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"Pemberian Air Susu Ibu (ASI) dapat menurunkan risiko kematian bayi. Namun, belum diketahui pengaruh durasipemberian ASI terhadap ketahanan hidup bayi setelah dikontrol oleh faktor determinan lainnya. Penelitian ini bertujuanuntuk mengetahui pengaruh durasi pemberian ASI terhadap ketahanan hidup bayi di Indonesia setelah dikontrol faktoribu, faktor bayi, dan lingkungan tempat tinggal. Penelitian ini menggunakan data sekunder SDKI 2002-2003. Analisisdilakukan dengan menggunakan regresi cox ganda. Hasil penelitian ini menemukan bahwa durasi pemberian ASI sangatmempengaruhi ketahanan hidup bayi di Indonesia. Bayi yang disusui dengan durasi 6 bulan atau lebih memilikiketahanan hidup 33,3 kali lebih baik daripada bayi yang disusui kurang dari 4 bulan, dan bayi yang disusui dengandurasi 4-5 bulan memiliki ketahanan hidup 2,6 kali lebih baik daripada bayi yang disusui kurang dari 4 bulan, setelahdikontrol dengan jumlah balita dalam keluarga dan tempat tinggal. Faktor lain yang berpengaruh terhadap ketahananhidup bayi di Indonesia adalah jumlah balita dalam keluarga dan tempat tinggal. Oleh karena itu, semua pihakdiharapkan mendukung kebijakan yang telah dilaksanakan oleh Departemen Kesehatan untuk terus meningkatkan lamapemberian ASI bahkan sampai 24 bulan.Breastfeeding can decrease risk of infantdeath. But, it is not clear yet the effect of breastfeeding duration to the infant survival after controlled for the otherdeterminant factors. This research is aimed to know the effect of duration of breastfeeding to infant survival inIndonesia after controlled for mother, infant, and environment factors. Data was analyzed by using multiple coxregression models. The result showed that duration of breastfeeding had a significant effect to infant survival inIndonesia. Infant who breastfeed for 6 months or more had 33.3 better survival than those who breastfeed less than 4months. Infant who breastfeed for 4-5 months had 2.6 time better survival than those who breastfeed less than 4 months.Others determinant of infant survival in Indonesia are the number of under five year children in family and theirresidence. Its recommended to all party were expected to support the policy conducted by Department of Health toimprove the duration of breastfeeding up to 24 months"

"In a number of studies of the determinants of infant and child health,maternal education emerges as perhaps the strongest socioeconomic predictorof infant and child health (Cochrane et al. 1980; Cleland and van Ginneltin1988; United Nations 1985; Hobcraft et al. 1985). However, e_,@'orts toexplain wig; more educated mothers have healthier children have been largelyinconclusive. if maternal education alters infant and child health risks, it mustaffect [actor directly related to health, such as nutrien intake, exposure topathogens, susceptibility to pathogens, and two dimensions of behavior thatpotentially affect infant and child health and survival: knowledge and use ofhealth services; and characteristics of the home environment that might affectthe transmission of diseases. Our result demonstrate a strong relationshipbetween maternal education and a number of health-related factors: theabsence of trash and waste in the vicinity of the home, adequate ventilation,drinking and bathing water sources inside the home, electrification, ability toidentify specific health prenotal early use of prenatal care and deliveryassistance. The relatioships are robust to controls for household economicstatus, childhood residence, and even to very rigorous controls for residence."

