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The Influence of Maternal and Infant Characteristics on Infant Mortality: A Literature Review Pebridila, Luthfi; Putri, Ade Suzana Eka; Kasra, Kamal; Nugraha, Fathan Iman
Jurnal Kesmas Jambi Vol. 9 No. 1 (2025): VOLUME 9 - NUMBER 1 - MARCH 2025
Publisher : Program Studi Ilmu Kesehatan Masyarakat, Universitas Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22437/jkmj.v9i1.43594

Abstract

The Infant Mortality Rate (IMR) in Indonesia remains above the reduction target set in the Sustainable Development Goals (SDGs) 2030 agenda. IMR serves as an important indicator of health sector quality, reflecting the success of health development. This study aims to examine the influence of maternal and infant characteristics on infant mortality through a literature review. Literature searches were conducted in four main databases: Google Scholar, Garuda Portal, PubMed, and SINTA, using relevant keywords in both Indonesian and English. Inclusion criteria comprised articles published between 2018 and 2024, written in Indonesian or English, and employing observational study designs. A total of 12 eligible articles were analyzed. Study quality was assessed using the STROBE checklist to ensure completeness and transparency in methodology and results reporting. Narrative analysis was conducted to synthesize the influence of maternal and infant characteristics on infant mortality. Results indicate that maternal factors such as gestational age under 37 weeks, fewer than four ANC visits, pregnancy complications, and high-risk maternal age, as well as infant factors including low birth weight (LBW), male sex, asphyxia, and congenital anomalies, increase the risk of infant mortality. LBW was identified as the dominant factor closely linked to prematurity. Efforts to reduce infant mortality should focus on preventing and managing LBW and optimizing pregnancy and neonatal services, especially in rural areas and high-risk groups.
META-ANALYSIS: THE IMPACT OF BCG IMMUNIZATION, CONTACT HISTORY AND PARENTAL KNOWLEDGE ON CHILDHOOD PULMONARY TB: Meta-Analisis: Pengaruh Imunisasi BCG, Riwayat Kontak dan Pengetahuan Orang Tua Terhadap TBC Paru pada Anak Kalsum, Ummi; Paradiba, Anggia; Butar Butar, Marta; Nugraha, Fathan Iman
Jurnal Berkala Epidemiologi Vol. 14 No. 1 (2026): Jurnal Berkala Epidemiologi (Periodic Epidemiology Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V14I12026.52-61

Abstract

Background: The problem of childhood pulmonary TB is still high worldwide and in Indonesia. Several studies have found various risk factors that contribute to the incidence of pulmonary TB in children. Purpose: To analyze the results of research related to BCG immunization, contact history, and parental knowledge with the incidence of childhood pulmonary TB. Methods: The study design was a systematic review with meta-analysis. Journal sources from 3 databases, namely Google Scholar, Pubmed, and Scopus using Publish or Perish Software with keywords using boolean operators. The inclusion criteria were full text from 2019 to 2023, articles in Indonesian or English, observational studies, the population was children, using multiple logistic regression multivariate analysis with adjusted odds ratio. Ten articles qualified for inclusion out of 11,471 identified. Data analysis using RevMan 5.4. Results: The pooled proportion of childhood pulmonary TB from four primary studies was 16.35% (95%CI: 4.34-24.52). Contact history (SMD=9.52; 95% CI=3.61-25.09; p-value=0.05) was statistically significant”while BCG immunization and parental knowledge were not significant. No publication bias was detected. Conclusion: A history of contract increases the risk of pulmonary TB in children. It is recommended that parents prevent their children from contact with TB sufferers through implementation of appropriate health protocols to reduce the risk of TB transmission.