Women's Autonomy and Household Health Factors in Infant Mortality

  • Sunnia Mutia Public Health, University of Muhammadiyah Aceh
  • Asnawi Abdullah Public Health Faculty, University of Muhammadiyah Aceh
  • Nopa Arlianti Public Health Faculty, University of Muhammadiyah Aceh
DOI: https://doi.org/10.56338/mppki.v7i10.6184
Keywords: Women's Autonomy, Infant Mortality, Household Health Factors, Maternal Education, Postnatal Care

Abstract

Introduction: Infant mortality remains a significant concern, spanning from national to global contexts. Despite substantial global progress in reducing infant mortality rates, considerable challenges persist, particularly in specific regions. In 2020, 2.4 million infant deaths occurred within the first month of life, underscoring the need for continued attention to this issue. This study aims to identify the influence and risks of women's autonomy and household health characteristics on infant mortality.

Objective: The objective of this research is to analyze the impact and risks of women's autonomy, household wealth, maternal education, maternal occupation, delivery method, antenatal care, postnatal care, and birth attendant on infant mortality

Method: This study is quantitative in nature, employing a cross-sectional design to examine the influence and risks of sociodemographic factors and household health characteristics on infant mortality. A bivariate and multivariate analysis was conducted on 3,624 respondents. The inclusion criteria were: (a) mothers who were married and living with their husbands, (b) mothers aged 15-49 years, and (c) cases of death of the most recent child from the couple (aged 0-12 months). The exclusion criteria included: (a) divorced mothers, (b) mothers who had never given birth, and (c) mothers younger than 15 years or older than 49 years.

Result: The study found no significant associations between women’s autonomy (p=0.499; OR=1.2), household economic status (p=0.09; OR=0.7), delivery method (p=0.856; OR=0.9), quality of antenatal care (p=0.137; OR=1.6), or birth assistance (p=0.277; OR=1.3) and infant mortality. However, significant associations were identified between maternal education (p=0.043; OR=3.1), maternal employment status (p=0.013; OR=0.5), and postnatal care (p=0.0001; OR=5.2) and infant mortality.

Conclusion: The study recommends that the healthcare sector prioritize improving the quality and accessibility of antenatal and postnatal care programs. This includes enhanced training for healthcare workers, promoting regular check-ups, and monitoring infant health post-birth.

References

WHO (2022) Newborn Mortality, World Health Organization.

CDC (2021) Infant Mortality, Centers for Disease Control and Prevention (CDC).

Rosa-Mangeret, F. et al. (2022) ‘2.5 Million Annual Deaths-Are Neonates in Low- and Middle-Income Countries Too Small to Be Seen? A Bottom-Up Overview on Neonatal Morbi-Mortality.’, Tropical medicine and infectious disease, 7(5). Available at: https://doi.org/10.3390/tropicalmed7050064.

Ministry of Health Indonesia (2018) ‘Indonesia Demographic and Health Survey 2017’, Bps, p. 588.

Memiah, P. et al. (2019) ‘Is sexual autonomy a protective factor for neonatal, child, and infant mortality? A multi-country analysis.’, PloS one, 14(2), p. e0212413. Available at: https://doi.org/10.1371/journal.pone.0212413.

Suhaeri, F. and Sugiharti, L. (2020) ‘Pengaruh Faktor Sosial Ekonomi Terhadap Angka Kematian Bayi (AKB) Pada Kabupaten/Kota di Propinsi Jawa Timur’, Ekonomikawan: Jurnal Ilmu Ekonomi dan Studi Pembangunan, 20(1), pp. 68–87. Available at: https://doi.org/10.30596/ekonomikawan.v20i1.3843.

Stiyaningsih, H. and Wicaksono, F. (2017) ‘Impact of women’s empowerment on infant mortality in Indonesia’, Kesmas, 11(4), pp. 185–191. Available at: https://doi.org/10.21109/kesmas.v11i4.1259.

Aisyan, S.D.S., Jannah, S.N. and Wardani, Y. (2013) ‘Hubungan Antara Status Sosial Ekonomi Keluarga Dengan Kematian Perinatal Di Wilayah Kerja Puskesmas Baamang Unit Ii Sampit Kalimantan Tengah Januari-April 2010’, Jurnal Kesehatan Masyarakat (Journal of Public Health), 5(1), pp. 35–44. Available at: https://doi.org/10.12928/kesmas.v5i1.1085.

Nurwati, R.N. and Listari, Z.P. (2021) ‘Pengaruh Status Sosial Ekonomi Keluarga Terhadap Pemenuhan Kebutuhan Pendidikan Anak’, Share?: Social Work Journal, 11(1), p. 74. Available at: https://doi.org/10.24198/share.v11i1.33642.

Lestari, T.R.P. (2020) ‘Achievement of Mother and Baby Health Status As One of the Successes of Mother and Child Health Programs’, Kajian, 25(1), pp. 75–89.

Goudar, S.S. et al. (2015) ‘Institutional deliveries and perinatal and neonatal mortality in Southern and Central India’. Available at: https://doi.org/10.1186/1742-4755-12-S2-S13.

Kiross, G.T. et al. (2019) ‘The effect of maternal education on infant mortality in Ethiopia: A systematic review and meta-analysis.’, PloS one, 14(7), p. e0220076. Available at: https://doi.org/10.1371/journal.pone.0220076.

Soe, K., Holland, P. and Mateus, C. (2019) ‘Association Between Maternal Education and Childhood Mortalities in Myanmar’, Asia Pacific Journal of Public Health, 31(8), pp. 689–700.

Adegbosin, A.E. et al. (2019) ‘Systematic review and meta-analysis of the association between dimensions of inequality and a selection of indicators of Reproductive, Maternal, Newborn and Child Health (RMNCH).’, Journal of global health, 9(1), p. 10429. Available at: https://doi.org/10.7189/jogh.09.010429.

Adewale, V. et al. (2023) ‘Planned cesarean delivery vs planned vaginal delivery: a systematic review and meta-analysis of randomized controlled trials’, American Journal of Obstetrics & Gynecology MFM, 5(12), p. 101186. Available at: https://doi.org/https://doi.org/10.1016/j.ajogmf.2023.101186.

Tiruneh, G.T., Shiferaw, C.B. and Worku, A. (2019) ‘Effectiveness and cost-effectiveness of home-based postpartum care on neonatal mortality and exclusive breastfeeding practice in low-and-middle-income countries: A systematic review and meta-analysis’, BMC Pregnancy and Childbirth, 19(1), pp. 1–19. Available at: https://doi.org/10.1186/s12884-019-2651-6.

Published
2024-10-05
How to Cite
Mutia, S., Asnawi Abdullah, & Nopa Arlianti. (2024). Women’s Autonomy and Household Health Factors in Infant Mortality. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(10), 2533-2545. https://doi.org/10.56338/mppki.v7i10.6184
Issue
Vol. 7 No. 10: OCTOBER 2024 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Section
Research Article

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