Journal of Maternal and Child Health (JMCH)
Not a member yet
403 research outputs found
Sort by
Contextual Effect of the Integrated Health Post and Other Determinants on Completeness of Basic Child Immunization: A Multilevel Analysis Evidence from Jember, East Java
Get PDFBackground: Every year, more than 1.4 million children worldwide die from diseases that can be prevented by immunization. Immunization is still one of the most cost-effective preventive measures to reduce mortality and morbidity among children. This study aimed to analyze the influence of posyandu contextual and maternal characteristics on the provision of complete basic immunization in children aged 12-23 months.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 Jember, East Java, Indonesia from September to October 2019. A sample of 200 mothers who had children aged 12-23 months was selected by simple random sampling. The dependent variable was complete basic immunization. The independent variables were maternal education, maternal knowledge, parity, maternal employment status, family income, maternal attitude, family support, and contextual effect of posyandu. The data were collected by questionnaire and analyzed by a multilevel logistic regression analysis run on Stata 13.Results: Provision of complete basic immunization increased with maternal education ≥Senior high school (b= 2.99; 95% CI= 1.26 to 4.73; p= 0.001), good maternal knowledge (b= 1.93; 95% CI= 0.38 to 3.53; p= 0.018), family income ≥Rp 2,170,000 (b= 1.18; 95% CI= -0.15 to 2.50; p= 0.081), positive maternal attitude (b= 1.92; 95% CI= 0.45 to 3.39; p= 0.011), and strong family support (b= 2.29; 95% CI= 0.62 to 3.96; p= 0.007). Complete basic immunization decreased with maternal parity ≥3 (b= -1.35; 95% CI= -2.68 to -0.01; p= 0.048) and mother working outside the home (b= -2.67; 95% CI= -4.49 to - 0.85; p= 0.004). Posyandu had contextual effect on the provision of complete basic immunization in children aged 12-23 months with ICC= 23.65%.Conclusion: Provision of complete basic immunization increases with maternal education ≥Senior high school, good maternal knowledge, family income ≥Rp 2,170,000, positive maternal attitude, and strong family support. Complete basic immunization decreases with maternal parity ≥3 and mother working outside the home. Posyandu has contextual effect on the provision of complete basic immunization in children.Keywords: basic immunization, children aged 12-23 months, integrated health post, multilevel analysisCorrespondence: Revina Fiandany Erynda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 08536180003.Journal of Maternal and Child Health (2020), 5(2): 154-166https://doi.org/10.26911/thejmch.2020.05.02.0
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
Get PDFBackground: 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: [email protected]. Mobile: +6287838555468.Journal of Maternal and Child Health, 2019, 4(4): 230-241https://doi.org/10.26911/thejmch.2019.04.04.0
Associations between Education, Knowledge, Attitude, and Maternal Intention on Antenatal Care Visit
Get PDFBackground: Good quality of health care is important for maternal and infants health. Regular antenatal visit can assist in identifying and reducing risks of mother and infant during pregnancy. This study aimed to examine the associations between education, knowledge, attitude, and maternal intention on antenatal care (ANC) visit.Subjects and Method: A cross sectional study was carried out at Ridos hospital, Medan, North Sumatera, in 2017. A sample of 89 pregnant women was selected by accidental sampling. The dependent variable was ANC visit. The independent variables were education, knowledge, and attitude. The data were collected by questionnaire and analyzed by linear multiple regression.Results: Maternal intention to do ANC visit increased with high education (b= 0.36; p= 0.001), knowledge (b= 0.48; p= 0.001), and attitude (b = 0.24; p= 0.001).Conclusion: Maternal intention to do ANC visit increased with high education, knowledge, and attitude.Keywords: antenatal care, pregnant womenCorrespondence: Polma Ria Metawati Panjaitan. Masters Program in Public Health, Universitas Sumatera Utara. Jl. Universitas 21, Medan 20155, North Sumatera. Email: [email protected]. Mobile: 081370801033.Journal of Maternal and Child Health (2019), 4(6): 516-521https://doi.org/10.26911/thejmch.2019.04.06.12
Biopsychosocial Determinants of Early Marriage in Wonogiri District, Central Java: A Logistic Regression
Get PDFBackground: 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: [email protected]. Mobile: 6285728805820Journal of Maternal and Child Health (2019), 4(3): 170-179https://doi.org/10.26911/thejmch.2019.04.03.0
Contextual Effect of Community Health Center on Low Birtweight in East Lombok, Nusa Tenggara Barat
Get PDFBackground: 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: [email protected]. Mobile: +6281917744469Journal of Maternal and Child Health (2019), 4(3): 136-145https://doi.org/10.26911/thejmch.2019.04.03.0
The Role of Midwives and Traditional Birth Attendant Partnership Program in Empowering Traditional Birth Attendant to Improve Maternal Health in Klaten, Central Java
Get PDFBackground: 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: [email protected] of Maternal and Child Health (2019), 4(4): 279-286https://doi.org/10.26911/thejmch.2019.04.04.0
