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Journal of Maternal and Child Health
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Maternal and Child Health (JMCH) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on maternal and child health. The journal began its publication on July 11, 2015, and is published four times yearly. JMCH aims to improve the policy, program, service, and practice, as they impact infant, children, mother, women, adolescent, and family health.
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Articles 8 Documents
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Search results for , issue " Vol 4, No 3 (2019)" : 8 Documents clear
Contextual Effect of Community Health Center on Low Birtweight in East Lombok, Nusa Tenggara Barat Rahayu, Baiq Zulvita; Budihastuti, Uki Retno; Rahardjo, Setyo Sri
Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Low birth weight babies (LBW) become a global health problem. Studies into the contextual effect of community health center on LBW are lacking. This study aimed to determine the contextual effect of community health center on the determinants of low birth weight in East Lombok, Indonesia using multilevel analysis.Subjects and Method: This was an analytic observational study with a cross-sectional design. It was conducted in East Lombok, from September to November 2018. A total sample of 200 infants from 25 community health centers was selected by random sampling. The dependent variable was LBW. The independent variables were maternal age, maternal education, family income, prenatal stress, maternal nutritional status, exposure to cigarette smoke, maternal occupation, social support, and social capital. The data were collected from the medical record and questionnaire. The data were analyzed by a multilevel multiple logistic regression analysis.Results: Maternal age <20 or ≥35 years (b = 2.60; 95% CI = 0.96 to 4.25; p= 0.002), prenatal stress (b = 1.30; 95% CI 95%= 0.01 to 2.57; p= 0.048), and exposure to cigarette smoke (b= 1.57; CI 95% = 0.37 to 2.76; p= 0.010) increased the risk of LBW. LBW decreased with high maternal education (b = -1.38; 95% CI= -2.60 to -0.15; p= 0.027), high family income (b= -1.32 ; 95% CI = -2.61 to -0.04; p= 0.072), strong social support (b= -1.50; 95% CI= -2.92 to -0.09; p= 0.036), good maternal nutritional status (b = -2.01; 95% CI= -3.26 to -0.76; p= 0.002), strong social capital (b= -1.45; 95% CI= -2.82 to -0.08; p=0.038), and maternal occupation (b= -1.43; 95% CI= -2.98 to 0.12; p= 0.072). Community health center had contextual effect on LBW with ICC= 20%.Conclusions: Maternal age <20 or ≥35 years, prenatal stress, and exposure to cigarette smoke increase the risk of LBW. LBW decreases with high maternal education, high family income, strong social support, good maternal nutritional status, strong social capital, and maternal occupation. Community health center has contextual effect on LBW.Keywords: low birth weight, stress, social support, community health centerCorrespondence: Baiq Zulvita Rahayu. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta, Central Java 57126, Indonesia. Email: rahayubaiq.zulvita@yahoo.co.id. Mobile: +6281917744469Journal of Maternal and Child Health (2019), 4(3): 136-145https://doi.org/10.26911/thejmch.2019.04.03.01
Path Analysis on Factors Affecting the Choice of Female Surgical Contraceptive Method in Kendal, Central Java Maghfiroh, Ainul; Budihastuti, Uki Retno; Nurhaeni, Ismi Dwi Astuti
Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia is one of the developing countries with a high rate of population growth. The government established a Family Planning program in overcoming this problem with effective use of the female surgery contraception. This study aimed to analyze the determinants of female surgery contraceptive method using path analysis model.Subject and method: A retrospective case-control study was conducted in Kendal, Central Java. A sample of 200 women was selected for this study by fixed diseases sampling. The dependent variable was the choice of female surgery contraceptive method. The independent variables were age, education, number of children alive, employment, knowledge, attitude, self-efficacy, husband support, and perception of gender equality. The data were collected by questionnaire and analyzed