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1
Nurfirdaus, Yasmine, and Philip Etabee Macdonald Bassey. "SOCIODEMOGRAPHIC FACTOR RELATIONSHIP WITH INFANT SURVIVAL IN INDONESIA." Jurnal Biometrika dan Kependudukan 10, no. 1 (June 25, 2021): 11. http://dx.doi.org/10.20473/jbk.v10i1.2021.11-17.
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Child survival can be reflected in the presence of the Infant Mortality Rate (IMR). Indonesia has an Infant Mortality Rate (IMR) according to the 2017 IDHS, which reaches 24 deaths per 1000 live births. This figure has decreased compared to a survey conducted by the 2012 IDHS, where infant mortality reached 32 deaths per 1000 live births. Even though it experienced a decrease, the IMR in Indonesia was higher when compared to the IMR in other Southeast Asian countries. Socioeconomic factors for individuals, families, and communities, including the influence of infant mortality. Not only that, but infant mortality can also be due to the absence of awareness of maternal health. Thus, this study aims to determine several variables related to survival in infants in Indonesia. This type of research is a non-reactive study. This study uses quantitative analysis and a methodical approach with a cross-sectional approach that takes data from the 2017 IDHS. This study took a sample following the 2017 IDHS with the criteria that mothers who had babies still drank breast milk, were born single, and were still alive after the first three days in Indonesia. The number of respondents in this study was 7,599 mothers with babies. Analysis of the research data using Chi-Square analysis. Bivariable analysis shows that infants' survival has a relationship with the mother's education, type of area, and welfare level. However, infant survival also has no association with the age of the mother and birth attendants. Counseling pregnant women regarding risks, causes,
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Soleman, Sani Rachman. "The Trend of Children Mortality Rates in Indonesia." Jurnal Ilmu Kesehatan Masyarakat 11, no. 01 (April 30, 2020): 52–62. http://dx.doi.org/10.26553/jikm.2020.11.1.52-62.
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Children mortality rates describe the health services’ quality as indicators of each countries’ welfare, particularly in Indonesia. Several factors were determined as the main contributors of mortality, such as neonatal factors, maternal, environment and health services. The important of this research is to give recommendation to the government of Indonesia to propose some policies in handling of the increasing children mortality and modifying underlying disease as contributor mortality among children in Indonesia. The design of this study is cross sectional. The data was taken from World Health Organization Maternal Child Epidemiology Estimation from 2000 to 2017. There were three main categories : neonatal mortality rate (NND), post neonatal mortality rate (PND) and under five mortality rate (UFIVE). The leading causes of mortality were searched according to those categories and followed by descriptive analysis by line graphs. According to the data that had been found, there was declining on NND (102.700 to 60.986), PND (138.553 to 63.471), UFIVE (241.253 to 124.457). The children mortality tend to decline at the range of 17 years, meanwhile the highest mortality among the three of groups are : premature birth in neonates, ARI in post neonates and premature birth in under five children. In conclusion, the trend of three parameters of children mortality declined within 17 years. On several cases, there were outbreak of injury on 2004 and fluctuation of measles incident among infant and under five children. Premature birth and ARI have the highest prevalence among children in Indonesia.
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Poerwanto, S. "Infant mortality and family welfare: policy implications for Indonesia." Journal of Epidemiology & Community Health 57, no. 7 (July 1, 2003): 493–98. http://dx.doi.org/10.1136/jech.57.7.493.
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Gryboski, Kristina L. "Maternal and non-maternal time-allocation to infant care, and care during infant illness in rural Java, Indonesia." Social Science & Medicine 43, no. 2 (July 1996): 209–19. http://dx.doi.org/10.1016/0277-9536(95)00363-0.
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Jones, M. "Infant and Maternal Health Services in Ceylon, 1900-1948: Imperialism or Welfare?" Social History of Medicine 15, no. 2 (August 1, 2002): 263–89. http://dx.doi.org/10.1093/shm/15.2.263.
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Schellekens, Jona. "Maternal education and infant mortality decline: The evidence from Indonesia, 1980–2015." Demographic Research 45 (September 14, 2021): 807–24. http://dx.doi.org/10.4054/demres.2021.45.24.
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Siramaneerat, Issara, Farid Agushybana, and Yaowaluck Meebunmak. "Maternal Risk Factors Associated with Low Birth Weight in Indonesia." Open Public Health Journal 11, no. 1 (August 31, 2018): 376–83. http://dx.doi.org/10.2174/1874944501811010376.
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Background: Low birth weight (LBW) is a major risk factor for death and disease in the fetus and newborn infant. However, the study about LBW and maternal risk factors involved in Indonesia is still limited. Objective: The present study attempted to examine the association of maternal risk factors including mother’s age, mother and husband education, mother and husband occupation and wealth, ANC visit, desired pregnancy and obstetric complication toward the occurrence of low birth weight infant across region and family wealthy. Methods: This study employed the data from the national survey of Indonesia Demographic and Health Survey (IDHS). The latest births from married women who gave birth within 2 years (2011 and 2012) preceding the IDHS were considered as sample selection. It was approximately 15,126 respondents. The predicted risks of low birth weight were estimated using multilevel logistic analysis. Results: Data were collected on 15,126 pregnant women who reported 10.2% were with LBW infants. When using the multilevel logistic analysis, the factors associated with LBW were maternal delivery-baby age, mother’s education, antenatal care and pregnancy complication at significant levels of 0.01. Conclusion: The prevalence of preterm infants in this study was quite high. Factors affecting LBW were maternal age, maternal education, ANC visits and pregnancy complication. The ANC visit of pregnant women is a potential and feasible activity to reduce the incidence of LBW.
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HARRIS, BERNARD. "Review Article: Household, family and welfare: past, present and future." Continuity and Change 14, no. 2 (August 1999): 267–73. http://dx.doi.org/10.1017/s026841609900332x.
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J. Robin, From childhood to middle age: cohort analysis in Colyton, 1851–1891. (Cambridge: Cambridge Group for the History of Population and Social Structure, Working Paper Series, no. 1, n.d.). Pages iv+83. £2.50.H. Cunningham and P. P. Viazzo (eds.), Child labour in historical perspective, 1800–1985: case studies from Europe, Japan and Colombia. (Florence: United Nations Children's Fund, International Child Development Centre, 1996.) Pages 105. US$9.00.L. Marks, Metropolitan maternity: maternal and infant welfare services in early-twentieth century London. (Amsterdam: Rodopi, 1996.) Pages xxii+344.A. Walker (ed.), The new generational contract: intergenerational relations, old age and welfare. (London: UCL Press, 1996). Pages xiii+241.These four publications vary significantly in their geographical coverage and general subject matter, but it is still possible to identify a number of common themes. They are particularly important for what they reveal about the links between formal welfare provision, protective legislation, family care, and the standard of living. They also yield many individual insights into such matters as family reconstitution, migration, child labour, working conditions, municipal welfare services, the decline of infant and maternal mortality, and the possible existence of a demographic threat to the viability of modern welfare states.
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Prahutama, Alan, Budi Warsito, and Moch Abdul Mukid. "ANALYSIS OF THE NUMBER INFANT AND MATERNAL MORTALITY IN CENTRAL JAVA INDONESIA USING SPATIAL-POISSON REGRESSION." MEDIA STATISTIKA 11, no. 2 (December 30, 2018): 135–45. http://dx.doi.org/10.14710/medstat.11.2.135-145.
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Maternal and infant mortality are one of the most dangerous problems of the community since it can profoundly affect the number and composition of the population. Currently, the government has been taking heed on the attempt of reducing the number of maternal and newborn mortality in Central Java which requires data and information entirely. Poisson regression is a nonlinear regression that is often used to model the relationship between response variables in the form of discrete data with predictor variables in the form of discrete or continuous data. In space analysis, GWPR is one of method in space modeling which can model regional-based regression. It is based on some factors including the number of health facilities, the number of medical personnel, the percentage of deliveries performed with non-medical assistance; the average age of a woman's first marriage; the average education level of married women; average amount of per capita household expenditure; percentage of village status; the average rate of exclusive breastfeeding; percentage of households that have clean water and the percentage of poor people. Based on the analysis, it is revealed that the determinants of maternal and infant mortality in Central Java using Poisson and GWPR models, among others are the number of health facilities, the number of medical personnel, the average number of per capita household expenditure and the percentage of the poor. In the maternal and infant mortality model, the AIC value of GWPR model produces better modeling than Poisson regression. Keywords: Maternal and Infant mortality, Poisson, GWPR
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Ngui, Emmanuel M., Alicia L. Cortright, and Karen Michalski. "Relationship of Paternity Status, Welfare Reform Period, and Racial/Ethnic Disparities in Infant Mortality." American Journal of Men's Health 9, no. 5 (July 24, 2014): 350–59. http://dx.doi.org/10.1177/1557988314543906.
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The objective of this study was to examine the relationship of paternity status, welfare reform period, and racial/ethnic disparities in infant mortality. The study used retrospective analysis of birth outcomes data from singleton birth/infant death data in Milwaukee, Wisconsin, from 1993 to 2009. Multivariate logistic regression was used to examine the relationship between paternity status, welfare reform period, and infant mortality, adjusting for maternal and infant characteristics. Data consisted of almost 185,000 singleton live births and 1,739 infant deaths. Although unmarried women with no father on record made up about 32% of the live births, they accounted for over two thirds of the infant deaths compared with married women with established paternity who made up 39% of live births but had about a quarter of infant deaths. After adjustments, any form of paternity establishment was protective against infant mortality across all racial/ethnic groups. Unmarried women with no father on record had twice to triple the odds of infant mortality among all racial/ethnic groups. The likelihood of infant mortality was only significantly greater for African American women in the postwelfare (1999-2004; odds ratio = 1.27; 95% confidence interval = 1.10-1.46) period compared with the 1993 to 1998 period. Study findings suggest that any form of paternity establishment may have protective effect against infant mortality. Welfare reform changes may have reduced some of the protection against infant mortality among unmarried African American women that was present before the welfare legislation. Policies and programs that promote or support increased paternal involvement and establishment of paternity may improve birth outcomes and help reduce infant mortality.
