HUBUNGAN PENDIDIKAN, SIKAP, DAN DUKUNGAN SUAMI DENGAN KEBERHASILAN PEMBERIAN ASI EKSLUSIF DI KOTA BUKITTINGGI

2020 ◽  
Vol 1 (2) ◽  
pp. 66-79
Author(s):  
Gusrinawati Gusrinawati ◽  
Hardisman Hardisman

Indonesia's health development plan according to the National Medium Development Plan (RPJMN) for 2015-2019 states that the target for infant mortality is 24 per 1,000 live births while by 2018 the infant mortality rate in Indonesia is still high at 31 per 1,000 births. There are various causes of infant death, one of which is an infectious disease. Provision of breast milk (ASI) is one thing that can prevent infants from infectious diseases. Exclusive breastfeeding for infants up to 6 months of age is very important. however, exclusive ASI coverage in Bukittinggi city has decreased from year to year. The research method in this study is a mixture / combination (mixed methods). Data collection methods in quantitative research using questionnaires while qualitative research uses in-depth interviews (indepth interview) to find problems more openly and make observations and study documents. It is expected that the baby's mother should be more active in seeking information about Exclusive ASI and the benefits of Exclusive ASI so that awareness arises to make every effort to continue to provide Exclusive ASI to the child even if the mother is working or outside the home.Rencana pembangunan kesehatan Indonesia menurut Rencana Pembangunan Menengah Nasional (RPJMN) tahun 2015-2019 disebutkan bahwa target untuk angka kematian bayi adalah 24 per 1.000 kelahiran hidup sedangkan samapai tahun 2018 angka kematian bayi di Indonesia masih tinggi yaitu 31 per 1.000 kelahiran. Ada berbagai macam penyebab kematian bayi, salah satu diantaranya adalah penyakit infeksi. Pemberian air susu ibu (ASI) merupakan salah satu hal yang dapat mencegah bayi dari penyakit infeksi Pemberian asi ekslusif pada bayi hingga usia 6 bulan merupakan hal yang sangat penting. akan tetapi cakupan asi ekslusif di kota bukittinggi dari tahun ke tahun mengalami penurunan. Metode penelitian dalam penelitian ini adalah campuran/kombinasi (mixed methods). Metode pengumpulan data pada penelitian kuantitatif dengan menggunakan kuesioner sedangkan penelitian kualitatif menggunakan metode wawancara mendalam (indepth interview) agar ditemukan permasalahan secara lebih terbuka serta melakukan observasi dan studi dokumen. Diharapkan Ibu bayi hendaknya lebih aktif mencari informasi tentang ASI Eksklusif dan manfaat dari ASI Eksklusif sehingga timbul kesadaran untuk berupaya semaksimal mungkin untuk tetap memberikan ASI Ekslusif kepada anak walaupun ibu tersebut bekerja atau berada di luar rumah.

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 ◽  
...  

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.


2021 ◽  
Vol 110 ◽  
pp. 02006
Author(s):  
Ludmila Borisova ◽  
Galina Zhukova ◽  
Anna Kuznetsova ◽  
Julie Martin

The paper analyzes the socio-economic and demographic indicators of life expectancy in the countries of the world. Methods of regression analysis and machine learning are used. Statistically significant indicators that affect life expectancy around the world have been identified. When analyzing the data using machine learning methods, 13 of the 14 analyzed indicators were statistically significant. Significant indicators, in addition to those selected in the regression analysis, were 3: the under-five infant mortality rate (per 1,000 live births), the Net Barter Terms of Trade Index (2000 = 100), and Imports of goods and services (in % of GDP) (in the regression analysis, only the infant death rate was significant). In addition, it should be noted that there is a significant decrease in the under-five infant mortality rate (per 1,000 live births) for the EU, CIS and South-East Asian countries compared to the border set in the study for all countries: 4.65 vs. 34.9, a decrease in the birth rate from 2.785 to 1.85, a sharp increase in exports of goods and services: from 23.17 to 80.59, a halving in imports of goods and services, a drop in population growth from 2.105 to 0.85. The performed statistical analysis strongly supports the use of machine learning methods in identifying statistically significant relationships between various indicators that characterize the development of countries, if there are gaps in the data.


