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All Journal Journal of Health Policy and Management Journal of Maternal and Child Health
Revi Gama Hatta Novika
Master’s Program in Public Health, Universitas Sebelas Maret, Surakarta, Indonesia
Medicine & Pharmacology Public Health

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Effect of Iron and Folic Acid Supplementation on the Infants Birth Weight: A Meta-Analysis Atiqoh Khoirunnisa' Maftuch; Bhisma Murti; Setyo Sri Rahardjo; Ika Sumiyarsi Sukamto; Revi Gama Hatta Novika
Journal of Maternal and Child Health Vol. 10 No. 5 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.05.02

Abstract

Background: Low birth weight (LBW), defined as a birth weight of less than 2,500 grams, is associated with an increased risk of neonatal mortality and developmental disorders. Efforts to prevent and manage LBW can be made through the administration of iron and folic acid supplements during pregnancy. This study aims to estimate and analyze the effect of iron and folic acid supplementation on the birth of infants with low birth weight. Subjects and Method: This study is a systematic review and meta-analysis of relevant previous studies conducted using the PRISMA guidelines. The population included pregnant women, interventions involving iron and folic acid supplementation compared to no supplementation, and outcomes related to low birth weight. Article searches were conducted in the PubMed, ScienceDirect, Scopus, and Google Scholar databases, published between 2013 and 2025. The search terms were ("Pregnant woman" OR "Expectant mother") AND ("Iron and folic acid supplements" OR "IFA supplements") AND ("Low Birth Weight" OR "Low-weight newborns"). Inclusion criteria included full-text articles with a cross-sectional study design and reporting adjusted odds ratio (aOR) values. Findings from the primary research articles were analyzed using Review Manager 5.3. Results: The included primary studies comprised 21 articles from China, India, Nepal, Pakistan, Malawi, and Ethiopia. The results of this meta-analysis indicate that pregnant women who consumed iron and folic acid supplements had an average 0.87 unit lower risk of giving birth to LBW infants compared to pregnant women who did not consume iron and folic acid supplements (aOR= 0.87; 95% CI = 0.75 to 1.00; p= 0.040). Conclusion: The administration of iron and folic acid supplements can reduce the incidence of low birth weight.
Socio-cultural Factors Influencing the Incidence of Stunting among Children Under Five in the Tengger Tribe, East Java, Indonesia Annessa Marknalia Sasqia Putri; Argyo Demartoto; Bhisma Murti; Revi Gama Hatta Novika; Erindra Budi Cahyanto
Journal of Maternal and Child Health Vol. 11 No. 1 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.01.01

Abstract

Background: Indications of stunting incidence in toddlers of the Tengger Tribe in East Java, related to socio-cultural practices in daily life that have an impact on health conditions and nutritional fulfillment of toddlers. This study aims to analyze the socio-cultural factors that affect the incidence of stunting in Tengger Tribe toddlers in East Java.Subjects and Method: This study is a qualitative research with a phenomenological approach. The research was conducted at the Lumajang Regency Health, Population Control, and Family Planning Office (P2KB), Senduro District Office, Senduro Health Center, and Ranupani Village. A total of 9 key informants, including the head of nutrition and public health, the head of population and family planning, the head of the Senduro Health Center, nutritionists, village midwives, family planning field officers of Senduro District, the head of the Ranupani Village government, the traditional shaman of the Tengger Tribe, and the baby shaman. A total of 9 mothers of toddlers as the main informants and 9 supporting informants were purposively sampling, including family members, cadres, health care officers, and sanitarians. Data collection was carried out through interviews, observations, and documentation, then analyzed using the Miles and Huberman interactive model.Results: The study showed limited maternal knowledge about the health conditions and growth of toddlers. Traditional shamans play an important role in social decision-making, while gender equality affects the workload of mothers in economic activities. The parenting and care of toddlers is influenced by the cultural practices of the Tengger Tribe which are still strongly attached to daily life, as well as the environmental conditions of mountain communities who mostly depend on the agricultural sector for their livelihoods. Belief in ancestral spirits influences health decisions, through restrictions on maternal activity and mobility during pregnancy and after childbirth, as well as dietary restrictions that are believed to have adverse effects on pregnancy and toddlers.Conclusion: The incidence of stunting in toddlers of the Tengger Tribe is related to socio-cultural factors which include maternal knowledge, social interaction patterns, toddler parenting patterns, and belief in ancestral spirits in health decision-making.
Building Patient’s Loyalty: The Role of Trust, Expectations, and Satisfaction Among Outpatient Commitment Anis Sonia Probowati; Endang Sutisna Sulaeman; Bhisma Murti; Sumardiyono; Revi Gama Hatta Novika
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: Quality health services are the result of cooperation between patients and health service providers in a healthy environment. Hospitals as institutions engaged in service quality are a benchmark for assessing patient loyalty. One of the benchmarks is the quality of service received by patients from a hospital; therefore, it is the obligation of the hospital to maintain a good relationship with patients to create a maximum loyalty value. Based on Law Number 17 of 2023 concerning health, it is stated that local governments and communities are responsible for the implementation of health efforts. The implementation of health services is carried out responsibly, safely, quality, and equitably. The study aims to discover factors that affect the loyalty of outpatients at Klaten Islamic Hospital. Subjects and Method: It was a cross-sectional study conducted at Klaten Islamic Hospital from December 2024 to January 2025. The sample consisted of 200 outpatients selected using the simple random sampling method. The independent variables were hospital image, trust, expectation, past experience, and satisfaction. Meanwhile, the dependent variable was outpatient loyalty. Data collection was carried out using a questionnaire. Data analysis was conducted using path analysis. Results: The results of the path analysis that had been carried out in this study stated that the loyalty of outpatients at Klaten Islamic Hospital was directly influenced by trust (b=-0.02; 95% CI= -0.30 to 0.24; p= 0.831), satisfaction (b=0.44; 95% CI= 0.19 to 0.69; p<0.001), age (b= 0.13; 95% CI= 0.01 to 0.24; p= 0.024), hospital image (b= 0.20; 95% CI= 0.08 to 0.32; p=0.001), Education (b= -0.11; 95%CI= -0.22 to 0.00; p=0.054), gender (b= - 0.00; 95%CI= -0.11 to 0.11; p=0.958). Patient loyalty through patient trust was indirectly influenced by past experience, patient satisfaction, expectations, and polyclinic. Conclusion: The loyalty of outpatients at Klaten Islamic Hospital is directly influenced by trust, satisfaction, age, hospital image, education, and gender. Patient loyalty through patient trust is indirectly influenced by past experience, patient satisfaction, expectations, and polyclinic.
Determinants of Patient Safety Practice Behavior Among Nurses at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Fitri Dwi Nurhayati; Endang Sutisna Sulaeman; Bhisma Murti; Sumardiyono; Revi Gama Hatta Novika
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/

