The Availability of Specialist Doctors for the Reduction of Neonatal Deaths in 120 Municipal/District Locus in Indonesia

摘要

Background: The Government of Indonesia has a policy of reducing neonatal deaths in 120 priority districts/cities. Information/evidence related to factors that can reduce neonatal mortality is still lacking, whereas neonatal deaths are 4-8 times greater than maternal deaths. Objective: evident a significant factor reducing neonatal mortality. Methods: Data is secondary data sourced, with the unit of analysis being municipal districts throughout Indonesia. The outcome variable is neonatal mortality per 1000 live births. The independent variable consists of the proportion of midwives, doctors, specialist doctors, health centers, availability of referral hospitals, chronic lack of energy nutrition in pregnant women, family planning, poverty, maternal death. Linear regression analysis. Results: Significant results in reducing mortality were maternal mortality (p = 0,000, ? :29, CI: 0.009-0.016), specialist doctors (p = 0,000, ? :22.4, CI: -0.010- -0.004), while the poverty factor protective (p= 0,019, ?= 21, CI: -0.100- -0.009). Conclusions: each locus of the city must increase the availability of specialist doctors and prevent factors at risk of maternal death.