Mapping the Causes of Neonatal Deaths in Indonesia: Insights from AMPSR Neonatal Assessments

Sulicha Nurhayati, Martha Irene Kartasurya, Cahya Tri Purnami

Sari


ABSTRACT

 

Neonatal mortality remains a significant public health concern in Indonesia, with preventable causes persisting despite ongoing health interventions. This study aimed to map the causes and contributing factors of neonatal deaths in Indonesia using Maternal and Perinatal Audit and Surveillance Response (AMPSR) assesment. A scoping review method was employed, systematically searching three major databases for relevant articles published between 2021 and 2025. Twenty articles met the inclusion criteria and were analyzed narratively. The findings reveal that the leading direct causes of neonatal deaths include prematurity and its complications, birth asphyxia, neonatal infections, congenital anomalies, and neonatal tetanus. Indirect factors, such as maternal health conditions, inadequate antenatal care, health system limitations, and sociodemographic disparities, further exacerbate neonatal mortality risks. The results underscore the importance of integrated strategies that strengthen maternal and neonatal health services, improve care quality and access, and address broader social determinants. This study provides comprehensive evidence to inform policy and intervention priorities aimed at reducing neonatal deaths in Indonesia.

 

Keywords: Neonatal Mortality, AMPSR, Indonesia, Causes of Death, Maternal Health.


Teks Lengkap:

Download Artikel

Referensi


Aji, B., Anandari, D., Soetikno, H., & Sumawan, H. (2022). Sustaining maternal and child health programs when donor funding ends: A case study of stakeholder involvement in Indonesia. The International Journal of Health Planning and Management, 37(4), 2049–2062. https://doi.org/10.1002/hpm.3448

Ambarwati, N. D., Kartasurya, M. I., & Purnami, C. T. (2023). Implementation of Maternal Perinatal Surveillance and Response (AMP-SR) Audit in Indonesia: Scoping Review. Contagion: Scientific Periodical Journal of Public Health and Coastal Health, 5(1), 87. https://doi.org/10.30829/contagion.v5i1.14833

Andriani, H., Rachmadani, S. D., Natasha, V., & Saptari, A. (2021). Continuity of maternal healthcare services utilisation in Indonesia: analysis of determinants from the Indonesia Demographic and Health Survey. Family Medicine and Community Health, 9(4). https://doi.org/10.1136/fmch-2021-001389

Arksey H, O. L. (2005). Scoping studies: Towards a methodological Framework. Int J Soc Res Methodol Theory Pract, 9, 9–12.

Astria, N. K. R., & Windasari, C. (2021). Faktor-faktor yang berhubungan dengan kematian neonatus di RSUD Sanjiwani Gianyar. Intisari Sains Medis, 12(2), 468–472. https://doi.org/10.15562/ism.v12i2.1065

Braam, E. J. Van, McRae, D. N., Portela, A. G., Stekelenburg, J., & Penn-Kekana, L. (2023). Stakeholders’ perspectives on the acceptability and feasibility of maternity waiting homes: a qualitative synthesis. Reproductive Health, 20(1), 101. https://doi.org/10.1186/s12978-023-01615-x

Davidz, I. K. L. A., Kuntoro, K., Joewono, H. T., & Irwanto, I. (2022). Risk factors of early neonatal death in East Nusa Tenggara, Indonesia: a case-control study. Paediatrica Indonesiana, 62(4), 282–290. https://doi.org/10.14238/pi62.4.2022.282-90

Halimah, Sutanto, E., Suparmi, Baskoro, A., Maulana, N., Adani, N., Nugraheni, W. P., Djunaedi, Aryani, F., Lumbantoruan, M., & Trihono. (2022). Exploration of District-Level Innovations To Address Maternal and Neonatal Mortality in Indonesia. Indonesian Journal of Health Administration, 10(2), 206–218. https://doi.org/10.20473/jaki.v10i2.2022.206-218

Herlyssa, Nurjasmi, & Mulyati, S. (2022). Effectiveness of Belly Dance in Reducing Women’s Pain in Labor through Coupling Style. International Journal of Science and Society, 4(2), 97–107. https://doi.org/10.54783/ijsoc.v4i2.453

