Journal of Maternal and Child Health (JMCH)
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Contextual Effect of the Integrated Health Post and Social Capital on Completeness of Child Immunization in Pacitan, East Java
No full textBackground: Around 2-3 million deaths each yearwere caused by diseases that could be prevented by immunization. Immunization is an effort to actively increase a person's immunity against a disease. Basic immunization can protect infants from diseases that can be prevented by immunization. This study aimed to analyze the factors at the individual level and the integrated health post level that affected the complete basic immunization status of infants.Subjects and Method: This was an observational analytic study with a cross-sectional design. The study was conducted at 25 Integrated Health Posts (posyandu) in Pacitan, East Java. A sample of 200 infants aged 12-23 months was selected randomly. The dependent variable was complete basic immunization. The independent variables were knowledge, self-efficacy, outcome expectations, vicarious learning, health workers support, social capital, and posyandu strata. The data were analyzed using a multiple multilevel logistic regression.Results: Complete basic immunization status increased with good knowledge (OR= 10.16; 95% CI= 1.48 to 69.98; p= 0.019), high self-efficacy (OR= 10.32; 95% CI= 2.01 to 53.13; p= 0.005), positive outcome expectations (OR= 20.40; 95% CI= 3.39 to 123; p= 0.001), vicarious learning (OR= 4.35; 95% CI= 0.90 to 21.10; p= 0.068), strong health workers support (OR= 14.54; 95% CI=2.63 to 80.65; p= 0.002), and strong social capital (OR= 6.54; 95% CI= 1.41 to 30.40; p= 0.017). Integrated Health Post strata had a contextual effect on the complete basic immunization status with Intra-Class Correlation (ICC)=34.15%.Conclusion: Complete basic immunization status increases with good knowledge, high self-efficacy, positive outcome expectations, had done vicarious learning, and strong social capital. Integrated Health Post strata have a contextual effect on the complete basic immunization status.Keywords: basic immunization, contextual effect, social cognitive theory, social capitalCorrespondence: Puspita Mayangsari Prabowo. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6287859294881.Journal of Maternal and Child Health (2020), 05(05): 525-536https://doi.org/10.26911/thejmch.2020.05.05.07
Phenomenology Study of Nutrition Support in Children with Acute Lymphoblastic Leukemia during Chemotherapy
No full textBackground: Acute lymphoblastic leukemia in children is a case most often found in children under 15 years with a percentage of 30-40%. According to data from the medical record installation of Dr. Kariadi Hospital, the number of children under 15 years old with LLA hospitalized during 2015 - 2019 was 526 cases with a death rate of 69 patients. The treatment process is quite complex because it takes a long time and requires active involvement between health workers and parents. This study aims to describe the nutritional support of children with Acute Lymphoblastic Leukemia (ALL) during the chemotherapy process in SemarangSubjects and Method: This was a qualitative study with a phenomenological perspective. The study was conducted at Dr. Kariadi Hospital, Semarang. The sample was taken by using purposive sampling. The tools used in this study were cellphones, interview guides and field notes guidelines. The data collection technique is by interview, observation and document analysis. Data analysis was performed using the Analysis Interactive model of Miles and Huberman.Results: This study shows 5 themes, namely a description of the subject's condition, physiological problems during the chemotherapy process, nutritional support during the chemotherapy process, nutritional knowledge, and socio-economics.Conclusion: Nutritional support for children with Acute Lymphoblastic Leukemia (ALL) during the chemotherapy process is still not optimal. This is influenced by physiological problems that arise during the chemotherapy process and also because of the characteristics of each child, the limited knowledge of the companion about the concept of a healthy diet by choosing the right food ingredients and the socioeconomic factors of the participants who claim to be limited in providing healthy and nutritious intake.Keywords: nutritional support, acute lymphoblastic leukemia, chemotherapyCorrespondence: Dian Estiningtyas. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281514465646.Journal of Maternal and Child Health (2020), 05(05): 537-548https://doi.org/10.26911/thejmch.2020.05.05.0
