Kematian Orang Dewasa (Pendekatan Saudara Kandung) di Nanggroe Aceh Darussalam

Abstract

Surkesda NAD 2006 included sibling technique approach to collect data of the survival of the siblings ofwomen aged 10-54 years of the household samples. The technique made possible to estimate adultmortality including age sex specific mortality rates, maternal mortality rate (MMR) and maternal mortality ratio (MMRatio) for Nanggroe Aceh Darussalam (NAD) in the two periods of 1991-2000 and 2001-2006. Adult mortality rates increased significantly from 1991-2000 to 2001-2006. The increasemight be the cause of earth quake/tsunami that hit NAD in 2004. Sibling technique instrument providedtwo categories of maternal mortality, obstetric death and pregnancy related death. Based on obstetricdeaths as numerator of rate estimation, adjusted MMR was estimated at 35 per 100,000 for the period of 1991-2000 and it rose to 70 per 100,000 in the period of 2001-2006. Two approaches of estimating MMRatio were used, i.e., direct sisterhood method and PMDF approach. Direct sisterhood methodgave adjusted MMRatio of 392 per 100,000 in 1991-2000 and 638 per 100,000 in 2001-2006, while PMDF approach gave MMRatio of 357 and 580 per 100,000 for 1991-2000 and 2001-2006 respectively. PMDF itself could be used as indicator of maternal death. It measures the relative role ofmaternal cause of deaths from all causes deaths. PMDF, using definition of obstetric deaths, decreased significantly from 18% in 1991-2000 to 11% in 2001-2006. Compared to national estimates based on IDHS Survey 2002-2003 which gave estimate of MMRatio of 307 per 100,000 (direct sisterhood) or 420 per 100,000 (PMDF approach) for the period 1998-2003, MMRatio for NAD recently was much higher