Determinants of Neonatal Death in Aceh Mother and Child Hospital

Authors

  • Nurhayati Nurhayati Universitas Muhammadiyah Aceh
  • Asnawi Abdullah
  • Maidar Maidar
  • Hermansyah Hermansyah Poltekkes Kemenkes Aceh
  • Radhiah Zakaria Program Studi Magister Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

DOI:

https://doi.org/10.25311/keskom.Vol10.Iss1.1510

Keywords:

bayi, ibu, kematian, neonatal, pelayanan kesehatan

Abstract

Neonatal mortality is an important issue to receive attention because neonatal death not only affects infant mortality rates but also has an impact on society. This research wants to examine the determinants of neonatal death in the Mother and Child Hospital (RSIA) Aceh. This type of research is analytic with a case-control design. The case population in this study were all babies who were born and died at the age of 0-28 days, both those born at the Aceh Mother and Child Hospital (RSIA) and those referred to the Aceh Mother and Child Hospital (RSIA) from January to October 2022. totaling 108 people. The sample in this study was 216 babies consisting of 108 case babies and 108 control babies. Data analysis used a logistic regression test. The results showed that the factors that had a significant value (P value <0.05) with neonatal mortality were low birth weight (OR= 5.5; 95% CI 2.35 – 12.23), premature (OR= 0.36; 95% CI 0.13 – 0.96), jaundice (OR= 0.20; 95% CI 0.09 – 0.43), and sepsis (OR= 9; 95% CI 4.41 – 20.89), age mother > 35 years (OR 0.43; 95% CI 0.19 – 0.94), neonatal referral (OR= 0.01; 95% CI 0.00 – 0.17) and long-distance ANC (OR= 6 .6; 95% CI 2.82 – 15.63), length of stay in the emergency room ≥ 30 minutes (OR= 0.15; 95% CI 0.73 – 0.31), length of stay 1-5 days (OR= 4.3; 95% CI 2.17 – 8.78). This study concludes that sepsis is the most associated factor with neonatal mortality in RSIA. It is recommended that related parties to improve the quality of ANC services according to standards and improve the quality of PONEK (Comprehensive Emergency Neonatal Midwifery Services).

Downloads

Download data is not yet available.

References

Kemenkes R. Laporan Kinerja Kemntrian Kesehatan 2021. Jakarta: Kementrian Kesehatan Indonesia; 2021.

Sidi-Yakhlef A, Boukhelif M, Metri AA. Socio-demographic determinants of neonatal mortality in Algeria according to MICS4 data (2012-2013). African Health Sciences. 2021;21(1):357-61.

Newborn Mortality [Internet]. WHO. 2022 [cited 12 Desember 2018]. Available from: https://www.who.int/news-room/fact-sheets/detail/levels-and-trends-in-child-mortality-report-2021.

Sovira N, Ismi J, Trisnawati Y, Lubis M, Yusuf S. Profil Penyakit Kritis di Ruang Rawat Intensif Anak RSUD Dr. Zainoel Abidin Banda Aceh. Sari Pediatri. 2020;22(2):92-7.

Kematian Balita di Indonesia Capai 28,2 Ribu pada 2020 [Internet]. Databooks. 2021 [cited 22 Desember 2021]. Available from: https://databoks.katadata.co.id/datapublish/2021/10/22/kematian-balita-di-indonesia-capai-282-ribu-pada-2020.

Aceh D. Tapak Tilas Kasus Kematian Ibu Dan Bayi Di Aceh. Banda Aceh: Dinkes Aceh; 2018.

RSIA. Laporan Angka Kematian Neonatal Banda Aceh: Rumah Sakit Ibu dan Anak; 2022.

Matthew F, Wilar R, Umboh A. Faktor Risiko yang Berhubungan dengan Kejadian Kelainan Bawaan pada Neonatus. e-CliniC. 2021;9(1).

Vijay J, Patel KK. Risk factors of infant mortality in Bangladesh. Clinical Epidemiology and Global Health. 2020;8(1):211-4.