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Tosepu, Ramadhan, Devi Savitri Effendy, Hartati Bahar, La Ode Ali Imran Ahmad, Ambo Sakka, Pitrah Asfian, and Hariati Lestari. "Did Indonesia achieve the MDGs goals by 2015 ?" Public Health of Indonesia 2, no. 1 (March 30, 2016): 1–9. http://dx.doi.org/10.36685/phi.v2i1.38.
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MDGs 2015 are the program for the welfare of society. The countries that show the great achievement of MDGs goals remain the successful of the government of the countries. This paper aimed to provide the knowledge regarding the achievement of Indonesia in MDGs goals. The achievement could be seen from the distribution of poverty, Health development index, Nutritional status, maternal mortality, and Malaria status in Indonesia.
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Sumarna, Umar, Nina Sumarni, and Udin Rosidin. "Promosi Kesehatan ibu dan Anak pada ibu-ibu Bayi/Balita di RW 18 Kelurahan Jayawaras Kabupaten Garut." JPKMI (Jurnal Pengabdian Kepada Masyarakat Indonesia) 2, no. 2 (May 5, 2021): 125–33. http://dx.doi.org/10.36596/jpkmi.v2i2.167.
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Abstrak: Kesehatan ibu dan anak merupakan salah satu faktor yang penting untuk menentukan derajat kesehatan masyarakat. Seperti yang terjadi di Indonesia, tingginya angka kematian ibu dan anak akan berdampak pada menurunnya tingkat kesehatan masyarakat. Hal ini terjadi karena rendahnya pengetahuan ibu tentang pemeliharaan kesehatan ibu dan anak. Untuk itu, tim pengabdian bertujuan menekan peningkatan kasus tersebut dengan cara memberikan promosi kesehatan terhadap salah satu kelompok masyarakat di Indonesia, yaitu ibu-ibu bayi dan balita di RW 18 Kelurahan Jayawaras Kabupaten Garut. Metode yang digunakan adalah ceramah, tanya jawab, dan demonstrasi. Hasil dari pendidikan kesehatan menunjukkan adanya peningkatan pengetahuan ibu-ibu tentang pemeliharaan kesehatan ibu dan anak. Peningkatan pengetahuan ditunjukkan dengan hasil pretes dengan rata-rata nilai 69,64 menjadi 84,64 pada nilai postes, nilai minimal 50 pada pretes menjadi 60 pada postes, dan nilai maksimal 80 pada pretes menjadi 100 pada postes. Hasil ini membuktikan bahwa ibu-ibu di RW 18 sangat antusias dalam mengikuti pendidikan kesehatan tersebut dikarenakan mereka merasa membutuhkan.Abstract: Maternal and infant/toddler health is an important factor and greatly determines the degree of public health. As happened in Indonesia, caused by the height of maternal and infant/toddler mortality rate impacts a low degree of public health. This happens caused by the low knowledge of ma about maternal maintaining maternal and infant/toddler health. For this reason, the community dedication team aimed to suppress the increase in cases by providing health promotion to one of the community groups in Indonesia, namely maternal in RW 18 Jayawaras Village Garut Regency. The methods used were lectures, discussion, and demonstrations. The results of health promotion indicated an increase in maternal knowledge about maintaining maternal and infant/toddler health. The increase in knowledge of the participants was shown by the results of pre-tests with an average score of 69.64 to 84.64 on post-test values, a minimum value of 50 on the pre-test to 60, and a maximum value of 80 on the pre-test to 100 in post-test. These results prove that the maternal in RW 18 Jayawaras village were very enthusiastic in participating in the health promotion because they felt they needed it.
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Lee, Kyunghee. "Effects of Maternal Employment and Receiving Welfare on Family Outcomes among Low-Income Families." Families in Society: The Journal of Contemporary Social Services 91, no. 2 (April 2010): 178–85. http://dx.doi.org/10.1606/1044-3894.3972.
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This study investigated how maternal employment and welfare-receipt were associated with family outcomes, using data from the Infant Health and Development Program (IHDP). This study looked at mothers and children among low-income families who received welfare and/or were employed during the first 3 years of the child's life. Mothers whose incomes were from welfare only had lower outcomes than mothers who earned some or all their income from employment. Those in the intervention groups receiving enrichment services had more positive outcomes than those of the group with only follow-up. The findings suggest that maternal employment for low-income families should be encouraged when mothers are ready to participate in employment and when support systems such as quality child care are provided.
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Prianto, Budhy. "DECENTRALIZATION: AN INITIAL STUDY ON GOVERNANCE REFORMS TOWARDS THE WELFARE STATE." Spirit Publik: Jurnal Administrasi Publik 10, no. 2 (October 1, 2015): 115. http://dx.doi.org/10.20961/sp.v10i2.898.
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<p align="center"><strong> </strong></p><p>Based on the constitution Indonesia is a state that adheres to the model welfare state. But in practice, the governance of the welfare state in Indonesia is merely a dream. This when seen from the facts of the neglect of issues of fundamental rights of citizens, such as the high number of poor people, the number of maternal and child mortality, school dropout rate, and so on. Centralization is a major obstacle of weak governance in realizing this welfare state. Therefore this article attempts to offer a thought for the reform of the welfare state governance through decentralization.<br /> Keywords: decentralization; governance; state; reform; welfare state</p>
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Winarso, Inang, and Ressa Ria Lestari. "Cultural Value Factors That Affect Mother and Child Health." Jurnal Perempuan 24, no. 3 (September 12, 2019): 165. http://dx.doi.org/10.34309/jp.v24i3.341.
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<p>Mother and child health as a key indicator of community welfare is measured by the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). But why have efforts to reduce MMR and IMR not yet reached the target? This research answers this question by using an approach of cultural values in mother and child health. The focus of this research is on the human life cycle starting from marriage, pregnancy, birth and death in Situbondo Regency, East Java and Ngada Regency, NTT. Research has found four cultural elements that predominantly influence health beliefs, family and community decisions in dealing with maternal and infant health problems. These cultural elements are the religious system, the kinship system, the knowledge system and the livelihood system. These four systems can increase or decrease the risk of maternal and infant mortality. The government must consider the cultural values of the community in making health policies. First, strengthen factors that reduce the risk of maternal and child mortality. Second, reduce the factors that increase the risk of maternal and child mortality.</p>
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Wibowo, Muhammad Ghafur. "Human Capital Relation with Welfare in Indonesia and Asean Countries." Economics Development Analysis Journal 8, no. 1 (April 7, 2019): 81–93. http://dx.doi.org/10.15294/edaj.v8i1.28730.
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The quality of human capital strongly determines the economic development of a country. Human capital can be shaped by the level of education and public health. This research analyzes the development and competition of human capital of Indonesia and other 5 ASEAN countries from 1985-2016. The problem of this study is whether human capital can be a significant determinant of economic welfare (per capita income) in ASEAN countries. The research used a regression analysis of panel data (all countries) and multiple linear regression (for each country). The independent variables are life expectancy, population growth rate, working-age population, and infant mortality rate per 1,000 live births. The results show that in general, all independent variables have a significant effect on GDP per capita. Nevertheless, an analysis in each country shows different levels and direction of influence. The quality of the human capital of Indonesia is still at the middle level among ASEAN countries. Therefore a variety of efforts to improve the quality of human capital needs to be done by the government and the people of Indonesia to win the competition between ASEAN countries.
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Luluk, Luluk susiloningtyas. "SISTEM RUJUKAN DALAM SISTEM PELAYANAN KESEHATAN MATERNAL PERINATAL DI INDONESIA." Jurnal Ilmiah Pamenang 2, no. 1 (June 27, 2020): 6–16. http://dx.doi.org/10.53599/jip.v2i1.57.
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ABSTRAK
Kasus keterlambatan rujukan merupakan salah satu permasalahan utama terjadinya kematian ibu dan bayi di Indonesia. Kematian ibu dan bayi dapat diakibatkan pelayanan di fasilitas kesehatan belum maksimal, terjadi keterlambatan pelayanan rujukan, mengakibatkan sangat terlambatnya pasien tiba di fasilitas pelayanan rujukan. Berbagai hambatan termasuk ketidakjelasan hubungan dengan BPJS Kesehatan dalam hal pengaturan sistem rujukan, terjadinya perbedaan pendapat rujukan dan perhatian terhadap pengembangan sistem rujukan di daerah yang masih kurang kuat. Tahun 2020 Kementerian Kesehatan RI mengeluarkan Permenkes No. 3/2020 yang mengatur Klasifikasi dan Perizinan Rumah sakit, yang tentunya mempengaruhi sistem rujukan. Dengan sistem rujukan diharapkan meningkatkan pelayanan kesehatan yang lebih bermutu. Metode yang diambil berdasarkan tinjauan literatur dan penelitian yang mencoba menggali lebih banyak informasi guna mengetahui sistem rujukan yang terjadi di Indonesia baik kabupaten, propinsi, Puskesmas dan Rumah Sakit.
