PEMANFAATAN PELAYANAN KESEHATAN DAN KELANGSUNGAN HIDUP BAYI PADA RUMAH TANGGA MISKIN DI INDONESIA (ANALISIS DATA SDKI 2002-2003 DAN 2007)
Background: The infant mortality rate becomes an important indicator of the health sector development of a country. Infant survival gaps between rich and poor families make poverty become one of the factors that affects infant survival. The low status of health and infant survival in poor communitie...
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| Format: | Thesis |
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[Yogyakarta] : Universitas Gadjah Mada
2012
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| author | , DIAH YUNITAWATI , Prof. dr. Siswanto Agus Wilopo, SU, M.Sc., ScD. |
| author_facet | , DIAH YUNITAWATI , Prof. dr. Siswanto Agus Wilopo, SU, M.Sc., ScD. |
| author_sort | , DIAH YUNITAWATI |
| collection | UGM |
| description | Background: The infant mortality rate becomes an important indicator of
the health sector development of a country. Infant survival gaps between
rich and poor families make poverty become one of the factors that affects
infant survival. The low status of health and infant survival in poor
communities are due to limitations in the utilization of basic health services
and lack of understanding of healthy behavior.
Objective: To assess the impact of poverty on infant survival in Indonesia.
Methods: This study used retrospective cohort design on the data of
Indonesia Demographic and Health Survey (IDHS) in 2002-2003 and
2007. Study sample was households with children under five and born
alive, amounting to 18,886 (IDHS in 2002-2003) and 20,810 households
(IDHS in 2007). The dependent variable in this study was the survival of
infants calculated from the age of infants from birth to death (in days).
Family economic status became the independent variable and utilization of
health services was the intervening variable. Other variables taken into
account were maternal age, education, parity, and area of residence.
Analysis of data was in the form of descriptive analysis, Kaplan-Meier
curves and log rank test, and multivariable analysis using Cox's
regression.
Results: The results of the bivariable analysis with Kaplan-Meier curve
showed a significant relationship between the economic status of families
and infant survival. The probability of survival was higher in infants with a
family's wealthy economic status compared with those with the poor
economic status (97.4%: 94.5% for 2002-2003 IDHS and 97.1%: 94.7%
for 2007 IDHS). The risk of infant mortality in poor families had decreased
from 1.4 to 1.1 for 2007 IDHS. The existence of health insurance for poor
families did not affect health care utilization and infant survival (HR: 1.2,
95% CI :1,08-1, 44). After including the other variables, the risk of infant
mortality from the poor family had remained with HR of 1.2 (95% CI:1,04-
1, 41).
Conclusion: Family economic factors were associated with risk of infant
mortality. The policy of health insurance for the poor was related to the
utilization of health services and infant survival. The other variable that
affected infant survival was maternal education. |
| first_indexed | 2024-03-13T22:32:51Z |
| format | Thesis |
| id | oai:generic.eprints.org:97441 |
| institution | Universiti Gadjah Mada |
| last_indexed | 2024-03-13T22:32:51Z |
| publishDate | 2012 |
| publisher | [Yogyakarta] : Universitas Gadjah Mada |
| record_format | dspace |