Azizah I, Handayani OK. Kematian Neonatal Di Kabupaten Grobogan. HIGEIA (Journal of Public Health Research and Development). 2017;1(4):72-85.

Tyas SC, Notobroto HB. Analisis Hubungan Kunjungan Neonatal, Asfik-sia dan BBLR dengan Kematian Neonatal. Jurnal Biometrika dan Kependudukan. 2014;3(2):168-74.

Louangpradith V, Yamamoto E, Inthaphatha S, Phoummalaysith B, Kariya T, Saw YM, et al. Trends and risk factors for infant mortality in the Lao People’s Democratic Republic. Scientific Reports. 2020;10(1):21723.

Vilanova CS, Hirakata VN, de Souza Buriol VC, Nunes M, Goldani MZ, da Silva CH. The relationship between the different low birth weight strata of newborns with infant mortality and the influence of the main health determinants in the extreme south of Brazil. Population health metrics. 2019;17(1):1-12.

Tyas SC, Notobroto HB. Analisis Hubungan Kunjungan Neonatal, Asfiksia dan BBLR dengan Kematian Neonatal. Jurnal Biometrika dan Kependudukan. 2014;3(2):168-74.

Sari YM. Determinan Kejadian Bayi Berat Lahir Rendah (BBLR) di Rs Kencana Serang Banten Tahun 2019. Jurnal Bidang Ilmu Kesehatan. 2021;11(1):46-62.

Giannoni E, Agyeman PK, Stocker M, Posfay-Barbe KM, Heininger U, Spycher BD, et al. Neonatal sepsis of early onset, and hospital-acquired and community-acquired late onset: a prospective population-based cohort study. The Journal of pediatrics. 2018;201:106-14. e4.

Alves JB, Gabani FL, Ferrari RAP, Tacla MTGM, Linck Júnior A. Neonatal sepsis: mortality in a municipality in Southern Brazil, 2000 to 2013. Revista Paulista de Pediatria. 2018;36:132-40.

Shaw P, Pachpor K, Sankaranarayanan S. Explainable AI Enabled Infant Mortality Prediction Based on Neonatal Sepsis. Computer Systems Science & Engineering. 2023;44(1).

Simonsen KA, Anderson-Berry AL, Delair SF, Davies HD. Early-onset neonatal sepsis. Clinical microbiology reviews. 2014;27(1):21-47.

Patminingsih N, Laksmitawati DR, Ramadaniati HU. Evaluasi Penggunaan Antibiotika Pada Pengobatan Sepsis Neonatal Dengan Metoda Gyssens di RSAD Salak Bogor Tahun 2018. Syntax Literate; Jurnal Ilmiah Indonesia. 2020;5(7):381-97.

Sukoco A, Wigunantiningsih A. Faktor Penyebab Kematian Bayi Di Kabupaten Karanganyar Tahun 2018. Jurnal Ilmiah Maternal. 2020;4(1).

Eshete A, Abiy S. When do newborns die? Timing and cause-specific neonatal death in neonatal intensive care unit at referral hospital in Gedeo Zone: a Prospective Cohort Study. International journal of pediatrics. 2020;2020:1-8.

Vail B, Morgan MC, Dyer J, Christmas A, Cohen SR, Joshi M, et al. Logistical, cultural, and structural barriers to immediate neonatal care and neonatal resuscitation in Bihar, India. BMC pregnancy and childbirth. 2018;18(1):1-10.

Nik L. Determinan Usia Dan Wilayah Tempat Tinggal Terahadap Rujukan Pada Persalinan Dengan Komplikasi Di Indonesia. Jurnal Kebidanan. 2021;10(1):54-8.

Susiloningtyas L. Sistem Rujukan Dalam Sistem Pelayanan Kesehatan Maternal Perinatal Di Indonesia Refferal System in Maternal Perinatal Health. Jurnal Sistem Rujukan Dalam Sistem Pelayanan. 2020.

Hasnidar H, Sulfianti S, Putri NR, Tahir A, Arum DNS, Indryani I, et al. Asuhan Kebidanan Neonatus, Bayi dan Balita: Yayasan Kita Menulis; 2021.