Sistem rujukan pelayanan kesehatan merupakan salah satu upaya meningkatkan mutu pelayanan kesehatan yang memberikan dampak penurunan Angka Kematian Ibu dan Bayi akibat keterlambatan penanganan kegawatdaruratan. Sistem rujukan merupakan sistem dimana kordinasi merupakan unsur utama yang bersifat multi sektor dan harus ada dukungan berbagai profesi multi disiplin dan multi profesi. Untuk mendukung hal tersebut seluruh sarana pelayanan kesehatan pemerintah maupun swasta agar melaksanakan prosedur rujukan kesehatan mengacu Petunjuk Teknis Sistem Rujukan Pelayanan Kesehatan. Setiap sarana pelayanan kesehatan di kabupaten/kota diharapkan membuat pemetaan alur rujukan pelayanan kesehatan disesuaikan dengan tingkat kemampuan fasilitas kesehatan, keberadaan jaringan transportasi dan keadaan geografis wilayah masing-masing.
Simpulan penyediaan akses pelayanan kesehatan ibu dan anak yang berkualitas menjadi tantangan besar, pemerintah harus memiliki komitmen kuat meningkatkan status kesehatan ibu dan anak, untuk mewujudkan program Penurunan AKI dan AKB tersebut diperlukan perbaikan sistem rujukan yang efektif dan efisien dengan memperkuat sistem rujukan kesehatan diberbagai jenjang pelayanan kesehatan.
Kata kunci : Sistem Rujukan, Pelayanan Kesehatan, Maternal Perinatal
ABSTRACTLate of referral is one of the main problems in the occurrence of maternal and infant mortality in Indonesia. Maternal and infant deaths can be caused by services at health facilities not yet maximized, there is a delay in referral services, resulting in very late patients arriving at the referral service facility. Various obstacles include unclear relations with BPJS Health in terms of setting a referral system, the occurrence of differences of referral opinions and attention to the d The health service referral system is one of the efforts to improve the quality of health services which has the effect of reducing maternal and infant mortality rates due to delays in emergency handling. The referral system is a system where coordination evelopment of a referral system in regions that are still not strong enough. is the main element that is multi-sectoral and there must be support from various multi-disciplinary and multi-professional professions. To support this,
all public and private health service facilities should carry out health referral procedures referring to the Technical Guidelines for Health Services Referral Systems. Each health service facility in the district / city is expected to make a mapping of health service referral flow tailored to the level of ability of the health facility, the existence of the transportation network and the geographical situation of each region.Conclusion the provision of access to quality maternal and child health services is a big challenge, the government must have a strong commitment to improve maternal and child health status, to realize the MMR and IMR Reduction program, it is necessary to improve an effectiveand efficient referral system by strengthening the health referral system at various levels of service health.’ Keywords: Referral System, Health Services, Maternal Perinatal
ABSTRAK
Kasus keterlambatan rujukan merupakan salah satu permasalahan utama terjadinya kematian ibu dan bayi di Indonesia. Kematian ibu dan bayi dapat diakibatkan pelayanan di fasilitas kesehatan belum maksimal, terjadi keterlambatan pelayanan rujukan, mengakibatkan sangat terlambatnya pasien tiba di fasilitas pelayanan rujukan. Berbagai hambatan termasuk ketidakjelasan hubungan dengan BPJS Kesehatan dalam hal pengaturan sistem rujukan, terjadinya perbedaan pendapat rujukan dan perhatian terhadap pengembangan sistem rujukan di daerah yang masih kurang kuat. Tahun 2020 Kementerian Kesehatan RI mengeluarkan Permenkes No. 3/2020 yang mengatur Klasifikasi dan Perizinan Rumah sakit, yang tentunya mempengaruhi sistem rujukan. Dengan sistem rujukan diharapkan meningkatkan pelayanan kesehatan yang lebih bermutu. Metode yang diambil berdasarkan tinjauan literatur dan penelitian yang mencoba menggali lebih banyak informasi guna mengetahui sistem rujukan yang terjadi di Indonesia baik kabupaten, propinsi, Puskesmas dan Rumah Sakit.
Sistem rujukan pelayanan kesehatan merupakan salah satu upaya meningkatkan mutu pelayanan kesehatan yang memberikan dampak penurunan Angka Kematian Ibu dan Bayi akibat keterlambatan penanganan kegawatdaruratan. Sistem rujukan merupakan sistem dimana kordinasi merupakan unsur utama yang bersifat multi sektor dan harus ada dukungan berbagai profesi multi disiplin dan multi profesi. Untuk mendukung hal tersebut seluruh sarana pelayanan kesehatan pemerintah maupun swasta agar melaksanakan prosedur rujukan kesehatan mengacu Petunjuk Teknis Sistem Rujukan Pelayanan Kesehatan. Setiap sarana pelayanan kesehatan di kabupaten/kota diharapkan membuat pemetaan alur rujukan pelayanan kesehatan disesuaikan dengan tingkat kemampuan fasilitas kesehatan, keberadaan jaringan transportasi dan keadaan geografis wilayah masing-masing.
Simpulan penyediaan akses pelayanan kesehatan ibu dan anak yang berkualitas menjadi tantangan besar, pemerintah harus memiliki komitmen kuat meningkatkan status kesehatan ibu dan anak, untuk mewujudkan program Penurunan AKI dan AKB tersebut diperlukan perbaikan sistem rujukan yang efektif dan efisien dengan memperkuat sistem rujukan kesehatan diberbagai jenjang pelayanan kesehatan.
Kata kunci : Sistem Rujukan, Pelayanan Kesehatan, Maternal Perinatal
ABSTRACTLate of referral is one of the main problems in the occurrence of maternal and infant mortality in Indonesia. Maternal and infant deaths can be caused by services at health facilities not yet maximized, there is a delay in referral services, resulting in very late patients arriving at the referral service facility. Various obstacles include unclear relations with BPJS Health in terms of setting a referral system, the occurrence of differences of referral opinions and attention to the d The health service referral system is one of the efforts to improve the quality of health services which has the effect of reducing maternal and infant mortality rates due to delays in emergency handling. The referral system is a system where coordination evelopment of a referral system in regions that are still not strong enough. is the main element that is multi-sectoral and there must be support from various multi-disciplinary and multi-professional professions. To support this,
all public and private health service facilities should carry out health referral procedures referring to the Technical Guidelines for Health Services Referral Systems. Each health service facility in the district / city is expected to make a mapping of health service referral flow tailored to the level of ability of the health facility, the existence of the transportation network and the geographical situation of each region.Conclusion the provision of access to quality maternal and child health services is a big challenge, the government must have a strong commitment to improve maternal and child health status, to realize the MMR and IMR Reduction program, it is necessary to improve an effectiveand efficient referral system by strengthening the health referral system at various levels of service health.’ Keywords: Referral System, Health Services, Maternal Perinatal
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Irianti, Setyorini, Raden Tina Dewi Judistiani, Sylvia Rachmayati, Jusuf Sulaeman Effendi, and Budi Setiabudiawan. "Relationship between Maternal Vitamin D Level and Small for Gestational Age Infant in West Java, Indonesia." Majalah Kedokteran Bandung 52, no. 3 (September 2020): 180–84. http://dx.doi.org/10.15395/mkb.v52n3.2186.
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Small for gestational age (SGA) infants is one of the unfavorable outcomes of pregnancy that needs to be prevented. There are not many studies available on the association of maternal vitamin D levels during pregnancy and SGA infants. This study aimed to discover the association between maternal vitamin D level and SGA infants in West Java. A cohort study was performed from February 2018 to January 2019 by recruiting 304 pregnant women in Bandung, Cimahi, Waled, and Sukabumi, West Java Province, Indonesia. Of that number, 203 women were followed until the delivery date. Data were collected from the results of serial ultrasonography examinations and maternal vitamin D level measurements. Bivariate analysis and logistic regression were then performed to determine the relationship between variables. This study showed that 30 of 203 (14.78%) infants were born as SGA infants. The mothers of these SGA infants had a lower maternal vitamin D level at the beginning of the second trimester and smaller anthropometric measurements at the beginning of the third trimester. However, no significant difference was found between normal infants and SGA infants when the overall values for all trimesters were compared. It can be inferred that the maternal vitamin D level has a negative relationship with SGA infants in West Java, Indonesia. Further studies are required to prove the relationship between maternal vitamin Dl level and SGA infants.
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Irawaty, Dian Kristiani, Indra Elfiyan, and Edy Purwoko. "Exploring the Factors Associated with Infant Mortality in Rural Indonesia." Global Journal of Health Science 13, no. 1 (November 20, 2020): 17. http://dx.doi.org/10.5539/gjhs.v13n1p17.
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Infant mortality is a sensitive indicator to measure the health condition of a population. Despite large declines in infant mortality rates in Indonesia, the people living in rural areas are the most affected. This study aims to analyze the causes of infant mortality in rural Indonesia and suggested strategies for its reduction. This study is an analytical cross-sectional design based on the 2017 Indonesian Demographic and Health Survey (IDHS) dataset for children. The information on infant deaths collected from those mothers who experienced infant deaths. Series of logistic regression models were used to select the significant factors affecting infant mortality in rural Indonesia. Infant mortality is associated with intermediate social determinants such as birth order, birth weight, and breastfeeding status. Socio-demographic factors such as the educational status of mothers, wealth quintile, the smoking habit of the mother, age of mother at first delivery, and sex of the baby are also related to infant mortality. The most crucial factors in rural Indonesia were the age of first-time mothers. As a strategy for addressing the issue of infant mortality in rural areas, the result of the study highlights the need for decreasing adolescent pregnancies among the youngest age groups. Pregnant mothers in the youngest age group should be supported by quality maternal health services to ensure their pregnancies in healthy condition. The focus of breastfeeding promotion programs should be encouraged, particularly on early initiation and duration of breastfeeding.