PEDIATRICS ◽  
1996 ◽  
Vol 98 (6) ◽  
pp. 1007-1019 ◽  
Author(s):  
Bernard Guyer ◽  
Donna M. Strobino ◽  
Stephanie J. Ventura ◽  
Marian MacDorman ◽  
Joyce A. Martin

Recent trends in the vital statistics of the United States continued in 1995, including decreases in the number of births, the birth rate, the age-adjusted death rate, and the infant mortality rate; life expectancy at birth increased to a level equal to the record high of 75.8 years in 1992. Marriages and divorces both decreased. An estimated 3 900 089 infants were born during 1995, a decline of 1% from 1994. The preliminary birth rate for 1995 was 14.8 live births per 1000 total population, a 3% decline, and the lowest recorded in nearly two decades. The fertility rate, which relates births to women in the childbearing ages, declined to 65.6 live births per 1000 women 15 to 44 years old, the lowest rate since 1986. According to preliminary data for 1995, fertility rates declined for all racial groups with the gap narrowing between black and white rates. The fertility rate for black women declined 7% to a historic low level (71.7); the preliminary rate for white women (64.5) dropped just 1%. Fertility rates continue to be highest for Hispanic, especially Mexican-American, women. Preliminary data for 1995 suggest a 2% decline in the rate for Hispanic women to 103.7. The birth rate for teenagers has now decreased for four consecutive years, from a high of 62.1 per 1000 women 15 to 19 years old in 1991 to 56.9 in 1995, an overall decline of 8%. The rate of childbearing by unmarried mothers dropped 4% from 1994 to 1995, from 46.9 births per 1000 unmarried women 15 to 44 years old to 44.9, the first decline in the rate in nearly two decades. The proportion of all births occurring to unmarried women dropped as well in 1995, to 32.0% from 32.6% in 1994. Smoking during pregnancy dropped steadily from 1989 (19.5%) to 1994 (14.6%), a decline of about 25%. Prenatal care utilization continued to improve in 1995 with 81.2% of all mothers receiving care in the first trimester compared with 78.9% in 1993. Preliminary data for 1995 suggests continued improvement to 81.2%. The percent of infants delivered by cesarean delivery declined slightly to 20.8% in 1995. The percent of low birth weight (LBW) infants continued to climb in 1994 rising to 7.3%, from 7.2% in 1993. The proportion of LBW improved slightly among black infants, declining from 13.3% to 13.2% between 1993 and 1994. Preliminary figures for 1995 suggest continued decline in LBW for black infants (13.0%). The multiple birth ratio rose to 25.7 per 1000 births for 1994, an increase of 2% over 1993 and 33% since 1980. Age-adjusted death rates in 1995 were lower for heart disease, malignant neoplasms, accidents, and homicide. Although the total number of human immunodeficiency virus (HIV) infection deaths increased slightly from 42 114 in 1994 to an estimated 42 506 in 1995, the age-adjusted death rate for HIV infection did not increase, which may indicate a leveling off of the steep upward trend in mortality from HIV infection since 1987. Nearly 15 000 children between the ages of 1-14 years died in the United States (US) in 1995. The death rate for children 1 to 4 years old in 1995 was 40.4 per 100 000 population aged 1 to 4 years, 6% lower than the rate of 42.9 in 1994. The 1995 death rate for 5-to 14-year-olds was 22.1,2% lower than the rate of 22.5 in 1994. Since 1979, death rates have declined by 37% for children 1 to 4 years old, and by 30% for children 5 to 14 years old. For children 1 to 4 years old, the leading cause of death was injuries, which accounted for an estimated 2277 deaths in 1995, 36% of all deaths in this age group. Injuries were the leading cause of death for 5-to 14-year-olds as well, accounting for an even higher percentage (41%) of all deaths. In 1995, the preliminary infant mortality rate was 7.5 per 1000 live births, 6% lower than 1994, and the lowest ever recorded in the US. The decline occurred for neonatal as well as postneonatal mortality rates, and among white and black infants alike. Sudden infant death syndrome (SIDS) rates have dropped precipitously since 1992, when the American Academy of Pediatrics issued recommendations that infants be placed on their backs or sides to sleep to reduce the risk of SIDS. SIDS dropped to the third leading cause of infant death in 1994, after being the second leading cause of death since 1980. Infant mortality rates (IMRs) have also declined rapidly for respiratory distress syndrome since 1989, concurrent with the widespread availability of new treatments for this condition.


2013 ◽  
Vol 16 (2) ◽  
pp. 639-644 ◽  
Author(s):  
Yoko Imaizumi ◽  
Kazuo Hayakawa

