scholarly journals Modeling of Infant Mortality Rate in East Java Province Using Mixed Geographically Weighted Regression Approach for Improving Quality of Health Services

Author(s):  
Ninda Ayu Puspitasari ◽  
Nadia Murbani ◽  
. Nopriyanti ◽  
Sartika Aprilia ◽  
Nur Chamidah
2021 ◽  
Vol 8 (4) ◽  
pp. 555-563
Author(s):  
Suna Tatlı

Health-related parameters are critical as indicators of development, and as a result, governments allocate a sizable portion of their budgets to the health sector. The most fundamental variable considered an indicator of health development is the infant mortality rate, which was used as the dependent variable in this study. The data utilized in the study were compiled from the TURKSTAT web page and the TR Ministry of Health's health annuals, with the year 2019 serving as the reference point for access to all data. In the study, econometric analyses were performed while keeping the notion of contiguity in mind to reveal the factors healthily affecting the infant mortality rate at the NUTS 3 level, which encompasses all provinces in the TURKSTAT regional categorization. The distribution of infant mortality rates by provinces in Turkey was analyzed in this context, and it was discovered that there was a high degree of clustering between provinces. This clustering structure indicated the presence of a spatial relationship between provinces, and it was from this point of view that spatial econometric analysis of health services in Turkey was conducted. Analyzes were carried out using STATA and GeoDa package programs. The diagnostic tests revealed the presence of spatial autocorrelation, necessitating the employment of the spatial autoregressive model (SAR Model) to explain the relationship between the variables. As a result, it was concluded that both the variables included in the study and the infant mortality rate in nearby locations have an effect on the infant mortality rate for each province.


Populasi ◽  
2016 ◽  
Vol 3 (2) ◽  
Author(s):  
Kasto Kasto

This study tries to investigate the infant mortality rate and life expectancy based on the 1990 Population Census, and to observe its variations among provinces that take place in the urban as well as in the rural areas of Indonesia. As a whole, the estimate of infant mortality rate and the expectation of life based on the 1990 Population Census is 69 per one thousand life births and 60 years for both urban and rural areas. The variation in the rural areas is larger than in the urban regions.During the period from 1980 to 1990 the infant mortality rate in Indonesia decreased by 4.29 percent annually. If this rate continued to increase till the end of 2000, the infant mortality rate by this time would be 45 per one thousand life births, whereas the expectation of life at birth would become 68 years.Many determinants of infant mortality rates should be taken into account to reduce the figures, particularly the coverage and the quality of the public health service which directly influences the child survival, as well as other determinants which indirectly,yet simultaneously, influence it.


2020 ◽  
Vol 9 (2) ◽  
pp. 1415-1421
Author(s):  
Muhasshanah Muhasshanah ◽  
Neny Yuli Susanti

MTBS is one of the government’s efforts to reduce infant mortality rate. Most of sick toddler cases found in Situbondo regency are dealing with dengue fever and pneumonia, especially in Banyuputih Public Health Center area. One of the approaches to reduce the infant mortality rate is to consistently fill the MTBS format. However, due to limited manpower and the workload, medical personnel especially midwife could not optimally fill out the MTBS, so that toddler diseases could not be detected early. It is because the filling format and the reporting system of MTBS are not user friendly. The objective of this research is to develop MTBS implementation by using Information Technology System, in order to increase the quality of midwife service in giving midwifery care and reduce the infant mortality rate in Banyuputih Public Health Center area. This research generated a product in the form of information system called e-MTBS


