Effective Strategy to Reduce Infant Mortality Rates through Neonatal Death Rate (NDR)

Harjanti Harjanti; Risma Ayu  Novita

doi:10.21070/pels.v6i1.1950

(1) * Harjanti Harjanti Medical Record & Health Information, STIKes Mitra Husada Karanganyar
Indonesia
(2) Risma Ayu Novita Medical Record, RS. Bhina Bhakti Husada Rembang
Indonesia
(*) Corresponding Author

DOI: https://doi.org/10.21070/pels.v6i1.1950

Abstract

Infant Mortality Rate (IMR) is an important indicator of a country's level of social welfare and public health status. The target of the Sustainable Development Goals (SDGS) in 2030 is to end with the aim of reducing neonatal mortality to 12 per 1000 live births. The results of the calculation of neonatal mortality rates at RSUD dr. Soeroto Ngawi exceed the SDGS tolerance limit of 32 per 1000 live births. The purpose of the study was to analyze strategies to reduce the Neonatal Death Rate (NDR) by classifying it based on age characteristics, birth weight and diagnosis of cause of death. The type of research is descriptive quantitative, which will describe the neonatal mortality rate with a retrospective study approach. Total sampling technique with a sample of 47 medical record documents of newborn patients aged 0-28 days. The neonatal mortality rate obtained results of 48 per 1000 live births for 1 year. The proportion of neonatal mortality with the highest in age characteristics is 0-7 days of age, which is 39 (82.97%) cases, normal weight (2,500-4,000 grams) there are 17 (36.17%) cases, and the diagnosis of the cause of death there are 30 (63.84%) cases caused by Low Birth Weight (LBW). It can be concluded based on the characteristics of the main cause of NDR, namely LBW which occurs in premature and dysmastur babies. Strategies that can be carried out are routine antenatal care examinations, screening of newborns, basic emergency obstetric neonatal services, provision of hypno breastfeending therapy and mother kangaroo mother care, provision of exclusive breastfeeding.

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References

[1]Ministry of Health of the Republic of Indonesia, Profile of Indonesia's Health 2021, 2022.
[2] M. Hoelman, B. Parhusip, S. Eko, S. Bahagijo, and H. Santono, SDGs Guide for Local Governments (Cities and Regencies) and Local Stakeholders, no. November, 2015.
[3] D. Dina, S. Wahyuni, R. Fitria, et al., "Emergency Situations," p. 162, 2022.
[4] A. Wati and R. Susanti, "Determinants of Neonatal Mortality in East Kalimantan Using Moran’s I and Local Indicators of Spatial Association," J. Kesehat. Masy. Mulawarman, pp. 1–9, 2022.
[5] I. Azizah, O. Kasmini, and Handayani, "Neonatal Mortality in Grobogan Regency," HIGEIA (J. Public Health Res. Dev.), vol. 1, no. 4, pp. 72–85, Oct. 2017.
[6] World Health Organization, Neonatal and Perinatal Mortality: Country, Regional, and Global Estimates, 2006.
[7] Maiti and Bidinger, "Phenomenological Study of Neonatal Mortality in Tlogowungu Health Center Area, Tlogowungu Subdistrict, Pati Regency," J. Keperawatan dan Kesehatan Masy. Cendekia Utama, vol. 2, no. 4, p. 25, 2016.
[8] Suryanti, "Analysis of Neonatal Mortality in Batam City," J. Dunia Kesmas, vol. 7, pp. 122–126, 2018.
[9] A. Kusumawardani and S. Handayani, "Maternal Characteristics and Risk Factors for Infant Mortality in Banjarnegara Regency," J. Promosi Kesehat. Indones., vol. 13, no. 2, p. 168, 2018. doi: 10.14710/jpki.13.2.168-178.
[10] N. Hasanah, H. Lestari, and Rasma, "Analysis of Risk Factors: Gender of the Baby, LBW, Premature Delivery, Premature Rupture of Membranes, and Delivery Procedures with Neonatal Sepsis Incidence at Bahteramas Hospital, Southeast Sulawesi Province, 2016," J. Ilm. Mhs. Kesehat. Masy., pp. 1–17, 2016.
[11] I. B. Wiadnyana, I. W. Bikin Suryawan, and A. M. Sucipta, "Relationship Between Low Birth Weight Babies and Neonatal Asphyxia at Wangaya Regional General Hospital, Denpasar City," Intisari Sains Medis, vol. 9, no. 2, pp. 95–99, 2018. doi: 10.15562/ism.v9i2.167.
[12] K. D. Jayanti, E. Wasis, R. F. Nurkhalim, et al., "Description and Trends of Infant Mortality Rates in 2014–2018 at Hospital X, Kediri Regency," Promot. J., vol. 10, no. 1, pp. 38–45, 2020. [Online]. Available: https://www.jurnal.unismuhpalu.ac.id/index.php/PJKM/article/view/1117
[13] U. R. Rohmawan, Katmini, E. Kartiningrum, and D. H. Syurandhari, Policy Strategies to Reduce Infant Mortality Rates, vol. 7, no. 2, 2023.
[14] S. Husein, "The Effect of Antenatal Care on the Incidence of Low Birth Weight (LBW)," J. Biometrika dan Kependud., vol. 3, no. 2, pp. 160–167, 2014.
[15] I. Inpresari and W. E. Pertiwi, "Determinants of Low Birth Weight Incidence," J. Kesehat. Reproduksi, vol. 7, no. 3, p. 141, 2021. doi: 10.22146/jkr.50967.
[16] Ministry of Health of the Republic of Indonesia, Regulation of the Minister of Health of the Republic of Indonesia Number 6 of 2024 on Technical Standards for Meeting Minimum Health Service Standards, pp. 1–130, 2024.
[17] M. S. I. N. Ringgi, Y. D. Pora, and Y. M. H. Keytimu, "Provision of Hypno-Breastfeeding Therapy and Kangaroo Mother Care (KMC) as Quick Recovery Strategies for Low Birth Weight Babies," Sebatik, vol. 26, no. 1, pp. 217–222, 2022. doi: 10.46984/sebatik.v25i2.1505.
[18] G. S. Sitepu, R. Oppusunggu, and S. F. Pasaribu, "Literature Study: The Effect of Exclusive Breastfeeding and Low Birth Weight (LBW) on Stunting in Toddlers," J. Ilm. Kedokt. dan Kesehat., vol. 2, no. 3, pp. 247–260, 2023. doi: 10.55606/klinik.v2i3.2157.