Main Article Content

Fittrofin Amalia Farisa

Abstract

Poisson regression may be used to describe count data in the form of positive integers as it often follows a Poisson distribution. Poisson regression requires that the response variable's mean and variance be equal (equidispersion). In practice, however, it is more typical to find data with overdispersion, or variation larger than the mean. The number of newborn and maternal fatalities are the response variables, and the units of analysis are the East Java Province's regencies and cities. Because of the correlation between these two variables and the overdispersion that results, the Poisson regression model has to be further developed. One such model development that blends the Poisson and Lognormal distributions is called Bivariate Poisson Lognormal Regression (BPLNR). In order to predict the factors thought to be impacting the number of infant deaths and maternal deaths in East Java Province in 2021, this study attempts to produce parameter estimators and test data for the BPLNR model. According to the modeling results, the number of infant and maternal fatalities is significantly impacted by a variety of variables, including the proportion of cases treated by health personnel and the percentage of K4 antenatal visits by expectant women, among others. Furthermore, the dispersion parameter indicates that overdispersion in the data on newborn and maternal mortality in East Java in 2021 has been taken into account by the model.

Article Details

How to Cite
Farisa, F. A. (2026). Modeling the number of infant and maternal mortality rates in East Java in 2021 using the BPLNR model. Journal of Midwifery and Nursing, 8(1), 13-18. https://doi.org/10.35335/jmn.v8i1.6905
References
Babughirana, G., Gerards, S., Mokori, A., Nangosha, E., Kremers, S., & Gubbels, J. (2020). Maternal and newborn healthcare practices: assessment of the uptake of lifesaving services in Hoima District, Uganda. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/s12884-020-03385-x
Bango, M. (n.d.). Corrigendum: Social and regional disparities in utilization of maternal and child healthcare services in india: A study of the post-national health mission period.
Bryce, E., Mullany, L. C., Khatry, S. K., Tielsch, J. M., Leclerq, S. C., & Katz, J. (2020). Coverage of the WHO’s four essential elements of newborn care and their association with neonatal survival in southern Nepal. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/s12884-020-03239-6
Jang, Y., Sundararajan, R. R., & Barreto-Souza, W. (2023). A multivariate heavy-tailed integer-valued GARCH process with EM algorithm-based inference. http://arxiv.org/abs/2306.17776
Kabir, A., Roy, S., Begum, K., Kabir, A. H., & Miah, M. S. (2021). Factors influencing sanitation and hygiene practices among students in a public university in Bangladesh. PLoS ONE, 16(9 September). https://doi.org/10.1371/journal.pone.0257663
Kumar, N. R., Borders, A., & Simon, M. A. (2021). Postpartum medicaid extension to address racial inequity in maternal mortality. In American Journal of Public Health (Vol. 111, Issue 2, pp. 202–204). American Public Health Association Inc. https://doi.org/10.2105/AJPH.2020.306060
Kumbeni, M. T., Apanga, P. A., Yeboah, E. O., & Lettor, I. B. K. (2021). Knowledge and preventive practices towards COVID-19 among pregnant women seeking antenatal services in Northern Ghana. PLoS ONE, 16(6 June). https://doi.org/10.1371/journal.pone.0253446
Lorenz, J. M., Ananth, C. V., Polin, R. A., & D’Alton, M. E. (2016). Infant mortality in the United States. Journal of Perinatology, 36(10), 797–801. https://doi.org/10.1038/jp.2016.63
Mahmood, M. A., Hendarto, H., Laksana, M. A. C., Damayanti, H. E., Suhargono, M. H., Pranadyan, R., Santoso, K. H., Redjeki, K. S., Winard, B., Prasetyo, B., Vercruyssen, J., Moss, J. R., Bi, P., Masitah, S., Warsiti, Pratama, A. W., Dewi, E. R., Listiyani, C. H., & Mufidah, I. (2021). Health system and quality of care factors contributing to maternal deaths in East Java, Indonesia. PLoS ONE, 16(2 February). https://doi.org/10.1371/journal.pone.0247911
Matz, M. V., Wright, R. M., & Scott, J. G. (2013). No control genes required: Bayesian analysis of qRT-PCR data. PloS One, 8(8). https://doi.org/10.1371/journal.pone.0071448
Orellana, J., Jacques, N., Leventhal, D. G. P., Marrero, L., & Morón-Duarte, L. S. (2022). Excess maternal mortality in Brazil: Regional inequalities and trajectories during the COVID-19 epidemic. PLoS ONE, 17(10 October). https://doi.org/10.1371/journal.pone.0275333
Pani?, B., Klemenc, J., & Nagode, M. (2020). Improved initialization of the EM algorithm for mixture model parameter estimation. Mathematics, 8(3). https://doi.org/10.3390/math8030373
Roberton, T., Carter, E. D., Chou, V. B., Stegmuller, A. R., Jackson, B. D., Tam, Y., Sawadogo-Lewis, T., & Walker, N. (2020). Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study. The Lancet Global Health, 8(7), e901–e908. https://doi.org/10.1016/S2214-109X(20)30229-1
Stevenson, A. J., Root, L., & Menken, J. (n.d.). The maternal mortality consequences of losing abortion access.
Yirmiya, K., Yakirevich-Amir, N., Preis, H., Lotan, A., Atzil, S., & Reuveni, I. (2021). Women’s depressive symptoms during the covid-19 pandemic: The role of pregnancy. International Journal of Environmental Research and Public Health, 18(8). https://doi.org/10.3390/ijerph18084298