scholarly journals Pengaruh Penerapan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) terhadap Kematian Neonatal

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Homsiatur Rohmatin ◽  
Agustina Widayati
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Sampling Technique ◽  
Active Role ◽  
Infant Mortality Rate ◽  
Neonatal Mortality Rate ◽  
Cross Sectional ◽  
Newborn Mortality ◽  
Maternal And Newborn

 Abstrak Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) merupakan program pemerintah dalam penurunan angka kematian ibu dan bayi baru lahir. Angka kematian bayi (AKB) di Indonesia masih tinggi dimana Kabupaten Probolinggo merupakan salah satu penyumbang tertinggi. P4K merupakan tanggung jawab bidan, ibu hamil, suami, dan keluarga. Masih tingginya kematian neonatal di Kabupaten Probolinggo, diduga karena kurangnya peran aktif ibu, suami, dan keluarga dalam penerapan P4K. Penelitian ini bertujuan menganalisis pengaruh penerapan P4K terhadap kematian neonatal di Kabupaten Probolinggo. Rancang bangun penelitian adalah crossectional dengan populasi seluruh ibu yang mempunyai bayi lahir hidup atau mati (usia 0-28 hari) yang mendapatkan stiker P4K. Teknik sampling menggunakan accidental sampling. Sampel penelitian ini adalah sebagian ibu yang mempunyai bayi lahir hidup atau mati (usia 0-28 hari) yang mendapatkan stiker P4K. Pengumpulan data menggunakan kuesioner dan wawancara. Uunivariat, bivariat dan multivariat digunakan dalam menganalisis data. Hasil penelitian menginformasikan sebagian besar ibu, suami, dan keluarga kurang berperan aktif. Sehingga ada pengaruh penerapan P4K terhadap kematian neonatal. Untuk itu, diperlukan peran aktif kader posyandu dalam memotivasi dan mendampingi ibu, suami dan keluarga dalam penerapan P4K sebagai upaya menurunkan kematian neonatal.  Kata kunci  : P4K, kematian neonatal, stiker  Abstract           The Maternity and Complication Prevention Planning Program (P4K) is a government program in reducing maternal and newborn mortality. The infant mortality rate (IMR) in Indonesia is still high where Probolinggo District is one of the highest contributors. P4K is the responsibility of midwives, pregnant women, husbands and families. The high neonatal mortality rate in Probolinggo Regency is allegedly due to the lack of active role of mothers, husbands, and families in implementing P4K. This study aimed to analyze the effect of P4K application on neonatal mortality in Probolinggo District. The research design was cross-sectional with the population of all mothers who had live or dead babies (aged 0-28 days) who received P4K stickers. The sampling technique used accidental sampling. The sample of this study was that some mothers who have babies born alive or dead (age 0-28 days) who got P4K stickers. Data collection used questionnaires and interviews. Univariate, bivariate and multivariate were used to analyze the data. The results of the study informed that most mothers, husbands, and families were less active. Therefore, there was an effect of applying P4K to neonatal mortality. It is suggested for posyandu cadres to have an active role in motivating and assisting mothers, husbands and families in implementing P4K as an effort to reduce neonatal mortality.Keywords    : P4K, neonatal mortality, sticker

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 Infant mortality: comparison between two birth cohorts from Southeast and Northeast, Brazil

2004 ◽  
Vol 38 (6) ◽  
pp. 773-779 ◽  
Author(s):  
Valdinar S Ribeiro ◽  
Antônio A M Silva ◽  
Marco A Barbieri ◽  
Heloisa Bettiol ◽  
Vânia M F Aragão ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Protective Factor ◽  
Infant Mortality Rate ◽  
Northeast Brazil ◽  
Birth Cohorts ◽  
Neonatal Mortality Rate ◽  
Live Births

