Birth Intervals among Multiparous Women in Indonesia

Kurniawati, Dini; Prasetyo, Sabarinah

doi:10.21109/kesmas.v10i4.839

Cited by 8 publications

(15 citation statements)

References 9 publications

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“…We found a higher likelihood of SBI among women who gave their most recent birth at the age of 19 or earlier. Our finding of a relatively high prevalence of SBI among younger women is similar to that reported in some studies conducted in LMICs (16,33,38,39). In most LMICs, many women marry before reaching 18.…”

Section: Discussionsupporting

confidence: 90%

Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey

Islam

Rahman

et al. 2021

Preprint

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Background: The Sustainable Development Goals target significant reductions in maternal and under-five deaths by 2030. The prevalence of these deaths is significantly associated with short birth interval (SBI). Identification of factors associated with SBI is pivotal for intervening with appropriate programmes to reduce these adverse consequences. This study aimed to determine the factors associated with SBI in Bangladesh. Methods: The Bangladesh Demographic and Health Survey 2017/18 and Bangladesh Health Facility Data 2017 were linked and analysed. SBI was defined as an interval between consecutive births of 33 months or less, as recommended by the World Health Organization. We used descriptive statistics to summarise characteristics of respondents and multilevel Poisson regression to assess the predictors of SBI. Results: Around 26% of live births occurred in short intervals, with a further higher prevalence among younger, uneducated, or rural women. The likelihoods of SBI were lower among women aged 20-34 years (PR, 0.14, 95% CI, 0.11-0.17) and more than or equal to 35 years (PR, 0.03, 95% CI, 0.02-0.05) as compared to the women aged 19 years or less. Women from households with the richest wealth quintile experienced lower odds of SBI (PR, 0.61, 95% CI, 0.45-0.85) compared to those from the poorest wealth quintile. The prevalences of SBI were higher among women for whom the children born from the second most pregnancies died (PR, 5.23, 95% CI, 4.18-6.55), those who were living in Chattogram (PR, 1.52, 95% CI, 1.12-2.07) or Sylhet (PR, 2.83, 95% CI, 2.08-3.86) divisions. Availability of modern contraceptives at the nearest healthcare facilities was 66% protective to the occurrence of SBI (PR, 0.34, 95% CI, 0.22-0.78). Also, the prevalence of SBI increased around 85% (PR, 1.85, 95% CI, 1.33-2.18) for every kilometer increase in the distance of nearby health facilities from homes of women. Conclusion: More than a quarter of live births in Bangladesh occurred in short intervals. This relatively high prevalence is a challenge for Bangladesh in reducing pregnancy-related adverse consequences, including maternal and child mortality. Policies and programmes are needed to increase awareness of SBI and associated adverse health outcomes and expand access to modern contraceptives.

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Section: Discussionsupporting

confidence: 90%

Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey

Islam

Rahman

et al. 2021

Preprint

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“…30.97 months. This result is similar to the study by [14], [15] and equal to the report by [2] which stated that women in higher education levels have a higher risk of giving short birth intervals than lower education levels. Many factors affect this condition, such as age and female fertility.…”

Section: Resultssupporting

confidence: 90%

“…43.09 months. These results are in line with research conducted by [2], [15], [16], [34] with the consideration that the better the economic level of a family, the better access to health and knowledge.…”

Section: Resultssupporting

confidence: 90%

“…Cox extended was used and the hazard ratios are 0.720, 1.708, 2.648, 4.361, and 0.955 for the area of residence, education of mother (finished primary school, junior high school, senior high school), and age of mother respectively. The other study about short birth intervals is conducted using secondary data from Indonesia Demographic and Health Surveys 2012 and found that shorth birth interval is one of the factors that cause maternal and infant mortality [15]. It studied birth spacing among multiparous women in Indonesia with Mann Whitney, Kruskal Wallis, and logistic regression as a methodology.…”

