UI - Tesis Membership :: Kembali

UI - Tesis Membership :: Kembali

Determinants of infant mortality in Indonesia

Nurlaily Febriyuna; Arjun S. Bedi, supervisor; Wagner, Natascha, examiner ([Publisher not identified] , 2015)

 Abstrak

[ABSTRAK
Salah satu tujuan pembangunan milenium dari tahun 1990 sampai dengan
2015 adalah mengurangi tingkat kematian balita hingga dua per tiga. Sampai
dengan saat ini, Indonesia telah berada pada jalur yang tepat dalam mencapai
target tersebut. Akan tetapi, perkembangan yang lambat pada penurunan kematian
bayi menunjukkan bahwa diperlukan perhatian lebih untuk meningkatkan
keselamatan pada bayi usia muda. Termotivasi oleh kondisi tersebut, penelitian ini
hendak mengidentifikasi determinan kematian bayi di Indonesia pada tahun 1997
sampai dengan 2012 menggunakan data Indonesia Demographic and Health
Survey (IDHS) periode ke 4, 5 dan 6. Disamping itu, penelitian ini juga bertujuan
untuk mengidentifikasi eksternalitas yang dapat diperoleh dari investasi pada
pendidikan ibu, sarana dan prasarana yang memadai pada sumber air minum dan
sanitasi, serta vaksinasi anak di lingkungan sekitar rumah tangga. Kerangka
konseptual dari penelitian ini didasarkan pada kerangka teoritis Mosley dan Chen
(1984). Penelitian ini menggunakan regresi logistik untuk mengestimasi pengaruh
dari berbagai macam faktor yang mempengaruhi kematian bayi.
Hasil regresi menunjukkan bahwa faktor bio-demografis, yakni
karakteristik ibu dan anak adalah faktor kunci dalam memprediksi kematian bayi
di Indonesia. Bayi berjenis kelamin pria, anak kembar, ibu dengan tingkat
kelahiran tinggi, jarak kelahiran yang pendek antar bayi, usia ibu diatas 35 tahun,
dan komplikasi kehamilan merupakan faktor-faktor yang terbukti berhubungan
positif dengan kematian bayi. Faktor perilaku antara lain institusi kelahiran,
pengetahuan tentang cairan rehidrasi oral, dan praktek kontrasepsi merupakan
faktor-faktor penting yang memiliki hubungan negatif dengan kematian bayi.
Selain itu, higienitas pada tempat tinggal seperti ketersediaan sumber air minum
yang bersih, kepemilikan toilet pribadi, dan penggunaan material lantai yang
lebih baik juga merupakan faktor penting yang dapat meningkatkan status
ketahanan hidup bayi di Indonesia. Beberapa variabel sosio ekonomis juga
terbukti merupakan determinan penting dari tingkat kematian bayi di Indonesia.
Diantara berbagai jenis faktor tersebut, jumah anggota rumah tangga merupakan
faktor yang memiliki keterkaitan yang paling kuat dengan kematian bayi. Pada
level komunitas, regional Sumatra dan Kalimantan pada periode 2012 memiliki
tingkat keterjadian kematian bayi yang lebih rendah dibandingkan dengan
regional Jawa dan Bali sedangkan regional Sulawesi pada periode 2007 memiliki
tingkat keterjadian kematian bayi yang lebih tinggi. Lebih lanjut, penelit ian ini
menemukan bahwa partisipasi masyarakat pada program imunisasi pemerintah
nasional memberikan efek eksternalitas yang positif pada tingkat ketahanan hidup
bayi di Indonesia