by path analysis.Results: The choice of female surgery contraception method was directly and positively associated with good knowledge (b= 1.91; 95% CI= 0.80 to 3.02; p= 0.001), positive attitude (b= 1.56; 95% CI= 0.45 to 2.66; p= 0.006), good gender equality perception (b= 1.25; 95% CI= 0.18 to 2.32; p= 0.021), high self efficacy (b= 1.61; 95% CI= 0.48 to 2.74; p= 0.005), high education (b= 1.18; 95% CI= 0.02 to 2.35; p= 0.045), strong husband support (b= 1.24; 95% CI= 0.14 to 2.39; p= 0.027), working outside the home (b= 1.14; 95% CI= 0.06 to 2.21; p= 0.037 ), number of children alive ≥3 (b= 1.74; 95% CI= 0.61 to 2.88; p= 0.003), and maternal age ≥35 years (b= 1.57; 95% CI = 0.34 to 2.75; p= 0.012). It was indirectly associated with age and education.Conclusions: The choice of female surgery contraception method is directly and positively associated with good knowledge, positive attitude, good gender equality perception, high self-efficacy, high education, strong husband support, working outside the home, number of children alive ≥3, and maternal age ≥35 years. It is indirectly associated with age and education.Keywords: female surgery contraceptive method, determinant, path analysisCorrespondence: Ainul Maghfiroh. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: Ainulmaghfiroh0504@gmail.com. Mobile: +6285641012090.Journal of Maternal and Child Health (2019), 4(3): 146-157https://doi.org/10.26911/thejmch.2019.04.03.02
Theory of Planned Behavior on Factors Affecting Tetanus Toksoid Immunization Uptake Among Pregnant Women in Boyolali, Central Java Yumafita, Tiara; Rahardjo, Setyo Sri; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Tetanus is an infectious disease caused by Clostridium tetani bacteria. TT immunization in pregnant women can prevent neonatal deaths. Maternal and Neonatal Tetanus (MNT) has been among the most common life-threatening consequences of unclean deliveries and umbilical cord care practices, and are indicators of inequity in access to immunization and other maternal, newborn, and child health services. The neonatal mortality rate was still high in Boyolali Regency, Central Java. The purpose of this study was to determine the factors of TT immunization uptake among pregnant women in Boyolali, Central Java, using Theory of Planned Behavior.Subjects And Method: This was a cross-sectional study conducted in Boyolali, Central Java, from November to December 2018. A sample of 200 pregnant women from 25 community health centers was selected by simple random sampling and positioned at level 2 in a multilevel model analysis. Eight pregnant women were selected at random from each community health center. The dependent variable was TT immunization uptake. The independent variables were knowledge, education, the influence of midwife private practice, parity, income, intention, attitude, perceived behavior control, and social norm. The data on immunization uptake was obtained from the medical record. The other data were collected by questionnaire. The data were analyzed by multilevel multiple logistic regression analysis.Results: The use of TT immunization increased with better maternal knowledge (b= 1.47; 95% CI= 0.02 to 2.92; p= 0.047), high maternal education (b = 2.19; 95% CI = 0.64 to 3.75; p= 0.006), influence of midwife private practice (b= 2.07; 95% CI= 0.41 to 3.72; p= 0.014), parity ≥2 (b= 1.81; 95% CI = 0.13 to 3.5; p= 0.034), income ≥minimum regional wage (b= 1.95; 95% CI= 0.39 to 3.50; p= 0.014), strong intention (b = 1.73; 95% CI = 0.11 to 3.34; p= 0.035), positive attitude (b= 2.11; 95% CI = 0.17 to 4.05; p= 0.033), strong perceived behavior control (b= 3.84; 95% CI = 1.47 to 6.20; p <0.001), supportive social norm (b= 2.26; 95% CI= 0.29 to 4.23; p= 0.024). Community health center had a contextual effect on TT immunization uptake with ICC= 35.86%.Conclusion: The use of TT immunization increased with better maternal knowledge, high maternal education, the influence of midwife private practice, parity ≥2, income ≥minimum regional wage, strong intention, positive attitude, strong perceived behavior control, supportive social norm. The community health center has a contextual effect on TT immunization uptake.Keywords: TT immunization, knowledge, education, midwife private practice, parity, income, intention, attitude, perceived behavior control, social norm, pregnant womenCorrespondence: Tiara Yumafita, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 362A, Surakarta 57126, Central Java, Indonesia. Email: Tiarayumafita8@gmail.com. Mobile: +6281230492658.Journal of Maternal and Child Health (2019), 4(3): 190-200https://doi.org/10.26911/thejmch.2019.04.03.06
