Socioeconomic Disparities in Infant Mortality: Evidence from the 2017 Indonesia Demographic and Health Survey

  • Yuniar Wardani Department of Public Health, Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia
  • Ichtiarini Nurullita Santri Department of Public Health, Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia
  • Suci Musvita Ayu Department of Public Health, Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia
  • Liena Sofiana Department of Public Health, Faculty of Public Health, Universitas Ahmad Dahlan, Indonesia
  • Asa Ismia Bunga Aisyahrani Faculty of Social Sciences and Humanities, Universiti Teknologi Malaysia, Malaysia
  • Mochamad Iqbal Nurmansyah School of Education, Faculty of Social Sciences, University of Leeds, Leeds, United Kingdom, United Kingdom
  • Moh. Irma Sukarelawan Physics Education Study Program, Faculty of Teacher Training and Education, Universitas Ahmad Dahlan, Indonesia
Keywords: Drinking Water, Infant Death, Region, Residence Type, Wealth Index

Abstract

Introduction: Indonesia did not meet the MDGs and SDGs targets. Factors contributing to the reduction of infant mortality in Indonesia in the last decade need to be understood.

Methods: This cross-sectional study uses a dataset from the 2017 Indonesia Demographic and Health Survey (IDHS). The sample size is 3413 infants. Multiple logistic regression results are performed by odds ratio (OR).

Results: Infants living in the middle wealth index were at higher risk of infant death compared to infants with the poorest and poor counterparts (AOR=1.73; 95% CI=1.14~2.61). The risk of infant death was almost two times higher among infants who were born in Sumatera (AOR=1.83; 95% CI=1.02~3.27), Java and Bali (AOR=2.14; 95% CI=1.21~3.76), and Sulawesi (AOR=2.39; 95% CI=1.15~4.96) than infants who were born in Papua and Maluku.

Conclusion: Infants living in the middle wealth index,  Sumatera, Java and Bali, and Sulawesi had a higher mortality risk than others.

References

Rachmawati PD, Kurnia ID, Asih MN, Kurniawati TW, Krisnana I, Arief YS, et al. Determinants of under-five mortality in Indonesia: A nationwide study. J Pediatr Nurs [Internet]. 2022 Jul;65:e43–8. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0882596322000379

Lau RS, Johnson S, Kamalanabhan TJ. Healthy Life Expectancy in the Context of Population Health and Ageing in India. Asia Pacific J Public Heal [Internet]. 2012 Jan 3;24(1):195–207. Available from: https://journals.sagepub.com/doi/10.1177/1010539510376663

Bugelli A, Borgès Da Silva R, Dowbor L, Sicotte C. The Determinants of Infant Mortality in Brazil, 2010–2020: A Scoping Review. Int J Environ Res Public Health [Internet]. 2021 Jun 15;18(12):6464. Available from: https://www.mdpi.com/1660-4601/18/12/6464

Indonesia Ministry of National Development Planning and the United Nations Fund. Achieving the SDGs for children in Indonesia Emerging findings for reaching the targets [Internet]. Jakarta; 2019. Available from: https://www.unicef.org/indonesia/media/1641/file/Achieving the SDGs for children in Indonesia: Emerging findings for reaching the targets.pdf

Statistics Indonesia (Badan Pusat Statistik—BPS), National Population and Family Planning Board (BKKBN), Kementerian Kesehatan (Kemenkes—MOH), ICF International. Indonesia Demographic and Health Survey 2012 [Internet]. Jakarta, Indonesia; 2012. Available from: https://dhsprogram.com/pubs/pdf/fr275/fr275.pdf

United Nations. The Sustainable Development Goals Report 2018. New York, United Nations; 2018.

