Investigator(s)
| WHO Technical Officer |
Edit Oktavia Manuama WHO Indonesia Edit Oktavia Manuama 
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| Principal Investigator |
Shita Listya Dewi, S.Sos, MM, MSc Center for Health Policy and Management (PKMK FK-KMK UGM) Shita Listya Dewi, S.Sos, MM, MSc
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| Co-Investigator(s) |
Abigael Wohing Ati Center for Health Policy and Management (PKMK FK-KMK UGM) Abigael Wohing Ati
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| Co-Investigator(s) |
Dr. Setya Wandita, Sp. A (K) Universitas Gadjah Mada Dr. Setya Wandita, Sp. A (K)
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| Co-Investigator(s) |
dr. Sandra Olivia Frans, MPH Center for Health Policy and Management (PKMK FK-KMK UGM) dr. Sandra Olivia Frans, MPH
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| Co-Investigator(s) |
Mentari Widiastuti Center for Health Policy and Management (PKMK FK-KMK UGM) Mentari Widiastuti
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Title(s) and abstract
| Scientific title | Management of Low Birth Weight Infants at Primary and Referral Health Care Facilities in six regions in Indonesia: an explanatory mixed method study |
| Public title | Assessment of LBW Infant Management at Primary and Referral Health Facility in Indonesia |
| Background | Around 11% of children in Indonesia were born with Low Birth Weight (LBW) in 2020. LBW is a major public health concern since it is the main cause of neonatal mortality in Indonesia. LBW infants are vulnerable to the risk of many health problems in later life as compared to babies born with normal weight. In Indonesia, the challenges associated with the management of LBW infants are related to hospital resources (budget and infrastructure), high patient volumes and referrals, and sub-standard follow-up visits. Information on the burden and existing practices around LBW management, both in routine and emergency settings at the primary and referral levels, is still limited in Indonesia. WHO has updated new guidelines for LBW management, and in line with that, the Indonesian Ministry of Health (MoH) also intends to introduce national guidelines for small baby care packages. In order to accommodate the schemes, we need a deeper understanding of the existing care practices and the burden of LBW at the primary and referral levels of care in Indonesia |
| Objectives | This study aims to inform strategy of rolling out optimal LBW management at primary (BEmONC and non-BEmONC) and referral (CEmONC) health facilities in Indonesia. The specific objectives are: 1) to describe the number of LBW born or admitted at Puskesmas and District Hospitals; 2) to describe the characteristics of LBW born or admitted at Puskesmas and District Hospitals; 3) to assess health facility (primary and referral) role and capacity in implementing care of the LBW aligned with Every Newborn Action Plan (ENAP) levels of care; 4) to assess capacity of health workers and families in providing care to small newborns; 5) to assess the essential evidence-based care practices for LBW infants at the primary and referal level facilities; 6) to understand the enablers to provision of essential newborn care for small newborns at primary and referral level; 7) to understand the pathway of referring LBW infants with complications, its barriers and enablers from primary to referral level; 8) to understand the enablers to provision of essential newborn care for small newborns at primary and referral level |
| Study Methods | This study applies an explanatory mixed method design conducted in selected Puskesmas and district hospitals in six purposively sampled districts, namely Deli Serdang, Nagan Raya, Garut, Pamekasan, Lombok Utara, and Timor Tengah Selatan, selected based on LBW prevalence and various fiscal capacities and geographical characteristics. These will include, desk review of reports and studies on LBW, standard checklist survey, focused group discussions (FGDs) with doctors/specialists, program managers, midwives, nurses in the districts. Key informant interviews (KIIs) with mothers and caregiver of LBW infants who were born over the past 1 month despite of the condition (survived or deceased, preterm or term, sick or not sick). Both resource person and health facility that will be selected in this study should be meet the inclusion criteria. The direct observation and case based assessment of LBW management in essential and emergency settings will be done in one province or district to assess the health workers skill capability in taking care LBW babies. Descriptive statistics will be performed to summarize the results of standard checklists, while for narrative and qualitative findings will be analyzed using thematic analysis approach. |
| Expected outcomes and use of results | Findings from this study are expected to inform the current condition of LBW management, also the strategy of rolling out optimal LBW management at primary (BEmONC and non-BEmONC) and referral (CEmONC) health facilities in Indonesia. Including informing the national and regional stakeholders related to LBW care so there will be an improvement in LBW health service for the beneficiaries in the future. This study is also expected to fill the current knowledge and information gap from the previous LBW study in Indonesia |
| Keywords | LBW infant Indonesia postnatal care |
Research Details
| Student research | No |
| Start Date | 01-May-2023 |
| End Date | 31-Oct-2023 |
| Key Implementing Institution | Center for Health Policy and Management UGM |
| Multi-country research | No |
| Nationwide research | Yes, with randomly selected geographical areas |
| Indonesia, Indonesia, Indonesia, Indonesia, Indonesia, Indonesia | |
| Research Domain(s) | Maternal, Reproductive and Child Health |
| Research field(s) | Child Health |
| Involves human subjects | Yes |
| Data Collection | Primary and secondary data |
| Proposal reviewed by other Committee | Under Review |