Highlights
- •Infant and toddler mortality is one of the targets for Sustainable Development Goals (SDGs).
- •This study sourced data from the Indonesian Health Demographic Survey (IDHS).
- •Community and individual level (maternal and children characteristics) affect the under-five mortality in Indonesia.
Abstract
Background
The mortality rate for infants and children under five in Indonesia is an ongoing
challenge for the government, with figures exceeding the targets set for the country
by the Sustainable Development Goals (SDGs).
Objectives
This study aims to discover the factors causing under-five mortality in Indonesia.
Methods
This study will employ a cross-sectional study design with data sourced from the 2017
Indonesian Demographic and Health Survey (IDHS) between July and September 2017. The
sample included 10,014 women who had given birth in the five years prior to the survey.
The data was analyzed using Binary logistic regression with a significance level of
p < 0.05.
Results
The significant factors relating to under-five mortality in Indonesia are: mother's
age at birth (AOR = 2.04; 95% CI 95% = 1.11–3.77); birth weight (AOR = 7.60; 95% CI
95% = 5.17–11.19); the sex of the child (AOR = 1.80; 95% CI 95% = 1.28–2.52); frequency
of using the internet (AOR = 1.13; 95% CI 95% = 0.02–0.95); residence (AOR = 0.64;
95% CI 95% = 0.33–0.94); and birth interval (AOR = 0.52; 95% CI 95% = 0.29–0.92).
Birth weight is the more likely cause for under-five mortality in Indonesia.
Conclusions
This study revealed that the characteristics of mothers, children, the area of residence,
and the behavior of the mother affect the under-five mortality.
Practice implications
Pediatric nurses can have a role to play in developing knowledge about health for
both mothers and families. Additionally, accessible health education on issues from
planning a pregnancy to childcare should be promoted in both rural and urban areas
as well as a campaign on proper hygiene practices.
Keywords
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Article info
Publication history
Published online: February 22, 2022
Accepted:
February 14,
2022
Received in revised form:
February 9,
2022
Received:
July 23,
2021
Identification
Copyright
© 2022 Published by Elsevier Inc.
