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Infant mortality in Madura, Indonesia. Implications for action
Insights
Infant mortality remains high in East Java, with most deaths occurring within six months. Low birth weight is the strongest predictor of infant survival, highlighting critical areas for primary health care intervention.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Infant mortality remains a significant public health challenge in many developing regions.
- Neonatal tetanus, a preventable cause of infant death, has been targeted by vaccination programs.
Purpose of the Study:
- To assess infant mortality rates based on age at death and birth weight in Madura, East Java.
- To identify key factors influencing infant survival in the study population.
Main Methods:
- A prospective, population-based study design was employed.
- Data collection focused on infant deaths, age at death, and birth weight.
Main Results:
- The infant mortality rate was high at 121 per 1000 live births, even after controlling for neonatal tetanus.
- The majority of infant deaths occurred within the first six months of life.
- Birth weight emerged as the most practical and significant indicator of infant survival.
Conclusions:
- Despite vaccination efforts, infant mortality remains a critical issue in Madura.
- Low birth weight is a primary risk factor for infant mortality, necessitating targeted interventions.
- Findings have significant implications for strengthening Primary Health Care services and improving infant survival strategies.
Abstract:
Infant mortality by age at death and birth weight was assessed in a prospective, population-based study in Madura, East Java. Even after elimination of neonatal tetanus by vaccination during pregnancy as a major cause of death, the infant mortality rate was high, viz. 121 per 1000 live births. The majority of live born infants died in the first 6 months of life. Birth weight was the best practical indicator of survival. The implications for Primary Health Care are discussed.