Religious Belief, Social Support, and the Acceptance of Intrauterine Device Among Women of Reproductive Age in Klaten, Central Java Wijaya, Veronica Fenny; Rahardjo, Setyo Sri; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia is one of the developing countries with complex population problems. According to the Central Bureau of Statistics, the current population in Indonesia in 2016 reached 258,704,986 people. One of the government's efforts to reduce population growth is Family Planning (KB) program. This study aimed to determine the socioeconomic determinants, social norm, religion on the use of IUD contraceptive among women in Klaten, Central Java, using Theory of Planned Behavior. Subjects and Method: This was a cross-sectional study conducted in 25 community health centers in Klaten, Central Java, from November to December 2018. A sample of 200 women of reproductive age was collected by simple random sampling. The dependent variable was the use of IUD. The independent variables were education, husband support, health personnel support, employment, income, social norm, religion, intention, attitude, perceived behavior control. The data were measured by questionnaire and analyzed by a multilevel logistic regression.Result: The use of IUD was positively influenced by higher education (b= 1.40; 95% CI= 0.12 to 2.78; p= 0.047), strong husband support (b= 1.57; 95% CI= 0.12 to 3.03; p= 0.034), strong health personnel support (b= 1.70; 95% CI= 0.14 to 3.26; p= 0.033), employed (b= 1.50; 95% CI= 0.17 to 2.99; p= 0.047), high income (b= 2.14; 95% CI= 0.36 to 3.92; p= 0.018), supportive social norm (b= 1.50; 95% CI= 0.49 to 2.95; p= 0.043), supportive religion (b= 1.42; 95% CI= 0.12 to 2.84; p= 0.048), intention (b= 1.75; 95% CI= 0.15 to 3.35; p= 0.032), positive attitude (b= 2.16; 95% CI= 0.45 to 3.86; p= 0.013), and perceived behavior control (b= 1.57; 95% CI= 0.29 to 3.11; p= 0.046). Community health center had a contextual effect on the use of IUD contraception with ICC= 10.6%.Conclusion: The use of IUD is positively influenced by higher education, strong husband support, strong health personnel support, employed, high income, supportive social norm, supportive religion, intention, positive attitude, and perceived behavior control. The community health center has a contextual effect on the use of IUD contraception.Keywords: IUD contraceptive, utilization, community health center, multilevel analysisCorrespondence: Veronica Fenny Wijaya. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: veronicafenny04@gmail.com. Journal of Maternal and Child Health (2019), 4(3): 201-211https://doi.org/10.26911/thejmch.2019.04.03.07
Logistic Regression Analysis on the Determinants of Stunting among Children Aged 6-24 Months in Purworejo Regency, Central Java Rakhmahayu, Atika; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting is a representation of the state of chronic malnutrition in the first 1000 days of life that occurred in the world at an incidence of 22.2% in 2017. Stunting in children has impact on morbidity and mortality, resulting in a long-term decline socio-economic productivity of the community. The purpose of this study was to analyze the determinants of stunting in children aged 6-24 months in Purworejo, Central Java.Subjects and Method: This was an analytic observational study with a case control design. It was conducted in 25 integrated community health posts (posyandu) in Purworejo, from October to December 2018. A sample 200 children under five was selected using by simple random sampling. The dependent variable was stunting. The independent variables were maternal mid-upper arm circumference (MUAC) at pregnancy, maternal education, paternal education, family income, family food allocation, infant birth weight, exclusive breastfeeding, complementary feeding (CF), posyandu strata, stunting monitoring at posyandu, and posyandu stunting intervention. The data was collected by questionnaire and analyzed by a multiple logistic