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Ding, Mengfan, Bo Yang, Wei Wei Thwe Khine, Yuan-Kun Lee, Endang Sutriswati Rahayu, R. Paul Ross, Catherine Stanton, Jianxin Zhao, Hao Zhang, and Wei Chen. "The Species-Level Composition of the Fecal Bifidobacterium and Lactobacillus Genera in Indonesian Children Differs from That of Their Mothers." Microorganisms 9, no. 9 (September 21, 2021): 1995. http://dx.doi.org/10.3390/microorganisms9091995.
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The infant gut microbiota plays a critical role in early life growth and derives mainly from maternal gut and breast milk. This study aimed to analyze the differences in the gut microbiota, namely Bifidobacterium and Lactobacillus communities at species level among breast milk as well as maternal and infant feces at different time points after delivery. Fifty-one mother–infant pairs from Indonesia were recruited, and the breast milk and maternal and infant feces were collected and analyzed by high throughput sequencing (16S rRNA, Bifidobacterium groEL and Lactobacillus groEL genes). PCoA results showed bacterial composition was different among breast milk and maternal and infant feces within the first two years. The abundance of Bifidobacterium and Bacteroides were significantly higher in infant feces compared to their maternal feces from birth to two years of age, and maternal breast milk within six months after birth (p < 0.05), whereas the abundance of Blautia, Prevotella, and Faecalibacterium was higher in maternal feces compared to that in breast milk within six months and infant feces within one year after birth, respectively (p < 0.05). The relative abundances of Bacteroides and Lactobacillus was higher and lower in infant feces compared to that in maternal feces only between one and two years of age, respectively (p < 0.05). For Bifidobacterium community at species level, B. adolescentis, B. ruminantium, B. longum subsp. infantis, B. bifidum, and B. pseudolongum were identified in all samples. However, the profile of Bifidobacterium was different between maternal and infant feces at different ages. The relative abundances of B. adolescentis and B. ruminantium were higher in maternal feces compared to those in infant feces from birth to one year of age (p < 0.05), while the relative abundances of B. longum subsp. infantis and B. bifidum were higher in infant feces compared to those in maternal feces beyond three months, and the relative abundance of B. pseudolongum was only higher in infant feces between three and six months (p < 0.05). For Lactobacillus community, L. paragasseri showed higher relative abundance in infant feces when the infant was younger than one year of age (p < 0.05). This study showed bacterial composition at the genus level and Bifidobacterium and Lactobacillus communities at the species level were stage specific in maternal breast milk as well as and maternal and infant feces.
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Higashi, Mitchell K. "Working together to reduce maternal and infant mortality in Indonesia: the role of technology." Medical Journal of Indonesia 20, no. 4 (November 1, 2011): 245. http://dx.doi.org/10.13181/mji.v20i4.555.
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Abikusno, Nugroho, and Rachel Novotny. "Sensitivity and Specificity of Maternal Anthropometric Measures Relative to Infant Nutritional Status." Asia Pacific Journal of Public Health 9, no. 1 (January 1997): 38–41. http://dx.doi.org/10.1177/101053959700900108.
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This cross-sectional study was done in July 1990 at health posts of two subdistricts in Cilandak, South Jakarta, Indonesia. The purpose of this study was to assess the sensitivity and specificity of maternal anthropometric measures against the functional outcome of infant nutritional status (weight-for-age). The study population consisted of 175 mother-infant pairs, who were between 14-45 years old, and their infants, who were 0-6 months old. The indicators that identified women at risk of their infant being poor nutritional status (weight-for-age less than −1 SD) were maternal weight (sensitivity 33%, specificity 89%, and positive predictive value 26%), height (sensitivity 39%, specificity 83% and positive predictive value 21%), and calf circumference (sensitivity 50%, specificity 85% and positive predictive value 28%).
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Yozza, Hazmira, Ferra Yanuar, Izzati Rahmi, and Nadya Putri Alisya. "Determining of Risk Factors of Low-Birthweight Babies in Padang, West Sumatra Using Logistic Regression Analysis." Jurnal Matematika MANTIK 6, no. 2 (October 31, 2020): 135–41. http://dx.doi.org/10.15642/mantik.2020.6.2.135-141.
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Infant mortality is one of the indicators used to measure the quality of life of a nation. The World Health Organization (WHO) stated that one of the main causes of infant mortality is the low birth weight (LBW). Efforts to reduce the incidence of LBW can be done by monitoring risk factors that influence the occurrence of LBW in the prenatal phase. This study aims to identify factors that significantly influence the incidence of LBW babies in Padang, West Sumatra, Indonesia. The analysis was carried out by using Logistic Regression Analysis on the data of maternal births domiciled in Padang, West Sumatra, Indonesia. It was concluded that variables that significantly affect the incidence of LBW are maternal weight, parity, distance from a previous birth, problems during pregnancy, and babies’ gender.
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Astuti, Mutiara Widhika, and A’yunin Sofro. "Analisis Faktor-Faktor yang Mempengaruhi Jumlah Kematian Ibu dan Bayi di Provinsi Jawa Tengah Menggunakan Regresi Bivariat Poisson." Jurnal Matematika "MANTIK" 4, no. 2 (October 31, 2018): 110–15. http://dx.doi.org/10.15642/mantik.2018.4.2.110-115.
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Maternal and infant mortality are two correlated subjects, because during pregnancy the mother's placenta distributes nutrients to the fetus so the baby born is affected by the condition of his mother. Central Java has significant maternal and neonatal mortality rates in Indonesia. In this case, need a research to analyze the factors that influence maternal and infant mortality using Bivariate Poisson Regression (BPR) method. BPR is the right method because it can reconfirm two data that are correlated with Poisson distribution. This study produced three models. The first model is the maternal mortality rate has several significant factors, including pregnant women implementing the K1 and K4 program, vitamin A to postpartum mothers, pregnant women getting Fe tablets, and midwifery handle complications. The second model is the infant deaths that have factors pregnant women implementing the K4 program, helped assistance by medical team, postpartum mothers receiving vitamin A, pregnant women getting Fe tablets, complications handled by midwifery, and KB participants. The final model involves maternal and infant mortality. Significant factors are pregnant women implementing the K1 program, pregnant women implementing the K4 program, giving vitamin A to postpartum mothers, and KB participants.
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Elida, Sukma, Siti Maisyaroh Fitri Siregar, Arfah Husna, Dian Fera, and Azwar Azwar. "The Influence of Maternal Age, Parity and Education on Infant Mortality in West Aceh Regency." J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health) 6, no. 2 (October 1, 2019): 80. http://dx.doi.org/10.35308/j-kesmas.v6i2.1188.
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One of the important index to reflect health status in a certain area is Infant Mortality Rate (IMR). IMR is also global soccioeconomic indicator in a population. Besides, The Statistical index indicates the quality of life, not only the quantity and number of death. It is the main health problem In Indonesia, There was 32 deaths per 1000 live births In Indonesia. The research was to analyze the influence of maternal age, parity, and education to infant mortality in West Aceh Regency. The research was quantitative with case control design, a case group was 45 mothers whose babies died when they were under one years old and a control group was 45 mothers whose babies were alive when they were under one year old. The maching was done on the babies based on their age and sex. The Data analyzed by using univariate and bivariate analysis with McNemar test, meanwhile, multivariate analysis with conditional logistic regression test at the significant level of 0.25. The Result of analysis in this research showed that maternal age and parity significanly influence of infant mortality. In the otherhand, maternal education did not significanly influence of infant mortality. The most significanly variable which influence of infant mortality was maternal age (OR=4.745). To Prevent Infant mortality from the variabel maternal age and parity, it is suggested for women to get merried at the age ≥20 years old, increases reproductive health education for female teenagers at schools and increases the conerage of using KONTAP (long term contracepcion) for women that have more than four children. It is also suggest to provide adequate medical equipment to support the childbirth and increase the access of health facilities by optimizing village polycliclic and It is also suggested to provide adequate medical equipment to support childbirth, increase the convenience of health facilities, and increase the access to health facilities by optimizing village polyclinics and midwives performance.
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Mogi, Imelda Ririn Obo, and Lina Dewi Anggraeni. "Faktor-Faktor yang Berhubungan dengan Kematian Bayi di RSUD Ende." Jurnal Promosi Kesehatan Indonesia 16, no. 1 (January 5, 2021): 7–13. http://dx.doi.org/10.14710/jpki.16.1.7-13.
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Background: Infant mortality at the age of ≤1 year per 1000 live births is one of the benchmarks for assessing the extent to which the achievement of people's welfare as a result of implementing development in the health sector. This research aimed to identify the factors associated with infant mortality in Ende Hospital. Method: Cross-sectional design was applied in this research. Data retrieval was collected by using medical records in 2017 and 2018. There were 122 mothers had infant mortality aged ≤1 year enrolled in this research with a total population sampling technique. This study used Kendal Tau-b statistical test. Results: The results showed the highest infant mortality occurred at 0-28 days as many as 77,9%. There was a relationship between maternal education (p-value=0.042), asphyxia (p-value=0.014) and infant mortality in Ende Hospital. There was no relationship between maternal age (p-value=0.602), maternal occupation (p-value=0.842), pregnancy danger signs (p-value=0.713), birth weight (p-value=0.587), labor (p-value=0.845), delivery helper (p-value=0.419), place of delivery (p-value=0.354) and infant mortality in Ende Hospital. Health workers need to consider facilities for newborn care, must be able to measure the Apgar Score for asphyxia measurement, and should provide information regarding the importance of conducting ANC examinations to prevent complication during pregnancy and asphyxia.