Section: Introductionmentioning

confidence: 99%

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Short birth intervals classification for Indonesia’s women

et al. 2022

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Birth interval is closely related to maternal and infant health. According to world health organization (WHO), the birth interval between two births is at least 33 months. This study is the first to discuss the short birth interval (SBI) in Indonesia and used data from the Indonesian Demographic and Health Surveys 2017 with a total of 34,200 respondents. Birth interval means the length of time between the birth of the first child and the second child. Categorized as SBI if the distance between births is less than 33 months. The variables used include mother's age, mother's age at first giving birth, father's age, household wealth, succeeding birth interval, breastfeeding status, child sex, residence, mother's education, health insurance, mother's working status, contraception used, child alive, total children, number of living children, and household members. Machine learning algorithms including logistic regression, Naïve Bayes, lazy locally weighted learning (LWL), and sequential minimal optimization (SMO) are applied to classify SBI. Based on the values of accuracy, precision, recall, F-score, matthews correlation coefficient (MCC), receiver operator characteristic (ROC) area, precision-recall curve (PRC) area, the Naïve Bayes is the best algorithm with scores obtained 0.891, 0.889, 0.891, 0.885, 0.687, 0.972, and 0.960 respectively. Additionally, 18.25% of mothers were classified as still giving birth within a short interval.

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“…A group of researchers looked at education, age at the last childbirth, ideal family size, modern versus traditional contraceptive method, survival of preceding birth, and infant mortality records, in relation to birth interval. 5 Another group of researchers found out that constructing healthy rooms in the house could protect children from tuberculosis, even when they were exposed to adult with tuberculosis who live in the same house for a long period, made it no longer a risk factor. 6 Evaluation of breastfeeding counseling implementation in Jambi, Sumatra, found that there was no national guideline on proper breastfeeding counseling in 2014, so the researcher used WHO guidelines.…”

Section: Literature On Evidence-based Research That Includes Both Polmentioning

confidence: 99%

Increasing Use of Research Findings in Improving Evidence-Based Health Policy at the National Level

Budiharsana

2017

Kesmas: National Public Health Journal

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In February 2016, the Minister of Health decided to increase the use of research findings in improving the quality of the national health policy and planning. The Ministry of Health has instructed the National Institute of Health Research and Development or NIHRD to play a stronger role of monitoring and evaluating all health programs, because "their opinion and research findings should be the basis for changes in national health policies and planning". Compared to the past, the Ministry of Health has increased the research budget for evidence-based research tremendously. However, there is a gap between the information needs of program and policy-makers and the information offered by researchers. A close dialogue is needed between the users (program managers, policy makers and planners) and the suppliers (researchers and evaluators) to ensure that the evidence-based supplied by research is useful for programs, planning and health policy. Keywords: Evidence-based, health policy, national, research, use Abstrak Pada bulan Februari 2016, Menteri Kesehatan memutuskan untuk meningkatkan pemanfaatan temuan penelitian sebagai landasan perubahan kebijakan dan perencanaan kesehatan nasional yang lebih berkualitas. Badan penelitian dan pengembangan kesehatan nasional (Balitbangkes) diminta untuk lebih berperan dalam pemantauan dan evaluasi semua program kesehatan karena pendapat para penelitian dan temuan mereka sepatutnya menjadi dasar perubahan kebijakan dan perencanaan kesehatan nasional. Dibandingkan masa lampau, Kementerian Kesehatan telah mengalokasikan dana penelitian yang jauh lebih banyak untuk penelitian evidence-based saat ini. Namun, tetap saja terlihat kesenjangan antara informasi yang dibutuhkan program dan pengambilan keputusan dan informasi yang ditawarkan hasil penelitian. Diperlukan dialog antara pengguna (pengelola program/perencana dan pengambil keputusan) dan pemasok informasi (peneliti/evaluator) agar temuan penelitian dapat menjadi bukti dasar perencanaan dan perubahan kebijakan.

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Birth Intervals among Multiparous Women in Indonesia

Cited by 8 publications

References 9 publications

Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey

Prevalence and risk factors of short birth interval in Bangladesh: Evidence from the linked data of population and health facility survey

Short birth intervals classification for Indonesia’s women

Increasing Use of Research Findings in Improving Evidence-Based Health Policy at the National Level

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