Social Cognitive Theory on the Domestic Violence in Yogyakarta
Get PDFBackground: Domestic violence (also named domestic abuse or family violence) is violence or other abuse by one person against another in a domestic setting, such as in marriage or cohabitation. This study aimed to explore domestic violence in Yogyakarta using Social Cognitive Theory.Subjects and Method: This was a qualitative study using phenomenology approach. The study was carried out in a non-government organization, in Yogyakarta, in November 2018. The key informants included counselor at the Swadaya Masyarakat Rifka Annisa Yogyakarta and two victims of domestic violence. The data were collected by in-depth interview, participative observation, and document review. Results:There were variations of domestic violence, but the majority stemmed from external factors. Social environment, perceived gender equality, socioeconomic factor, and patriarchal culture affected the incidence of domestic violence. The educational background did not affect the risk of domestic violence. All victims experienced domestic violence due to gender inequality in decision making. Domestic violence could be physical or psychic.Conclusion: Domestic violence is affected by social environment, perceived gender equality, socioeconomic factor, and patriarchal culture. The educational background did not affect the risk of domestic violence.Keywords: domestic violence, Social Cognitive TheoryCorrespondence: Linda Puspita Jati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami36 A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6285643538539. Journal of Maternal and Child Health (2019), 4(5): 326-334https://doi.org/10.26911/thejmch.2019.04.05.0
Consumption of Fat, Protein, and Carbohydrate Among Adolescent with Overweight / Obesity
Get PDFBackground: Excessive nutritional status is a problem related to food, nutrition and public health globally which increases its prevalence quickly and can occur in all aspects of life. The increasing prevalence of excessive nutritional status is a time bomb for some countries that can explode in the future both in terms of health, mental and economic impacts for countries that are associated with increased health costs. Consumption levels such as fat, protein, and carbohydrates affect excessive nutritional status, excessive fat intake for a long time can cause overweight/obesity.Subjects and Method: The design of the study is analytic observation including a total of 111 teens who are overweight and obese. The sampling technique is a random sampling. The analysis was conducted using smart pls version 3.Results: Diet had a positive effect on overweight (b= 2.18; p= 0.032) and level of food consumption (b= 2.33; p= 0.022). High level of fat, protein, and carbohydrates consumption had a positive effect on overweight among adolescents (b= 11.54; p<0.001).Conclusions: Diet has a positive effect on overweight and level of food consumption. High level of fat, protein, and carbohydrates consumption has a positive effect on overweight among adolescents.Keywords: diet, fat, protein, carbohydrate, overweight, obesity, adolescentCorrespondence
Contextual Effect of Place 0f Birth Delivery on Depression in Karanganyar, Central Java
Get PDFBackground: 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: [email protected]. Mobile: +6281228349874.Journal of Maternal and Child Health, 2019, 4(3): 212-221https://doi.org/10.26911/thejmch.2019.04.03.0
The Association between Maternal Knowledge, Family Support, and Exclusive Breastfeeding in Siborong Borong Community Health Center, North Tapanuli, North Sumatera
Get PDFBackground: Exclusive breastfeeding means that the infant receives only breast milk. No other liquids or solids are given – not even water – with the exception of oral rehydration solution, or drops/syrups of vitamins, minerals or medicines.WHO reported that nearly 90% of the under-five deaths occurred in developing countries and more than 40% of the deaths were due to diarrhea and acute respiratory infections. These diseases can be prevented by exclusive breastfeeding. This study aimed to examine the association between maternal knowledge, family support and exclusive breastfeeding in SiborongBorong Community Health Center, North Tapanuli, North Sumatera.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Siborongborong community health center, North Tapanuli, North Sumatera. A sample of 97 mothers who had children aged 6-12 months were selected for this study by proportional random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal knowledge and family support. The data were analyzed by simple logistic regression.Results: Exclusive breastfeeding was associated with maternal knowledge (OR=11.40; p= 0.001) and family support (OR= 9.30; p= 0.001).Conclusion: Exclusive breastfeeding is associated with maternal knowledge and family support.Keywords: exclusive breastfeeding, maternal education, family supportCorrespondence: Selferida Sipahutar. Masters Program in Public Health, Faculty of Public Health, Universitas Sumatera Utara, Jl. Universitas 21, Medan 20115, North Sumatera, Indonesia. Email: selferida[email protected]. Mobile: +081362123930Journal of Maternal and Child Health (2019), 4(5): 338-341https://doi.org/10.26911/thejmch.2019.04.05.0