Lambon-Quayefio MP, Owoo NS. Examining the influence of antenatal care visits and skilled delivery on neonatal deaths in Ghana. Applied health economics and health policy. 2014;12(5):511-22.

Wondemagegn AT, Alebel A, Tesema C, Abie W. The effect of antenatal care follow-up on neonatal health outcomes: a systematic review and meta-analysis. Public health reviews. 2018;39(1):1-11.

Orsido TT, Asseffa NA, Berheto TM. Predictors of Neonatal mortality in Neonatal intensive care unit at referral Hospital in Southern Ethiopia: a retrospective cohort study. BMC pregnancy and childbirth. 2019;19(1):1-9.

Apergis N, Hayat T, Saeed T. Fracking and infant mortality: fresh evidence from Oklahoma. Environmental Science and Pollution Research. 2019;26:32360-7.

Quattrochi JP, Hill K, Salomon JA, Castro MC. The effects of changes in distance to nearest health facility on under-5 mortality and health care utilization in rural Malawi, 1980–1998. BMC health services research. 2020;20(1):1-12.

Kangbai DM, Bandoh DA, Manu A, Kangbai JY, Kenu E, Addo-Lartey A. Socio-economic determinants of maternal health care utilization in Kailahun District, Sierra Leone, 2020. BMC Pregnancy and Childbirth. 2022;22(1):276.

Lawn J, Kerber K. Opportunities for Africa’s Newborns: Practical data, policy and programmatic support for newborn care in Africa. Partnership for Maternal, Newborn and Child Health, Cape Town. 2006;32.

Akinyemi JO, Bamgboye EA, Ayeni O. Trends in neonatal mortality in Nigeria and effects of bio-demographic and maternal characteristics. BMC pediatrics. 2015;15(1):1-12.

Uddin MB, Hossain MB, Rahman K, Sultana N, Tarafder MMH, Halim MR. Frequency and Pattern of Congenital Heart Diseases in Newborn in a Tertiary Care Hospital. TAJ: Journal of Teachers Association. 2018;31(2):35-8.

Al Anba R, Rusjiyanto S. Hubungan Lamanya Perawatan Dengan Peningkatan Berat Badan Bayi Berat Badan Lahir Rendah (BBLR) Di Ruang Perinatologi RSUD Ir. Soekarno Sukoharjo: Universitas Muhammadiyah Surakarta; 2020.

Ogola M, Njuguna EM, Aluvaala J, English M, Irimu G. Audit identified modifiable factors in Hospital Care of Newborns in low-middle income countries: a scoping review. BMC pediatrics. 2022;22(1):99.

Fikaden Berhe Hadgu LGG, Hagos Gidey Mihretu, Amanuel Hadgu Berhe. Prevalence and factors associated with neonatal mortality at Ayder Comprehensive Specialized Hospital, Northern Ethiopia. A cross-sectional study. Pediatric Health, Medicine and Therapeutics. 2020;pp.29-37.

Mekonnen T TT, Aklilu T, Abera T. Assessment of neonatal death and causes among admitted neonates in neonatal intensive care unit of Mizan Tepi University Teaching Hospital, Bench Maji Zone, South-West Ethiopia. Clin Mother Child Health. 2018;15.305.

Peebles ER, Miller MR, Lynch TP, Tijssen JA. Factors Associated With Discharge Home After Transfer to a Pediatric Emergency Department. Pediatric Emergency Care. 2018;34(9):650-5.

Submitted

2023-04-04

Accepted

2023-10-03

Published

2024-04-03

How to Cite

1.
Nurhayati N, Abdullah A, Maidar M, Hermansyah H, Zakaria R. Determinants of Neonatal Death in Aceh Mother and Child Hospital . J Keskom [Internet]. 2024 Apr. 3 [cited 2024 May 27];10(1):86-95. Available from: https://jurnal.htp.ac.id/index.php/keskom/article/view/1510

Most read articles by the same author(s)