<![CDATA[Background. Most neonatal deaths occur during the first week of life and can be prevented through essential newborn care, early initiation of breastfeeding (EIB), and comprehensive neonatal visits (NV). These indicators reflect the quality of midwifery care, as midwives assist in the majority of deliveries in Indonesia. Objectives. To describe the neonatal care cascade, the extent of care discontinuation, and trends in early breastfeeding initiation (EBI), low birth weight (LBW), and exclusive breastfeeding in Indonesia. Methods. A descriptive-analytical study using cascade analysis of national estimates from the 2023 Indonesian Health Survey (SKI), the 2018 Riskesdas, and the 2007–2017 Indonesian Demographic and Health Survey (SDKI). Results. In the 2023 SKI, 89.9% of deliveries took place at health facilities, and 87.6% of infants received KN1; however, coverage dropped to 67.9% for KN2 and 45.0% for KN3, with 40.5% receiving the full KN series. For every 100 infants who received KN1, only 51 received KN3. Coverage for congenital hypothyroidism screening was only 20.7%, low birth weight (LBW) was 6.1%, and 23.6% of LBW infants did not receive specialized care. IMD increased from 39.6% (2007) to 56.5% (2017). Conclusion. The weakest points in neonatal care are the completeness of essential care at health facilities and the continuity of monitoring after the infant is discharged. Early breastfeeding initiation, SHK, and complete KN should be used as indicators of the quality of midwifery care.]]>
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