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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
 1 
Search results for , issue " Vol 4, No 4 (2019)" : 8 Documents clear
Prevalence and Path Analysis on the Effects of Diarrhea and Life Course Determinants on Stunting in Children Under Two Years of Age in Kupang, East Nusa Tenggara Ilma, Nabilah Nurul; Salimo, Harsono; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The interaction between infections and malnutrition has been recognized as a vicious cycle. Repeated diarrhoeal illnesses as well as other common childhood infections progressively altered the normal growth trajectories of children. This study aimed to analyze the effects of diarrhea and lifelong determinants on the incidence of stunting in children under two years in Kupang.Subjects and Method: This was a case-control study conducted in 25 integrated health posts in Alak and Oebobo Subdistricts, in Kupang, East Nusa Tenggara, from November December 2018. A sample of 200 children under two years was selected by multi-stage random sampling. The dependent variable was stunting. The independent variables were diarrhea, birth length, parental income, maternal education, exclusive breastfeeding, maternal height, maternal mid-upper arm circumference (MUAC), complementary feeding, maternal hygiene practice, and sanitation. The data were collected by questionnaire and analyzed by path analysis.Results: Stunting prevalence in Kupang was 30.5%. The risk of stunting was directly decreased by appropriate complementary feeding (b= -1.97; 95% CI= -3.55 to -0.39; p= 0.014), good hygiene practice (b= -4.38; 95% CI= - 6.63 to -2.12; p<0.001), good sanitation (b= -2.32; 95% CI= -4.00 to -0.64; p= 0.007), and birth length ≥48 cm (b= -2.22; 95% CI= -3.74 to -0.69; p= 0.004). The risk of stunting was directly increased by diarrhea (b= 2.55; 95% CI= 1.01 to 4.09; p= 0.001). It was indirectly affected by parental income, maternal education, exclusive breastfeeding, maternal height, and maternal MUAC at pregnancy.Conclusion: The risk of stunting is directly decreased by appropriate complementary feeding, good hygiene practice, good sanitation, and birth length ≥48 cm. The risk of stunting is directly increased by diarrhea. It is indirectly affected by parental income, maternal education, exclusive breastfeeding, maternal height, and maternal MUAC at pregnancy.Keywords: stunting, determinants, prevalence, diarrheaCorrespondence: Nabilah Nurul Ilma. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: nabilahnurul86@gmail.com. Mobile: +6287838555468.Journal of Maternal and Child Health, 2019, 4(4): 230-241https://doi.org/10.26911/thejmch.2019.04.04.02
The Role of Midwives and Traditional Birth Attendant Partnership Program in Empowering Traditional Birth Attendant to Improve Maternal Health in Klaten, Central Java Panuntun, Sri; Karsidi, Ravik; Murti, Bhisma; Akhyar, Muhammad
Journal of Maternal and Child Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: It cannot be denied that the dependence of pregnant women on the knowledge, knowledge and experience of traditional birth attendant is still very high. Traditional birth attendants are considered as figures who have abilities related to local culture. On the other hand midwives are the most well-known health care workers to rural areas, have medical knowledge, knowledge and technology, on average young, but have not fully gained public trust.Subjects and Method: This was a qualitative study with case study approach. The study was conducted in North Klaten District, Klaten Regency, Central Java.Results: Traditional birth attendants were people who were trusted by the community to have knowledge and experience in the health of pregnancy. Partnership Guidelines for Midwives and traditional birth attendant issued by the Ministry of Health are divided into stages of pregnancy, and childbirth.Conclusion: The implementation of midwive and TBA partnership in accordance with govern­ment guidelines can begin with regional regulations that stipulate the implementation of the WB, followed by providing physiotherapy training to traditional birth attendants in postpartum maternal massage and baby massage, so that the competency of the traditional birth attendant is more targeted.Keywords: empowerment, midwives, traditional birth attendant, partnershipCorrespondence: Sri Panuntun. Doctoral Program in Health Promotion/Community Development, SebelasMaret University, Jl. Ir. Sutami 36 A,Surakarta 57126, Central Java. Email: ichaku06@yahoo.com.Journal of Maternal and Child Health (2019), 4(4): 279-286https://doi.org/10.26911/thejmch.2019.04.04.07
