THE INFLUENCE OF MATERNAL AND CHILD HEALTH SERVICES ON NEONATAL DEATH OF LOW BIRTH WEIGHT NEONATES IN ACEH PROVINCE

  • Satrinawati Berkat Department of Midwifery, Health Polytechnic of Aceh (Poltekkes Kemenkes Aceh), Aceh Province, Indonesia
Keywords: MCH, low birth weight, neonatal death

Abstract

Low birth weight (LBW) is one of the most crucial problem related to neonatal mortality and infant mortality. The LBW is defined as babies born with a birth weight less than 2500 grams. LBW does not only contribute to neonatal morbidity, but may lead to neonatal mortality. This study aim   to determine the influence of maternal and child health services (MCH) services to neonatal death among LBW babies in Aceh province, Indonesia.This study is observational study with mix method, using quantitative (Unmatched case control study) and qualitative (case study). The study   was conducted between 2011-2015 in 8 district/municipality in Aceh Province, Indonesia. Total sample for quantitative study was 500 neonates (1:1), 250 neonates who died in neonatal period (case) and   250 LBW neonates who survived in the neonatal period (control group). Meanwhile, the total sample for qualitative study was 22, there were 12 (mother) and 10 (midwife).The result of   A simple logistic regression analysis for MCH  factors found that 4 of 7 variable were significant association with neonatal death  among LBW (P value < 0.05), these variables include: Antenatal care (ANC), place of delivery, level of health facilities and neonatal visit. Multiple logistic regression found the ANC has   a strongest influence on neonatal death among LBW   babies in Aceh Province (OR=3.6; 95% CI: 2.3-5.7). The LBW neonates who were born to mothers who received number of ANC equal to or less than 3 times had a 3.6 times higher risk of death, than neonates who were born to mothers who received ANC ≥ 4 times. The appropriate of health services in health facilities are needed to reduce the NMR and improve the health of neonate.

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Published
2019-01-01
How to Cite
Satrinawati Berkat. (2019). THE INFLUENCE OF MATERNAL AND CHILD HEALTH SERVICES ON NEONATAL DEATH OF LOW BIRTH WEIGHT NEONATES IN ACEH PROVINCE. Malaysian Journal of Public Health Medicine, 19(1), 15-24. https://doi.org/10.37268/mjphm/vol.19/no.1/art.82