OBJECTIVE: To obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in Brazil. METHODS: In Ribeirão Preto, southeast Brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. In São Luís, northeast Brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. Mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the States Health Secretarys' Office. The relative risk (RR) was estimated by Poisson regression. RESULTS: In São Luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in Ribeirão Preto (16.9, 10.9 and 6.0 per 1,000, respectively). Adjusted analysis revealed that previous stillbirths (RR=3.67 vs 4.13) and maternal age <18 years (RR=2.62 vs 2.59) were risk factors for infant mortality in the two cities. Inadequate prenatal care (RR=2.00) and male sex (RR=1.79) were risk factors in São Luís only, and a dwelling with 5 or more residents was a protective factor (RR=0.53). In Ribeirão Preto, maternal smoking was associated with infant mortality (RR=2.64). CONCLUSIONS: In addition to socioeconomic inequalities, differences in access to and quality of medical care between cities had an impact on infant mortality rates.

scholarly journals KEGIATAN PENYULUHAN PADA REMAJA TENTANG PERSONAL HYGIENE DAN PUBERTAS DI KAMPUNG PAMEUNGPEUK DESA CIKUNIR KECAMATAN SINGAPARNA TASIKMALAYA TAHUN 2018

2019 ◽  
Vol 2 (1) ◽  
pp. 6-10
Author(s):  
Hapi Apriasih ◽  
Tupriliany Danefi
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Infant Mortality Rate ◽  
Personal Hygiene ◽  
Neonatal Mortality Rate ◽  
Postnatal Mortality ◽  
Hiv Aids

Seiring dengan  perkembangan zaman, masalah remaja makin bertambah di mana-mana khususnya di Indonesia.  Masa remaja adalah masa peralihan dari masa anak-anak ke masa dewasa. Masalah remaja di zaman ini bukanlah baru terjadi, tapi dari tahun sebelum-sebelumnya sudah sering terjadi, dimana masalah pada remaja yaitu pergaulan bebas,  tawuran, memakai narkoba, menonton film porno, meminum minuman alkohol, pesta pora dan masih banyak lagi masalah yang terjadi pada remaja.  Dan sekarang ini ada juga anak-anak yang masih duduk di bangku sekolah seperti SD, maupun SMP dan SMA sudah ada yang merokok, pergaulan bebas, meminum alkohol, menonton film porno, dan bahkan ada yang sudah hamil di luar nikah. Ini semua terjadi karena kurang adanya pengawasan dari orangtua atau keluarga, guru, dan pemerintah.  Masalah remaja tentunya  tak jarang lagi mendengar atau menonton dan bahkan melihat yang terjadi disekitar kita. Berdasarkan hasil Survei Kesehatan berbasis Sekolah di Indonesia tahun 2015 (GSHS) dapat terlihat gambaran faktor risiko kesehatan pada pelajar uisa 12-18 tahun secara nasional sebanyak 41,8 % laki-laki dan 4,1 % perempuan mengaku pernah merokok, 32,82 % doantara merokok pertama kali pada umur < 13 tahun. Gambaran faktor resiko kesehatan lainnya adalah perilaku seksual dimana didapatkan 8,26 % pelajara laki-laki dan 4,17 pelajara perempuan usia 12-18 tahun pernah melakukan hubungan seksual. Perilaku seks pranikah tentunya memberikan dampak yang luas pada remaja terutama berkaitan dengan penularan penyakit dan kehamilan yang tidak diinginkan serta aborsi. Kehamilan pada remaja tidak hanya berpengaruh terhadap kondisi fisik, mental dan sosial remaja tetapi juga meningkatkan resiko kematian bayi dan balita, seperti yang ditunjukkan SDKI 2012 dimana kehamilan dan persalinan pada ibu dibawah umur 20 tahun memiliki kontribusi dalam tingginya Neonatal Mortality Rate (34/1000 KH), Postnatal Mortality Rate (16/1000 KH), Infant Mortality Rate (50/1000 KH) dan under -5 Mortality Rate (61/1000 KH). Laporan triwulan Direktorat Jenderal Pengendalian Penyakit dan Penyehatan Lingkungan (Ditjen P2PL) mulai 1987 sampai dengan Maret 2017 menunjukkan bahwa tingginya angka kejadian AIDS di kelompok usia 20-29 tahun mengindikasikan kelompok tersebut pertama kali terkena HIV pada usia remaja. Di Desa Cikunir merupakan desa di wilayah Puskesmas Singaparna yang terdiri dari 3 dusun yaitu Gunung Kawung, Pameungpeuk, dan Anggaraja. Melalui kegiatan praktik kerja nyata mahasiswa Program Studi Kebidanan STIKes Respati Tasikmalaya melalui focus grup discucion (FGD) diperoleh informasi dari 35 responden remaja sebagai berikut 48,7 % belum mengetahui kesehatan reproduksi khususnya terkait infeksi menular seksual, 45,71 % sudah mempunyai pcar, 51,43 % tidak mengetahui tentang HIV/AIDS, 22,86% tidak mengetahui dampai pernikahan dini, dan 11,43 % setuju dengan pernikahan dini. Berdasarkan data tersebut diketahui bahwa pengetahuan remaja tentang kesehatan reproduksi remaja masih kurang dan akan berdampak pada permasalahan yang serius maka menjadi hal yang sangat penting untuk adanya upaya dalam hal peningkatan pengetahuan remaja , oleh karena diselenggarakan kegiatan penyuluhan tentang personal higyene dan masa pubertas pada remaja.

