Jurnal manajemen informasi kesehatan
Vol. 11 No. 1 (2026): Health Information and Management

A Multilevel Analysis to Uncover the Drivers of Infant Mortality in Indonesia

Madona Wijaya (UIN Syarif Hidayatullah Jakarta)
Yuni Astari (Faculty of Science and Technology, Syarif Hidayatullah State Islamic University Jakarta)
Suma Inna (Faculty of Science and Technology, Syarif Hidayatullah State Islamic University Jakarta)
Muhammad Lutfi Wijaya (Darul Ma'arif University)



Article Info

Publish Date
01 Aug 2026

Abstract

Introduction: Infant mortality remains a critical concern in Indonesia due to its large population and regional health disparities. This study investigates the factors associated with infant mortality in Indonesia by considering the hierarchical data structure, in which individuals are nested within provinces. This study addresses a gap in previous research that has overlooked regional-level variation. Method: This study utilized data from the 2017 Indonesian Demographic and Health Survey (IDHS). A multilevel mixed-effects logistic regression model was employed to account for both individual- and provincial-level variations in infant mortality. The multilevel approach allows for more accurate estimation by capturing unobserved heterogeneity across provinces. Adjusted Odds Ratios (AORs) with 95% Confidence Intervals (CIs) were reported to assess the strength and significance of associations between explanatory variables and infant mortality risk. Result: The results indicate that mother's age at first childbirth (Adjusted Odds Ratio (AOR) = 1.262; 95% CI 1.180 - 1.350), marital status (AOR = 0.688; 95% CI 0.549 - 0.852), health insurance (AOR = 0.982; 95% CI 0.972 - 0.991), maternal occupation (AOR = 0.982; 95% CI 0.973 - 0.993), maternal education level (AOR = 1.147; 95% CI 1.103 – 1.192) household head’s age (AOR=0.713; 95% CI 0.654 – 0.777), and the birth order (AOR = 1.171; 95% CI 1.117 – 1.227) have significant impact on the risk of infant mortality. Conclusion: Both maternal and household characteristics play an important role in driving infant mortality risks in Indonesia. The findings highlight the importance of considering regional heterogeneity in policy design. It is recommended that the government and relevant institutions prioritize efforts aimed at reducing infant mortality.

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Journal Info

Abbrev

jmis

Publisher

Subject

Public Health

Description

JURNAL MANAJEMEN INFORMASI KESEHATAN is a journal that provides scientific writings for the exchange of ideas on theory, methodology and innovation related to the world of health, especially the scope of Medical Records and Health ...