ANALISIS FAKTOR RISIKO KEMATIAN NEONATAL DI KABUPATEN KEPULAUAN MENTAWAI

Imelda, FERAWATI BR BANGUN (2018) ANALISIS FAKTOR RISIKO KEMATIAN NEONATAL DI KABUPATEN KEPULAUAN MENTAWAI. Masters thesis, Universitas Andalas.

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Abstract

ANALISIS FAKTOR RISIKO KEMATIAN NEONATAL DI KABUPATEN KEPULAUAN MENTAWAI Oleh: Imelda Ferawati br Bangun (1620322025) (Dibawah Bimbingan: Dr.dr.H Edison, MPH dan Abdiana, SKM, M.Epid) ABSTRAK Kematian neonatal adalah kematian bayi usia 0 sampai 28 hari. Indonesia menduduki peringkat 77 AKB di dunia, dengan AKN 14 per 1000 KH. Tujuan penelitian mengetahui faktor risiko kematian Neonatal. Penelitian menggunakan mix method pendekatan kuantitatif case control 19 ibu kematian neonatal, 38 ibu dengan kelahiran hidup dan kualitatif dengan informan yaitu Kepala Bidang Kesehatan Keluarga, Kepala Seksi Kesehatan Keluarga, Kepala puskesmas, Bidan desa, ibu dengan kematian neonatal. Hasil penelitian yang berhubungan dengan kematian neonatal jarak kehamilan (p=0,022), antenatal care (p=0,011), asfiksia (p=0,003), BBLR (p=0,000). Tidak terdapat hubungan umur (p=0,624), pendidikan (0,222), paritas (0,073), jarak rumah ke fasilitas kesehatan (p=0,255), budaya (p=0,153). Penelitian kualitatif didapatkan masyarakat percaya dengan dukun, terlambat rujukan, petugas tidak berada ditempat, pemeriksaan ANC belum semua 10 T, pelatihan asfiksia dan berat badan bayi lahir rendah belum merata. Disarankan melakukan pengawasan bagi petugas desa, pendekatan dan penyuluhan kepada tokoh masyarakat,melengkapi sarana prasarana, menyelenggarakan pelatihan asfiksia dan BBLR. Kata Kunci : Antenatal care, asfiksia, Berat Badan Lahir Rendah, faktor risiko, Kematian neonatal ANALYSIS OF NEONATAL MORTALITY RISK FACTORS IN MENTAWAI ISLAND DISTRICT By: Imelda Ferawati br Bangun (1620322025) (Supervised by: Dr.dr.H Edison, MPH and Abdiana, SKM, M.Epid) Abstract Death neonatal is death children aged 0 to 28 days. Indonesia ranked 77 infant mortality rate in the world, by death rate neonatal 14 per 1000 live births . The purpose of this study to know the risk factors causing the incidence of Neonatal death. The study used a mix method case control quantitative approach 19 maternal neonatal deaths, 38 mothers with live births and qualitative with informants namely Head of Family Health, Head of Family Health Section, Head of Puskesmas, Village Midwives, mothers with neonatal deaths. The results of the study related to neonatal mortality distance of pregnancy (p = 0.022),antenatal care (p = 0.011), asphyxia (p = 0.003), low birth weight (p = 0.000). There was no correlation between age (p= 0.624), education (P= 0.222), parity (P=0.073), distance of home to health facilities (p = 0.255), culture (p = 0.153). The results of qualitative research found that people believe with shamans, late referrals, officers not in place, ANC examination not all 10 T, training of asphyxia and low birth weight is not evenly distributed. It is recommended to supervise village officials, approach and counseling to community leaders, complete infrastructure, conduct asphyxia training and low birth weight. Keywords: Antenatal care, asphyxia, low birth weight, risk factors, neonatal mortality

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