| spelling | oai:generic.eprints.org:974412016-03-04T08:46:04Z https://repository.ugm.ac.id/97441/ PEMANFAATAN PELAYANAN KESEHATAN DAN KELANGSUNGAN HIDUP BAYI PADA RUMAH TANGGA MISKIN DI INDONESIA (ANALISIS DATA SDKI 2002-2003 DAN 2007) , DIAH YUNITAWATI , Prof. dr. Siswanto Agus Wilopo, SU, M.Sc., ScD. ETD Background: The infant mortality rate becomes an important indicator of the health sector development of a country. Infant survival gaps between rich and poor families make poverty become one of the factors that affects infant survival. The low status of health and infant survival in poor communities are due to limitations in the utilization of basic health services and lack of understanding of healthy behavior. Objective: To assess the impact of poverty on infant survival in Indonesia. Methods: This study used retrospective cohort design on the data of Indonesia Demographic and Health Survey (IDHS) in 2002-2003 and 2007. Study sample was households with children under five and born alive, amounting to 18,886 (IDHS in 2002-2003) and 20,810 households (IDHS in 2007). The dependent variable in this study was the survival of infants calculated from the age of infants from birth to death (in days). Family economic status became the independent variable and utilization of health services was the intervening variable. Other variables taken into account were maternal age, education, parity, and area of residence. Analysis of data was in the form of descriptive analysis, Kaplan-Meier curves and log rank test, and multivariable analysis using Cox's regression. Results: The results of the bivariable analysis with Kaplan-Meier curve showed a significant relationship between the economic status of families and infant survival. The probability of survival was higher in infants with a family's wealthy economic status compared with those with the poor economic status (97.4%: 94.5% for 2002-2003 IDHS and 97.1%: 94.7% for 2007 IDHS). The risk of infant mortality in poor families had decreased from 1.4 to 1.1 for 2007 IDHS. The existence of health insurance for poor families did not affect health care utilization and infant survival (HR: 1.2, 95% CI :1,08-1, 44). After including the other variables, the risk of infant mortality from the poor family had remained with HR of 1.2 (95% CI:1,04- 1, 41). Conclusion: Family economic factors were associated with risk of infant mortality. The policy of health insurance for the poor was related to the utilization of health services and infant survival. The other variable that affected infant survival was maternal education. [Yogyakarta] : Universitas Gadjah Mada 2012 Thesis NonPeerReviewed , DIAH YUNITAWATI and , Prof. dr. Siswanto Agus Wilopo, SU, M.Sc., ScD. (2012) PEMANFAATAN PELAYANAN KESEHATAN DAN KELANGSUNGAN HIDUP BAYI PADA RUMAH TANGGA MISKIN DI INDONESIA (ANALISIS DATA SDKI 2002-2003 DAN 2007). UNSPECIFIED thesis, UNSPECIFIED. http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=54383 |
| spellingShingle | ETD , DIAH YUNITAWATI , Prof. dr. Siswanto Agus Wilopo, SU, M.Sc., ScD. PEMANFAATAN PELAYANAN KESEHATAN DAN KELANGSUNGAN HIDUP BAYI PADA RUMAH TANGGA MISKIN DI INDONESIA (ANALISIS DATA SDKI 2002-2003 DAN 2007) |
| title | PEMANFAATAN PELAYANAN KESEHATAN DAN
KELANGSUNGAN HIDUP BAYI PADA RUMAH
TANGGA MISKIN DI INDONESIA
(ANALISIS DATA SDKI 2002-2003 DAN 2007) |
| title_full | PEMANFAATAN PELAYANAN KESEHATAN DAN
KELANGSUNGAN HIDUP BAYI PADA RUMAH
TANGGA MISKIN DI INDONESIA
(ANALISIS DATA SDKI 2002-2003 DAN 2007) |
| title_fullStr | PEMANFAATAN PELAYANAN KESEHATAN DAN
KELANGSUNGAN HIDUP BAYI PADA RUMAH
TANGGA MISKIN DI INDONESIA
(ANALISIS DATA SDKI 2002-2003 DAN 2007) |
| title_full_unstemmed | PEMANFAATAN PELAYANAN KESEHATAN DAN
KELANGSUNGAN HIDUP BAYI PADA RUMAH
TANGGA MISKIN DI INDONESIA
(ANALISIS DATA SDKI 2002-2003 DAN 2007) |
| title_short | PEMANFAATAN PELAYANAN KESEHATAN DAN
KELANGSUNGAN HIDUP BAYI PADA RUMAH
TANGGA MISKIN DI INDONESIA
(ANALISIS DATA SDKI 2002-2003 DAN 2007) |
| title_sort | pemanfaatan pelayanan kesehatan dan kelangsungan hidup bayi pada rumah tangga miskin di indonesia analisis data sdki 2002 2003 dan 2007 |
| topic | ETD |
| work_keys_str_mv | AT diahyunitawati pemanfaatanpelayanankesehatandankelangsunganhidupbayipadarumahtanggamiskindiindonesiaanalisisdatasdki20022003dan2007 AT profdrsiswantoaguswiloposumscscd pemanfaatanpelayanankesehatandankelangsunganhidupbayipadarumahtanggamiskindiindonesiaanalisisdatasdki20022003dan2007 |