Constructing Sustainable Maternal and Child Health Strategies: Analyzing Factors Associated with Low-Birth-Weight Incidence in Indonesia

Gita Nirmala Sari; Dewi Nirmala Sari; Yudhia Fratidhina; Sri Mulyati

doi:10.14710/nmjn.v15i2.63181

DOI: https://doi.org/10.14710/nmjn.v15i2.63181

Constructing Sustainable Maternal and Child Health Strategies: Analyzing Factors Associated with Low-Birth-Weight Incidence in Indonesia

Gita Nirmala Sari

- Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan (Poltekkes Kemenkes) Jakarta III, Indonesia

*Dewi Nirmala Sari

- Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan (Poltekkes Kemenkes) Jakarta III, Indonesia

Yudhia Fratidhina

- Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan (Poltekkes Kemenkes) Jakarta III, Indonesia

Sri Mulyati - Department of Midwifery, Politeknik Kesehatan Kementerian Kesehatan (Poltekkes Kemenkes) Jakarta III, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{NMJN63181,
    author = {Gita Sari and Dewi Sari and Yudhia Fratidhina and Sri Mulyati},
    title = {Constructing Sustainable Maternal and Child Health Strategies: Analyzing Factors Associated with Low-Birth-Weight Incidence in Indonesia},
    journal = {Nurse Media Journal of Nursing},
  volume = {15},
    number = {2},
    year = {2025},
    keywords = {Antenatal care; Indonesia; low birth weight; maternal anemia; maternal and child health},
    abstract = {  Background:  Maternal and child health (MCH) is crucial for public health, especially in low- and middle-income countries like Indonesia. Despite improvements in healthcare infrastructure, challenges remain in reducing maternal and neonatal mortality rates, with low birth weight (LBW) posing a significant concern. Previous research has largely examined individual factors, such as maternal age, parity, or nutritional status in isolation. To date, there has been no comprehensive analysis integrating the various determinants of LBW within the Indonesian context.   Purpose:  This study aimed to comprehensively analyze factors associated with LBW incidence in Indonesia to inform sustainable MCH strategies.   Methods:  A cross-sectional study design was used to analyze data from 420 newborns and their mothers. A structured questionnaire and medical record reviews were used to collect data on maternal characteristics, antenatal care attendance, birth outcomes, and infant characteristics. Data were obtained from maternal and child health reports collected by primary health centers and hospitals under the Ministry of Health between 2021 and 2023. Statistical analyses, including bivariate Chi-square tests and multivariable logistic regression, were conducted to identify factors associated with LBW incidence.   Results:  The prevalence of LBW among newborns was 34.3%. Significant associations were found between LBW and maternal anemia (OR 1.53; 95% CI 1.16–2.03), irregular antenatal care attendance (OR 11.9; 95% CI 8.17–17.32), multiparity (OR 0.61; 95% CI 0.43–0.88), and preterm birth (OR 11.22; 95% CI 7.55–16.68). Primiparous mothers and full-term infants were less likely to experience LBW. Among the associated factors, irregular antenatal care visits and preterm birth emerged as the most dominant risk factors. No significant associations were observed with maternal complications, chronic diseases, infant gender, mode of delivery, or maternal age.   Conclusion:  Targeted interventions addressing maternal anemia, improving access to and adherence with antenatal care, and preventing preterm births are critical strategies for reducing LBW in Indonesia. The findings in this study underscore the need for greater attention to improving maternal nutrition and encouraging pregnant women to attend regular antenatal care visits.   },
   issn = {2406-8799},  doi = {10.14710/nmjn.v15i2.63181},
    url = {https://ejournal.undip.ac.id/index.php/medianers/article/view/63181}
}

Citation Format:

Abstract

Background: Maternal and child health (MCH) is crucial for public health, especially in low- and middle-income countries like Indonesia. Despite improvements in healthcare infrastructure, challenges remain in reducing maternal and neonatal mortality rates, with low birth weight (LBW) posing a significant concern. Previous research has largely examined individual factors, such as maternal age, parity, or nutritional status in isolation. To date, there has been no comprehensive analysis integrating the various determinants of LBW within the Indonesian context.

Purpose: This study aimed to comprehensively analyze factors associated with LBW incidence in Indonesia to inform sustainable MCH strategies.

Methods: A cross-sectional study design was used to analyze data from 420 newborns and their mothers. A structured questionnaire and medical record reviews were used to collect data on maternal characteristics, antenatal care attendance, birth outcomes, and infant characteristics. Data were obtained from maternal and child health reports collected by primary health centers and hospitals under the Ministry of Health between 2021 and 2023. Statistical analyses, including bivariate Chi-square tests and multivariable logistic regression, were conducted to identify factors associated with LBW incidence.

Results: The prevalence of LBW among newborns was 34.3%. Significant associations were found between LBW and maternal anemia (OR 1.53; 95% CI 1.16–2.03), irregular antenatal care attendance (OR 11.9; 95% CI 8.17–17.32), multiparity (OR 0.61; 95% CI 0.43–0.88), and preterm birth (OR 11.22; 95% CI 7.55–16.68). Primiparous mothers and full-term infants were less likely to experience LBW. Among the associated factors, irregular antenatal care visits and preterm birth emerged as the most dominant risk factors. No significant associations were observed with maternal complications, chronic diseases, infant gender, mode of delivery, or maternal age.

Conclusion: Targeted interventions addressing maternal anemia, improving access to and adherence with antenatal care, and preventing preterm births are critical strategies for reducing LBW in Indonesia. The findings in this study underscore the need for greater attention to improving maternal nutrition and encouraging pregnant women to attend regular antenatal care visits.

Fulltext

Keywords: Antenatal care; Indonesia; low birth weight; maternal anemia; maternal and child health

Funding: Ministry of Health, Republic of Indonesia

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In Vol 15, No 2 (2025): (August 2025) [In Progress]

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