Inovasi ◽  
2020 ◽  
Vol 17 (2) ◽  
pp. 141-150
Author(s):  
Jonni Sitorus

The number of maternal deaths in North Sumatra in 2017 was recorded in Labuhanbatu Regency and Deli Serdang Regency as many as 15 deaths, Langkat Regency with 13 deaths, and Batubara Regency with 11 deaths. Efforts to accelerate the reduction of Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are carried out to ensure that every mother is able to access quality maternal health services, such as maternal health services, delivery assistance by trained health personnel in health care facilities, postpartum care for mothers and babies, special care and referrals if complications occur, the ease of obtaining maternity and childbirth leave and family planning services. Efforts to reduce MMR and IMR are not only the responsibility of one sector, but need the involvement and roles of other stakeholders to accelerate the reduction of MMR/IMR. This study aims to provide recommendations for the reduction of MMR/IMR through the role of stakeholders in North Sumatra. The study used a qualitative method with a phenomenological approach which was conducted from May to September 2019. The research locations were: Mandailing Natal Regency, Deli Serdang Regency, Simalungun Regency, and Sibolga City. The research subjects consisted of 3 (three) elements, namely: Government, Private and Community. Data collection was carried out through observation and through Focus Group Discussion (FGD). This study concludes that the model of efforts to reduce maternal and infant mortality rates must be carried out in a holistic and integrative manner with medical, social, and cultural approaches, starting from health services for adolescent girls, women of productive age, pregnant women, maternity, newborns and toddlers. Efforts to reduce MMR and IMR are the responsibility of all DPOs and elements of academia, business and community, whose programs and activities are integrated. Efforts to reduce MMR and IMR must be viewed from various perspectives, including from a medical, social and cultural perspective.


2017 ◽  
Vol 4 (2) ◽  
pp. 151
Author(s):  
Bettis Wijayanti

 Infant Mortality Rate in Lumajang was always higher than the infant mortality rate in East Java Province. Ranuyoso is a region with the highest infant mortality rate and AKABA in 2013 and 2014, with 33 and 22 deaths. The Government had implemented a program to improve the health and the consolidation scope is monitored by the Pemantauan Wilayah Setempat Kesehatan Ibu dan Anak (PWS KIA). PWS KIA had not been going well according to its purpose as a tool for monitoring the KIA service coverage to increase the range and quality of KIA services. The purpose of this research was to describe the implementation of PWS KIA for indicators of child in Health Center of Ranuyoso which based on attributes of simplicity, acceptability, sensitivity, representativeness, data quality, timeliness and stability. This research used descriptive method evaluative with coordinator midwife, midwives health center and eight village midwives as the respondent. Description based on the attributes of surveillance system showed that PWS KIA indicator of child in Health Center of Ranuyoso was not simple, sensitive but not supported well by the midwives, the data were less quality, not timely and unstable. Alternative solutions to problems that had been found were to performing the advanced analysis to determine the causality amount variables by midwives, holding routine supervision from the senior midwives, procurement of SOP or guidebook for midwives, and computerizing the recording until reporting start from village midwives, also the making of the attendance and expeditions book to record the reporting date of midwives. Keywords: MCTS, attributes surveillance, child health monitoring


Author(s):  
Olesya G. Bogza ◽  
O. P. Goleva

The index of the infant mortality rate (IMR) is the integrated index of the quality of life, social and economic wellbeing of the society. In the Omsk region over the period of 2004-2013 there was noted the decline of IMR index by 34,5%. In 2012 there was recorded the specific gain of IMR by 38,9% in comparison with 2011 caused by the transition to new criteria of live birth. For the purpose of the study of medico-social factors of risk for the infant mortality occurrence in the Omsk region the factorial analysis was executed. The sample volume for the studied and control group accounted of 225 observations respectively. The performed factorial analysis allowed to reveal eight medico-social factors of risk for infant mortality. In a total generality of factors the greatest contribution is made by a neonatal factor (22,0%), on the second place there are medical factors (12,5%), the third place is taken by an obstetric factor (10,8%). Results of research of the signs filling factors allowed to develop a number of the organizational actions directed on the decrease in IMR.


2019 ◽  
Vol 1 (2) ◽  
pp. 1-9
Author(s):  
DAWOOD MAMOON ◽  
SIDRA RAZA ◽  
NOMAN ARSHED

Economies with large labor population and labor oriented production face problems of quality of labor provided. This quality can be divided into two components; one the skill component and other the health component. The purpose of the paper is to identify the root causes of low health standards in the working population. The district wise data of Punjab (Pakistan), revealed that fertility rate, number of hospitals, literacy rate, and proxy income are the major determinants that can reduce Infant Mortality Rate, and the time being dummy variable in GMM model indicated the health standard to be depreciated in 2011 as compared to 2004


