽  
Formal Education ◽  
Statistical Significance ◽  
Infant Mortality Rate ◽  
World Health ◽  
Rural Residents ◽  
Poor Households ◽  
Urban Rural

Abstract Background The occurrence of Infant Mortality Rate (IMR) varied globally with most of the cases coming from developing countries including Yemen. The disparity in IMR in Yemen however, has not been well dealt and therefore we examined the IMR inequality based on the most reliable methodology in order to generate evidence-based information for some program initiatives in Yemen. Methods Based on the World Health Organization (WHO) Health Equity Assessment Toolkit (HEAT) software, we analyzed the inequality across the different inequality dimensions in Yemen. The toolkit analyzes data stored in the WHO health equity monitor database. Simple and complex, and absolute and relative measures of inequality were calculated for the four dimensions of inequality (subpopulations) which included wealth, education, sex and residence. We computed a 95 % CI to assess statistical significance. Results The analysis included 31, 743 infants. Absolute and relative wealth-driven, education, urban-rural and sex-based inequalities were found in IMR. Higher concentration of IMR was observed among infants from the poorest/poor households (ACI=-4.68, 95 % CI; -6.57, -2.79, R = 1.61, 95 % CI; 1.18, 2.03), rural residents (D = 15.07, 95 % CI; 8.04, 22.09, PAF=-23.57, 95 % CI; -25.47, -21.68), mothers who had no formal education (ACI=-2.16, 95 % CI; -3.79, -0.54) and had male infants (PAF= -3.66, 95 % CI; -4.86, -2.45). Conclusions Higher concentration of IMR was observed among male infants from disadvantaged subpopulations such as poorest/poor, uneducated and rural residents. To eliminate the observed inequalities, interventions are needed to target the poorest/poor households, rural residents, mothers with no formal education and male infants.

scholarly journals Epidemiologic trends of infants with orofacial clefts in a multiethnic country: a retrospective population-based study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Mimi Yow ◽  
Aizhen Jin ◽  
George Seow Heong Yeo
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Population Based ◽  
Infant Mortality Rate ◽  
Prevalence Rates ◽  
Upward Trend ◽  
Significance Level ◽  
Significant Upward Trend ◽  
And Gender ◽  
Ethnicity And Gender

AbstractCleft births surveillance is essential in healthcare and prevention planning. Data are needed in precision medicine to target upstream management for at-risk individuals. This study characterizes Singapore’s population-based orofacial cleft topography by ethnicity and gender, and establishes the cleft cohort’s infant mortality rate. Data, in the decade 2003 to 2012, were extracted by the National Birth Defects Registry. Trend testing by linear regression was at p < 0.05 significance level. Prevalence per 10,000 for population-based cleft live births was 16.72 with no significant upward trend (p = 0.317). Prevalence rates were 8.77 in the isolated cleft group, 7.04 in the non-isolated cleft group, and 0.91 in the syndromic cleft group. There was significant upward trend in infants with non-isolated clefts (p = 0.0287). There were no significant upward trends in infants with isolated clefts and syndromic clefts. Prevalence rates were sexually dimorphic and ethnic-specific: male 17.72; female 15.78; Chinese group 17.17; Malay group 16.92; Indian group 10.74; and mixed ethnic origins group 21.73. The overall infant mortality rate (IMR) was 4.8% in the cohort of 608 cleft births, which was more than double the population-based IMR of 2.1% in the same period. Infants with non-isolated and syndromic clefts accounted for 96.6% of the deaths.

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