regression.Results: Maternal MUAC at pregnancy ≥23.5 cm (b= -1.56; 95% CI= 0.06 to 0.67; p = 0.009), high maternal education (b= -1.70; CI95% = 0.06 to 0.57; p = 0.003), high paternal education (b= -1.90; 95% CI= 0.05 to 0.51; p= 0.002), high family income (b= -1.85; 95% CI= 0.05 to 0.50; p = 0.002), family food allocation (b= -2.26; 95% CI= 0.03 to 0.37; p<0.001), birth weight ≥2,500 g (b= -1.39; 95% CI= 0.08 to 0.83; p= 0.024), exclusive breastfeeding (b = -2.04; 95% CI= 0.04 to 0.48; p= 0.002), and adequate complementary feeding (b= -1.61; 95% CI= 0.06 to 0.65; p= 0.007) reduced the risk of stunting in children aged 6-24 months.Conclusions: Maternal MUAC at pregnancy ≥23.5 cm, high maternal education, high paternal education, high family income, family food allocation, birth weight ≥2,500 g, exclusive breastfeeding, and adequate complementary feeding reduce the risk of stunting in children aged 6-24 months.Keywords: stunting, determinants, children aged 6-24 monthsCorrespondence: Atika Rakhmahayu. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: tikarakhmahayu@gmail.com. Mobile: 083124386960.Journal of Maternal and Child Health 4(3): 158-169https://doi.org/10.26911/thejmch.2019.04.03.03
Contextual Effect of Place 0f Birth Delivery on Depression in Karanganyar, Central Java Jannah, Ahadyah Miftahul; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Postpartum depression is a common mental health problem that usually occurs in women after childbirth. According to WHO, there are 377 million people in depression worldwide. In Indonesia, the prevalence of depression sufferers is 3.7%, and those who experience anxiety are 3.3%. Postpartum depression that is not immediately treated can cause an impact in nursing, namely communication and response is reduced, the existence of negative interactions, the existence of hostility, the existence of impaired competence. This study aimed to analyze the determinants of postpartum depression at the individual level and the contextual effect of place of birth delivery.Subjects and Method: This was a cross sectional study conducted in Karanganyar, Central Java, from November to December 2018. A sample of 200 postpartum mothers was selected by random sampling. The dependent variable was postpartum depression. The independent variables were stress level, work, income, education, pregnancy status, parity, coping strategy, and labor compli­cation, husband support. Data on depression were measured by the Edinburgh Postnatal Depression Scale (EPDS). Data on stress were measured by Depression Anxiety Stress Scale 42 (DASS 42). Data on coping mechanism were measured by Brief Cope (Coping Orientation for Problem Experiences). The other data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Postpartum depression was influenced by husband support (b = -2.42; 95% CI= -4.73 to -0.12; p= 0.039), employment (b = -3.43; 95% CI = -5.51 to -1.35; p<0.001), income (b = -3.32; 95% CI= -6.18 to -0.46; p= 0.023), education (b= -2.69; 95% CI = -4.83 to -0.55; p= 0.014), pregnancy status (b= -3.16; 95% CI= -5.79 to - 0.54; p= 0.018), parity (b = -2.92; 95% CI = -5.14 to -0.71; p= 0.010), coping strategies (b= -2.38; 95% CI= -4.46 to -0.21; p= 0.032), complication (b = 3.39; 95% CI= 0.79 to 5.98; p= 0.011), and stress level (b= 2.68; 95 % CI= 0.35 to 5.12; p= 0.024). There was a contextual effect of place of birth delivery on postpartum depression (ICC= 20.15%).Conclusions: Postpartum depression is influenced by husband support, employment, income, education, pregnancy status, parity, coping strategies, complication, and stress level. There is a contextual effect of place of birth delivery on postpartum depression.Keywords: postpartum mother, depression, stress, coping strategyCorrespondence: Ahadyah Miftahul Jannah. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: ahadyahmj@gmail.com. Mobile: +6281228349874.Journal of Maternal and Child Health, 2019, 4(3): 212-221https://doi.org/10.26911/thejmch.2019.04.03.08