Meta-Analysis: The Effect of Malaria Infection on the Incidence of Low Birth Weight
No full textBackground: Malaria is a parasitic infectious disease. Malaria contributes to morbidity and mortality in high-risk groups, namely pregnant women and children under five. Malaria infection during pregnancy can adversely affect both the mother and the fetus, including maternal anemia, miscarriage, preterm labor, intrauterine growth retardation, and the delivery of infants with low birth weight (LBW). This study aims to analyze the magnitude of the influence of malaria infection on the incidence of LBW by a meta-analysis study.Subjects and Method: This was a systematic review and meta-analysis conducted by following the PRISMA flow diagram. The process of searching for articles is carried out through a journal database which includes: PubMed, Springer Link, Google Scholar and Science Direct by selecting articles published in 2000-2020. Keywords used include: “Malaria infection AND low birth weight", "malaria during pregnant "AND" low birth weight", "malaria during pregnant AND low birth weight AND adjusted ratio". The inclusion criteria were full paper articles with observational study design, articles using English, multivariate analysis used with adjusted odds ratio. Articles that meet the requirements are analyzed using the Revmen5.3 application.Results: Thirteen articles were reviewed in this study with a cohort and cross-sectional study design. Meta-analysis of 4 cohort studies showed that pregnant women with malaria infection had a 1.31 times increased risk of low birth weight compared with those without malaria infection (aOR= 1.31; 95% CI= 0.90 to 1.90; p= 0.15). A meta-analysis of 9 cross-sectional studies showed that pregnant women with malaria infection had a 2.11 times increased risk of low birth weight compared with those without malaria infection (aOR= 2.11; 95% CI= 1.33 to 3.33; p= 0.001).Conclusion: Malaria infection increases the risk of low birth weight.Keywords: malaria infection, low birth weightCorrespondence: Feri Yuda Anggara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 085220426805.Journal of Maternal and Child Health (2020), 05(05): 549-562https://doi.org/10.26911/thejmch.2020.05.05.09.
Impact of inter-pregnancy interval on long-term endo-metabolic health of the offspring
Get PDFBackground: Inter-pregnancy interval (IPI), defined as the time interval between a live birth and estimated conception time of a subsequent pregnancy, has an established effect on perinatal outcome. The long-term impact of IPI on offspring is unknown. This study aimed to examine the effect of short and long IPIs on long-term endo-metabolic health of offspring.Subjects and Method: This population-based cohort study included singleton live births in parturient with at least one previous birth. Singleton deliveries between the years 1991-2014 in a regional tertiary medical center were included. Offspring were followed until 18 years of age for endo-metabolic related hospitalizations. Survival curves were used to compare cumulative incidence of endo-metabolic morbidity, and Cox proportional hazards models to control for confounders.Results: During the study period 144,397 deliveries met the inclusion criteria. Offspring following long IPIs exhibited higher rates of endo-metabolic related hospitalizations. Survival curve demonstrated a significantly higher cumulative incidence of endo-metabolic morbidity in the long IPI group (p<0.001). The Cox model demonstrated long IPI to significantly increase the risk for endo-metabolic related hospitalizations during childhood (aHR= 1.34, 95%CI= 1.06 to 1.70; p=0.015).Conclusion: Long IPI appears to have an independent impact on long-term endo-metabolic health of the offspring.Keywords: pregnancy interval, offspring, endocrine health, metabolic morbidity, obesityCorrespondence: Liron Seidman. The Goldman Medical School at the Faculty of Health Sciences, Ben-Gurion University of the Negev. Ben-Gurion University Medical School, Soroka University Medical Center, 151 IzakRager Ave, Be’er-Sheva 84101, Israel. Email: [email protected]. Mobile: +972-524215808Journal of Maternal and Child Health (2020, 5(3): 321-330https://doi.org/10.26911/thejmch.2020.05.03.1
