Unraveling Geospatial Determinants: Robust Geographically Weighted Regression Analysis of Maternal Mortality in Indonesia

Abstract

Maternal Mortality Rate (MMR) in Indonesia has experienced a concerning annual increase, reaching 4,627 deaths in 2020 compared to 4,221 in 2019. This upward trajectory underscores the urgency of investigating the factors contributing to MMR. Recognizing the spatial heterogeneity and outliers in the data, our study employs the Robust Geographically Weighted Regression (RGWR) method with the Least Absolute Deviation approach. Using secondary data from the 2020 Indonesian Health Profile publication, the research seeks to establish province-specific models for MMR in 2020 and identify the key influencing factors in each region. Standard regression analyses fall short in addressing the complexities present in the data, making the RGWR approach crucial for understanding the nuanced relationships. The chosen RGWR model utilizes the Least Absolute Deviation method and a fixed kernel exponential weighting function. Notably, this model maintains a consistent bandwidth value across all locations, showcasing its robustness. In evaluating the model variations, the exponential fixed kernel weighting function emerges as the most optimal, boasting the smallest Akaike Information Criterion (AIC) value of 23.990 and the highest coefficient of determination  value of 93.66%. The outcomes of this research yield 24 distinct models, each tailored to the unique characteristics of every province in Indonesia. This nuanced, location-specific approach is vital for developing effective interventions and policies to address the persistently high MMR. By providing insights into the complex interplay of factors influencing maternal mortality in different regions, the study contributes to the groundwork for targeted and impactful public health initiatives across Indonesia.