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Mogi, Imelda Ririn Obo, and Lina Dewi Anggraeni. "Faktor-Faktor yang Berhubungan dengan Kematian Bayi di RSUD Ende." Jurnal Promosi Kesehatan Indonesia 16, no. 1 (January 5, 2021): 7–13. http://dx.doi.org/10.14710/jpki.16.1.7-13.
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Background: Infant mortality at the age of ≤1 year per 1000 live births is one of the benchmarks for assessing the extent to which the achievement of people's welfare as a result of implementing development in the health sector. This research aimed to identify the factors associated with infant mortality in Ende Hospital. Method: Cross-sectional design was applied in this research. Data retrieval was collected by using medical records in 2017 and 2018. There were 122 mothers had infant mortality aged ≤1 year enrolled in this research with a total population sampling technique. This study used Kendal Tau-b statistical test. Results: The results showed the highest infant mortality occurred at 0-28 days as many as 77,9%. There was a relationship between maternal education (p-value=0.042), asphyxia (p-value=0.014) and infant mortality in Ende Hospital. There was no relationship between maternal age (p-value=0.602), maternal occupation (p-value=0.842), pregnancy danger signs (p-value=0.713), birth weight (p-value=0.587), labor (p-value=0.845), delivery helper (p-value=0.419), place of delivery (p-value=0.354) and infant mortality in Ende Hospital. Health workers need to consider facilities for newborn care, must be able to measure the Apgar Score for asphyxia measurement, and should provide information regarding the importance of conducting ANC examinations to prevent complication during pregnancy and asphyxia.
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Ananta, Yovita, Ellen Gandaputra, Elina Waiman, I. Gusti Ayu Nyoman Partiwi, Nanis Sacharina Marzuki, Elizabeth Yohmi, Eveline Panjaitan, Hanifah Oswari, and Badriul Hegar. "Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia." Paediatrica Indonesiana 56, no. 1 (May 12, 2016): 24. http://dx.doi.org/10.14238/pi56.1.2016.24-31.
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Background Breast milk is the ideal food for infants. According to the 2007 Indonesian National Household Health Survey, only 23% of mothers exclusively breastfeed for six months.Objectives To determine the rate of exclusive breastfeeding in Indonesia, to evaluate factors associated with infant feeding practices, and to compare the nutritional and developmental status between exclusively-breastfed and formula-fed infants.Methods A survey was conducted in hospitals located in 17 provinces in Indonesia. The rate of exclusive breastfeeding was calculated. Many variables were investigated as potential predictors for exclusive breastfeeding using a multivariable logistic regression analysis. Further analysis was performed to compare the nutritional and developmental status between exclusively breastfed and formula-fed infants at the time of survey.Results From 1,804 infant subjects, the overall rate of exclusive breastfeeding was 46.3%, ranging from 10.5% in East Java to 66.9% in Jambi. Predominant breastfeeding, complementary feeding, and formula feeding rates were 14.3%, 8.6%, and 30.7%, respectively. Maternal unemployment was associated with a longer duration of breastfeeding (P=0.000). There were significantly more formula-fed infants who were undernourished compared to exclusively-breastfed infants (14% vs. 8%, P=0.001). There were also significantly more infants in the formula-fed group who had abnormal head circumference compared to those in the exclusively-breastfed group (9% vs. 6%, P=0.031). Child development, as assessed by the Pre-screening Developmental Questionnaire, was similar between the two groups (P=0.996).Conclusion The overall rate of exclusive breastfeeding in Indonesia is 46.3%. Maternal unemployment is associated with longer duration of breastfeeding. Exclusive breastfed infants have significant better growth and head circumference compared to formula fed infants, while the development is similar between the two groups.
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Booth, Anne. "Government and Welfare in the New Republic: Indonesia in the 1950s." Itinerario 34, no. 1 (March 2010): 57–76. http://dx.doi.org/10.1017/s0165115310000057.
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When Indonesia finally received de jure independence in December 1949, the infant republic faced a range of serious problems, but nowhere were the problems more pressing than in the field of economic policy. In contrast with the Philippines and India, where the USA and Britain had honoured previous commitments and granted independence in 1946 and 1947 respectively, the refusal of the Netherlands to recognise the 1945 declaration of independence had led to four years of bitter and destructive fighting. Infrastructure on Java and elsewhere, already damaged during the Japanese occupation, deteriorated further after 1945, and by the end of the decade most of the important export industries were producing only a small fraction of their pre-1942 output. Smallholder agricultural output in Java was also well below pre-1942 levels. De Vries observed that many seed farms had been destroyed, irrigation systems had not been maintained and “vast areas of hill country” had been damaged by soil erosion. In the final years of the Japanese occupation, the Japanese army commandeered large amounts of rice, while the widespread issue of Japanese banknotes caused mounting inflation. Food was scarce everywhere and those with little or no land were most severely hit; most demographers concur that the population actually declined in Java after 1943, indicating a sharp increase in mortality.
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Ashford, Holly. "The Red Cross and the Establishment of Maternal and Infant Welfare in the 1930s Gold Coast." Journal of Imperial and Commonwealth History 47, no. 3 (February 13, 2019): 514–41. http://dx.doi.org/10.1080/03086534.2019.1576831.
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Saha, Ranjana. "Motherhood on display: The child welfare exhibition in colonial Calcutta, 1920." Indian Economic & Social History Review 58, no. 2 (April 2021): 249–77. http://dx.doi.org/10.1177/0019464621999308.
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This article focuses on the Health and Child Welfare Exhibition held in colonial Calcutta in 1920. Despite a few scholarly references, however, there has been no detailed study till date. The vicereines of India launched child welfare exhibitions motivated by the transnational exhibitory baby health week propaganda initiative to curb infant mortality. These exhibitions were also locally organised and collaborative in nature with an urgent nationalist appeal. The study critically engages with select Exhibition lectures about so-called ‘clean’ midwifery and ‘scientific’ motherhood given by famous Bengali medical practitioners and other prominent professionals, predominantly men and a few women. These drew intimate sociobiological connections between the problems of ‘dirty’ midwifery, ritual pollution, improper confinement, insanitary childbirth, insufficient lactation and the excessive maternal and infant deaths in Calcutta. The central argument is that these public lectures primarily focused on the very making of the ‘ideal’ Indian nursing mother, often imagined as the traditional yet modern bhadramahila mother figure, for rejuvenating community and national health and vigour. Correspondingly, it highlights the transnational resonance of famous Frederic Truby King’s ‘mothercraft’ popularised as childcare by the clock. The paper is, therefore, guided by the twin purposes of filling the gap in our knowledge about child welfare exhibitions in colonial India and illuminating extant scholarship on the global infant welfare movement.
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Astiannis, Rella. "JOHANNES LEIMENA DALAM KESEHATAN IBU DAN ANAK DI INDONESIA (1946-1956)." FACTUM: Jurnal Sejarah dan Pendidikan Sejarah 7, no. 2 (October 1, 2018): 203–14. http://dx.doi.org/10.17509/factum.v7i2.15606.
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Mother and child welfare are very important in every country and one of the most important issues that should have an attention from the Minister of Health. Because it will affect a country’s progress and resilience. To increasing mother and child welfare, a comprehensive act such as economic, social, and health itself need to be implemented. For a newly independent state, that was a difficult thing to be done. Likewise, Indonesia after gained independence which also dealt with difficulties in improving their society health particularly mother and child health where at that time mortality were very high. Coupled with Indonesia which was confronted the revolutionary era (1945-1956) after gained its independence. Dr Johannes Leimena as a Minister of Health of the Republic of Indonesia from 1946 to 1956 was the one who has responsibility for public health in that period. This research was intended to analyse on increasing mother and child’s programs under Johannes Leimena era which referred to historical research methods such as heuristic, criticism, and historiography. Based on the result, in1940-1950 Indonesia has a low rate of population growth and one of them was due to the high rate of maternal and child mortality. At that time, Indonesia experienced an economic crisis that must strive to provide primary health care for mothers and children in Indonesia. So in 1951, Dr Johannes Leimena established BKIA (Balai Kesejahteraan Ibu dan Anak or Mother and Child Welfare Center) as a solution to these problems. BKIA is a regional health service centre including providing counselling to mothers and children. In its implementation in Indonesia, the BKIA assisted by UNICEF as an international child protection institution, as well as the government and the community who also participated in succeeded in the program. With its consistency, BKIA as the frontline for maternal and child health services that also served public health can reduce population's mortality rates in Indonesia and even gave an impact on increasing public awareness of the importance of maintaining health.
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Makayasa Putri, Kunthi Kencana, Ida Srisurani Wiji Astuti, and Sugiyanta Sugiyanta. "The Correlation between Service Quality of Maternal and Child Healthcare/Family Planning Clinic and Degree of Maternal and Child Health at Two Primary Health Care Centers in Jember." Journal of Agromedicine and Medical Sciences 2, no. 1 (February 6, 2016): 7. http://dx.doi.org/10.19184/ams.v2i1.2227.
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The high Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) is still a major health problem in Indonesia. As an one of indicator to assess the quality of maternal and child healthcare is MMR and IMR. Service quality consists of five dimensions i.e., tangible, responsiveness, reliability, assurance, and empathy. The aim of this research was to determine the correlation between service quality of maternal and child healthcare/family planning polyclinic and degree of maternal and child health at Two Primary Health Care Centers in Jember. This research used cross-sectional design with 144 respondents. Service quality was measured using ServQual questionnaire and degree of maternal and children health were measured using MMR and IMR. The results of statistical test with Spearman correlation test showed that the significance (p) = 0.000 and correlation coefficients (r) = 0.690. Thus, it can be concluded that there were a strong correlation between service quality of maternal and child healthcare/family planning clinic and degree of maternal and child health at Two Primary Health Care Centers in Jember. Keywords: Maternal Mortality Rate, Infant Mortality Rate, ServQual.
