Determinants of Neonatal Mortality: A Case Study in Sleman District

https://doi.org/10.22146/jkr.76062

Abdul Wahab(1*), Prima Dhewi Ratrikaningtyas(2), Esti Kurniasih(3), Rizka Aziza Darwis(4), Siti Na’imah(5)

(1) Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health, and Nursing – Universitas Gadjah Mada
(2) Sleman HDSS (Health Demography Surveillance System), Faculty of Medicine, Public Health and Nursing – Universitas Gadjah Mada
(3) Health District Office of Sleman Regency Yogyakarta
(4) Maternal and Child Health Division, Public Health Program Study, Faculty of Medicine, Public Health, and Nursing – Universitas Gadjah Mada
(5) Department of Nursing, Nursing Sciences Program – College of Health Sciences Guna Bangsa Yogyakarta Corespondence:
(*) Corresponding Author

Abstract


Background: Neonatal mortality is a significant global health problem. Most of the cases occur in low and middle-income countries including Indonesia. In Sleman District, Yogyakarta for the last five years, the neonatal mortality rate has not improved and remains high. This research aimed to identify the root causes of newborn deaths in Sleman District.

Methods: A case study approach was used with qualitative methods to describe and discuss five infant mortality cases in Sleman District. This study involved in-depth interviews with 3 mothers of neonates as the main informants, three public figures as society representatives, and other health stakeholders represented by local midwives in Sleman District.

Results adn Discussion: There were 12 sub-themes identified in this study that reflected 3 main themes associated with neonatal mortality which are: 1) the neonates’ condition: premature birth, pneumonia, low birthweight, and immaturity of vital organs; 2) the maternal factors: psychological stress, hypertension, diabetes, and obesity; and 3) the healthcare system: midwives’ roles, village cadre roles, and health data collection of mothers and children.

Conclusion: Generally, the causes of neonatal mortality were due to prematurity and multiple fetuses; therefore, in-depth screening is needed to prevent neonatal mortality.

Keywords: Determinant; Neonatal Mortality; Healthcare System; Case Study.

 


Keywords


Determinant; Neonatal Mortality; Healthcare System; Case Study

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DOI: https://doi.org/10.22146/jkr.76062

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