Predictors of Survival in Under-Five Children with Low Birth Weight: A Population-Based Study in Indonesia
<b>Background/Objectives:</b> The under-five mortality rate (U5MR) remains a serious health challenge in Indonesia, with low birth weight (LBW) being a key risk factor. This study aimed to identify predictors of survival among under-five children with LBW using data from the 2017 Indones...
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2025-06-01
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| author | Eka Mishbahatul Marah Has Ferry Efendi Sylvia Dwi Wahyuni Novianti Lailiah Rio Arya Putra Mahendra |
| author_facet | Eka Mishbahatul Marah Has Ferry Efendi Sylvia Dwi Wahyuni Novianti Lailiah Rio Arya Putra Mahendra |
| author_sort | Eka Mishbahatul Marah Has |
| collection | DOAJ |
| description | <b>Background/Objectives:</b> The under-five mortality rate (U5MR) remains a serious health challenge in Indonesia, with low birth weight (LBW) being a key risk factor. This study aimed to identify predictors of survival among under-five children with LBW using data from the 2017 Indonesia Demographic and Health Survey (IDHS). <b>Methods:</b> This cross-sectional study included 625 children under five with LBW. The dependent variable was under-five mortality (children aged 0–59 months), while the independent variables include child (gender), maternal (age at delivery, education, empowerment, delivery complications, and breastfeeding history), health service (antenatal care-ANC and place of delivery), and household (wealth quintile and residence) factors. Data were obtained from the 2017 IDHS using household and women’s questionnaires and analyzed using univariate analysis, Kaplan–Meier estimation, and Cox regression. <b>Results:</b> 41 of 625 children born with LBW died before the age of five. The Kaplan–Meier estimation found that maternal (delivery complications and breastfeeding history), health service (ANC history and place of delivery), and household factors (residence) significantly influenced the survival of LBW children. The Cox regression results showed that LBW children who were breastfeed and whose mother had adequate antenatal care visits had a lower risk of under-five mortality. Surprisingly, children born in health facilities had a significantly higher risk of death compared to those born elsewhere. <b>Conclusions:</b> Exclusive breastfeeding, adequate antenatal care, and place of delivery are important determinants of survival among children born with LBW. This support targeted interventions to improve the survival chances of children born with LBW, particularly in their early years of life. |
| format | Article |
| id | doaj-art-5cce3ee2118943d1a86bce094c0cc227 |
| institution | Kabale University |
| issn | 2039-439X 2039-4403 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj-art-5cce3ee2118943d1a86bce094c0cc2272025-08-20T03:32:27ZengMDPI AGNursing Reports2039-439X2039-44032025-06-0115723810.3390/nursrep15070238Predictors of Survival in Under-Five Children with Low Birth Weight: A Population-Based Study in IndonesiaEka Mishbahatul Marah Has0Ferry Efendi1Sylvia Dwi Wahyuni2Novianti Lailiah3Rio Arya Putra Mahendra4Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya 60115, IndonesiaDepartment of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya 60115, IndonesiaDepartment of Basic Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya 60115, IndonesiaNursing Study Program, Faculty of Medicine, Universitas Negeri Surabaya, Surabaya 60213, IndonesiaNursing Study Program, Faculty of Nursing, Universitas Airlangga, Surabaya 60115, Indonesia<b>Background/Objectives:</b> The under-five mortality rate (U5MR) remains a serious health challenge in Indonesia, with low birth weight (LBW) being a key risk factor. This study aimed to identify predictors of survival among under-five children with LBW using data from the 2017 Indonesia Demographic and Health Survey (IDHS). <b>Methods:</b> This cross-sectional study included 625 children under five with LBW. The dependent variable was under-five mortality (children aged 0–59 months), while the independent variables include child (gender), maternal (age at delivery, education, empowerment, delivery complications, and breastfeeding history), health service (antenatal care-ANC and place of delivery), and household (wealth quintile and residence) factors. Data were obtained from the 2017 IDHS using household and women’s questionnaires and analyzed using univariate analysis, Kaplan–Meier estimation, and Cox regression. <b>Results:</b> 41 of 625 children born with LBW died before the age of five. The Kaplan–Meier estimation found that maternal (delivery complications and breastfeeding history), health service (ANC history and place of delivery), and household factors (residence) significantly influenced the survival of LBW children. The Cox regression results showed that LBW children who were breastfeed and whose mother had adequate antenatal care visits had a lower risk of under-five mortality. Surprisingly, children born in health facilities had a significantly higher risk of death compared to those born elsewhere. <b>Conclusions:</b> Exclusive breastfeeding, adequate antenatal care, and place of delivery are important determinants of survival among children born with LBW. This support targeted interventions to improve the survival chances of children born with LBW, particularly in their early years of life.https://www.mdpi.com/2039-4403/15/7/238survival analysischild mortalitychild healthlow birth weightIndonesian DHS |
| spellingShingle | Eka Mishbahatul Marah Has Ferry Efendi Sylvia Dwi Wahyuni Novianti Lailiah Rio Arya Putra Mahendra Predictors of Survival in Under-Five Children with Low Birth Weight: A Population-Based Study in Indonesia Nursing Reports survival analysis child mortality child health low birth weight Indonesian DHS |
| title | Predictors of Survival in Under-Five Children with Low Birth Weight: A Population-Based Study in Indonesia |
| title_full | Predictors of Survival in Under-Five Children with Low Birth Weight: A Population-Based Study in Indonesia |
| title_fullStr | Predictors of Survival in Under-Five Children with Low Birth Weight: A Population-Based Study in Indonesia |
| title_full_unstemmed | Predictors of Survival in Under-Five Children with Low Birth Weight: A Population-Based Study in Indonesia |
| title_short | Predictors of Survival in Under-Five Children with Low Birth Weight: A Population-Based Study in Indonesia |
| title_sort | predictors of survival in under five children with low birth weight a population based study in indonesia |
| topic | survival analysis child mortality child health low birth weight Indonesian DHS |
| url | https://www.mdpi.com/2039-4403/15/7/238 |
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