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Saputra, Wiko, Victoria Fanggidae, and Ah Mafthuchan. "Efektivitas Kebijakan Daerah dalam Penurunan Angka Kematian Ibu dan Bayi." Kesmas: National Public Health Journal 7, no. 12 (July 1, 2013): 531. http://dx.doi.org/10.21109/kesmas.v7i12.326.
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Di Indonesia, desentralisasi sektor kesehatan tidak selalu berdampak baik pada upaya penurunan angka kematian ibu, bayi dan anak balita. Desentralisasi tidak hanya memberi kewenangan pengembangan kebijakan lokal spesifik yang tepat, tetapi juga kebijakan yang tidak mendukung kebijakan nasional sehingga berdampak pencapaian yang rendah. Penelitian ini bertujuan mengetahui efektivitas desentralisasi kesehatan dalam mendorong pemerintah daerah menurunkan angka kematian ibu dan bayi. Penelitian ini menggunakan metode kualitatif wawancara semi terstruktur, observasi, dan diskusi kelompok terarah pada informan kunci yang terlibat dalam penyusunan dan pelaksanaan kebijakan daerah. Tiga kabupaten dipilih secara purposif berdasarkan expert judgement meliputi Kabupaten Pasuruan, Kabupaten Takalar dan Kabupaten Kupang. Kebijakan desentralisasi ditemukan bukan saja memberikan kewenang pelayanan kesehatan, tetapi juga menuntut kreativitas penyusunan kebijakan kesehatan. Tiga kabupaten tersebut ternyata mampu membuat kebijakan kesehatan yang menurunkan angka kematian ibu dan bayi. Di setiap daerah, ditemukan inovasi kebijakan yang mengarah pada perbaikan sistem pelayanan kesehatan ibu dan bayi. Pemerintah pusat perlu mendorong pemerintah daerah untuk berinovasi mengembangkan kebijakan kesehatan sehingga target MDGs bidang kesehatan pada tahun 2015 dapat tercapai.In Indonesia, health sector desentralization does not always show good effect reduction measure of infant, maternal and under five children mortality. Local government can make appropriate local spesific health policy, but not always appropriate to national policy, that effect on low coverage. The objective of this study is to analyzes the rule of local policies in reducing maternal and infant mortality rate in Indonesia. The approach used is qualitative research with semi-structured interviews to key informants involved in the preparation and implementation of local policies, making direct observation and Focus Group Discussion (FGD). Three districts were selected purposively based on expert judgment are Pasuruan District, Takalar District and Kupang District. The results showed that decentralization gives local governments the authority to conduct health services and local government demanded creativity in formulating health policy. The three districts were able to make health policy related to reducing maternal and infant mortality. This policy is effective to a decrease in maternal and infant mortality rates in the three districts. Although found in every area of innovation policy but its direction is towards the improvement of the health care system for mothers and babies. Therefore, the central government needs to encourage local governments to undertake innovative health policies mainly to decrease maternal and infant mortality rates in order to achieve the MDGs health targets to be achieved by 2015.
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Siti Saidah Nasution. "Community Behavior on Reproductive Health in Medan Johor, Indonesia." Caring: Indonesian Journal of Nursing Science 2, no. 2 (December 31, 2020): 15–22. http://dx.doi.org/10.32734/ijns.v2i2.4657.
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The aim of the health promotion is to increase awareness and the individual willingness to have a healthy life for everyone to achieve an optimal degree of public health. The government’s programs in improving positive behavior and reproductive health in the community, especially maternal and infant health, is one of the priorities. Current health problems are focused on the high rates of maternal and infant mortality. This is related to the lack of preparation for couples before marriage and family such as early marriage. The government's initiative to declare pre-marriage as a condition for marriage in 2020 must be socialized and supported by all parties. This research is a descriptive study that aims to describe people's behavior about reproductive health, especially the knowledge and attitudes of adolescents. youths and girls about reproductive health in Medan Johor District. The population is all young people and girls in the Medan Johor sub-district. The sample of teenagers and young people gathered in the Karang Taruna Medan Johor region. Data collection using a questionnaire, which consists of demographic data, knowledge data, and attitudes related to reproductive health. Univariate data analysis used distribution and presentation frequency. The results of the research on knowledge of youth and girls about reproductive health are generally in the low category, namely around 56.4%. The negative attitude is around 62.2%. Health workers must be able to optimize their role in providing health education to the public, especially about reproductive health.
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Lindner, Ulrike. "The transfer of European social policy concepts to tropical Africa, 1900–50: the example of maternal and child welfare." Journal of Global History 9, no. 2 (May 23, 2014): 208–31. http://dx.doi.org/10.1017/s1740022814000047.
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AbstractConcerns about a sinking birth rate and possible ‘national degeneration’ led to the implementation of various measures in maternal and child welfare across Europe at the dawn of the twentieth century. Infant health was strongly connected with the idea of population as both a national and imperial resource. In the colonies of the imperial powers, similar issues started to be addressed later, mostly after the First World War, when colonial administrations, who until then had predominantly worried about the health of the white European colonizers, started to take an interest in the health of the indigenous population. This article investigates the transfer of maternal and infant health policies from Britain and Germany to their tropical African colonies and protectorates. It argues that colonial health policy developed in a complex interplay between imperial strategies and preconceptions as well as local reactions and demands, mostly reifying racial demarcation lines in colonial societies. It focuses on examples from German East Africa, which became the British Tanganyika mandate after the First World War, and from the British sub-Saharan colonies Kenya and Nigeria.
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Budi Rahayu, Tri. "TINGKAT PENGETAHUAN TENTANG PEMANFAATAN BUKU KESEHATAN IBU DAN ANAK BERDASARKAN KARAKTERISTIK IBU HAMIL." MEDIA ILMU KESEHATAN 6, no. 1 (November 11, 2019): 32–37. http://dx.doi.org/10.30989/mik.v6i1.176.
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Background : High maternal mortality rate is a problem and a concern for all countries due to the impact effect on the economy, politics and policy development. As one of the efforts to reduce maternal mortality and infant mortality rate in Indonesia, KIA book as means of integration of maternal and child health services. Lack of knowledge of pregnant women about the KIA books utilization can increase the risk of maternal and infant mortality.
Objective : This study aimed to determine the level of knowledge about the utilization of KIA book in pregnant women.
Methods : This research was descriptive quantitative with cross sectional data collection. Univariat analysis was used for the data analysis. The sampling technique was total sampling with the number of 48 pregnant women.
Results : The result of univariate analysis showed that 65% pregnant women had enough knowledge about the utilization of KIA book.
Conclusion : The level of knowledge about the utilization of KIA book is categorized into enough category.
Keywords : Knowledge, KIA book
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Sujianti, Sujianti. "Literature Review Bayi Berat Lahir Rendah." Jurnal Kesehatan Ibu dan Anak 11, no. 2 (November 30, 2017): 8–14. http://dx.doi.org/10.29238/kia.v11i2.33.
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Indonesia is one of the developing countries with the highest maternal mortality and infant. The infant mortality cases in 2015 asmany as 33,278 cases decreased compared to the year 2015 of 32,007 and in 2017 in the first semester as many as 10,294 cases.One of the causes is the incidence of Low Birth Weight (LBW) of 38.85%. LBW is the birth weight less than 2,500 grams. The reviewof LBW is done by literature review from DOAJ, Pubmed, Scholar and Garuda portal. The literature search using several keywords is"Low Birth Weight ", "risk factors" with four literature publications from 2007-2017. LBW incidence is influenced from maternaldemography status, maternal health status, condition of pregnancy and baby. The four journals DOAJ, Pubmed, Scholar andGaruda portal described risk factors of LBW occurrence include sociodemography (maternal age <18 years and> 34 years,education level, occupation type, family income, kin), maternal health status obstetric history, parity, birth spacing, anemia, history ofdiabetes, malaria, baby malpresentation history, Premature Rupture Of The Membrane, maternal nutritional status, infections,diseases and complications of pregnancy), status of ANC (frequency and quality of care, health worker, site of pregnancyexamination, history of unchecked pregnancy, irregular ANC).
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Fadlliyyah, Ulfi Rizqi. "DETERMINAN FAKTOR YANG BERPENGARUH PADA PEMBERIAN ASI EKSKLUSIF DI INDONESIA." IKESMA 15, no. 1 (March 22, 2019): 51. http://dx.doi.org/10.19184/ikesma.v15i1.14415.
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Exclusive breastfeeding is one of the efforts to reduce the prevalence of infant mortality in Indonesia. If more babies get exclusive breastfeeding, it can improve the quality of baby's health. Breast milk also helps to build the baby's immune system, and giving exclusive breastfeeding during pregnancy to babies can help reduce fat. Indonesia is one of the countries that provides exclusive breast milk, hasn't reached the WHO target. Exclusive breastfeeding in Indonesia is related to several things, such as maternal factors, career woman, cultural factors, and impact formula milk campaign. Giving breast milk which is not done exclusively can increase the risk of stunting, because it easily involves infections and diarrhea. From birth to six months, every baby should get exclusive breastfeeding. However, the implementation of exclusive breastfeeding was not as expected. There are several factors in the practice of exclusive breastfeeding. This article discusses several factors which can affect exclusive breastfeeding. Obtained from the analysis of several review articles or literature, there are 16 factors that can affect exclusive breastfeeding, such as; maternal parity, work cycle, mother's knowledge, mother's attitude, mother's actions, family or husband support, education level, early breastfeeding initiative, maternal age, health worker support, availability of space lactation in the workplace, information exposure, family income, community environment, formula milk, and the psychological condition of the mother it self.
