PREDICTIVE MODELS OF NEONATAL MORTALITY INCIDENCE IN SUB PURBOLINGGO EAST LAMPUNG REGENCY OF LAMPUNG PROVINCE

Abstract

Background: The infant mortality rate is one of indicators in determining children’s health status. Neonatal mortality rate in Indonesia on 2012 is 19 per 1000 live births. Meanwhile, neonatal mortality rate at Lampung Province is 20 per 1000 birth. The aim of this research is to predict the most influential variable to the case of neonatal mortality. Methods: This study is quantitatif research by case-control approach with 45 cases and 45 controls. The sample of this research is mothers who gave birth to a live infant. The data obtained were processed by using computer’s application for statistic and it is done by univariat, bivariat, and multivariat analysis. Result: Based on the results of this research, it can be known that there is correlation between birthweight to neonatal mortality (OR = 29,421), mother’s age to neonatal mortality (OR = 2,957), parity to neonatal mortality (OR = 6,143), ANC frequency (OR = 7,818), childbirth complications to neonatal mortality (OR = 9,250). Birthweight is the most influential variable to neonatal mortality (OR = 17,969; 95% CI = 3,507-92,053; p = 0,001) after being controlled by variable child birth complications, birth order, parity and ANC frequency. Conclusion: This research expected health workers to be more focus on monitoring maternal health passively and actively, conducting supplementary feeding for pregnant women, and socialization to pregnant women about the importance of family planning through counseling, role play, booklets, leaflets. Keyword s : neonatal mortality, low birth weight, childbirth complication DOI: https://doi.org/10.26553/jikm.2017.8.1.49-55