Biopsychosocial Determinants of Early Marriage in Wonogiri District, Central Java: A Logistic Regression Kamilda, Meylsa Rima; Nurhaeni, Ismi Dwi Astuti; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Early marriage is one of the problems in Indonesia and the developing countries. It represents one of the violations of women's human right. Early marriage had physical, psychological, and social negative effects in the affected women. This study aimed to examine the determinants of early marriage in Wonogiri District, Central Java.Subjects and Method: This was a case control study carried out in Wonogiri, Central Java, from October to November 2018. A sample of 200 women was selected by fixed disease sampling, consisting of 50 women with early marriage and 150 women with timely marriage. The dependent variable was early marriage. The independent variables were menarche age, unwanted pregnancy, education level, gender inequality, parental perception on early marriage, local culture, residence, and employment before marriage. The data were collected using questionnaires and analyzed by logistic regression.Results: The risk of early marriage increased with age of menarche <12 years (OR= 3.41; 95% CI= 1.12 to 10.36; p= 0.003), gender inequality (OR= 4.70; 95% CI= 1.53 to 14.40; p= 0.007), and local culture pro early marriage (OR= 5.33; 95% CI= 1.62 to 17.42; p= 0.006). The risk of early marriage decreased with wanted pregnancy (OR= 0.17; 95% CI= 0.043 to 0.70; p= 0.014), education level (OR= 0.03; 95% CI= 0.01 to 0.14; p= 0.001), positive parental perception (OR= 0.24; 95% CI= 0.08 to 0.77; p = 0.016), neighborhood in city (OR= 0.29; 95% CI= 0.09 to 0.93; p = 0.035), and work before marriage (OR= 0.20; 95% CI= 0.63 to 0.65; p = 0.007).Conclusion: The risk of early marriage increases with age of menarche <12 years, gender inequality, and local culture pro early marriage. It decreases with wanted pregnancy, education level, positive parental perception, neighborhood in city, and work before marriage.Keywords: early marriage, gender inequality, local cultureCorrespondence: Meylsa Rima Kamilda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126, Indonesia. Email: meyl.rima@gmail.com. Mobile: 6285728805820Journal of Maternal and Child Health (2019), 4(3): 170-179https://doi.org/10.26911/thejmch.2019.04.03.04
Multilevel Analysis on the Determinants of Antenatal Care Visit at Community Health Center in Madiun, East Java Purbaningrum, Sinta Ayu; Qadrijati, Isna; Adriani, Rita Benya; Prasetya, Hanung
Journal of Maternal and Child Health Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Antenatal care (ANC) is an important determinant of high maternal mortality rate and one of the basic components of maternal care. However, some pregnant women still had low awareness about the importance of ANC. The purpose of this study was to examine determinants of ANC visit in community health center, Madiun, East Java, and to determine the contextual effect of the community health center on the ANC visit.Subjects and Method: This was a case-control study conducted in Madiun, East Java, from November to December 2018. A sample of 200 pregnant women was selected by simple random sampling. The dependent variable was ANC visit. The independent variables were knowledge, occupation, number of children, attitude, income, and husband support. The data were collected by questionnaires and analyzed by a multilevel linear regression.Results: The likelihood of ANC visit increased with employment status (b= 1.97; 95% CI= 0.81 to 3.13; p= 0.001), good knowledge (b= 1.56; 95% CI= 0.41 to 2.72; p= 0.008), positive attitude (b= 1.74; 95% CI= 0.52 to 2.96; p= 0.005), higher family income (b= 1.42; 95% CI= 0.29 to 2.55; p= 0.014), and stronger husband support (b= 1.29; 95% CI= 0.16 to 2.43; p= 0.260). ANC visit decreased with larger number of children (b= -1.05; 95% CI= -2.17 to 0.07; p= 0.067). Community health center had strong contextual effect on ANC visit in pregnant women with ICC= 41.85%.Conclusion: ANC visit increases with employment status, good knowledge, positive attitude, high family income, and strong husband support. ANC visit decreases with large number of children. Community health center has strong contextual effect on ANC visit in pregnant women.Keywords: antenatal care, determinants, pregnant womenCorrespondence: Sinta Ayu Purbaningrum, Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami No. 36A, 57126, Surakarta, Central Java. Email: shintayuu@gmail.com. Mobile: +6282220100192. Journal of Maternal and Child Health 2019, 4(3), 180-189https://doi.org/10.26911/thejmch.2019.04.03.05 

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