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Mendis, Nalaka. "Mental health services in Sri Lanka." International Psychiatry 1, no. 3 (January 2004): 10–12. http://dx.doi.org/10.1192/s1749367600006585.
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Relative to its economic indicators, Sri Lanka has a high health status. The life expectancy in the year 2001 was 70.7 years for males and 75.4 years for females. Maternal and infant mortality rates have shown a downward trend over the past half century and now are around 2.3 per 10 000 live births and 16 per 1000 live births, respectively. These trends are mainly due to the high literacy rate and comparatively large investments made in health and social welfare.
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Kusumawati, Estri. "A Systematic Review againts Risk Factors on The Low-weight Birth Incidence in Indonesia." Journal of Health Science and Prevention 1, no. 1 (April 23, 2017): 38–44. http://dx.doi.org/10.29080/jhsp.v1i1.16.
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The number of maternal and infant mortality in Indonesia is still high. Most of Indonesian neonatal mortality occurs in the first week of life with low-weight birth (LwB) / premature as the main cause. Birth weight is an important and reliable indicator for the survival of neonates and infants, both in terms of physical growth and development of the mental status. LwB caused by many complicated factors that related each others as if maternal factors that also affect the baby's weight at their birth. The purpose of this study was to identified the determinant factors that affect the incidence of LwB based on the related research topic. The data source obtained from the scientific journals with LwB studies during the years of 2009 untill 2016 with the total of 14 studies consisting of scientific papers and thesis. In this study, researchers divided into five risk factors associated with LwB. From those factors then it divided again into 20 aspects. The result show that the maternal nutritional aspec and anemia status have become significant risk factors againts the low-weight birth incidence.
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Marianthi, Dewi, Sri Supar Yati Soenarto, Fitri Haryanti, and Yayi Suryo Prabandari. "ACEH CULTURE ON MATERNAL AND CHILD HEALTH RELATED TO INTEGRATED MANAGEMENT OF INFANT ILLNESS: A QUALITATIVE STUDY IN NORTH SUMATRA INDONESIA." Belitung Nursing Journal 3, no. 5 (October 30, 2017): 621–35. http://dx.doi.org/10.33546/bnj.190.
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Background: Maternal and infant mortality rates in Aceh province are still quite high compared to other provinces in Indonesia. In addition to disease factors, the factor that contributes to the rates is socio-cultural factor.Objective: This study aims to know and understand the view of postpartum mothers, health personnel, cadres, and the chairperson of the Aceh traditional assembly about the culture related to postpartum and newborn and integrated infant management program (MTBM) in Aceh.Methods: This was a qualitative study. Data collection was conducted from October 2016 to January 2017 on seven health cadres by focus group discussion and in-depth interviews on five postpartum mothers, one health worker, and the Aceh traditional assembly chairperson. The open-code software program was used for data analysis.Results: Three themes were emerged from data: 1) The 'Madeung' Culture in postpartum mothers in Aceh has a relationship with maternal health problems, 2) 'Peucicap' and 'troen tanoh' cultures in newborns in Aceh are at risk of causing complex problems in newborns, and 3) Community-based integrated management of young infants can be implemented while maintaining Acehnese culture.Conclusion: To improve access to maternal and neonatal health services with socio-cultural issues, the community-based integrated management of young infants is considered appropriate in Aceh culture.
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Mardiaturrahmah, Mardiaturrahmah, and Anjarwati Anjarwati. "Relationship between the nutritional status of pregnant women and the incident of Low Birth Weight infant." International Journal of Health Science and Technology 1, no. 3 (March 28, 2020): 58–62. http://dx.doi.org/10.31101/ijhst.v1i3.1212.
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The maternal mortality rate is 19,500 to 20,000 people every year or occurs every 26-27 minutes. The caus of maternal death is bleeding 30.5%, infection 22,5%, gestosis 17,5 and anesthesia 2%. The infant mortality rate is around 10,000 to 280,000 per 18-20 minutes. The cause of infant mortality is due to Low Birth Weight (LBW) of 15/1000%. The infant mortality rate in Indonesia is still the highest problem in other ASEAN countries. The infant mortality rate in Indonesia from 2008 was around 248 per 100,000 live births. Basic Health Research (RISKESDA) 2013 shows there are still 10,2% of babies with LBW, which is less than 2,500 grams. Neonatal death because LBW is basically affected by the nutritional status of pregnant women. This study aims to determine the relationship between the nutritional status of pregnant women and the incidence of LBW. This quantitative research uses a case control approach using a retrospective approach. The population in this study were mothers who had given birth to babies during the last two years (2016-2017). The sampling technique uses total sampling for control cases by using a ratio of 1: 1 for the case group of 40: 40 samples. Analysis using Chi Square with p value 0,000 (OR=3,500, CI 95%=2,313-5,296). There is a relationship between nutritional status of pregnant women and the incidence of LBW. Health Technology Assessment (HTA) which can seek 1000 first day of life can be a breakthrough in assessing and providing interventions of nutrition in families, especially in pregnant women.
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Watson, Claire F. I., and Tetsuro Matsuzawa. "Behaviour of nonhuman primate mothers toward their dead infants: uncovering mechanisms." Philosophical Transactions of the Royal Society B: Biological Sciences 373, no. 1754 (July 16, 2018): 20170261. http://dx.doi.org/10.1098/rstb.2017.0261.
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In comparative thanatology, most reports for nonhuman mammals concern mothers' behavioural responses to their dead offspring: most prominently, dead-infant carrying (sometimes of extended duration); but also inspection, proximity, maternal care such as grooming, protective behaviours and filial cannibalism. Documented across many primate species, these behaviours remain poorly understood in all. The literature is dominated by relatively brief qualitative descriptions of isolated anecdotal cases in apes and monkeys. We argue for quantitative coding in case reports, alongside analyses of longitudinal records of such events to allow objective evaluation of competing theories, and systematic comparisons within and across species and populations. Obtaining necessary datasets depends on raised awareness in researchers of the importance of recording occurrences and knowledge of pertinent data to collect. We review proposed explanatory hypotheses and outline data needed to test each empirically. To determine factors influencing infant-corpse carriage, we suggest analyses of deaths resulting in ‘carry’ versus ‘no carry’. For individual cases, we highlight behavioural variables to code and the need for hormonal samples. We discuss mothers' stress and welfare in relation to infant death, continued transportation and premature removal of the corpse. Elucidating underlying proximate and ultimate causes is important for understanding phylogeny of maternal responses to infant death. This article is part of the theme issue ‘Evolutionary thanatology: impacts of the dead on the living in humans and other animals’.
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Syarif, A'bidah Baana, Sabar Santoso, and Hesty Widyasih. "Usia Ibu dan Kejadian Persalinan Preterm." Jurnal Kesehatan Ibu dan Anak 11, no. 2 (November 30, 2017): 20–24. http://dx.doi.org/10.29238/kia.v11i2.35.
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Preterm labor was a labor that occurs at 20-<37 weeks gestational age and it was one of the highest cause of infant death in theworld. Infant mortality rate in Indonesia was still very high, in Yogyakarta happened in Gunungkidul District. Maternal age factor wasone of the preterm labor problem. In 2014-2015 at Gunungkidul, the risk of maternal age increased but preterm labor decreased. Thepurpose of this study was to determine the relationship between maternal age and the incidence of preterm labor in WonosariHospital in 2016. This research was an observational study with Cross-sectional design. The research was conducted in RSUDWonosari in 2017. The technique sampling used simple random sampling and obtained 182 mothers. Data was analized using chisquaretest. The results of the study showed preterm prevalence 34,1% and aterm 65,9%. In the statistical test obtained p-value0.002 and contingency coefficient 0.227. This means that there was a correlation between mother's age and the preterm labor atWonosari Hospital in 2016 and the correlation was in a low level. As a conclusion in this study, maternal age <20 and >35 years wererisk factors that led to the incidence of preterm labor.
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Rilyani, Rilyani, and Lelly Sugiyati. "Hubungan antara riwayat status gizi ibu masa kehamilan dengan pertumbuhan bayi usia 9-12 bulan." Holistik Jurnal Kesehatan 14, no. 4 (January 4, 2021): 556–63. http://dx.doi.org/10.33024/hjk.v14i4.3516.