Statistics Indonesia (Badan Pusat Statistik—BPS), National Population and Family Planning Board (BKKBN), Kementerian Kesehatan (Kemenkes—MOH), ICF International. Indonesia Demographic and Health Survey 2017 [Internet]. Jakarta, Indonesia: BKKBN, BPS, Kemenkes, and ICF; 2018. Available from: https://dhsprogram.com/pubs/pdf/FR342/FR342.pdf

Naz L, Patel KK, Uzoma IE. Crucial predicting factors of under-five mortality in Sierra Leone. Clin Epidemiol Glob Heal [Internet]. 2020 Dec;8(4):1121–6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2213398420300981

Chowdhury AH, Hanifi SMA, Bhuiya A. Social determinants of under-five mortality in urban Bangladesh. J Popul Res [Internet]. 2020 Jun 7;37(2):161–79. Available from: http://link.springer.com/10.1007/s12546-019-09240-x

Yaya S, Ahinkorah BO, Ameyaw EK, Seidu A-A, Darteh EKM, Adjei NK. Proximate and socio-economic determinants of under-five mortality in Benin, 2017/2018. BMJ Glob Heal [Internet]. 2020 Aug 24;5(8):e002761. Available from: https://gh.bmj.com/lookup/doi/10.1136/bmjgh-2020-002761

Adebowale AS, Fagbamigbe AF, Morakinyo O, Obembe T, Afolabi RF, Palamuleni ME. Parental educational homogamy and under-five mortality in sub-Saharan Africa: Clarifying the association’s intricacy. Sci African [Internet]. 2020 Mar;7:e00255. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2468227619308166

Khadka KB, Lieberman LS, Giedraitis V, Bhatta L, Pandey G. The socio-economic determinants of infant mortality in Nepal: analysis of Nepal Demographic Health Survey, 2011. BMC Pediatr [Internet]. 2015 Dec 12;15(1):152. Available from: http://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-015-0468-7

Afshan K, Narjis G, Qureshi IZ, Cappello M. Social determinants and causes of child mortality in Pakistan: Analysis of national demographic health surveys from 1990 to 2013. J Paediatr Child Health [Internet]. 2020 Mar 27;56(3):457–72. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jpc.14670

Irawaty DK, Elfiyan I, Purwoko E. Exploring the Factors Associated with Infant Mortality in Rural Indonesia. Glob J Health Sci [Internet]. 2020 Nov 20;13(1):17. Available from: http://www.ccsenet.org/journal/index.php/gjhs/article/view/0/44216

Kammerlander A, Schulze GG. Local economic growth and infant mortality. J Health Econ [Internet]. 2023 Jan;87:102699. Available from: https://linkinghub.elsevier.com/retrieve/pii/S016762962200114X

Quansah E, Ohene LA, Norman L, Mireku MO, Karikari TK. Social Factors Influencing Child Health in Ghana. Diemert DJ, editor. PLoS One [Internet]. 2016 Jan 8;11(1):e0145401. Available from: https://dx.plos.org/10.1371/journal.pone.0145401

Manyeh AK, Kukula V, Odonkor G, Ekey RA, Adjei A, Narh-Bana S, et al. Socioeconomic and demographic determinants of birth weight in southern rural Ghana: evidence from Dodowa Health and Demographic Surveillance System. BMC Pregnancy Childbirth [Internet]. 2016 Dec 15;16(1):160. Available from: http://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-016-0956-2

The Lancet Child & Adolescent Health. Infant and maternal mortality in the USA. Lancet Child Adolesc Heal [Internet]. 2021 Jan;5(1):1. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2352464220303692

Iqbal S, Maqsood S, Zakar R, Zakar MZ, Fischer F. Continuum of care in maternal, newborn and child health in Pakistan: analysis of trends and determinants from 2006 to 2012. BMC Health Serv Res [Internet]. 2017 Dec 9;17(1):189. Available from: http://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2111-9

Victora CG, Wagstaff A, Schellenberg JA, Gwatkin D, Claeson M, Habicht J-P. Applying an equity lens to child health and mortality: more of the same is not enough. Lancet [Internet]. 2003 Jul;362(9379):233–41. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673603139177