Correlations between Nutritional Status, Iron Intake, and Fine Motor Development in Infants Aged 6-11 Months
No full textBackground: Undernutrition can inhibit growth and development. Specifically, in development, it can change the structure and function of the brain. Fine motor development in infants is affected by many factors such as undernutrition and iron intake. Undernutrition status can occur due to unfulfilled nutritional intake. Iron deficiency can negatively affect fine motor development in children. This study aimed to determine the correlation of nutritional status, iron intake, and fine motor development in infants aged 6-11 months.Subjects and Method: This was a cross-sectional study conducted at eight Community Health Centers in Kulon Progo Regency, Yogyakarta, Indonesia. A total of 201 infants aged 6-11 months were randomly selected as the sample of the study. The dependent variable was fine motor development. The independent variable was status (Weight/Age). The data on fine motor development were measured by a Prescreening Developmental Questionnaire (PDQ). The data were analyzed by Chi-square.Results: Good nutritional status increased fine motor development in infants aged 6-11 months (OR= 7.12; 95% CI= 3.03 to 16.73; p<0.001). There was no difference between iron intake and fine motor development (OR= 0.61; 95% CI= 0.20 to 1.83; p= 0.469).Conclusion: Good nutritional status increases fine motor development in infants age 6-11 months. Keywords: fine motor development, nutritional status, iron intakeCorrespondence: Catur Retno Lestari. Masters Program in Nutrition, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: [email protected] of Maternal and Child Health (2020), 5(4): 396-401https://doi.org/10.26911/thejmch.2020.05.04.0
Effectiveness of Lavender (Lavandula angustifolia) and Jasmine (Jasminum officinale) Aromatherapy on the Intensity of Dysmenorrhea in Student of Faculty of Public Health, Universitas Nusa Cendana, Kupang
No full textBackground: Dysmenorrhea is a menstrual cramp that in general occurs in adolescents. In Indonesia the figure of dysmenorrhea is estimated at 64.25%. Students who experience dysmenorrhea will greatly disrupt learning activities and absence on campus. Lavender and jasmine aromatherapy has benefits for reducing dysmenorrhea because it contains linanool. One of the methods to decrease the dysmenorrhea is namely lavender aromatherapy and jasmine aromatherapy. The purpose of this study was to determine differences of the effectiveness of lavender aromatherapy and jasmine aromatherapy towards the intensity of dysmenorrhea.Subjects and Method: This was a a quasi-experiment without control group. The study was conducted at the Postgraduate Clinic of Universitas Nusa Cendana, from March to April 2020. The study population was the students of the Faculty of Public Health, Universitas Nusa Cendana year 2019. A sample of 40 students was selected by purposive sampling. The dependent variable was dysmenorrhea. The independent variables were lavender and jasmine aromatherapy. Dysmenorrhea was measured by Numerical Pain Rating Scale. The data were analyzed by t test.Results: After receiving lavender and jasmine aromatherapy, intensity of dysmenorrhea in lavender aromatherapy (Mean=19,50 ; SD=0,48 ) was lower than jasmine aromatherapy (Mean=21.50 ; SD=0.51 ), but it was statistically non-significant (p= 0.524).Conclusion: Lavender and jasmine aromatherapy have similarly effect in intensity of dysmenorrhea.Keywords: lavender aromatherapy, jasmine aromatherapy, dysmenorrhea.Correspondence: Maria Antonia Nurak. Masters Program in Public Health Sciences, Universitas Nusa Cendana, East Nusa Tenggara, Indonesia. Jl. Adi Sucipto Penfui Lasiana, Klp. Lima, Kota Kupang, Nusa Tenggara Tim 85001. Email: [email protected] Mobile: 081353242041Journal of Maternal and Child Health (2020), 05(03): 429-435https://doi.org/10.26911/thejmch.2020.05.04.10
Issues, Challenges, and Potential of Palliative Care in Pediatric Nursing: A Systematic Review
