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Policy to Decrease Low Birth Weight in Indonesia: Who Should Be the Target?

Ratna Dwi Wulandari1,2, Agung Dwi Laksono2,3, Ratu Matahari4

  • 1Faculty of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia.

Nutrients
|January 21, 2023
PubMed
Summary
This summary is machine-generated.

This study identifies key risk factors for low birth weight (LBW) in Indonesia. Policymakers should target urban women, those with low education, and unemployed, primiparous, or poor individuals to reduce LBW rates.

Keywords:
health policylow birth weightmaternal and child healthmaternal healthnutritionpublic health

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Area of Science:

  • Public Health
  • Epidemiology
  • Maternal and Child Health

Background:

  • Low birth weight (LBW) remains a significant global health concern, particularly in developing nations.
  • Indonesia faces challenges in reducing LBW rates, necessitating targeted policy interventions.
  • Understanding the demographic and socioeconomic determinants of LBW is crucial for effective public health strategies.

Purpose of the Study:

  • To identify specific population subgroups at higher risk of delivering low birth weight (LBW) babies in Indonesia.
  • To inform policy development aimed at decreasing the incidence of LBW.
  • To analyze the influence of various socioeconomic and demographic factors on LBW outcomes.

Main Methods:

  • A cross-sectional study utilizing data from 17,848 live births within the five years preceding a 2017 survey.
  • Analysis included variables such as residence, maternal age, marital status, education, employment, parity, and wealth.
  • Binary logistic regression was employed to determine significant predictors of LBW.

Main Results:

  • Women in urban areas (OR 1.200), unemployed women (OR 1.033), and primiparous women (OR 1.132) showed increased odds of LBW.
  • Maternal age (except 45-49), all marital statuses (compared to never married), lower education levels, and lower wealth quintiles were associated with higher LBW risks.
  • Conversely, multiparous women and those in the wealthiest quintiles had lower odds of LBW.

Conclusions:

  • Key target groups for LBW reduction policies include women in urban settings, older mothers, those never married, with low education, unemployed, primiparous, and from poorer wealth quintiles.
  • These findings underscore the need for geographically and socioeconomically targeted interventions.
  • Effective policy implementation requires addressing the multifaceted determinants of LBW in Indonesia.