2017 ◽  
Vol 4 (2) ◽  
pp. 151
Author(s):  
Bettis Wijayanti

 Infant Mortality Rate in Lumajang was always higher than the infant mortality rate in East Java Province. Ranuyoso is a region with the highest infant mortality rate and AKABA in 2013 and 2014, with 33 and 22 deaths. The Government had implemented a program to improve the health and the consolidation scope is monitored by the Pemantauan Wilayah Setempat Kesehatan Ibu dan Anak (PWS KIA). PWS KIA had not been going well according to its purpose as a tool for monitoring the KIA service coverage to increase the range and quality of KIA services. The purpose of this research was to describe the implementation of PWS KIA for indicators of child in Health Center of Ranuyoso which based on attributes of simplicity, acceptability, sensitivity, representativeness, data quality, timeliness and stability. This research used descriptive method evaluative with coordinator midwife, midwives health center and eight village midwives as the respondent. Description based on the attributes of surveillance system showed that PWS KIA indicator of child in Health Center of Ranuyoso was not simple, sensitive but not supported well by the midwives, the data were less quality, not timely and unstable. Alternative solutions to problems that had been found were to performing the advanced analysis to determine the causality amount variables by midwives, holding routine supervision from the senior midwives, procurement of SOP or guidebook for midwives, and computerizing the recording until reporting start from village midwives, also the making of the attendance and expeditions book to record the reporting date of midwives. Keywords: MCTS, attributes surveillance, child health monitoring


2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Caroline Gava ◽  
Andrey Moreira Cardoso ◽  
Paulo Cesar Basta

ABSTRACT OBJECTIVE To analyze the quality of records for live births and infant deaths and to estimate the infant mortality rate for skin color or race, in order to explore possible racial inequalities in health. METHODS Descriptive study that analyzed the quality of records of the Live Births Information System and Mortality Information System in Rondônia, Brazilian Amazonian, between 2006-2009. The infant mortality rates were estimated for skin color or race with the direct method and corrected by: (1) proportional distribution of deaths with missing data related to skin color or race; and (2) application of correction factors. We also calculated proportional mortality by causes and age groups. RESULTS The capture of live births and deaths improved in relation to 2006-2007, which required lower correction factors to estimate infant mortality rate. The risk of death of indigenous infant (31.3/1,000 live births) was higher than that noted for the other skin color or race groups, exceeding by 60% the infant mortality rate in Rondônia (19.9/1,000 live births). Black children had the highest neonatal infant mortality rate, while the indigenous had the highest post-neonatal infant mortality rate. Among the indigenous deaths, 15.2% were due to ill-defined causes, while the other groups did not exceed 5.4%. The proportional infant mortality due to infectious and parasitic diseases was higher among indigenous children (12.1%), while among black children it occurred due to external causes (8.7%). CONCLUSIONS Expressive inequalities in infant mortality were noted between skin color or race categories, more unfavorable for indigenous infants. Correction factors proposed in the literature lack to consider differences in underreporting of deaths for skin color or race. The specific correction among the color or race categories would likely result in exacerbation of the observed inequalities.


2005 ◽  
Vol 21 (3) ◽  
pp. 173-181
Author(s):  
Francisco Gil ◽  
Jesús Sanz ◽  
María Paz García-Vera ◽  
José M. León ◽  
Silvia Medina ◽  
...  

Abstract. The quality of health services depends on the contribution of all the professionals involved in the system, including certain groups, usually forgotten and underrated, such as the health-transport technicians (HTT). With the aim of improving this group's performance, an intervention program, focusing on the development of the workers' technical and social skills, was designed in a collective of enterprises. Information about the first stage of this program, consisting of the assessment of these workers' social skills, is offered in this study. A specific questionnaire was developed: The Health-Transport Technicians Social Skills Questionnaire (HTT-SSQ), made up of three scales (assertive, passive, and aggressive behavior). It was administered to a large sample (N = 530) from the above-mentioned association. The psychometric properties of the questionnaire were analyzed, with quite satisfactory indexes of internal consistency and factor validity, and the group's deficiencies (excess or deficit) were evaluated.


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