School of Public Health, Taipei Medical University, Taipei City 110, Taiwan.
Faculty of Health Science, College of Health Science, Universitas Respati Yogyakarta, Indonesia, Jl. Laksda Adisucipto, Ambarukmo, Caturtunggal, Kec. Depok, Kabupaten Sleman, Daerah Istimewa Yogyakarta 55281, Indonesia.
J Trop Pediatr. 2020 Oct 1;66(5):487-494. doi: 10.1093/tropej/fmaa002.
The province of Nusa Tenggara Timur (NTT) in the eastern part of Indonesia is known for high maternal mortality ratios (MMRs) and neonatal mortality eates (NMRs). Sister Hospital is a multicenter program, which aims to lower MMRs and NMRs in the deprived areas of Indonesia by providing comprehensive emergency services for maternal and newborn care. In this study, we evaluated the impact of the Sister Hospital program on MMRs and NMRs in 2009-17. We used linear mixed-effects models to analyze the program's effects. Study results suggested that in general, the Sister Hospital program reduced MMRs by 1.14/100 000 live births after adjusting for other sociodemographic factors. This study also found that the program effects varied by island, and the highest reduction in MMRs, were found on Sumba Island in which the log of MMRs decreased from 2.23 in 2009 to 2.01 in 2017. However, no effects on NMR outcomes by the program were found. These findings suggest that the Sister Hospital program can be a practical solution for lowering MMRs in rural Indonesia.
印度尼西亚东部的东努沙登加拉省（NTT）以高孕产妇死亡率（MMR）和新生儿死亡率（NMR）而闻名。姐妹医院是一个多中心项目，旨在通过为印度尼西亚贫困地区提供母婴全面急救服务来降低 MMR 和 NMR。在这项研究中，我们评估了 2009-17 年期间姐妹医院项目对 MMR 和 NMR 的影响。我们使用线性混合效应模型来分析该项目的效果。研究结果表明，总体而言，在调整其他社会人口因素后，姐妹医院项目使 MMR 降低了 1.14/100000 活产儿。本研究还发现，该项目的效果因岛屿而异，MMR 降低幅度最大的是松巴岛，其 MMR 的对数从 2009 年的 2.23 降至 2017 年的 2.01。然而，该项目对 NMR 结果没有影响。这些发现表明，姐妹医院项目可以成为降低印度尼西亚农村地区 MMR 的实用解决方案。