Get PDFBackground: Palliative care is an essential right for infants and children with a life-threatening illness. However, palliative care is still unavailable in some developing countries. This study aimed to explore the issues, challenges, and potential of palliative care in pediatric nursing care.Subjects and Method: A systematic review was conducted by searching published articles in PubMed, CINAHL, and EMBASE databases, from year 2000 to 2018. The keywords used for this study included “palliative” AND “children”, “palliative” AND “nursing” AND “care”, “palliative care” AND “pediatric care”. The data were analyzed by PRISMA flow diagram.Results: Palliative care is evolving continuously, meeting new challenges, and expanding beyond the care of terminally ill pediatric patients. A major challenge in palliative care is effective communication. However, only a few communication trainings exist for nurses. Obstacles of palliative care in pediatrics nursing included clinical, operational, and financial factors. However, palliative care has a substantial potential to reduce morbidity in infants and children. In addition, a cohort study conducted in 265 pediatric cancer patients reported that palliative care reduced pain and improved their life expectancy.Conclusion: Palliative care is a comprehensive approach of care and its delivery to pediatric patients is challenging. It has a substantial potential in reducing infant and child morbidity.Keywords: palliative care, pediatric nursing, palliative nursingCorrespondence: Aris Widiyanto. School of Health Sciences Mamba'ul 'Ulum, Surakarta, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: [email protected]. Mobile: 081329209095Journal of Maternal and Child Health (2020), 5(1): 167-172https://doi.org/10.26911/thejmch.2020.05.02.0
Contextual Effect of Community Health Center on Visual Inspection Acetic Acid Uptake in Magelang, Central Java: A Multilevel Analysis
Get PDFBackground: Cervical cancer is a major problem in women's. Cervical cancer can be prevented by early examinations i.e. visual inspection acetic acid (VIA). This study aimed to analyze the contextual effect of community health center on VIA uptake in Magelang, Central Java.Subjects and Method: This was analytic observational study with cross-sectional design. The study was conducted at 25 community health centers in Magelang, Central Java, from September to October 2019. A total sample of 200 women aged 30 to 50 years was selected randomly. The dependent variable was VIA uptake. The independent variables were knowledge, observational learning, behavioral reinforcement, cues for action, access to information, family support, attitude, self-efficacy, outcome expectation, and contextual factor of community health center. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: VIA uptake increased with good knowledge (b= 4.02; 95% CI= 0.61 to 7.42; p= 0.021), observational learning (b= 2.28; 95% CI= -0.35 to 4.93; p= 0.090), strong behavioral reinforcement (b= 4.11; 95% CI= 0.82 to 7.40; p= 0.014), strong cues to action (b= 5.36; 95% CI= 0.65 to 10.07; p= 0.026), good access to information (b= 3.71; 95% CI= 0.42 to 7.01; p= 0.027), strong family support (b= 4.23; 95% CI= 0.21 to 8.25; p= 0.039), positive attitude (b= 3.29; 95% CI= -0.23 to 6.81; p= 0.067), strong self-efficacy (b= 2.94; 95% CI= 0.10 to 5.78; p= 0.042), and strong outcome expectation (b= 3.39; 95% CI= 0.35 to 6.44; p= 0.029). Community health center had strong contextual effect on VIA uptake with intra-class correlation (ICC)= 23%.Conclusion: VIA uptake increases with good knowledge, observational learning, strong behavioral reinforcement, strong cues to action, good access to information, strong family support, positive attitude, strong self-efficacy, and strong outcome expectation. The community health center has a strong contextual effect on VIA uptake.Keywords: visual inspection acetic acid, social cognitive theory, multilevel analysisCorrespondence: Herlina Ika Martaningrum, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 085643528156Journal of Maternal and Child Health (2020), 5(2): 129-140https://doi.org/10.26911/thejmch.2020.05.02.02
Does Entitlement Card ensure Utilization of Urban Primary Healthcare Clinic in Bangladesh?