Multilevel Analysis on the Contextual Effect of Posyandu on Healthy Prenatal Behavior Among Pregnant Women in Bengkayang, West Kalimantan Murdikawati, Dayang Fitri; Budihastuti, Uki Retno; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Evidence suggests that prenatal care, healthy behaviors such as exercise and nutrition, general stress level, and routine blood pressure examination, are associated with fetal and maternal health. However, there is a lack of studies on factors affecting these healthy prenatal behaviors in Indonesia. This study aimed to determine the contextual effect of posyandu on healthy prenatal behavior among pregnant women in Bengkayang, West KalimantanSubjects and Method: A cross-sectional study was conducted at 25 integrated health posts (posyandu) in Bengkayang, West Kalimantan, from November to December 2018. A sample of 200 pregnant women was selected by simple random sampling. The dependent variable was healthy prenatal behavior. The independent variables were maternal education, family income, knowledge, health personnel support, family support, community leader support, and distance to posyandu. The data were collected by questionnaire and analyzed by multilevel logistic regression.Results: Healthy prenatal behavior was affected by maternal education (b= 4.64; 95% CI= 2.05 to 7.23; p<0.001), family income (b= 3.26; 95% CI= 1.15 to 5.37; p= 0.002), knowledge (b= 2.83; 95% CI= 0.90 to 4.47; p= 0.004), family support (b= 2.69; 95% CI= 0.70 to 4.69; p= 0.008), commu­nity leader support (b= 3.01; 95% CI= 1.05 to 4.96; p= 0.003), health personnel support (b=3.74; 95% CI= 1.44 to 6.04; p= 0.001), and distance to posyandu (b= -3.51; 95% CI= -5.50 to -1.52; p= 0.001). Posyandu had strong contextual effect on healthy prenatal behavior with ICC= 74%.Conclusion: Healthy prenatal behavior is affected by maternal education, family income, knowledge, family support, community leader support, health personnel support, and distance to posyandu. Posyandu has strong contextual effect on healthy prenatal behavior. Keywords: healthy prenatal behavior, prenatal, path analysisCorrespondence: Dayang Fitri Murdikawati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: DayangFM@gmail.com. Mobile: 08999988880.Journal of Maternal and Child Health, 2019, 4(4); 242-249https://doi.org/10.26911/thejmch.2019.04.04.03
Effect of Social Suport and Social Interaction on Anxiety Among Pregnant Women Simarmata, Imelda Dearni; Budihastuti, Uki Retno; Tamtomo, Didik
Journal of Maternal and Child Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: There is growing evidence that the antenatal period is a time of increased liability to mental disorders. The most common psychiatric illnesses during pregnancy and the postpartum period are depressive and anxiety disorder. The purpose of this study was to examine the effect of social support and social interaction on anxiety among pregnant women.Subjects and Method: A cross-sectional study was carried out in community health centers in Kutai Kartanegara, East Kalimantan, from November to December 2018. A sample of 200 pregnant women was selected by simple random sampling. The dependent variable was anxiety. The independent variables were education, parity, stress, family income, family support, social interaction, and counseling. The data were collected by questionnaire and analyzed by multiple linear regression.Results: Anxiety among pregnant women increased with stress (b= 0.33; 95% CI= 0.16 to 0.49; p= 0.001). It was decreased by high education (b= - 2.37; 95% CI= -3.93 to -0.81; p= 0.003), high income (b= -4.69; 95% CI= -7.81 to -1.57; p= 0.003), parity (b= 0.38; 95% CI= -2.98 to -0.26; p= 0.001), strong family support (b= -0.38; 95% CI= 0.52 to 0.24; p= 0.001), social interaction (b= -0.27; 95% CI= -0.42 to -0.12; p= 0.001), and conselling (b= -0.91; 95% CI= - 1.77 to -0.05; p= 0.004).Conclusion: Anxiety among pregnant women increases with stress. It is decreased by high education, high income, parity, strong family support, social interaction, and counseling.Keywords: anxiety, stress, social interaction, pregnant womenCorrespondence: Imelda Dearni Simarmata. Masters Program in Public Health, UniversitasSebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: imeldadearni1888@gmail.com. Mobile: 081227657035Journal of Maternal and Child Health (2019), 4(4): 297-303https://doi.org/10.26911/thejmch.2019.04.04.08
