| Abstract: | Objective: The purpose of this study is to determine the socioeconomic and demographic, and health access determinants of childhood survival in Indonesia. Methods: This study is cross sectional design by using the secondary data analysis from IDHS 2002 – 2003 data. The 2002-2003 IDHS was designed as a collaborative effort of four institutions: BPS-Statistics Indonesia (BPS), National Family Planning Coordinating Board (NFPCB), the Ministry of Health (MOH), and ORC Macro. Data sources are taken from the 2002-2003 Indonesia Demographic and Health Survey (IDHS) is a nationally representative survey of 29,483 ever-married women age 15-49 and 8,310 currently married men age 15-54. The 2002-2003 IDHS fieldwork was carried out from October 2002 to April 2003 in selected enumeration areas of the 26 provinces in Indonesia. The 2002-2003 IDHS samples is aimed at providing reliable estimates of key characteristics of ever-married women 15-49 and married men 15-54 in Indonesia as a whole, in urban and rural areas, and in each of the 26 provinces. Data on child mortality in the 2002-2003 IDHS are derived from the birth history section of the individual questionnaire. After data processing, a total respondent that was found is 16,206 respondents. Findings: These study findings that father’s education in higher level was associated with the childhood survival 2 times compare with no education, secondary levels 1.8 times compare with no education, and primary level 1.5 times compare with no education. Wealth index was significant at borderline p<0.05, it was associated with the childhood survival 1.5 times compare with the poorest. People who lives in rural area can increase the childhood mortality about one time compared with their who lives in urban area, significant in borderline at p<0.05. As expected, birth interval more than two years can increase the childhood survival about 2 times compare with less than two years. Parity two or more associated with increase in childhood mortality a half compare with lower parity. ANC visits third trimester can increase childhood survival more than 4 times compare with no visits. Health professional visited can increase the childhood survival 1.6 times compare with no health professional visited. Conclusions: Evidence from Indonesia Demographic and Health Survey (IDHS) 2002 – 2003 found some determinants which most valuable for policy integration of intervention in reduce the risk of childhood mortality or increase the childhood survival. Determinants of childhood survival in this study are father’s education, wealth index quintile, residence, region, birth interval, parity, antenatal care visits trimester 3, and health professional visited. In line with WHO (2005) to improving the chances of survival, Indonesia government need the ambition of the primary health care movement by take across the redistribution of resource, health personnel redistributed and the whole design, planning and personnel management of the health system overhauled. Promoting appropriate care-seeking and ensuring that health facilities are accessible become one of health care personnel responsibility to increase the role of households contribute to the health of their children and decline of risk childhood mortality. |