Kalter, H. D., Setel, P. W., Deviany, P. E., Nugraheni, S. A., Sumarmi, S., Weaver, E. H., Latief, K., Rianty, T., Nandiaty, F., Anggondowati, T., & Achadi, E. L. (2023). Modified Pathway to Survival highlights importance of rapid access to quality institutional delivery care to decrease neonatal mortality in Serang and Jember districts, Java, Indonesia. Journal of Global Health, 13, 4020. https://doi.org/10.7189/jogh.13.04020

Kamath, G. D., Kukreja, S., Mukherjee, P., Kolhapure, S., & Sathyanarayanan, S. (2022). Maternal immunization: trends in South and Southeast Asian countries. The Journal of Maternal-Fetal & Neonatal Medicine : The Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 35(25), 8372–8381. https://doi.org/10.1080/14767058.2021.1974389

Kaplan, L., Richert, K., Hülsen, V., Diba, F., Marthoenis, M., Muhsin, M., Samadi, S., Susanti, S., Sofyan, H., Ichsan, I., & Vollmer, S. (2023). Impact of the WHO Safe Childbirth Checklist on safety culture among health workers: A randomized controlled trial in Aceh, Indonesia. PLOS Global Public Health, 3(6), 1–11. https://doi.org/10.1371/journal.pgph.0001801

Kresnawati, W., Froulina, L., Syahrizal, B. M., Sinaga, N. B., Manuama, E. O., Rohsiswatmo, R., & Wandita, S. (2025). Quality improvement on reducing neonatal mortality through intensive Clinical Mentorship Intervention: a case study in Biak Regional Hospital, Papua-Indonesia. BMJ Open Quality, 14(1), 1–8. https://doi.org/10.1136/bmjoq-2024-002862

Madjid, O. A., Fongana, S., Ocviyanti, D., Indarti, J., Adjie, S., Kayika, I., Pusponegoro, A., & Harun, S. R. F. (2023). Qualitative Study on Maternal and Perinatal Health Services in Primary Health Care Facility in Banten Province. Indonesian Journal of Obstetrics and Gynecology, 64–69. https://doi.org/10.32771/inajog.v11i2.1892

Nove, A., Friberg, I. K., de Bernis, L., McConville, F., Moran, A. C., Najjemba, M., Ten Hoope-Bender, P., Tracy, S., & Homer, C. S. E. (2021). Potential impact of midwives in preventing and reducing maternal and neonatal mortality and stillbirths: a Lives Saved Tool modelling study. The Lancet. Global Health, 9(1), e24–e32. https://doi.org/10.1016/S2214-109X(20)30397-1

Odelia, Y. O., & Soleman, S. R. (2023). Distributions and Determinants of Neonatal Mortality in Rembang Regency, Central Java Province, Indonesia. Unnes Journal of Public Health, 12(1), 53–60. https://doi.org/10.15294/ujph.v12i1.57694

Oktarina, C. R., Sriliana, I., Sidik, E. N. F., & Firmansyah, M. A. (2024). Pemodelan Data Geospasial Balita Kurang Gizi Dengan Pendekatan Geographically Weighted Regression Principal Component Analysis. Jurnal Gaussian, 13(2), 339–350. https://doi.org/10.14710/j.gauss.13.2.339-350

Paunno, M., & Siahaya, G. C. (2022). The Effect of Pregnancy and Childbirth Care with the Incidence of Neonatal Death. Jurnal Kesehatan Reproduksi, 8(3), 164–172. https://doi.org/10.22146/jkr.61550

Purba, I. E., Tarigan, Y. G., Zendrato, A., Purba, A., & Sinaga, T. (2024). Maternal factors associated with stunting among children under two years in South Nias, Indonesia: a cross-sectional study. International Journal of Public Health Science (IJPHS), 13(3), 1349. https://doi.org/10.11591/ijphs.v13i3.24316

Puspita, G., & Diana Indri. (2024). Maternal and Neonatal Predictors of Asphyxia: A Case-Control Study at Salatiga Regional General Hospital. Archives of The Medicine and Case Reports, 5(4), 1016–1029. https://doi.org/10.37275/amcr.v5i4.626