scholarly journals Kepatuhan Ibu Nifas Dalam Pemanfaatan Buku KIA Terhadap Pencegahan Komplikasi Masa Nifas Di Kota TarakanKepatuhan Ibu Nifas Dalam Pemanfaatan Buku KIA Terhadap Pencegahan Komplikasi Masa Nifas Di Kota Tarakan

2021 ◽  
Vol 5 (2) ◽  
pp. 77-86
Author(s):  
Nur Indah Noviyanti ◽  
◽  
Gusrian Gusrian ◽  
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Community Health Center ◽  
Sampling Technique ◽  
Infant Mortality Rate ◽  
Chi Square ◽  
Cross Sectional ◽  
The Government ◽  
The Right ◽  
Postpartum Mothers

Indonesia is currently still experienced problems related to the high maternal mortality rate (MMR) and infant mortality rate (IMR). So that the government makes efforts to reduce MMR and IMR. In this effort, in 1994 the government issued the MCH booklet, which is one of the strategies in reducing maternal and infant mortality rates, this strategy involves empowering the community, especially families and communities. In order to ensure the use of the MCH handbook in the community, the implementation of the MCH handbook is coordinated directly by the respective regional health offices. During the pandemic postpartum mothers find it difficult to access health facilities because of the right to service. Therefore, to increase mother's knowledge, both about early detection of complications, health education, health promotion, it is hoped that mothers can support them through the KIA book that every pregnant and postpartum mother has. This study aims to determine the relationship between postpartum mother’s adherence to the use of MCH book as an education to prevent complications in the Pandemic Era in the Sebengkok Community Health Center. This type of research used analytical research with cross sectional design. The population in this study were all postpartum mothers who were in the working area of the pusksemas Sebengkok from January to June 2020. The sampling technique in this study was purposive sampling. Based on the chi square test, the value of ρ = 0.011 was obtained, which shows ρ <α (0.05), which means that there is a relationship between postpartum mothers' knowledge of the use of the MCH book during the COVID-19 pandemic.

scholarly journals A community based study of neonatal mortality in Aligarh by using verbal autopsy

2018 ◽  
Vol 5 (6) ◽  
pp. 2491
Author(s):  
Ambren Chauhan ◽  
M. Salman Shah ◽  
Najam Khalique ◽  
Uzma Eram
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Verbal Autopsy ◽  
Birth Asphyxia ◽  
Survival Strategies ◽  
Biological Factors ◽  
Neonatal Mortality Rate ◽  
Community Based ◽  
Cross Sectional ◽  
Live Births