"Penelitian ini mempelajari perkembangan dan kesinambungan pelayanan posyandu berkaitan dengan pelayanan proyek kelangsungan hidup anak. Proyek kelangsungan hidup anak dimulai pada bulan September 1992 dan berakhir bulan September 1995 di Kecamatan Balai dan Tayan Hilir Kabupaten Sanggau. Rancangan penelitian adalah cross sectional dengan unit analisis adalah posyandu. Pengambilan sampel dilakukan secara purposive sampling dimana seluruh populasi sebanyak 46 posyandu sekaligus adalah sampel. Analisis univariat dilakukan ; untuk mengetahui perkembangan dan kesinambungan pelayanan posyandu selama dan setelah SCSP berakhir. Analisis bivariat dilakukan untuk mengetahui ada tidaknya hubungan antara faktor-faktor internal dan eksternal dengan kesinambungan pelayanan posyandu. Sedangkan analisis multivariat dilakukan untuk mengetahui faktor faktor yang paling berpengaruh dan memperoleh model hubungan yang paling baik (fit model) dan paling sederhana menggambarkan hubungan antara faktor-faktor pemberdayaan posyandu secara bersama-sama dengan kesinambungan pelayanan posyandu.Hasil penelitian menunjukan bahwa pelayanan SCSP mempunyai andil besar dalam upaya memfungsikan posyandu yang sudah ada, meningkatkan frekwensi kegiatan posyandu, partisipasi masyarakat dan rerata jumlah kader aktif didua kecamatan tsb.Faktor-faktor yang mempengaruhi kesinambungan pelayanan posyandu di wilayah pelayanan SCSP adalah partisipasi masyarakat, rerata jumlah kader aktif dan kunjungan petugas puskesmas. Ketiga faktor tersebut erat kaitannya dengan upaya peningkatan knalitas sumber daya manusia yang dilakukan oleh SCSP baik terhadap pengguna, pelaksana dan provider pelayanan kesehatan yang sudah ada. Ketiga faktor tersebut merupakan faktor kunci yang menjamin kesinambungan pelayanan posyandu pada masa-masa yang akan datang.Dalam proses permodelan, terpilih model terbaik dengan persamaan regresi : Kesinambungan = f (kunj petugas + kader aktif +part Masy + dana)

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The Progress and Sustainability of Posyandu Activities in Relation with a Child Survival Project in Balai and Tayan Hilir Subdistrict - Sanggau DistrictThe progress and sustainability of Posyandu ( Integrated Services Post) in relation with a Sanggau Child Survival Project ( SCSP ) was explored in this study. The SCSP covers two subdistrict are : Balai and Tayan Hilir in Sanggau District which was started in September 1992 and closed in September 1995. The study design was cross sectional and using posyandu as a unit of analyses. Using purposive sampling methods, all (46) existing posyandu in the two impact areas have selected as a total samples of the study. Univariate analyses have conducted to know the progress and sustainability of the posyandu during and after SCSP. Bivariate analyses have conducted to explore the correlation between internal as well as external factors and the sustainability of the posyandu while the multivariate analyses also conducted to identify the most significant factor influenced sustainability and to find the fit and simple model relationship of both internal and external factor interaction to predict the value of sustainability of the posyandu activities.The study result shows that the ministry of SCSP has a great role in functioning the existing posyandu , increasing the level of community participation and the number of active cadres. The community participation, number of active cadres and frequency of health staff visit are the factors influence the sustainability of the posyandu activities. Those factors are closed related with the effort of SCSP in enhancing the quality of human resources of the users (community), implementors ( cadres) and health providers (puskesmas and BKKBN staff ). Those factors should be consider as key factors to assure the sustainability of posyandu in the future.In modelling process, the fit and simple model has been selected as a regression equation : Sustainability = f (health staff visit + community participation + active cadres + funds)"

"Analisis data sekunder SDKI 2007 mengidentifikasi determinan kematian neonatal dini, neonatal lanjut dan post neonatal. Sampel 15334 anak terakhir kelahiran lima tahun sebelum survei. Variabel dependent: keIangsungan hidup anak 4 kategori; 0=hidup, meninggal pada periode i=neonatal dini, 2=neonatal lanjut dan 3=post neonatal. Analisis dengan uji regresi logistik muItinomial. Hasil: determinan kematian neonatal dini: umur ibu berisiko (OR=3,24), status ibu bekerja (OR=5,17) dan interaksi komplikasi keharnilan*BBLR (0R.=19,19). Deterrninan kematian neonatal lanjut; jarak kelahiran <24 bulan (OR-.--6,18), BBLR (OR=5,04) dan interaksi komplikasi persaIinan*bersalin di rumah (OR=5,03). Determinan kematian post neonatal: status ibu bekerja (OR=3,25), umur berisiko (OR=4,04) dan status ekonomi rendah (OR=5,75).

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Indepth analysis of The 2007 IDHS data. The samples was taken 15344 last child which were born five years preceeding survey. Dependent variable are child survival with four category: 0=survive . 1=early neonatal death, 2=late neonatal death, and 4=post neonatal death. The analysis used the multinomial logistic regression statistics.

Result : high risk ages (OR=3,24), mother's work (OR=5,17), pregnancy complication *LBW (0R=19,19) as early neonatal death's determinants; birth interval<24 months (OR=6,18), LBW (OR=5,04) and delivery's complication*place delivery at home (0R=5,03) as late neonatal death's determinants; mother's work (0R=3,25), high risk age (0R=4,04) and low economics status (OR=5,75) as post neonatal death's determinants. "