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DC Field | Value | Language |
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dc.contributor.advisor | Rosnah binti Sutan, Associate Professor Dr. | |
dc.contributor.author | Satrinawati (P46729) | |
dc.date.accessioned | 2023-10-16T09:31:15Z | - |
dc.date.available | 2023-10-16T09:31:15Z | - |
dc.date.issued | 2014-12-06 | |
dc.identifier.other | ukmvital:80190 | |
dc.identifier.uri | https://ptsldigital.ukm.my/jspui/handle/123456789/515805 | - |
dc.description | Kurang berat lahir adalah salah satu masalah penting yang berkaitan dengan kematian neonatal. Kurang berat lahir adalah punca kedua kematian neonatal di dunia. Walaupun kurang berat lahir bukan merupakan punca langsung kematian, tetapi ia adalah penyumbang utama kematian neonatal di Indonesia. Kajian ini dilakukan untuk menilai faktor-faktor yang berkaitan dengan kematian neonatal dalam kalangan bayi kurang berat lahir di wilayah Aceh, Indonesia. Reka bentuk kajian kaedah campuran yang terdiri daripada pendekatan kuantitatif dan kualitatif. Bentuk kajian kes kawalan tidak berpadanan digunakan dalam kajian kuantitatif dengan nisbah. Kajian kualitatif menggunakan teknik temu bual mendalam telah dijalankan dalam kalangan 12 orang ibu dan 10 orang bidan. Kajian ini telah dijalankan di 8 daerah, di wilayah Aceh, Indonesia. Data dianalisa menggunakan analisa bivariat dan regresi logistik berganda bagi kajian kuantitatif. Faktor penentu kematian neonatal dalam kalangan bayi kurang berat lahir adalah: jantina lelaki (AOR= 1.8; 95% s.k: 1.0-2.9), berat badan yang sangat rendah ( AOR = 17.8; 95 % s.k: 6.2-51.3), kelahiran pramatang ( AOR = 1.84; 95% s.k: 1.0-3.1), ibu yang sakit (AOR = 1.9; 95% s.k: 1.0-3.3), pemeriksaan kehamilan <4 kali (AOR = 2.3 ; 95% s.k: 1.3-3.9), lawatan neonatal tidak memuaskan (AOR = 0.2; 95 % s.k: 0.6- 0.3), penyusuan ibu tidak bermula awal (AOR = 2.0; 95% s.k: 1.0-3.7), tidak disusui kolostrum (AOR = 3.5; 95% s.k: 1.9-6.4) dan tidak mendapat penyusuan ibu eksklusif (AOR = 5.5; 95% s.k: 2.8-10.7). Kesimpulan kajian ini adalah: faktor ibu dan neonatal, perkhidmatan kesihatan yang tidak mencukupi dan tidak lengkap bagi ibu dan kanak-kanak serta penjagaan di rumah pada masa neonatal yang tidak sesuai ternyata mempunyai kaitan dengan kematian neonatal dalam kalangan bayi kurang berat lahir. Meningkatkan perkhidmatan kesihatan kanak-kanak, ibu dan keluarga dan memperkasakan tahap pengetahuan terhadap penjagaan bayi kurang berat lahir di rumah adalah penting untuk mengurangkan kadar kematian neonatal.,LBW is one of the crucial problems related to neonatal mortality. The LBW was the second cause of neonatal mortality in the world. Although LBW was not a direct cause of mortality, it was the major contributor for neonatal death in Indonesia. This study aims to assess factors related to neonatal mortality among LBW neonates in Aceh Province, Indonesia. Mixed methods study design consisting of quantitative and qualitative approaches were conducted. Unmatched case control was used in the quantitative study with the ratio of 1:1. Qualitative study using in depth interview was conducted among 12 mothers who have LBW neonates and 10 midwives. The study was conducted in 8 districts, in Aceh Province, Indonesia. The data were analysed using bivariate and multivariable logistic regression for quantitative analysis. Determinant factors of neonatal mortality among LBW were: male (AOR=1.8; 95 % CI:1.0- 2.9), very low birth weight (AOR=17.8; 95 % CI:6.2 - 51.3), preterm birth (AOR= 1.8; 95 % CI:1.0 - 3.1), maternal illness (AOR= 1.9; 95 % CI:1.0 - 3.3), antenatal care < 4 times (AOR= 2.3; 95 % CI:1.3 - 3.9), inappropriate neonatal visit (AOR= 0.2; 95 % CI: 0.6- 0.3), late initiation of breastfeeding (AOR= 2.0 ; 95 % CI:1.0- 3.7), discard colostrum (AOR= 3.5; 95 % CI:1.9 - 6.4) and no exclusive breastfeeding (AOR= 5.5; 95 % CI:2.8 - 10.7). The study conclusion was: the presence of maternal and neonatal factor, inadequate maternal and child health services and inappropriate neonatal home care were significantly associated with neonatal mortality among LBW. Strengthening of the maternal and child health services and empowerment of family knowledge on care of LBW babies at home are important to decrease neonatal mortality.,PhD | |
dc.language.iso | eng | |
dc.publisher | UKM, Kuala Lumpur | |
dc.relation | Faculty of Medicine / Fakulti Perubatan | |
dc.rights | UKM | |
dc.subject | Neonatal mortality | |
dc.subject | Low birth weight | |
dc.subject | Public health | |
dc.title | Determinant factors of neonatal mortality among low birth weight neonates in Aceh province Indonesia | |
dc.type | Theses | |
dc.format.pages | 212 | |
dc.identifier.callno | tesis WA20.5.S253d 2014 9HUKM | |
dc.identifier.barcode | 001140 | |
Appears in Collections: | Faculty of Medicine / Fakulti Perubatan |
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File | Description | Size | Format | |
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ukmvital_80190+SOURCE1+SOURCE1.0.PDF Restricted Access | 3.03 MB | Adobe PDF | View/Open |
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