Bhisma Murti
Master’s Program in Public Health, Universitas Sebelas Maret, Surakarta, Indonesia

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Determinants of Low Birth Weight at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Erlangga Yusa Bachtiar; Revi Gama Hata Novika; Bhisma Murti; Eti Poncorini Pamungkasari; Setyo Sri Rahardjo
Journal of Maternal and Child Health Vol. 10 No. 6 (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.2025.10.06.05

Abstract

Background: Low birth weight (LBW) is a major cause of infant and neonatal mortality in Indonesia. Data from the 2022 Nutritional Status Survey and the 2023 Indonesia Health Survey reported an increase in the prevalence of LBW from 5.9% to 6.1%. Records from Dr. Moewardi General Hospital, Indonesia, also show a rise in the number of LBW cases, from 392 cases in 2023 to 412 cases in 2024. This study examines the effects of maternal education, household income, antenatal care (ANC), anemia during pregnancy, preeclampsia, and chronic energy deficiency (CED) on the incidence of LBW at Dr. Moewardi hospital. Subjects and Method: This quantitative study employed a case–control design. The research was conducted at Dr. Moewardi hospital and included 100 infants with low birth weight and 100 infants with normal birth weight, selected using fixed-disease and random sampling methods. The dependent variable was LBW. The independent variables were maternal education, household income, ANC, anemia during pregnancy, preeclampsia, and CED. Data were collected through questionnaires and medical records, and analyzed using simple logistic regression and path analysis.Results: LBW was directly associated with maternal CED (b= 0.79; 95% CI= 0.08 to 1.51; p= 0.028), maternal anemia (b= 0.91; 95% CI= 0.17 to 1.65; p= 0.015), and preeclampsia (b= 1.45; 95% CI= 0.77 to 2.13; p < 0.001). LBW was indirectly influenced by ANC visits, family income, and maternal education. The path model demonstrated good fit indices (AIC= 1221.24; BIC= 1283.91).Conclusion: LBW directly increases with maternal CED, maternal anemia, and preeclampsia. LBW indirectly affects by ANC visit, family income, and maternal education.
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.