Determinan yang Berhubungan dengan Ketahanan Hidup Bayi Neonatal di Indonesia

Abstract

Background: Health care for children under five year in Indonesia was still a problem that should be cope with. Infant mortality (IMR), maternal mortality (MMR), and the IMR in Indonesia, ware still ranked the highest in Southeast Asia. According Soemantri (2004), infant mortality reached 46 per 1000 live births during the period 1998-2002. According SKRT 2001, the highest cause for infant mortality was perinatal disturbances (34%) and for neonatal mortality are premature and low birth weight babies (29%) and birth asphyxia (27%) (Soemantri S, eta/: 2004). Baby's health is associated with several maternal factors during pregnancy and birth, infant factors, and environmental factors. The cause of death of a baby has two kinds, namely endogen and exogen. Endogen infant death or neonatal was death that happens at the first month after birth, and generally caused by factors that brought by the child since birth, obtained from the parents at the time of conception or during pregnancy. Exogen baby's death or post-neonatal mortality was happen after the age of one month until the age of one year that is affected by external environment. Obj ective: This analysis is to ascertam the probabtlity and detenninants related to the live endurance of neonatal infants. Methods: This research design was Cross Sectional, using data of Health Basic Research (Riskesdas) 2007. Data analysis was conducted univariate, bivariate, and multivariate with the life table method, Kaplan Meier and Cox regression. Results: The analysis indicate that premature variables and banier have relationships with the live endurance of neonatal infants, where babies those are bom premature have risk 1.4 times higher for death compared with infants those ware not bom premature. For a baby that is bom with banier have risk 1. 5 times higher for death compared with infants bom without banier. Babies bom premature and have bam·er have risk 2.02 times higher than babies bom premature, and not without banier.