Determinant of Neonatal Visit Coverage Rate in Serdang Bedagai Regency North Sumatra Indonesia
Abstract
Neonatal mortality is a leading cause of infant deaths, particularly in developing countries. In Serdang Bedagai Regency, the coverage of neonatal visits remains low, contributing to the high neonatal mortality rate and causing economic losses. This study aims to identify factors related to the neonatal visit coverage rate in Serdang Bedagai Regency, North Sumatra, Indonesia. This study used a cross-sectional design with multivariate analysis. Data were collected from 200 mothers with babies aged 0-28 days in five health centers in Serdang Bedagai Regency. The variables analyzed include age, education, economic status, knowledge, maternal attitudes, culture, family support, midwife attitudes, access to health facilities, and service quality. The data were analyzed using logistic regression. The results showed that the variables consistently and significantly affecting the increase in neonatal visit coverage were maternal education, knowledge about neonatal visits, local culture, husband/family support, and the quality of visit services. Factors that significantly contributed to increasing coverage of neonatal visits were maternal education (p-value = 0.004, OR = 14.285), maternal knowledge (p-value = 0.000, OR= 75.920), local culture (p-value = 0.000, OR = 57.105), husband/family support (p-value = 0.000, OR = 77.763), and service quality (p-value = 0.000, OR = 47.474). These factors have a major influence in supporting the success of the neonatal visit program, with maternal knowledge and family support being the most dominant factors.. Efforts to increase coverage should involve educating mothers, involving families, and enhancing services while considering local wisdom.
Full text article
Authors
Authors who publish with Jurnal Ilmu Kesehatan Masyarakat (JIKM) agree to the following conditions:
- The author retains the copyright and gives the editorial board the first right to be published with work that is simultaneously licensed under the Creative Commons Linking License that allows others to share (copy and redistribute) material in the media or format an adaptation of the work for any purpose.
- Authors can enter into separate additional contractual arrangements for the non-exclusive distribution of published journal works (for example, posting them to institutional repositories or publishing them in books), with recognition of the initial publication of this journal.