Access to health services and early age mortality in Ende, Indonesia

Adair, T., Pardosi, J. F., Rao, C., Kosen, S. and Tarigan, I. U. (2012) Access to health services and early age mortality in Ende, Indonesia. Indian Journal of Pediatrics, 79 5: 612-618. doi:10.1007/s12098-011-0601-z

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Author Adair, T.
Pardosi, J. F.
Rao, C.
Kosen, S.
Tarigan, I. U.
Title Access to health services and early age mortality in Ende, Indonesia
Journal name Indian Journal of Pediatrics   Check publisher's open access policy
ISSN 0019-5456
Publication date 2012-05
Year available 2011
Sub-type Article (original research)
DOI 10.1007/s12098-011-0601-z
Volume 79
Issue 5
Start page 612
End page 618
Total pages 7
Place of publication New Delhi, India
Publisher Indian Journal of Pediatrics
Collection year 2013
Language eng
Formatted abstract
Objective: Improvements in child survival to achieve Millennium Development Goal 4 require highly accessible and effective maternal and child health (MCH) services. This article seeks to fill the gap in information for local government in Indonesia about early age mortality and access to appropriate care to inform the evaluation and planning of MCH services.

Methods: The Ende Child Mortality Survey (ECMS) was conducted in the district of Ende in Nusa Tenggara Timur (NTT), one of the poorest provinces in Indonesia. The ECMS is a cross-sectional household survey, providing information on child survival, MCH service utilisation, and socio-economic characteristics of the population. Multivariate logistic regression was conducted to examine the association of mortality, health service utilisation and socio-economic variables.

Results: Use of an unskilled birth attendant (45% of births) and giving birth at home are most common among the poorest and least educated women. The children of these women have the highest risk of infant mortality. The infant mortality rate differs greatly by region within Ende. Time to the preferred provider of child health care is longest in regions with the highest under-five mortality risk.

Conclusions: Many women in Ende do not receive vital interventions during labour to reduce infant mortality. The ECMS demonstrates the feasibility in implementing a low cost survey to provide evidence for MCH investments to improve accessibility to appropriate health services and reduce mortality risk.
Keyword Indonesia
Infant mortality
Socioeconomic factors
Maternal-child health services
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published online: 09 November 2011

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Public Health Publications
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
Scopus Citation Count Cited 3 times in Scopus Article | Citations
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Created: Tue, 06 Mar 2012, 11:17:56 EST by Geraldine Fitzgerald on behalf of School of Public Health