The infant mortality rate (IMR) among single and twin births from 1999 to 2008 was analyzed using Japanese Vital Statistics. The IMR was 5.3-fold higher in twins than in singletons in 1999 and decreased to 3.9-fold in 2008. The reduced risk of infant mortality in twins relative to singletons may be related, partially, to survival rates, which improved after fetoscopic laser photocoagulation for twin — twin transfusion syndrome. The proportion of neonatal deaths among total infant deaths was 54% for singletons and 74% for twins. Thus, intensive care of single and twin births may be very important during the first month of life to reduce the IMR. The IMR decreased as gestational age (GA) rose in singletons, whereas the IMR in twins decreased as GA rose until 37 weeks and increased thereafter. The IMR was significantly higher in twins than in singletons from the shortest GA (<24 weeks) to 28 weeks as well as ≥38 weeks, whereas the IMR was significantly higher in singletons than in twins from 30 to 36 weeks. As for maternal age, the early neonatal and neonatal mortality rates as well as the IMR in singletons were significantly higher in the youngest maternal age group than in the oldest one, whereas the opposite result was obtained in twins. The lowest IMR in singletons was 1.1 per 1,000 live births for ≥38 weeks of gestation and heaviest birth weight (≥2,000 g), while the lowest IMR in twins was 1.8 at 37 weeks and ≥2,000 g.


2019 ◽  
Vol 111 (2) ◽  
pp. 278-285 ◽  
Author(s):  
Deshayne B. Fell ◽  
Alison L. Park ◽  
Ann E. Sprague ◽  
Nehal Islam ◽  
Joel G. Ray

Abstract Objective Infant mortality statistics for Canada have routinely omitted Ontario—Canada’s most populous province—as a high proportion of Vital Statistics infant death registrations could not be linked with their corresponding Vital Statistics live birth registrations. We assessed the feasibility of linking an alternative source of live birth information with infant death registrations. Methods All infant deaths occurring before 365 days of age registered in Ontario’s Vital Statistics in 2010–2011 were linked with birth records in the Canadian Institute for Health Information’s hospitalization database. Crude birthweight-specific and gestational age-specific infant mortality rates were calculated, and rates examined according to maternal and infant characteristics. Results Of 1311 infant death registrations, only 47 (3.6%) could not be linked to a hospital birth record. The overall crude infant mortality rate was 4.7 deaths per 1000 live births (95% CI, 4.4 to 4.9), the same as previously reported for the rest of Canada in 2011. Infant mortality was higher in women < 20 years (5.8 per 1000 live births) and ≥ 40 years (5.9 per 1000 live births), and lowest among those aged 25–29 years (3.9 per 1000 live births). Infant mortality was notably higher in the lowest (5.1 per 1000 live births) residential income quintile than the highest (3.4 per 1000 live births). Conclusion Use of birth hospitalization records resulted in near-complete linkage of all Vital Statistics infant death registrations. This approach could enhance the conduct of representative surveillance and research on infant mortality when direct linkage of live birth and infant death registrations is not achievable.


2018 ◽  
Vol 30 (1) ◽  
pp. 182-197 ◽  
Author(s):  
Sheng Yen Lee

Purpose The purpose of this paper is to study the effects of relationship marketing factors of sports centers on commitment to relationship and intention to recommend. Design/methodology/approach A statistical survey was conducted for quantitative research, and in-depth interviews, for qualitative research, according to the mixed methods research. Findings The results of the quantitative research show that the relationship marketing factors of bonding, facility, and price positively influence commitment to relationship. Expertise and facility positively influence intention to recommend. Finally, commitment to relationship positively influences intention to recommend. Practical implications Sports centers could build relationships based on polite and hospitable service, and host monthly events for building rapport among members. Instructors’ expertise promotes bonding and serves as the most essential factor for intention to recommend. Sports centers must adequately introduce promotions related to rational consumption and specialized promotion. Centers that are managed too carelessly or frugally will have a highly negative impact on customer relationship and intention to recommend. Originality/value This study aims to empirically analyze customer needs by comparing the results of in-depth interviews with customers based on the results of quantitative studies through mixed methods research. It determines the relationships between the aforementioned variables, providing practical implications through analysis of the customers’ subjective consciousness by focusing on sports facilities in order to secure competitive advantage, and thus, overcome financial difficulties.


2020 ◽  
Author(s):  
Celia Landmann Szwarcwald ◽  
Wanessa da Silva de Almeida ◽  
Renato Azeredo Teixeira ◽  
Elisabeth Barboza França ◽  
Marina Jorge de Miranda ◽  
...  

