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All Journal Journal of Epidemiology and Public Health Journal of Health Policy and Management Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Uki Retno Budihastuti
Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta
Medicine & Pharmacology Public Health

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Contextual Effect of Community Health Center on Low Birtweight in East Lombok, Nusa Tenggara Barat Baiq Zulvita Rahayu; Uki Retno Budihastuti; Setyo Sri Rahardjo
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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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:
Path Analysis on Factors Affecting the Choice of Female Surgical Contraceptive Method in Kendal, Central Java Ainul Maghfiroh; Uki Retno Budihastuti; Ismi Dwi Astuti Nurhaeni
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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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:
Contextual Effect of Place 0f Birth Delivery on Depression in Karanganyar, Central Java Ahadyah Miftahul Jannah; Uki Retno Budihastuti; Bhisma Murti
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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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 compli
Effect of Social Suport and Social Interaction on Anxiety Among Pregnant Women Imelda Dearni Simarmata; Uki Retno Budihastuti; Didik Tamtomo
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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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:
Does Health Center Have Contextual Effect on Midwife Performance? Multilevel Analysis Evidence from East Kalimantan, Indonesia Latifah Nur Rahmadani; Uki Retno Budihastuti; Eti Poncorini
Journal of Health Policy and Management Vol. 4 No. 3 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Background: The maternal mortality rate (MMR) which is still high has now become the priority in order to find its solution. Midwives play a very significant role in making efforts to reduce MMR through antenatal care (ANC) services. The performance of midwives directly influences the quality of service and health outcomes in the public health centers. The performance of midwives in ANC can be seen based on the coverage of K1 and K4. This study aimed to determine the contextual effect of public health centers and other factors that influence the performance of midwives in antenatal care services.Subjects and Method: This study was conducted using observational analytic with cross sectional approach. It was done in 25 health centers in Samarinda, East Kalimantan in April-May 2019. The number of samples was 180 midwives selected using the total sampling technique. The dependent variable is the performance of the midwife. The independent variables include age, knowledge, tenure, training, workload, incentive, supervision, and motivation. The data were collected by questionnaire and analyzed by multilevel multiple logistic regression.Results: Midwife performance was influenced by age >45 years (b = -2.48; 95% CI = -4.53 to -4.34; p = 0.018), good knowledge (b = 1.35; 95% CI = 0.38 to 2.31; p = 0.006), tenure ≥13 years (b = 1.89; 95% CI = -0.07 to 3.86; p = 0.059), training ≥2 (b = 1.30; 95% CI = 0.29 to 2.30; p = 0.011), heavy workload (b = -1.30; 95% CI = -2.27 to -0.34; p = 0.008), incentive (b = 1.74; 95% CI = 0.30 to 3.18; p = 0.018), supervision (b = 1.12; 95% CI = 0.19 to 2.05; p = 0.017), and high motivation (b = 1.42; 95% CI = 0.45 to 2.38; p = 0.004). There was no contextual influence of public health center on the performance of midwives in antenatal care services (ICC = <1%).Conclusion: Age, knowledge, tenure, training, workload, incentives, supervision, and motivation are associated with midwives performance. There is no contextual influence of public health centers on the performance of midwives.Keywords: work performance, midwife, contextual effect, antenatal careCorrespondence: Latifah Nur Rahmadani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah. Email: latifahnr8@gmail.com. Mobile: 085250118907.Journal of Health Policy and Management (2019), 4(3): 150-160https://doi.org/10.26911/thejhpm.2019.04.03.02
Multilevel Analysis on the Contextual Effect of Community Health Center on Health Workers Performance Anindyah Tri Lhaksmi Kusuma Wardhani; Didik Tamtomo; Uki Retno Budihastuti
Journal of Health Policy and Management Vol. 4 No. 3 (2019)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

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Abstract

Background: One of the high maternal mortality rates is caused by bleeding factors. The imple­mentation of preventive effort that is less than optimal as well as the ability, understanding, and compliance of health personnel with Standard Operating Procedures (SPO) is still lacking and not in accordance with professional standards, allegedly a factor that affects the Maternal Mortality Rate (MMR). The performance of midwives in accordance with the SPO would have an impact on reducing mortality and improving the welfare of mothers and babies. This study aimed to analyze the factors that influence the performance of midwives in the early detection of bleeding.Subjects and Method: This was a cross sectional study conducted at 25 public health centers in Banyuwangi, East Java, from February to May 2019. A total sample of 200 midwives was selected for this study by simple random sampling. The dependent variable was midwife performance. The independent variables were training, skill, leadership style, incentive, work motivation, age, and human source. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13. Results: Midwife performance increased with training (b= 1.46; 95% CI= 0.48 to 2.42; p= 0.003), skill (b= 2.32; 95% CI= 1.28 to 3.36; p= 0.001), high motivation (b= 1.66; 95% CI= 0.71 to 2.61; p= 0.001), incentive >Rp 1,000,000 (b= 2.59; 95% CI= 1.53 to 3.65; p= 0.001), positive leadership style (b= 1.95; 95 % CI= 0.93 to 2.96; p= 0.001), and human source>8 midwives (b= 1.05; 95% CI= 0.08 to 2.02; p= 0.033). Midwife performance decreased with age ≥35 years (b= -1.16; 95% CI= -2.16 to -0.16; p= 0.023). Community health center had strong contextual effect on midwife performance with ICC= 25.74%.Conclusion: Midwife performance increases with training, skill, high motivation, incentive >Rp 1,000,000, positive leadership style, and human source>8 midwives. Midwife performance decreases with age ≥35 years. Community health center has strong contextual effect on midwife performance.Keywords: work performance, midwives, multilevel analysisCorrespondence: Anindyah Tri Lhaksmi Kusuma Wardhani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: anin­dyah­tri@­gmail.com. Mobile: +6285258917339.Journal of Health Policy and Management (2019), 4(3): 182-194https://doi.org/10.26911/thejhpm.2019.04.03.06
Co-Authors Ahadyah Miftahul Jannah Ainul Maghfiroh Ambar Mudigdo Ambar Mudigdo Ambar Mudigdo Anindyah Tri Lhaksmi Kusuma Wardhani Arifiana, Ratna Aris Sudiyanto Ayunita Dwi Hadianti Baiq Zulvita Rahayu Bhisma Murti Bhisma Murti Bhisma Murti Desy Eka Ilmiyah Diani Octaviyanti Handajani Didik Tamtomo Dwi Hesti Ermawati Erin Rizkiana Eti Poncorini Eti Poncorini Pamungakasari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Hanung Prasetya Harrys Bachtiar Harsono Salimo Imelda Dearni Simarmata Ismi Dwi Astuti Nurhaeni Ismi Dwi Astuti Nurhaeni Isna Qadrijati Kunaryanti Kunaryanti Latifah Nur Rahmadani Mahendra Wijaya Matilda Bupu Ria Nikmah Ayu Ramadhani Amir Nur Laili Qomariah Prafista Wulan Sari Ratih Sakti Prastiwi Riska Armadhani Rizqa Kartika Dewi Ryanawati Putriarsih Setyo Sri Rahardjo Sintia Ayu Ningrum Tri Ari Hastuti Vitri Widyaningsih Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Zeny Fatmawati