THE RELATIONSHIP BETWEEN FOUR ANTENATAL CARE VISITS AND EARLY NEONATAL DEATH IN INDONESIA (FURTHER ANALYSIS BASED ON THE 2013 BASIC HEALTH SURVEY DATA)

Neonatal mortality rate in the two periods of Indonesia Demographic Health Survey (IDHS 2007 and IDHS 2012) remains constant in the amount of 19 deaths per 1,000 live births. In the 2012 IDHS and in the 2007 IDHS, there were 268 and 241 early neonatal deaths respectively. The purpose of this study is to evaluate the relationship between four antenatal care visits and the early neonatal deaths based on the 2013 Basic Health Survey (Riskesdas) data. The design was a case control with 175 sample cases and 175 controls. Cases were ever-married women age 10-54 years who had death children at the age of 0-7 days. Controls were ever-married women age 10-54 years who had live birth children surviving until at the age of at least 8 days. Multivariate analysis with multiple logistic regression showed that mothers in the age group < 20 years or > 35 years who did not meet at least four antenatal care visits had 4.3 times risk to have children die in the early neonatal period than women who met at least four antenatal care visits. Mothers who had experience birth complications and did not meet at least four antenatal care visits had 2.8 times risk to have early neonatal death than women who met at least four antenatal care visits. Therefore if at least four antenatal care visits are met, then the risk factors during pregnancy can be managed properly and the risk of early neonatal death can be decreased. Pregnant women in particular age group < 20 years and > 35 should receive antenatal care regularly and routinely so that the risk factors can be detected as early as possible.