Determinants of early neonatal mortality in Indonesia: insights from the Indonesia Demographic and Health Survey, 2017

Maria Gayatri, Badan Kependudukan Dan Keluarga Berencana Nasional
Dian Kristiani Irawaty, Badan Kependudukan Dan Keluarga Berencana Nasional

Early neonatal deaths pose a big challenge in developing countries. This study aims to investigate the factors influencing early neonatal mortality in Indonesia. The method comprises analyses of reproductive calendar data containing in the detailed history of women’s reproduction and contraceptive use within the 5 years prior to the survey. The data have been analyzed by both bivariate and multivariate techniques using logistic regression model with complex sample design. The estimated early neonatal mortality rate is 12.1 per 1000 live births. Birth interval is the strongest predictor. Newborns with previous birth intervals of <24 months (OR = 2.57; 95% CI: 1.09-6.03) and birth intervals >36 months (OR = 2.39; 95% CI: 1.06-5.34) exhibit higher odds of early neonatal deaths compared with newborns with birth interval of 24-36 months. High parity (OR=1.75; 95% CI: 1.14-2.68), male newborns (OR = 2.27; 95%CI: 1.55-3.31) and newborns with smaller sizes (OR = 3.46; 95%CI: 2.33-5.12) have higher risk of early neonatal mortality. There is a need for revamping the promotion of family planning program for spacing and limiting pregnancies and improving mother’s nutrition during their pregnancy. The utilization of antenatal care services is also important to prevent adverse pregnancy outcomes.

Keywords: Fertility and childbirth, Life event calendar analysis, Children and youth, Family planning and contraception

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  Presented in Session 44. Health and Reproductive Health