Spatial patterns of maternal mortality causes in West Kalimantan, Indonesia
PDF

Keywords

spatial patterns
maternal mortality causes
Indonesia

How to Cite

Pertiwi, T. S., Temesvari, N. A., & Nurmalasari, M. (2021). Spatial patterns of maternal mortality causes in West Kalimantan, Indonesia. Public Health of Indonesia, 7(3), 101–110. https://doi.org/10.36685/phi.v7i3.441

Abstract

Background: Maternal Mortality Rate (MMR) is one of the health indicators to see maternal survival in general and is a component in the health development index. Maternal Mortality Rate is also an important indicator of the quality of health services and the performance of the Health system.

Objective: This study aimed to analyze the spatial patterns of maternal mortality based on the mortality causes in Sambas District, West Kalimantan, Indonesia.

Methods: This study used a descriptive and exploratory approach to be able to see the distribution of maternal mortality and the coverage of the distribution of health care facilities. A spatial pattern was carried out to analyze the distribution pattern of maternal mortality cases using the Average Nearest Neighbor.

Results: The results showed that most maternal mortality causes include bleeding, pregnancy hypertension, circulation system disorders (heart, stroke), metabolic disorders (diabetes mellitus), and other causes, such as pulmonary embolism. The analysis using a buffer of 3 kilometers and 5 kilometers show that not all the areas are covered by health service facilities in the Sambas district. Analysis of the mean of the nearest neighbors showed that the Nearest Neighbor ratio was 1.039398 with a z-score of 1.022396, which means that the pattern of distribution of maternal death according to the cause of death has a random pattern.

Conclusion: The spatial pattern of cases of maternal death according to the cause of death in the Sambas district, West Kalimantan, Indonesia, has a random pattern. This finding can be used as a basis for decreasing the maternal mortality rate.

https://doi.org/10.36685/phi.v7i3.441
PDF

References

Aeni, N. (2013). Faktor risiko kematian ibu. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 7(10), 453-459. https://doi.org/10.21109/kesmas.v7i10.4

Afifah, T., Tejayanti, T., Saptarini, I., Rizkianti, A., Usman, Y., Senewe, F. P., & Pangaribuan, L. (2016). Maternal death in Indonesia: Follow-up study of the 2010 Indonesia population census. Indonesian Journal of Reproductive Health, 7(1), 1-13. http://10.22435/kespro.v7i1.5102.1-13

Alvarez, J. L., Gil, R., Hernández, V., & Gil, A. (2009). Factors associated with maternal mortality in Sub-Saharan Africa: An Ecological Study. BMC public health, 9(1), 1-8. https://doi.org/10.1186/1471-2458-9-462

Dinas Kesehatan Kabupaten Sambas. (2019). Laporan kematian ibu di Kabupaten Sambas [Maternal mortality report in Sambas Regency]. West Kalimantan, Indonesia: Dinas Kesehatan Kabupaten Sambas

Esri ArcGIS Pro. (2020). Average Nearest Neighbor (Spatial Statistics). https://pro.arcgis.com/en/pro-app/latest/tool-reference/spatial-statistics/average-nearest-neighbor.htm

Fortney, J. A., Susanti, I., Gadalla, S., Saleh, S., Feldblum, P. J., & Potts, M. (1988). Maternal mortality in Indonesia and Egypt. International Journal of Gynecology & Obstetrics, 26(1), 21-32. https://doi.org/10.1016/0020-7292(88)90192-0

Haylan, R. (2019). Pola dan perkembangan permukiman di Kecamatan Mandiangin Koto Selayan Kota Bukittinggi. Fakultas Ilmu Sosial, Universitas Negeri Padang, Indonesia.

Irwansyah, E. (2013). Sistem informasi geografis: Prinsip dasar dan pengembangan aplikasi. Yogyakarta: DigiBook.

Ismaila, A. B., & Usul, N. (2013). A GIS-based Spatial analysis of health care facilities in Yola, Nigeria. Way, 1018452(223818), 153.102.

Liu, S., Liston, R. M., Joseph, K., Heaman, M., Sauve, R., & Kramer, M. S. (2007). Maternal mortality and severe morbidity associated with low-risk planned cesarean delivery versus planned vaginal delivery at term. CMAJ, 176(4), 455-460. https://doi.org/10.1503/cmaj.060870

Manyeh, A. K., Nathan, R., & Nelson, G. (2018). Maternal mortality in Ifakara health and demographic surveillance system: Spatial patterns, trends and risk factors, 2006–2010. PLoS One, 13(10), e0205370. https://doi.org/10.1371/journal.pone.0205370

Novita, L. (2010). Pemodelan maternal mortality di Jawa Timur dengan pendekatan Geographically Weighted Poisson Regression (GWPR). Tugas Akhir Statistika-FMIPA. Surabaya: Institut Teknologi Sepuluh Nopember.

Prihandini, A. (2016). Pemetaan dan Kajian kejadian kematian ibu di Kota Surabaya tahun 2014. Swara Bhumi, 3(3).

Pusat Data dan Informasi Kemenkes Republik Indonesia. (2014). Info datin pusat data dan informasi Kemenkes RI: Jakarta, Indonesia.

Setiawan, A., Lazuardi, L., & Hakimi, M. (2016). Analisis distribusi spasial kematian ibu di Kabupaten Banjarnegara tahun 2011–2013. Journal of Information Systems for Public Health, 1(2), 52-60.

Susiana, S. (2019). Angka Kematian ibu: Faktor penyebab dan upaya penanganannya. Bidang Kesejahteraan Sosial Info Singkat, 11(24), 13-18.

Webel, A. R. (2004). Quality health care for all. Imprint, 51(2), 43-44.

World Bank. (2019). Angka Kematian ibu indonesia cenderung turun. Retrieved from https://databoks.katadata.co.id/datapublish/2019/10/08/tren-angka-kematian-ibu-di-indonesia#

Authors who publish with Public Health of Indonesia agree to the following terms:

  1. Authors retain copyright licensed under a Creative Commons Attribution-NonCommercial CC BY-NC 4.0, which allows others to remix, tweak, and build upon the authors' work non-commercially, and although the others' new works must also acknowledge the authors and be non-commercial, they don't have to license their derivative works on the same terms.
  2. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access). Authors can archive pre-print and post-print or publisher's version/PDF.

Downloads

Download data is not yet available.