Rammohan, A., Goli, S., & Chu, H. (2024). Continuum of care in maternal and child health in Indonesia. Primary Health Care Research & Development, 25, e17. https://doi.org/10.1017/S1463423624000094

Riyanti, Salim, L. A., Heriteluna, M., & Legawati. (2023). Development of pregnancy class with husband’s assistance on the outcome of teenage pregnancy. Journal of Public Health Research, 12(3), 22799036231197196. https://doi.org/10.1177/22799036231197195

Sampurna, M. T. A., Handayani, K. D., Utomo, M. T., Angelika, D., Etika, R., Harianto, A., Mapindra, M. P., Mahindra, M. P., Efendi, F., Kaban, R. K., Rohsiswatmo, R., Visuddho, V., & Permana, P. B. D. (2023). Determinants of neonatal deaths in Indonesia: A national survey data analysis of 10,838 newborns. Heliyon, 9(1), e12980. https://doi.org/10.1016/j.heliyon.2023.e12980

Sampurna, M. T. A., Mapindra, M. P., Mahindra, M. P., Efendi, F., Etika, R., Utomo, M. T., Angelika, D., Handayani, K. D., & Harianto, A. (2021). A population-based study of neonatal deaths in Indonesia based on the Indonesian demographic health survey: what determinants play an essential role? Research Square, 1–27. https://doi.org/10.21203/rs.3.rs-290158/v1

Siahaan, A., & Ariawan, I. (2021). Effect of Parity on Neonatal Mortality in Indonesia. Jurnal Ilmu Kesehatan Masyarakat, 12(3), 250–262. https://doi.org/10.26553/jikm.2021.12.3.250-262

Sukma, H. A. D., & Tiwari, S. (2021). Risk Factors for Premature Birth in Indonesia. Jurnal Biometrika Dan Kependudukan, 10(1), 61–67. https://doi.org/10.20473/jbk.v10i1.2021.61-67

Titaley, C. R., Mu’asyaroh, A., Que, B. J., Tjandrarini, D. H., & Ariawan, I. (2024). Determinants of early neonatal mortality: secondary analysis of the 2012 and 2017 Indonesia Demographic and Health Survey. Frontiers in Pediatrics, 12, 1288260. https://doi.org/10.3389/fped.2024.1288260

Turnip, M. S., & Kamso, S. (2024). Pregnancy Examination with Postpartum Hemorrhage: SDKI Data Analysis 2017. Jurnal Ilmiah Kesehatan Sandi Husada, 13(1), 147–174. https://doi.org/10.35816/jiskh.v13i1.1191

Wandita, S., Sinurat, F. P., Kaslam, P., Anggraini, D., Adiwinanto, W., Harini, S., Baco, J., & Farhati, M. Y. (2022). Development of neonatal death clinical audit instrument. Indonesian Journal of Perinatology, 3(1), 16–20. https://doi.org/10.51559/inajperinatol.v3i1.20

Wismawan, M. N. P., & Windiyanto, R. (2023). Profile of Immature to Total Neutrophil (IT) Ratio and Platelet to Lymphocyte Ratio as Initial Predictive Value of Early Onset Neonatal Sepsis at Sanjiwani Hospital, Gianyar, Bali. European Journal of Medical and Health Sciences, 5(5), 117–121. https://doi.org/10.24018/ejmed.2023.5.5.1931

Yugistyowati, A., Lewis, E. C., Puspaningtyas, D. S., Kartika, E., Aji, A. S., Paratmanitya, Y., Hadi, H., Gittlesohn, J., & Kusuma, C. (2022). Piloting Smartphone Application to Improve Mother’s Knowledge of Proper Neonatal Care in Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(T8), 174–179. https://doi.org/10.3889/oamjms.2022.9498




DOI: https://doi.org/10.33024/mahesa.v6i6.23149

Refbacks

  • Saat ini tidak ada refbacks.


Publisher: Universitas Malahayati Lampung


Creative Commons License
Semua artikel dapat digunakan dibawah lisensi Creative Commons Attribution-ShareAlike 4.0 International License