UNFPA. Levels and Trends in Child Mortality 2020 [Internet]. New York; 2020. Available from: https://www.unicef.org/media/79371/file/UN-IGME-child-mortality-report-2020.pdf.pdf

Zhao D, Zou L, Lei X, Zhang Y. Gender Differences in Infant Mortality and Neonatal Morbidity in Mixed-Gender Twins. Sci Rep [Internet]. 2017 Aug 18;7(1):8736. Available from: https://www.nature.com/articles/s41598-017-08951-6

Laksono AD, Wulandari RD. Regional Disparities of Facility-Based Childbirth in Indonesia. Trends Sci [Internet]. 2021 Oct 30;18(21):387. Available from: https://tis.wu.ac.th/index.php/tis/article/view/387

Husada PY, Yuniasih AF. Analisis Spasial Angka Kematian Neonatal di Pulau Jawa Tahun 2020. Semin Nas Off Stat [Internet]. 2022 Nov 1;2022(1):207–16. Available from: https://prosiding.stis.ac.id/index.php/semnasoffstat/article/view/1273

Uray Naviandi, Wahyuni S, Ikawati D, Handiyatmo D, Parwoto, Trisnani D, et al. Mortalitas di Indonesia: Hasil Long Form Sensus Penduduk 2020 [Internet]. Wahyuni S, Ikawati D, Handiyatmo D, editors. Jakarta: Badan Pusat Statistik; 2023. Available from: https://www.bps.go.id/id/publication/2024/02/02/f1e801ce263e5d1520375f59/mortalitas-di-indonesia-hasil-long-form-sensus-penduduk-2020.html

Lubis AS, Yani FA, Firzah N, Gurning FP. Pengaruh Infrastruktur Pelayanan Kesehatan Terhadap Keikutsertaan Peserta JKN Di Indonesia. J Kesehat Tambusai [Internet]. 2023;4(3):2947–55. Available from: https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/16234

Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia 2017 [Internet]. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018. Available from: https://www.kemkes.go.id/app_asset/file_content_download/Profil-Kesehatan-Indonesia-2017.pdf

Ehrenthal DB, Kuo H-HD, Kirby RS. Infant Mortality in Rural and Nonrural Counties in the United States. Pediatrics [Internet]. 2020 Nov 1;146(5):e20200464. Available from: http://medicopublication.com/index.php/ijfmt/article/view/12044

Winta MVI, Syafitri AK. Coping Stress Pada Ibu yang Mengalami Kematian Anak. Philanthr J Psychol [Internet]. 2019 Jul 25;3(1):14–33. Available from: http://journals.usm.ac.id/index.php/philanthropy/article/view/1513

Suariyani NLP, Widarsa IKT, Widarini NP, Sutiari NK, Listyowati R. Faktor Sosial Ekonomi Kematian Bayi di Dusun Muntigunung Kabupaten Karangasem Provinsi Bali. J Ilmu Kesehat Masy [Internet]. 2010;1(3):210–6. Available from: https://ejournal.fkm.unsri.ac.id/index.php/jikm/article/view/49

Dadan S, Martono N, Wijayanti UT. Perilaku Sehat Ibu Hamil dan Kematian Bayi: Perspektif Sosiologi Kesehatan. J Kesehat Saelmakers PERDANA [Internet]. 2021;4(1):10–23. Available from: https://journal.ukmc.ac.id/index.php/joh/article/view/2

Laksono AD, Wulandari RD, Soedirham O. Urban and Rural Disparities in Hospital Utilization among Indonesian Adults. Iran J Public Health [Internet]. 2019 May 8;48(2):247–55. Available from: https://publish.kne-publishing.com/index.php/ijph/article/view/819

Suharmiati, Laksono AD, Astuti WD. Policy Review on Health Services in Primary Health Center in the Border and Remote Area. Bul Penelit Sist Kesehat [Internet]. 2013;16(2):109–116. Available from: https://www.researchgate.net/publication/315935222_REVIEW_KEBIJAKAN_TENTANG_PELAYANAN_KESEHATAN_PUSKESMAS_DI_DAERAH_TERPENCIL_PERBATASAN_Policy_Review_on_Health_Services_in_Primary_Health_Center_in_the_Border_and_Remote_Area