Multilevel Analysis on the Contextual Effect of Posyandu on Exclusive Breastfeeding in Sleman, Yogyakarta Lestari, Esti; Pamungkasari, Eti Poncorini; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: There is a piece of increasing evidence that exclusive breastfeeding (EBF) up to six-month of age has important consequences on health and nutritional outcomes of children. However, studies on the contextual effect of integrated health post (posyandu) on EBF are scarce. The purpose of this study was to examine the contextual effect of posyandu on exclusive breastfeeding using multilevel analysis.Subjects and Method: A cross-sectional study was conducted in Sleman, Yogyakarta, from November to December 2018. A sample of 200 lactating mothers was selected by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were knowledge, education, age, parity, birth spacing, employment, and family support. The data were collected by a multilevel logistic regression.Results: Exclusive breastfeeding increased with good knowledge (b= 2.66; 95% CI= 0.85 to 4.47; p= 0.004), high education (b= 2.10; 95% CI= 0.29 to 3.91; p= 0.023), maternal age 20-35 years (b= 3.35; 95% CI= 1.46 to 5.24; p<0.001), multiparous (b= 2.90; 95% CI= 0.41 to 3.39; p= 0.012), birth spacing ≥2 years (b= 2.91; 95% CI= 0.92 to 4.89; p= 0.004), unemployed mother (b= 4.53; 95% CI= 2.39 to 6.67; p<0.001), strong family support (b= 2.88; 95% CI= 1.04 to 4.72; p= 0.002). Integrated health post had substantial contextual effect on exclusive breastfeeding with ICC= 29.2%.Conclusion: Exclusive breastfeeding increases with high knowledge, high education, maternal age 20-35 years, multiparous, birth spacing, unemployed mother, strong family support. Integrated health post has the substantial contextual effect on exclusive breastfeeding.Keywords: exclusive breastfeeding, integrated health post, multilevel analysisCorrespondence: Esti Lestari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: estylestary727@gmail.com. Mobile: 082363242993.Journal of Maternal and Child Health, 2019, 4(4): 250-259https://doi.org/10.26911/thejmch.2019.04.04.04
Path Analysis on the Associations between Infertility, Stress, and Depression among Women in Surakarta, Central Java Retiyansa, Yesi; Indarto, Dono; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In patriarchal societies like Indonesia, infertility is culturally considered as a problem of women. Most of the burden of infertility is borne by women because of a rapid decline in fertility with age, societal pressure and stigma. Infertility can affect psychological disorders such as stress and depression. This study aimed to examine the associations between infertility, stress, and depression among women in Surakarta, Central Java.Subjects and Method: This was  an analytic observational study with a cross sectional design. It was conducted in Surakarta, Central Java, from September to October 2018. A sample of 200 women of reproductive age was selected by fixed exposure sampling. The dependent variable was depression. The independent variables were social support, coping strategy, self-efficacy, infertility, and stress. Data on infertility was obtained from medical record. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: The likelihood of depression among women was directly increased by stress (b= 2.09; 95% CI= 1.31 to 2.87; p<0.001) but decreased by good coping strategy (b= -1.57; 95% CI = -2.34 to -0.80; p <0.001). It was indirectly affected by infertility, self-efficacy, and social support. Conclusions: Depression is directly increased by stress but decreased by good coping strategy. It is indirectly affected by infertility, self-efficacy, and social support.Keywords: depression, stress, infertility, path analysis, women of reproductive ageCorrespondence: Yesi Retiyansa. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email:yesi.retiyansa@gmail.com. Mobile: +6281252634625.Journal of Maternal and Child Health (2019), 4(4): 260-266https://doi.org/10.26911/thejmch.2019.04.04.05 
Multilevel Analysis on the Contextual Effect of the Integrated Health Post Activity on Development of Children Under Five in Kubu Raya, West Kalimantan Lolita, Lolita; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: It is estimated that 200 million children in developing countries do not develop optimally. Child development is a complex improvement in body structure and function that include gross and fine motoric, speech, language, socialization, and independence aspects of development. The success of children in achieving optimal development determines the future of a nation. The purpose of this study was to analyze the contextual effect of integrated health post (posyandu) in child development in Kubu Raya District, West Kalimantan.Subjects and Method: This study was a cross sectional conducted at 25 integrated health post in Kubu Raya District, West Kalimantan, from November to December 