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Maternal nutritional status during pregnancy and effects on growth among infants 9-12 monthsBackground: Maternal nutritional status during pregnancy needs attention because it affects the development of the fetus they are carrying. During pregnancy are at risk of experiencing of chronic energy deficiency (CED) in adults if they have LILA <23.5 cm are at risk of maternal death, preterm delivery/low birth weight (LBW), death and impaired growth and development of infant. Base on data in Way Panji Public Health Centre reported that among maternal during pregnancy were of 43 (29.05%) who has LILA <23.5 cm.Purpose: To determine the relationship between maternal nutritional status during pregnancy and infant growth at the Way Panji Community Health Centre coverage area.Method: A quantitative by cross-sectional research, the population in this study were of 143 respondent as all maternal who had an infant aged 9-12 months in May 2020. Both of them observed such as a history of maternal nutritional status during pregnancy and infant growth when aged 9-12 months and bivariate analysis (Chi-Square).Results: Showing that the frequency distribution of maternal nutritional status during pregnancy, mostly with has sufficient in nutrition of 113 (79.0%) respondents and they have an infant with a normal growth of 107 (74.8%). There is a relationship between maternal nutritional status during pregnancy and infant growth (p-value 0.000: OR 5,314).Conclusion: There is a relationship between maternal nutritional status during pregnancy and infant growth in Way Panji Public Health Center coverage area Lampung-Indonesia. Suggestions to public health centre management to increase the promotion programme of maternal nutritional status during pregnancy and preventing poor growing of the infant by providing leaflets or posters also supplement nutritions for maternal during pregnancy.Keywords: Maternal; Nutritional status; Pregnancy; Infant; GrowthPendahuluan: Gizi ibu hamil perlu mendapat perhatian karena sangat berpengaruh pada perkembangan janin yang dikandungnya, Wanita hamil berisiko mengalami KEK jika memiliki LILA < 23,5 cm. ibu hamil dengan KEK berisiko melahirkan bayi berat lahir rendah (BBLR). BBLR akan membawa risiko kematian, dan gangguan pertumbuhan dan perkembangan anak. KEK juga dapat menjadi penyebab tidak langsung kematian ibu. Data dari Puskesmas Way Panji mengatakan bahwa terdapat 43 orang (29,05%) yang berisiko KEK dengan LILA < 23,5 cm.Tujuan: Diketahui Hubungan Status Gizi Ibu Masa Kehamilan Dengan Pertumbuhan Bayi Di Puskesmas Way Panji Kecamatan Way Panji Kabupaten Lampung Selatan Metode: Jenis penelitian kuantitatif dengan menggunakan metode penelitian crossectional , Subyek dalam penelitian ini adalah Ibu Masa Kehamilan, Variabel dependen : Pertumbuhan bayi, variabel independent : gizi ibu saat hamil, populasinya paraibu yang telah melahirkan dan bayinya usia 9-12 bulan dengan total sampel berjumlah 143 responden/bayi, dilakukan pada bulan Juli-Agustus 2020, dengan analisa univariat dan bivariat (Chi-Square).Hasil: Didapatkan Distribusi frekuensi status gizi ibu masa kehamilan, sebagian besar dengan gizi baik yaitu sebanyak 113 (79,0%) responden. pertumbuhan bayi kategori normal yaitu sebanyak 107 (74,8%). Ada hubungan status gizi ibu masa kehamilan dengan pertumbuhan bayi (p-value 0.000 : OR 5,314).Simpulan: Ada hubungan status gizi ibu masa kehamilan dengan pertumbuhan bayi di Puskesmas Way Panji, Disarankan kepadapihak manajemen Puskesmas setempat supaya dapat meningkatan upaya promosi guna penurunan kejadian pertumbuhan bayi yang abnormal dan membantu terpenuhinya kebutuhan gizi atau nutrisi pada saat ibu dalam masa kehamilan dengan cara pemberian leaflet atau poster.
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Prawira-Putra, Andre, Theda Lukito, and Rukhsana Ahmed. "Strategies for the prevention of malaria in pregnancy in Indonesia in the COVID-19 pandemic era." International Journal Of Community Medicine And Public Health 7, no. 7 (June 26, 2020): 2862. http://dx.doi.org/10.18203/2394-6040.ijcmph20202572.
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Malaria is one of the oldest infectious disease that continues to affect annually more than 200 million people globally. Pregnant women are the second most vulnerable group to malaria, besides children. A pregnant woman with malaria risks detrimental harm to herself and to her child resulting in adverse pregnancy outcomes. These adverse outcomes contribute to maternal, neonatal and infant morbidity and mortality. It is essential to protect pregnant women from malaria to improve the public health burden in malaria endemic countries.
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Priliani, Lidwina, Elizabeth L. Prado, Restuadi Restuadi, Diana E. Waturangi, Anuraj H. Shankar, and Safarina G. Malik. "Maternal Multiple Micronutrient Supplementation Stabilizes Mitochondrial DNA Copy Number in Pregnant Women in Lombok, Indonesia." Journal of Nutrition 149, no. 8 (June 9, 2019): 1309–16. http://dx.doi.org/10.1093/jn/nxz064.
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ABSTRACT Background The Supplementation with Multiple Micronutrients Intervention Trial (SUMMIT) in Lombok, Indonesia showed that maternal multiple micronutrients (MMN), as compared with iron and folic acid (IFA), reduced fetal loss, early infant mortality, and low birth weight. Mitochondria play a key role during pregnancy by providing maternal metabolic energy for fetal development, but the effects of maternal supplementation during pregnancy on mitochondria are not fully understood. Objective The aim of this study was to assess the impact of MMN supplementation on maternal mitochondrial DNA copy number (mtDNA-CN). Methods We used archived venous blood specimens from pregnant women enrolled in the SUMMIT study. SUMMIT was a cluster-randomized double-blind controlled trial in which midwives were randomly assigned to distribute MMN or IFA to pregnant women. In this study, we selected 108 sets of paired baseline and postsupplementation samples (MMN = 54 and IFA = 54). Maternal mtDNA-CN was determined by real-time quantitative polymerase chain reaction in baseline and postsupplementation specimens. The association between supplementation type and change in mtDNA-CN was performed using rank-based estimation for linear models. Results In both groups, maternal mtDNA-CN at postsupplementation was significantly elevated compared with baseline (P < 0.001). The regression revealed that the MMN group had lower postsupplementation mtDNA-CN than the IFA group (β = −4.63, P = 0.003), especially for women with mtDNA-CN levels above the median at baseline (β = −7.49, P = 0.007). This effect was rapid, and observed within 33 d of initiation of supplementation (β = −7.39, P = 0.017). Conclusion Maternal MMN supplementation rapidly stabilized mtDNA-CN in pregnant women who participated in SUMMIT, indicating improved mitochondrial efficiency. The data provide a mechanistic basis for the beneficial effects of MMN on fetal growth and survival, and support the transition from routine IFA to MMN supplementation. This trial was registered at www.isrctn.com as ISRCTN34151616.
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Sari, Selvy Novita. "Risk Analyses Factor of Infant Mortality Caused by Tetanus Neonatorum in East Java." Jurnal Berkala Epidemiologi 5, no. 2 (October 27, 2017): 231. http://dx.doi.org/10.20473/jbe.v5i22017.231-239.
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Tetanus neonatorum is an infection in infants ( < 28 days), caused by bacteria Clostridium tetani that enter the body through the wound. Tetanus neonatorum is one of the leading causes of neonatal mortality in the world. The case of tetanus neonatorum is present in 14 provinces in Indonesia, East Java has the second highest case of tetanus neonatorum. Factors affecting infant mortality among others include maternal immunization status, parity, delay admission of TN patients, and umbilical cord care. The purpose of this study was to analyze the relationship between maternal immunization status, parity, delay admission of TN patients, and umbilical cord care with mortality of tetanus neonatorum. This study uses cross sectional design using 59 respondents obtained from T2 report to Dinas Kesehatan Provinsi Jawa Timur in 2014-2016. The result of the research by using chi-square test and α= 0,05 obtained TT immunization of pregnant women (p = 0.257), parity (p = 0.034; PR= 0.39; 95% CI 0.16-0.98), delay admission of TN patients (p = 0.061), and umbilical cord care (p = 0.007; PR = 2.31; 95% CI 1.29-4.15). The conclusion of this study is there are no relationships between maternal immunization status and delay admission with mortality of tetanus neonatorum and a significant relationships between parity and umbilical cord care with mortality of tetanus neonatorum in East Java in 2014-2016. To reduce the risk factors of infant mortality, it is necessary to socialize TT immunization to pregnant women, planning of pregnancy, clean delivery and umbilical cord care.Keywords: risk factors, delay admission, mortality of tetanus neonatorum, parity, and umbilical cord care, maternal immunization
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Septina, Yona, Luthfiah Zakiyah, Heri Hermansyah, and Siti Nunung Nurjannah. "ANALYSIS OF CHARACTERISTICS OF INFANT DEATH RATE (2015-2019) IN UPTD PUSKESMAS JAPARA KUNINGAN DISTRICT, 2020." International Seminar of Gender Equity Maternal and Child Health 1, no. 1 (July 8, 2021): 12–22. http://dx.doi.org/10.34305/gemic.v1i1.309.
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Infant mortality is a death incident that occurs in newborns up to <1 year of age. Infant mortality is measured as the infant mortality rate, which is the number of deaths for children under 1 year of age per 1000 births. According to WHO, the infant mortality rate in Indonesia reaches 27/1000 live births. Based on the health profile of West Java, the number of infant deaths in 2017 reached 3.4 / 1000 live births. In the UPTD Puskesmas Japara there are 34 cases of infant mortality. Infant mortality is caused by several factors, including maternal age, education, birth attendants, and parity. The research objective was to determine the analysis of the characteristics of the incidence of infant mortality in 2015-2019 at the UPTD Puskesmas Japara, Kuningan Regency. The research method used was quantitative with a retrospective design, taken from secondary data 2015-2019, the population in the study was all infant deaths in the UPTD Puskesmas Japara, amounting to 34 people. Selection of a sample of 34 people using the total sampling technique. The statistical test technique uses the Chi Square test. The results showed that there was a relationship between parity (p-value = 0.006) and there was no relationship between maternal age (p-value = 0.129), education (p-value = 0.156), birth attendants (p-value = 0.781) and death. babies in 2015-2019 at UPTD Puskesmas Japara, Kuningan Regency. It can be concluded that the incidence of infant mortality occurs in some mothers with no risk age, some mothers with primary education, some mothers with multiparity parity. Suggestions for health centers are expected to increase the priority of health programs in an effort to reduce the incidence of infant mortality.