Impact of the sister hospital program on maternal mortality and neonatal mortality in Nusa Tenggara Timur Province, Indonesia

Muhammad Hardhantyo, Ying Chih Chuang

研究成果: 雜誌貢獻文章同行評審

摘要

The province of Nusa Tenggara Timur (NTT) in the eastern part of Indonesia is known for high maternal mortality ratios (MMRs) and neonatal mortality eates (NMRs). Sister Hospital is a multicenter program, which aims to lower MMRs and NMRs in the deprived areas of Indonesia by providing comprehensive emergency services for maternal and newborn care. In this study, we evaluated the impact of the Sister Hospital program on MMRs and NMRs in 2009–17. We used linear mixed-effects models to analyze the program’s effects. Study results suggested that in general, the Sister Hospital program reduced MMRs by 1.14/100 000 live births after adjusting for other sociodemographic factors. This study also found that the program effects varied by island, and the highest reduction in MMRs, were found on Sumba Island in which the log of MMRs decreased from 2.23 in 2009 to 2.01 in 2017. However, no effects on NMR outcomes by the program were found. These findings suggest that the Sister Hospital program can be a practical solution for lowering MMRs in rural Indonesia.
原文英語
頁(從 - 到)487-494
頁數8
期刊Journal of Tropical Pediatrics
66
發行號5
DOIs
出版狀態已發佈 - 十月 1 2020

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Infectious Diseases

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