2018. A sample 200 of children under five was selected by simple random sampling. The dependent variable was child development. The independent variables were maternal age at marriage, maternal education, parental income, parenting style, birth weight, birth length, child development monitoring, child development intervention, and integrated health post strata. Data collection was conducted using questionnaire and analyzed using multilevel logistic regression analysis in Stata 13.Results: Child development disorder increased with early maternal age at marriage (b= 3.18; 95% CI= 0.77 to 5.59; p = 0.010), but decreased with high maternal education (b= -2.22; 95% CI= -3.92 to -0.52; p= 0.010), high parental income (b= -4.01; 95% CI = -6.55 to -1.47; p= 0.002), proper parenting style (b= -2.89; 95% CI= -5.18 to -0.60; p= 0.013), normal birth weight (b= -2.87; 95% CI= -4.80 to -0.95; p= 0.003), normal birth length (b= -3.13; 95% CI= -5.63 to -0.63; p= 0.014), child development monitoring (b= -2.97 95% CI= -5.58 to -0.36; p= 0.025), and child development intervention (b = -3.53; 95% CI= -6.19 to -0.87; p= 0.009). The integrated health post had a contextual effect on child development with ICC= 19.9%.Conclusions: Child development disorder increases with early maternal age at marriage, but decreased with high maternal education, high parental income, proper parenting style, normal birth weight, normal birth length, child development monitoring, and child development intervention. The integrated health post has a contextual effect on child development.Keywords: child development, children under five, multilevel analysisCorrespondence: Lolita. Public Health Masters Program, Universitas Sebelas Maret, Jl. Ir Sutami 36A, Surakarta, Central Java, Indonesia. Email : Patricialolita25@gmail.com Seluler: 082328463344.Journal of Maternal and Child Health, 2019, 4(4): 222-229https://doi.org/10.26911/thejmch.2019.04.04.01
Contextual Effect of the Integrated Health Post on DPT3 Immunization Uptake among Infants in Wonogiri, Central Java Inayati, Rizqi; Rahardjo, Setyo Sri; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: DPT3 immunization coverage is considered as one indicator of the success of immunization programs in various countries. Indonesia is one of the countries that adopted Expand Program in Immunization (EPI) in 1977 which later introduced DPT as part of routine basic immunization services for infants, although there are still infants who do not get complete DPT immunization at this time. The purpose of this study was to analyze contextual effect of the integrated health post on DPT3 immunization uptake among infants in Wonogiri, Central Java.Subjects and Method: This was an analytical observational study with a cross sectional design. It was conducted in Wonogiri community health center II, East Java, from October to December 2018. A sample of 200 infants was selected from 25 integrated health posts with simple random sampling. The dependent variable was the use of DPT3 immunization. The independent variables were maternal education, family income, religion and beliefs, family support, information expo­sure, attitude, subjective norm, perceived behavior control, and intention. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: The use of DPT3 immunization was influenced by maternal education (b = 2.01; 95% CI= 0.26 to 3.76; p= 0.025), family income (b= 2.56; 95% CI= 0.45 to 4.67; p= 0.017), religion and beliefs (b= 4.37; 95% CI= 1.78 to 6.96; p= 0.001), family support (b= 1.92; 95% CI= - 0.07 to 3.90; p= 0.058), exposure to information (b= 1.82; 95% CI= 0.11 to 3.54; p= 0.037), attitude (b= 1.59; 95% CI= - 0.29 to 3.47; p= 0.097), subjective norm (b= 1.66; 95% CI= - 0.17 to 3.49; p= 0.074), perceived behavior control (b= 2.50; 95 % CI= 0.57 to 4.43; p= 0.011), and intention (b= 2.93; 95% CI= 0.68 to 5.19; p= 0.011). Integrated health post had strong contextual effect on the use of DPT3 immunization with ICC= 53%.Conclusion: The use of DPT3 immunization is influenced by maternal education, family income, religion and beliefs, family support, exposure to information, attitude, subjective norm, perceived behavior control, and intention. Integrated health post has strong contextual effect on the use of DPT3 immunization.Keywords: DPT3 immunization, factors, Theory of Planned Behavior, posyandu, information exposureCorrespondence: Rizqi Inayati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: inayati.rizqi12@gmail.com. Mobile: +6289681682143Journal of Maternal and Child Health (2019), 4(4): 267-278https://doi.org/10.26911/thejmch.2019.04.04.06

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