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All Journal Journal of Health Policy and Management Journal of Maternal and Child Health
Eti Poncorini Pamungkasari
Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia
Medicine & Pharmacology Public Health

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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.
The Impact of Waiting Time and Education Level on Outpatient Satisfaction: Meta-Analysis Stefani Clara Alverina; Noor Alis Setiyadi; Eti Poncorini Pamungkasari
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 satisfaction is a primary focus in the delivery of health care services. Assess­ment of patient satisfaction has been widely conducted worldwide and serves as an important tool for identifying service gaps and developing effective strategies to improve quality within the health care industry. Various factors influence patient satisfaction, including waiting time and educational level. This study aimed to analyze the effects of waiting time and educational level on outpatient satisfaction. Subjects and Method: This study employed a systematic review and meta-analysis using the PICO framework. The population consisted of outpatient clinic patients. The interventions were long waiting times and higher educational levels. The comparisons were short waiting time and lower educational level. The outcome was patient satisfaction. Data were obtained from Google Scholar, ScienceDirect, Elsevier, SpringerLink, Wiley, Scopus, and PubMed databases, covering publications from 2018 to 2023. The keywords used were “patient satisfaction” AND “waiting time” AND “short waiting time” AND “long waiting time” AND “educational level” AND “outpatient department”. A total of 13 articles met the inclusion criteria, which were full-text articles using a cross-sectional design, outpatient subjects, and reporting outcomes in the form of odds ratios. Article selection followed the PRISMA flowchart, and data analysis was performed using Review Manager version 5.4. Results: The 13 included studies involved a total of 25,017 participants from Ethiopia, Fiji, Pakistan, South Africa, and Serbia. The pooled analysis showed that patients experiencing long waiting times had 0.18 times lower satisfaction compared to those with short waiting times (aOR = 0.18; 95% CI= 0.06 to 0.49; p <0.001). In addition, patients with higher educational levels had 1.02 times higher satisfaction compared to those with lower educational levels, although this association was not statistically significant (aOR = 1.02; 95% CI= 0.34 to 3.02; p = 0.980). Conclusion: Shorter waiting times are associated with higher patient satisfaction in outpatient clinics. Higher educational level shows a positive but non-significant association with patient satisfaction.
Co-Authors Bhisma Murti Erlangga Yusa Bachtiar Noor Alis Setiyadi Revi Gama Hata Novika Setyo Sri Rahardjo Stefani Clara Alverina