Background:Neonatal mortality rate is regarded as an important and sensitive indicator of the health status of a community. Children face the highest risk of dying in their first month of life. The present study was aimed to 1) determine the prevalence of neonatal mortality rate 2) identify socio-biological factors in relation to neonatal mortality.3) determine the causes of neonatal mortality. Methods:A community based cross sectional study was conducted in the field practice areas of Department of Community Medicine, AMU, Aligarh. All the live births and all neonatal deaths were taken for one year from June 2016 to May 2017. A standard Verbal autopsy questionnaire (WHO 2012) was used as a study tool. Results:The prevalence of neonatal mortality rate was38.2/1000 live births. The early neonatal mortality rate was 28.3/1000 live births and late neonatal mortality rate was 9.9/1000 live births. The associated socio –biological factors were gender [OR-2.381, 95% CI-1.037-5.468], birth order [OR-4.090, 95% CI-1.119-14.946] and gestational age [OR-12.62, 95% CI-3.26-48.82]. The leading causes of deaths among newborns were preterm births (22.2%), birth asphyxia (22.2%), other causes (19%), ARI (14.3%), congenital anomalies (14.3%) and diarrhoeaandneonatal sepsis accounted for (4.8%) each. Conclusions: The neonatal mortality rate assessed by verbal autopsy is higher than nationally reported. Most of the deaths were in early neonatal period. There is a need for programs encouraging the use of antenatal care, encouraging institutional deliveries and care of LBW neonates; as well as implementation of community-based newborn survival strategies.

scholarly journals Socio-demographic determinants of under-five mortality in rural Agra

2017 ◽  
Vol 4 (9) ◽  
pp. 3108
Author(s):  
Krishan Kumar ◽  
Rajiv Srivastava ◽  
S. K. Mishra
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Nuclear Family ◽  
Well Being ◽  
Infant Mortality Rate ◽  
Age Group ◽  
Neonatal Mortality Rate ◽  
Important Indicator ◽  
Live Births

Background: One of the most important indicator or index of socio-economic development of a country or region is infant mortality rate. The present study was undertaken to assess the quantum of childhood mortality and to find out the social factors associated with these deaths by verbal autopsies. Methods: This one year cross-sectional study was undertaken in a purposively selected community Development Block Sainyan, district Agra among children aged between 0-5 years using multistage random sampling technique. Suitable statistical methods were applied. Results: Out of total 8355 families surveyed, a total of 185 deaths were reported among children. Number of deaths was higher among those belonging to nuclear family and lower socioeconomic status. The neonatal mortality rate was estimated to be 33.55/1000 live births. The post neonatal mortality rate was found to be 40.78/1000 live births and infant mortality rate was 74.33/1000 live births. Mortality rate in 1-5 year age group children was 10.6/1000 same age group children, while 0-5 yrs. mortality was estimated to be 22.39/1000 children of same age group. Out of 185 children who died, 52.7% were unimmunized and another 35.67% were partially immunized. Conclusions: Female education and socioeconomic well-being should be strengthened. 

scholarly journals Infant mortality rates according to socioeconomic status in a Brazilian city

2001 ◽  
Vol 35 (3) ◽  
pp. 256-261 ◽  
Author(s):  
Marcelo Zubaran Goldani ◽  
Marco Antonio Barbieri ◽  
Heloisa Bettiol ◽  
Marisa Ramos Barbieri ◽  
Andrew Tomkins
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Social Inequality ◽  
Neonatal Mortality ◽  
Mortality Rates ◽  
Infant Mortality Rate ◽  
Neonatal Mortality Rate ◽  
Chi Square ◽  
The Poor ◽  
Poor Area