ABSTRACT
Reduction of under-five mortality rate by two-thirds between 1990 and 2015
is a Millennium Development Goal (MDG). Indonesia has been on track in
achieving the MDG target on under-five mortality. However, slower progress on
infant mortality reduction shows that more attention should be given in order to
improve the survival of younger children. Motivated by this situation, this study
attempts to identify determinants of infant mortality in Indonesia between 1997
and 2012 using the 4th, 5th and 6th rounds of the Indonesia Demographic and
Health Survey (IDHS) data. In addition, the study aims to identify externalities
which may be generated by investments in mother’s education, water and
sanitation, and child vaccination by a household’s neighbors. The conceptual
framework is based on Mosley and Chen (1984). Logistic regressions are used to
estimate the effect of a variety of factors on infant mortality.
The regression results shows that bio-demographic factors which include
child and maternal traits are key predictors of infant mortality in Indonesia. Male
sex, birth multiplicity, higher birth rank, shorter birth interval, mother age above
35 years, and complication during pregnancy are positively related to infant
mortality. Behavioral practices such as institutional delivery, knowledge of Oral
Rehydration Solutions (ORS), and especially contraceptive practice are also
important factors that negatively related to infant mortality. Moreover,
household’s hygiene characteristics such as safe drinking water source, private
toilet, and improved flooring materials are also important factors that increase
infant survival status in Indonesia. Some socio economic variables are also found
to be significant determinants of infant mortality in Indonesia. Among the various
factors, the number of household members is the strongest factors related to infant
mortality. At the community level, Sumatra and Kalimantan regions in 2012 have
lower odds of infant mortality, whereas Sulawesi region in 2007 has higher odds
of infant mortality as compare to Java and Bali. Furthermore, the study finds that
immunization participation in the community has a positive spillover effect on
infant survival status.
Relevance to Development Studies
Beside economic achievement, the level of development in a country is also
reflected in the health status of its people. Several health indicators, including
mortality rate in young children, have been used by the United Nation
Development Programme (UNDP) as measurements of poverty. The literature
suggests that the high numbers of Child Mortality Rate (CMR), Infant Mortality
Rate (IMR), and Neonatal Mortality Rate (NMR) exist in the Less Developed
Countries (LDCs). Indonesia, a middle income country in South East Asia has
been successful in reducing child mortality, but has not yet made enough progress
in reducing infant and neonatal mortality. Situation analysis is needed to identify
factors which may provide insights on how greater progress may be achieved.
, Reduction of under-five mortality rate by two-thirds between 1990 and 2015
is a Millennium Development Goal (MDG). Indonesia has been on track in
achieving the MDG target on under-five mortality. However, slower progress on
infant mortality reduction shows that more attention should be given in order to
improve the survival of younger children. Motivated by this situation, this study
attempts to identify determinants of infant mortality in Indonesia between 1997
and 2012 using the 4th, 5th and 6th rounds of the Indonesia Demographic and
Health Survey (IDHS) data. In addition, the study aims to identify externalities
which may be generated by investments in mother’s education, water and
sanitation, and child vaccination by a household’s neighbors. The conceptual
framework is based on Mosley and Chen (1984). Logistic regressions are used to
estimate the effect of a variety of factors on infant mortality.
The regression results shows that bio-demographic factors which include
child and maternal traits are key predictors of infant mortality in Indonesia. Male
sex, birth multiplicity, higher birth rank, shorter birth interval, mother age above
35 years, and complication during pregnancy are positively related to infant
mortality. Behavioral practices such as institutional delivery, knowledge of Oral
Rehydration Solutions (ORS), and especially contraceptive practice are also
important factors that negatively related to infant mortality. Moreover,
household’s hygiene characteristics such as safe drinking water source, private
toilet, and improved flooring materials are also important factors that increase
infant survival status in Indonesia. Some socio economic variables are also found
to be significant determinants of infant mortality in Indonesia. Among the various
factors, the number of household members is the strongest factors related to infant
mortality. At the community level, Sumatra and Kalimantan regions in 2012 have
lower odds of infant mortality, whereas Sulawesi region in 2007 has higher odds
of infant mortality as compare to Java and Bali. Furthermore, the study finds that
immunization participation in the community has a positive spillover effect on
infant survival status.
Relevance to Development Studies
Beside economic achievement, the level of development in a country is also
reflected in the health status of its people. Several health indicators, including
mortality rate in young children, have been used by the United Nation
Development Programme (UNDP) as measurements of poverty. The literature
suggests that the high numbers of Child Mortality Rate (CMR), Infant Mortality
Rate (IMR), and Neonatal Mortality Rate (NMR) exist in the Less Developed
Countries (LDCs). Indonesia, a middle income country in South East Asia has
been successful in reducing child mortality, but has not yet made enough progress
in reducing infant and neonatal mortality. Situation analysis is needed to identify
factors which may provide insights on how greater progress may be achieved.
]

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 Metadata

Jenis Koleksi : UI - Tesis Membership
No. Panggil : T44949
Entri utama-Nama orang :
Entri tambahan-Nama orang :
Entri tambahan-Nama badan :
Program Studi :
Subjek :
Penerbitan : [Place of publication not identified]: [Publisher not identified], 2015
Bahasa : eng
Sumber Pengatalogan : LibUI eng rda
Tipe Konten : text
Tipe Media : unmediated ; computer
Tipe Carrier : volume ; online resource
Deskripsi Fisik : x, 60 pages ; 30 cm
Naskah Ringkas :
Lembaga Pemilik : Universitas Indonesia
Lokasi : Perpustakaan UI, Lantai 3
  • Ketersediaan
  • Ulasan
  • Sampul
No. Panggil No. Barkod Ketersediaan
T44949 15-17-352410975 TERSEDIA
Ulasan:
Tidak ada ulasan pada koleksi ini: 20422693
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