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THE IMPACT OF ECONOMIC CRISIS ON LOW-BIRTH-WEIGHT INEANTS’ FIGURE: A HOSPITAL BASED RETROSPECTIVE STUDY

Sjarif Hidajat, Kiki Madiapermana KS, Mia Milanti Dewi

Department of Child Health Medical School Padjadjaran University-Hasan Sadikin Hospital, Bandung, Indonesia

The economic crisis since 1997 in Indonesia had given a big problem including in health care. One of the problems is increased number of undernutrition newborns that is indicated by small for gestational age (SGA). The objective of this study is to observe the impact of the economic crisis on low-birth-weight infants’ especially on SGA or prematurity. This is a retrospective study and the subject are livebirth with low birth weight infants born at Hasan Sadikin Hospital. Group I were born before the economic crisis (October-December 1996) and Group II were born during the economic crisis (October-December 1998). The data was taken from the medical records. There were 83 infants in Group I: So (60%) were SGAs, 28 (55%) of which were with symmetrical types, 25 (30%) premature, and 6 (22%) were premature with SGA. Group II were 86 infants: 34 (39.5%) were SGAs, 19 (56%) of which were with symmetrical types, 45 (52%) premature and 7 (16%) were premature with SGA. There was a significant decrease in the number of SGA infants during the economic crisis (p=0.007) with significant increase in the number of premature infants (p=0.007). There was no significant difference in the proportion of premature with SGA infants before and during the economic crisis (p=0.384). We concluded that the economic crisis did not increase the number of SGA infants but increase the number of premature infants, which is a problem in child health care.