Neonatal Death Incidence in Healthcare Facility in Indonesia: Does Antenatal Care Matter?

Abstract

Despite having carried out maternity care in healthcare facilities, neonatal deaths still occur. A study was conducted to analyze the effect of antenatal care (ANC) on neonatal death incidence in healthcare facilities in Indonesia. The study used the 2017 IDHS data. With stratification and multistage random sampling, 13.104 women aged 15-49 years with live births in the last 5 years, who performed maternity care in the healthcare facility, were sampled. Apart from ANC, other independent variables analyzed were a type of place, age, education, wealth, employment, parity, and complication during pregnancy. The final stage employed a binary logistic regression test. The analysis found that women who made complete ANC visits during pregnancy (≥4 times) were 0.486 times more likely than women who did not complete ANC visits (<4 times) (OR 0.486; 95% CI 0.266-0.887). The results of this analysis inform that carrying out a complete ANC visit is a protective factor for women who perform maternity care in healthcare facilities in Indonesia from neonatal death incidence. Apart from ANC, 2 variables were also found to have a significant effect on neonatal death incidence in healthcare facilities in Indonesia. These two variables are the age group and complications during pregnancy. Meanwhile, education level, wealth status, employment status, and parity proved insignificant. It was concluded that ANC is a determinant of neonatal death incidence in the healthcare facility in Indonesia. Complete ANC visits are a protective factor for women who perform maternity care in healthcare facilities in Indonesia from neonatal death incidence.

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