Abstract

Background: Patient safety is an event where the hospital builds patient care to be safer, including risk assessment, identifying, and managing matters related to patient risk, reporting and analyzing incidents, learning from incidents and their follow-up, as well as providing solutions to reduce the occurrence of risks and to avoid injuries caused by mistakes that occur due to doing an action or taking an action that should not have been taken. The purpose of this study is to identify the behavioral determinants of patient safety practices among nurses at Dr. Moewardi Hospital, Indonesia. Subjects and Method: This study was a cross-sectional study conducted at Dr. Moewardi Hospital in January 2025. The sample consisted of 200 inpatient nurses selected by a simple random sampling method. The independent variables in this study were work attitude, work stress, communication, teamwork, and work environment. The dependent variable was the patient safety practice behavior. Data collection was conducted using a questionnaire. Data analysis was conducted using path analysis. Results: The behavior of patient safety practice in inpatient nurses was directly influenced by positive work attitudes (b=0.22; 95% CI= 0.08 to 0.36; p= 0.002), low work stress (b= 0.16; 95% CI= 0.02 to 0.30; p= 0.022), and effective communication (b= 0.24; 95% CI= 0.11 to 0.36; p<0.001). The patient safety practice behavior among nurses through work attitudes was indirectly influenced by work stress and teamwork. The patient safety practice behavior among nurses through work stress is indirectly influenced by teamwork and the work environment. The patient safety practice behavior among nurses through communication was indirectly influenced by teamwork. Conclusion: The patient safety practice behavior among inpatient nurses is directly influenced by positive work attitudes, low work stress, and effective communication. The patient safety practice behavior among nurses through work attitudes is indirectly influenced by work stress and teamwork.
Effect of Work-Life Balance on Work Stress, Sleep Disorders, and Work Performance Rifdah Hardaning Tyas; Bhisma Murti; Sumardiyono; Revi Gama Hatta Novika; Okid Parama Astirin
Journal of Health Policy and Management Vol. 11 No. 1 (2026)
Publisher : Master's Program in Public Health, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.11.01.08

Abstract

Background: Work-life balance is a crucial factor influencing employee psychological well-being and performance. An imbalance between work and personal life can increase job stress, trigger sleep disturbances, and decrease productivity. This study aims to analyze the effect of work-life balance on job stress, sleep disturbances, and employee performance.                                                                Subjects and Methods: This cross-sectional study was conducted at the Mineral and Coal Testing Center in Bandung from March to April 2025. A total of 207 patients were selected using exhaustive sampling. The dependent variable was work-life balance. The independent variables were work stress, sleep disturbance, and employee performance. Data were analyzed using path analysis. Results: The results of this study show that Work-life balance negatively affected job stress (b = -1.04; 95% CI = -1.18 to -0.91; p < 0.001) and sleep disturbance (b = -1.45; 95% CI = -1.65 to -1.23; p < 0.001), and positively affected performance (b = 0.42; 95% CI = 0.31 to 0.53; p < 0.001). Job stress positively affected sleep disturbance (b = 0.57; 95% CI = 0.49 to 0.65; p < 0.001). Conclusion: Work-life balance has a direct impact on performance and an indirect impact through reduced work-life stress and sleep disturbances. Interventions to improve work-life balance should be a company priority. to support employee productivity and well-being.
Co-Authors Anis Sonia Probowati Annessa Marknalia Sasqia Putri Argyo Demartoto Atiqoh Khoirunnisa&#039; Maftuch Bhisma Murti Bhisma Murti Bhisma Murti Endang Sutisna Sulaeman Endang Sutisna Sulaeman Erindra Budi Cahyanto Fitri Dwi Nurhayati Ika Sumiyarsi Sukamto Okid Parama Astirin Rifdah Hardaning Tyas Setyo Sri Rahardjo Sumardiyono