OBJECTIVE: Data from municipal databases can be used to plan interventions aimed at reducing inequities in health care. The objective of the study was to determine the distribution of infant mortality according to an urban geoeconomic classification using routinely collected municipal data. METHODS: All live births (total of 42,381) and infant deaths (total of 731) that occurred between 1994 and 1998 in Ribeirão Preto, Brazil, were considered. Four different geoeconomic areas were defined according to the family head's income in each administrative urban zone. RESULTS: The trends for infant mortality rate and its different components, neonatal mortality rate and post-neonatal mortality rate, decreased in Ribeirão Preto from 1994 to 1998 (chi-square for trend, p<0.05). These rates were inversely correlated with the distribution of lower salaries in the geoeconomic areas (less than 5 minimum wages per family head), in particular the post-neonatal mortality rate (chi-square for trend, p<0.05). Finally, the poor area showed a steady increase in excess infant mortality. CONCLUSIONS: The results indicate that infant mortality rates are associated with social inequality and can be monitored using municipal databases. The findings also suggest an increase in the impact of social inequality on infant health in Ribeirão Preto, especially in the poor area. The monitoring of health inequalities using municipal databases may be an increasingly more useful tool given the continuous decentralization of health management at the municipal level in Brazil.

From single-case analysis of neonatal deaths toward a further reduction of the neonatal mortality rate

2018 ◽  
Vol 47 (1) ◽  
pp. 125-133 ◽  
Author(s):  
André Sander ◽  
Roland Wauer
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Language Processing ◽  
Single Case ◽  
Case Analysis ◽  
Infant Mortality Rate ◽  
Neonatal Mortality Rate ◽  
Neonatal Deaths ◽  
Key Indicator

Abstract Background The infant mortality rate (IMR), a key indicator of the quality of a healthcare system, has remained at approximately 3.5‰ for the past 10 years in Germany. Generic quality indicators (QIs), as used in Germany since 2010, greatly help in ensuring such a good value but do not seem to be able to further reduce the IMR. The neonatal mortality rate (NMR) contributes to 65–70% of the IMR. We therefore propose single-case analysis of neonatal deaths as an additional method and show an efficient way to implement this approach. Methods We used the Nordic-Baltic classification (NBC) to detect avoidable neonatal deaths. We applied this classification to a sample of 1968 neonatal death records, which represent over 90% of all neonatal deaths in East Berlin from 1973 to 1989. All cases were analyzed as to their preventability based on the complete perinatal and clinical data by a special commission of different experts. The NBC was automatically applied through natural language processing and an ontology-based terminology server. Results The NBC was used to select the group of cases that had a high potential of avoidance. The selected group represented 6.0% of all cases, and 60.4% of the cases within that group were judged avoidable or conditionally avoidable. The automatic detection of malformations showed an F1 score of 0.94. Conclusion The results show that our method can be applied automatically and is a powerful and highly specific tool for selecting potentially avoidable neonatal deaths and thus for supporting efficient single-case analysis.

scholarly journals Peran kader posyandu dalam melakukan pendampingan pemberian makan bayi dan anak usia 6-24 bulan

2020 ◽  
Vol 5 (2) ◽  
pp. 172
Author(s):  
Ahmad Faridi ◽  
Mohammad Furqan ◽  
Arif Setyawan ◽  
Falah Indriawati Barokah
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Sampling Technique ◽  
Feeding Practices ◽  
Active Role ◽  
Child Health Services ◽  
Cross Sectional ◽  
And Child Health

The prevalence of nutritional problems in Banten is very high, namely 27,8% stunting and less than 15% nutrition, one of the causes is improper feeding practices for babies and children. The practice of ICF and the activeness of maternal and child health services of cadres in providing assistance to mothers who have children is expected to be able to reduce nutritional problems. This study aims to identify the role of cadres in assisting mothers to practice Infant and Child Feeding (ICF). the research was conducted a cross-sectional study. The sample is cadres of maternal and child health services, who have received training on ICF as many as 30 cadres with a purposive sampling technique. Collecting data using a questionnaire related to the characteristics of cadres including age, education, occupation, length of time as a cadre, and level of knowledge of cadres. Data were analyzed using the chi-square test. As a result, there were 43,3% of cadres who were active in assisting mothers in feeding practices. There is no relationship between characteristics and the role of cadres in providing assistance to mothers of toddlers in providing food (p> 0,05). In conclusion, the characteristics of cadres have no relationship with their role in providing assistance to infant feeding. Cadres can play a more active role in mentoring mothers related to providing food to children.

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