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Reducing Maternal and Neonatal Mortality in Indonesia Saving Lives, Saving the Future (2013) / Chapter Skim
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Chapter 2 The Data Conundrum
Pages 13-26

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From page 13...
... , maternal mortality rate (MMRate) , neonatal mortality rate (NMR)
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From page 14...
... Incomplete coverage of mortality related to MNCH as captured by health facilities translates into the lower than expected rates reported by surveys.2 A Maternal Perinatal Audit Program3 and the implementation of PWSKIA4 as a surveillance tool may provide the basic data required to measure maternal and neonatal mortality rates. However, such measures derived from these data sources produce estimates lower than those generated by survey-based data.
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From page 15...
... Two groups recently published MMRatio estimates for Indonesia: the Institute for Health Metrics and Evaluation (IHME) and the Maternal Mortality Estimation Interagency Group (MMEIG)
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From page 16...
... TABLE 2-3 Direct Estimates of Number of Maternal Deaths, Maternal Mortality Rate, and Maternal Mortality Ratio by Region: Indonesia, 2010 Population Census Maternal Region Measure National Sumatra Java-Bali Kalimantan Sulawesi Eastern Indonesia Total deaths 12,390 2,820 5,610 870 1,630 1,460 MMRate 19 21 14 23 35 36 MMRatio 263 251 222 290 430 382 SOURCE: Corrected calculation based on underreported pregnancy-related deaths of 2010 population census by S Soemantri.
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From page 17...
... TABLE 2-5 Direct Estimates of Childhood Mortality and Percentage Contribution of Neonatal Mortality Rate to Infant Mortality Rate and Under-5 Mortality Rate, Indonesia: IDHS, 1991-2012 Direct Estimates of Childhood Mortality % Contribution (per 1,000 live births) of NMR to Time Period Year of IDHS (number of years preceding survey)
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From page 18...
... , and one can compare the ARR before and after 1999 for the FIGURE 2-1 Direct Estimates of Neonatal, Infant, and Under-5 Mortality Rates, Indonesia: IDHS, 1991-2012. SOURCE: Indonesia Demographic and Health Survey (IDHS)
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From page 19...
... There are no statistically significant changes in the three measures, which likely indicates a stagnant condition. FIGURE 2-3 Change in Trends of Neonatal Mortality Rate (A)
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From page 20...
... It also shows the annual reduction rate for the periods 1990-2000, 2000-2011, and 1990-2011 for the U5MR. All three measures, compared with the estimates from IDHS 2012 for the five-year periods preceding the survey (NMR, 19 deaths per 1,000 live births; IMR, 32 per 1,000; and U5MR, 40 per 1,000)
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From page 21...
... . TABLE 2-7 Model-Based Estimates of Under-5 and Infant Mortality Rate, and Annual Reduction Rate, Indonesia U5MR IMR 1990 2009 ARR (%)
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From page 22...
... . Our appraisal of the likelihood of attaining MDGs 4 and 5 based on direct estimates of the MMRatio and childhood mortality rates derived from the IDHS and 2010 population census is in agreement with the IHME appraisal.
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From page 23...
... ; refers to 2009. NOTE: MMEIG = Maternal Mortality Estimation Interagency Group; IHME = Institute for Health Metrics and Evaluation; IDHS = Indonesia Demographic and Health Survey; PC = population census; IGME = Inter-agency Group for Child Mortality Estimation; ARR = annual reduction rate; MDG: Millennium Development Goal.
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From page 24...
... . FIGURE 2-5A Maternal Mortality Ratio: Country FIGURE 2-5B Under-5 Mortality Rate: Country Progress, Southeast Asia Progress, Southeast Asia SOURCE: MMEIG (2012)
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From page 25...
... Policy documents that rely on unreliable survey data should also be revisited. Issues related to inequity among the regions of Indonesia and revealed by comparisons of the absolute numbers of maternal deaths and maternal mortality rates should be taken into consideration in developing policies for reducing maternal mortality.
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From page 26...
... 2010. Neonatal, postneonatal, childhood, and under-5 mortality for 187 countries, 1970 2010: A systematic analysis of progress towards Millennium Development Goal 4.
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Key Terms

  • live births
  • maternal mortality
  • mortality rate
  • neonatal mortality
  • health survey

  • mortality ratio
  • indonesia demographic
  • population census
  • reducing maternal
  • mortality estimation

  • mortality rates
  • annual reduction
  • childhood mortality
  • reduction rate
  • infant mortality

  • vital statistics
  • badan pusat
  • direct estimates
  • civil registration
  • pusat statistik

  • child mortality
  • health information
  • millennium development
  • estimation interagency
  • badan litbangkes

  • litbangkes kemenkes
  • health metrics
  • statistics indonesia
  • development goal
  • progress towards


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