Get PDFBackground: Although Bangladesh substantially reduced 40% maternal death in the last decades, it is still challenging, especially among the urban poor. The achievements are not equitable between different economic quintiles and between the rich and the urban poor. This study aims to examine the extent to which the entitlement card affects the utilization of maternal and child health care and identifies other factors that influence MCH services.Subjects and Method: This cross-sectional study was carried out in the working areas of the Urban Primary Healthcare Project (UPHCP) in Bangladesh. A two-stage cluster sampling technique was used to select the participants. A total of 3,949 women aged 15-49 years, having at least one child aged two years or less were selected for this study. The data were collected through face-to-face interviews. The data were analyzed using multinomial logistic regression.Results: The proportion of utilization of UPHCC was 49.9%. One-fourth (26.6%) of them fully utilized it and another 23.3% utilized it partially. Stepwise multinomial logistic regression analysis revealed that those who had an Entitlement Card from the UPHC project were 11.75 times (95% CI= 9.481, 14.549; p= 0.001) more likely to fully Utilized and 3.64 times (95% CI= 3.643, 2.911; p= 0.001) likely be utilized partially compared to non-utilizer. Respondents having no formal education utilized UPHCC fully (AOR=2.32; 95% CI= 1.46, 3.68; p= 0.001) and partially (AOR= 1.76; 95% CI= 1.12, 2.77; p= 0.014) used UPHCC. It was 3.08 (95% CI= 2.03, 4.67; p= 0.001) times for fully and 2.71 (95% CI= 1.82, 4.04; p= 0.001) times for partially utilized UPHCC compared to non-users among the primary level of education. Small family size (≤4) and monthly family income in the range of BDT 10,000 above were likely to utilise UPHCC. However, non-Muslims were less likely to Utilized UPHCC.Conclusion: Apart from the entitlement card, other factors such as monthly income BDT> 10,000, small family size, no formal educated mother appeared to be potential predictors for utilization of the Urban Primary Health care clinic.Keywords: entitlement card, maternal care, Utilization, urban primary healthcareCorrespondence: Md Mizanur Rahman. Department of Community Medicine and Public Health, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak. Email: [email protected], [email protected] of Maternal and Child Health (2020), 5(2): 213-225https://doi.org/10.26911/thejmch.2020.05.02.1
The Effectiveness of Pregnant Women Class to Increase Knowledge and Hemoglobin Level
Get PDFBackground: Intrauterine Fetal Death (IUFD) is a birth process of a conception result in a state of death. It is also a contributor to death for Infant Mortality Rate (IMR). Pregnant Woman Class is a government effort to reduce IMR. However, the implementation has not been maximized. This study aimed to determine the effectiveness of pregnant woman class in increasing the level of knowledge and hemoglobin (Hb) levels of the pregnant woman.Subjects and Method: This was a Randomized Controlled Trial (RCT). The population of the study consisted of 170 pregnant women was selected randomly from 3 Community Health Centers with the highest infant mortality rates. The dependent variables were knowledge and Hb levels. The independent variable was pregnant woman class. The level of knowledge was measured by questionnaire with Cronbach's alpha by 0.64. Hb level was measured with Easy Touch GCHB. The Mean differences in knowledge and Hb between pregnant women class and control groups, before and after participating in pregnant woman class, were tested by independent t-tests.Results: Before the intervention, the level of knowledge of the pregnant women class group (Mean= 31.07; SD=8.21) was comparable with the control group (Mean=29.30; SD=8.22), with p=0.162. It indicated the randomization success. After the intervention, the level of knowledge of pregnant woman class group (Mean=35.07; SD=2.24) was higher than the control group (Mean= 29.10; SD= 4.77), and it was statistically significant (p<0.001). It indicated that the pregnant woman class was effective in increasing the knowledge of pregnant women. Before the intervention, the Hb level of pregnant woman class group (Mean=11.92, SD=2.18) was comparable with the control group (Mean= 11.44; SD= 2.05), with p=0.162. It indicated the randomization success. After the intervention, the Hb level of the pregnant woman class group (Mean = 12.82; SD = 0.92) was higher than the control group (Mean=11.56; SD=1.05), and it was statistically significant (p<0.001). It showed that pregnant woman class was effective in increasing the Hb level of pregnant women.Conclusion: Pregnant woman class was effective in increasing the knowledge and the Hb level of pregnant women.Keywords: pregnant woman class, knowledge, hemoglobin, IUFDCorrespondence: Putri Halimu Husna. Nursing Academy of Giri Satria Husada Wonogiri. Jl. Tentara Pelajar 01 Giriwono, Wonogiri 57613, Central Java. Email: [email protected]. Mobile: +62273322610, +6281391277044.Journal of Maternal and Child Health (2020), 5(1): 50-57https://doi.org/10.26911/thejmch.2020.05.01.0