Kelangsungan Hidup Bayi dengan Berat Lahir Rendah (BBLR) Neonatal Berdasarkan Aspek Pelayanan Kesehatan

Izza Suraya

Abstract


Low birth weight (LBW) babies means infants that are succeptible to the diseases. Thus, their survival is low. Several previous studies have suggested that survival is related to the management of infants in the health care. Therefore, to measure LBW survival in Indonesia, this study was conducted. Sources of data in this study were Indonesia Demographic and Health Survey (SDKI) in 2002-2003 and 2007. This study used retrospective cohort as its design study. Based on inclusion criteria (singleton birth and birth weight between 1,500 and 2,499 grams) and exclusion (not last child and incomplete data), a number of 1,123 infants was selected. Survival was measured using cox proportional hazard analysis. The results of this study described that LBW survival was 97.33%. In addition, LBW survival rates in mothers using health services were lower than those of LBW with mothers who did not use them. Therefore, the quality of health services should be improved in order to improve the survival of baby LBW.

 

Abstrak

Bayi dengan berat lahir rendah (BBLR) merupakan bayi yang rentan terhadap penyakit. Dengan demikian, ketahanan hidupnya rendah. Beberapa studi mengatakan bahwa ketahanan hidup tersebut berhubungan dengan penatalaksanaan bayi di pelayanan kesehatan. Oleh karena itu, untuk mengukur ketahanan hidup BBLR di Indonesia tersebut, penelitian ini dilakukan. Sumber data dalam penelitan ini adalah Survei Demografi dan Kesehatan Indonesia (SDKI) pada tahun 2002-2003 dan 2007. Desain penelitian yang digunakan adalah studi kohort retrospektif. Berdasakan kriteria inklusi (kelahiran tunggal dan berat lahir 1.500 – 2.499 gram) serta eksklusi (bukan anak terakhir dan data tidak lengkap), diperoleh sampel sebesar 1.123 bayi. Ketahanan hidup diukur dengan menggunakan analisis survival dan cox proportional hazard. Hasil studi ini mengatakan ketahanan hidup BBLR sebesar 97,33%. Selain itu, angka ketahanan hidup BBLR pada ibu yang memanfaatkan pelayanan kesehatan lebih rendah dibandingkan dengan BBLR dengan ibu yang tidak memanfaatkannya. Oleh karena itu, kualitas pelayanan kesehatan harus ditingkatkan agar mampu meningkatkan ketahanan hidup bayi BBLR.


Keywords


neonatal; ketahanan hidup; berat badan lahir rendah; pelayanan kesehatan

References


Bracken MB. Perinatal epidemiology. New York: Oxford University Press; 1984.

World Health Organization. Neonatal and perinatal mortality: country, regional and global estimates. Geneva: WHO; 2006.

Ribeiro AM, Guimaraes MJ, Lima MC, Sarinho SW, Countinho SB. Risk factors for neonatal mortality among children with low birth weight. Rev Saude Publica. 2009;43(2):1-9.

Ballot DE, Chirwa TF, Cooper PA. Determinants of survival in very low birth weight neonates in a public sector hospital in Johannesburg. BMC Pediatrics. 2010;10(30).

Trotman H, Lord C. Outcome of extremely low birth weight infants at the university hospital of the West Indies, Jamaica. West Indian Med J. 2007;56(5):409-13.

Simbolon D. Berat lahir dan kelangsungan hidup neonatal di Indonesia. J Kesehatan Masyarakat Nasional. 2012;7(1):8-15.

Yasmin S, Osrin D, Paul E, Costello A. Neonatal mortality of low birth weight infants in Bangladesh. Bulletin of the World Health Organization. 2001;79(7):608-14.

Lavado RF, Lagrada LP, Ulep Valerie GT, Tan LM. Who provides good quality prenatal care in The Philippines. PIDS Discussion Paper Serie. 2010;18.

Ziyo FY, Matly FA, Mehemd GM, Dofany EM. Relation between prenatal care and pregnancy outcome at Benghazi. Sudanese Journal Public Health. Oct 2009;4(4):403-10.

Deb P, Sosa-Rubi SG. Does onset or quality of prenatal care matter more for infant health. Oct 2005;5(11):1-27.

Titaley CR, Dibley MJ, Agho K, Roberts CL, Hall J. Determinants of neonatal mortality in Indonesia. BMC. Jul 2008;9:8.

Edmond KM, Zandoh C, Quigley MA, Etego SA, Agyei SO, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics. Mar 2006;117(3):380-6.

Mullany LC, Katz J, Li YM, Khatry SK, Leclerq SC, Darmstadt GL, et al. Breastfeeding patterns, time to initiation, and mortality risk among newborns in Southern Nepal. J Nutr. 2008;138:599-603.

United Nations Children’s Fund and World Health Organization. Low birthweight: country, regional and global estimates. New York: UNICEF; 2004.

Tanberika FS. Hubungan frekuensi antenatal care dengan berat bayi lahir rendah di RS. PKU Muhammadiyah Yogyakarta tahun 2009 [Skripsi]. Yogyakarta: STIKES Aisyiyah Yogyakarta; 2009.

Yousif EM, Abdul Hafees AR. The effect of antenatal care on the probability of neonatal survival at birth, Wad Madani Teaching Hospital Sudan. Sudanese Journal Of Public Health. 2006;1(4):293-7.

Kementerian Kesehatan Republik Indonesia. Pedoman pelayanan ANC tingkat dasar. Jakarta: Direktorat Bina Kesejahteraan Keluarga Kemenkes RI; 2013.

Lolong DB, Pangaribuan L. Hubungan kunjungan K4 dengan kematian neonatal dini di Indonesia : analisis lanjut data Riskesdas 2013. Media Penelitian dan Pengembangan Kesehatan. 2015;25(3):139-46.

Badan Pusat Statistik (BPS), ORC Macro. Indonesia demographic survey 2002-2003. Calverton: BPS and ORC Macro; 2003.

Badan Pusat Statistik (BPS) dan Macro International. Indonesia demographic survey 2007. Calverton: BPS and Macro International;2008.

Kosim MS. Manajemen masalah neonatus di rumah sakit rujukan dasar. Sari Pediatri. 2004;6(1):85-93.


Full Text: PDF

Refbacks

  • There are currently no refbacks.


Media Penelitian dan Pengembangan Kesehatan (Media of Health Research & Development)Indexed on:

p-ISSN: 0853-9987
e-ISSN: 2338-3445
Published by: Badan Penelitian dan Pengembangan Kesehatan
Jalan Percetakan Negara No.29
Jakarta Pusat 10560
Indonesia



Visitor of MPK : View My Stats
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Media Penelitian dan Pengembangan Kesehatan
Copyright©2016-Badan Penelitian dan Pengembangan Kesehatan