Abstract Background: In this study, infant mortality rate (IMR) inequalities are analyzed from 1990 to 2015 in different geographic scales. Methods: The Ministry of Health (MoH) IMR estimates by Federative Units (FU) were compared to those obtained by the Global Burden of Disease (GBD) group. In order to measure the inequalities of the IMR by FU, the ratios from highest to lowest from 1990 to 2015 were calculated. Maps were elaborated in 2000, 2010 and 2015 at the municipality level. To analyze the effect of income, IMR inequalities by GDP per capita were analyzed, comparing Brazil and the FU to other same-income level countries in 2015, and the IMR municipal estimates were analyzed by income deciles, in 2000 and 2010. Results: IMR decreased from 47.1 to 13.4 per 1,000 Live Births (LB) from 1990 to 2015, with an annual decrease rate of 4.9%. The decline was less pronounced for the early neonatal annual rate (3.5%). The Northeast region showed the most significant annual decline (6.2%). The IMR estimates carried out by the GBD were about 20% higher than those obtained by the MoH, but in terms of their inequalities, the ratio from the highest to the lowest IMR among the 27 FU decreased from 4 to 2, for both methods. The percentage of municipalities with IMR higher than 40 per 1000 LB decreased from 23% to 2%, between 2000 and 2015. Comparing the IMR distribution by income deciles, all inequality measures of the IMR decreased markedly from 2000 to 2010. Conclusion: The results showed a marked decrease in the IMR inequalities in Brazil, regardless of the geographic breakdown and the calculation method. Despite clear signs of progress in curbing infant mortality, there are still challenges in reducing its level, such as the concentration of deaths in the early neonatal period, and the specific increases of post neonatal mortality in 2016, after the recent cuts in social investments.


Author(s):  
Ekaterina Kvasha

Infant mortality in Russia has been decreasing for several decades. In 2011, however, Russia’s infant mortality rate reached a level (7.4 per 1000 live births) more than three times higher than in countries with minimal levels. In April 2012, Russia adopted new definitions of live births and stillbirths, which are much closer to the corresponding WHO definitions than those used before. The transition to these new definitions was meant to increase the rates of perinatal, early neonatal and infant mortality in general for children weighing up to 1000 grams – those concerned by the changed definition. This paper analyzes the changes in the structure and dynamics of death in children under one year of age since the transition to the new definitions of live births and stillbirths, according to birth weight and period of death based on official and medical statistics. It looks at the possibility of distortion of both infant and perinatal mortality and their components. Particular attention is given to an analysis of the structure of infant mortality by age and cause of death in Russia in comparison with other countries. The regional aspect of changes in infant mortality for 2011-2012 is also studied herein. The analysis is based on data from official and medical statistics.


2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Supiati Supiati

Abstract: Age, Parity, Incidence of LBW. One indicator to determine the degree of public health is the infant mortality rate (IMR). Infant mortality rate in Indonesia is still relatively high, which recorded 31 per 1,000 live births in 2008. This study aims to determine the relationship between maternal age and parity with LBW in the Maternity Hospital (RB) Juweni Village Pandes Wedi Klaten This study uses descriptive analytic correlation with retrospective approach. The study population all mothers delivered in January 2011-September 2012 with a total population of 142 mothers. The study was conducted in October 2012. The results of the study obtained the highest maternal age age is not at risk of 124 respondents (87.3%), most mothers Parity multi 75 respondents (52.8%), the highest incidence of low birth weight is not 133 respondents (93.7% ). It can be concluded that there is no relationship between the age of mothers with LBW and there is no relationship between the parity of mothers with LBW.


2016 ◽  
Vol 4 (3) ◽  
pp. 206-213
Author(s):  
Rosmala Kurnia Dewi ◽  
Sri Achadi Nugraheni ◽  
Ayun Sriatmi

Chronic Energy Deficiency (CED) is one of the causes of maternal and infant mortality indirectly. Maternal Mortality Rate (MMR) in Grobogan District increased gradually during the period of 2011 – 2012 from 26 cases (114.03/100,000 live births) to 34 cases (151.15/100,000 live births), and decreased sharply to be 22 cases (102.03/100,000 live births) in 2013. Meanwhile, Infant Mortality Rate (IMR) was 194 cases in 2011, rose dramatically in 2012 to be 240 cases, and declined sharply in 2013 to be 166 cases. Low Birthweight Babies (LBWB) was one of the causes of infant mortality because pregnant women suffered from CED during their pregnancies. The aim of this study was to analyse internal and external factors with performance of village midwives in conducting early detection and handling pregnant women with CED. This was an observational-analytic study using cross-sectional approach. Data were collected using structured questionnaires. Population was 243 village midwives at health centres in Grobogan District. As many as 71 village midwives were selected randomly using a technique of stratified random sampling. Data were analysed using analyses of bivariate (chi square test) and multivariate (logistic regression test). The results of this research showed that most of the respondents aged ranging from 20-35 years old (76.1%), had working period less than or equal to 6 years (53.5%), ever handled CED (81.7%). Variables of health facilities (p=0.001), fellow worker support (p=0.016), community support (p=0.001), leader support (p=0.0001) had significant relationship with the performance of village midwives in conducting early detection of pregnant women with CED. Factors jointly influencing the performance were health facilities (p=0.000; Exp(B)=25.395), and leader support (p=0.001; Exp(B)=10.278). As suggestions, health centres and District Health Office need to provide complete health facilities to improve performance of health workers in providing services.


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