Laksono AD, Rukmini R, Wulandari RD. Regional disparities in antenatal care utilization in Indonesia. Assefa Woreta S, editor. PLoS One [Internet]. 2020 Feb 13;15(2):e0224006. Available from: https://dx.plos.org/10.1371/journal.pone.0224006

Laksono AD, Soerachman R, Angkasawati TJ. Case Study of Muyu Ethnic’s Maternal Health in Mindiptara District-Boven Digoel. J Kesehat Reproduksi [Internet]. 2016;7(3):145–55. Available from: https://www.researchgate.net/publication/317542312_Studi_Kasus_Kesehatan_Maternal_Suku_Muyu_di_Distrik_Mindiptana_Kabupaten_Boven_Digoel_Case_Study_of_Muyu_Ethnic’s_Maternal_Health_in_Mindiptara_District-Boven_Digoel

Soewondo P, Johar M, Pujisubekti R, Halimah H, Irawati DO. Inspecting Primary Healthcare Centers in Remote Areas: Facilities, Activities, and Finances. J Adm Kesehat Indones [Internet]. 2019 Jun 13;7(1):89. Available from: https://e-journal.unair.ac.id/JAKI/article/view/9846

Filmer DP. Determinants of health and education outcomes [Internet]. World Development Report 2004: Making Services Work for Poor People. Washington, D. C.: World Bank; 2003. 27–29 p. Available from: http://documents.worldbank.org/curated/en/433441468782121490

Media Y. Permasalahan Sosial Budaya dalam Upaya Penurunan Angka Kematian Bayi di Provinsi Sumatera Barat. Indones J Heal Ecol [Internet]. 2017;16(1):46–56. Available from: https://media.neliti.com/media/publications-test/178500-permasalahan-sosial-budaya-dalam-upaya-p-07f7a1c8.pdf

IskandarAziz, Salim LA. Decreasing and Determining Child Mortality in Indonesia. Indian J Forensic Med Toxicol [Internet]. 2020 Oct 7;14(4):1982–2987. Available from: http://medicopublication.com/index.php/ijfmt/article/view/12044

Rosyidatuzzahro Anisykurlillah, Patriani Wilma Eunike Supit. Evaluasi Pembangunan Kesehatan Dalam Upaya Penurunan Angka Kematian Ibu Dan Bayi Di Kabupaten Malang. J Publicuho [Internet]. 2023 Apr 11;6(1):257–66. Available from: https://journalpublicuho.uho.ac.id/index.php/journal/article/view/116

Noor ZA, Sekarningrum TD, Sulistyaningsih T. Disparitas perkotaan-pedesaan: pemerataan dalam akses layanan kesehatan primer untuk lansia selama pandemi Covid-19. JPPI (Jurnal Penelit Pendidik Indones [Internet]. 2021 Dec 30;7(4):576. Available from: https://jurnal.iicet.org/index.php/jppi/article/view/1249

Salsabila S, Faizah Z, Prasetyo B. Faktor Sosial Budaya yang Memengaruhi Kesehatan Ibu dan Anak (Studi Etnografi). Oksitosin J Ilm Kebidanan [Internet]. 2022 Feb 1;9(1):67–79. Available from: https://journal.ibrahimy.ac.id/index.php/oksitosin/article/view/1651

Published
2025-04-09
How to Cite
Yuniar Wardani, Ichtiarini Nurullita Santri, Suci Musvita Ayu, Liena Sofiana, Asa Ismia Bunga Aisyahrani, Mochamad Iqbal Nurmansyah, & Moh. Irma Sukarelawan. (2025). Socioeconomic Disparities in Infant Mortality: Evidence from the 2017 Indonesia Demographic and Health Survey. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 8(4), 243-251. https://doi.org/10.56338/mppki.v8i4.6859