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All Journal Jambura Journal of Health Sciences and Research Jurnal Kesehatan Masyarakat
Oktia Woro Kasmini Handayani
Public Health Study Program, Faculty of Medicine, Universitas Negeri Semarang
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health

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COMMUNITY HEALTH WORKER SUPPORT AND HOME-BASED CARE PRACTICES FOR LOW BIRTH WEIGHT INFANTS: THE MEDIATING ROLE OF MATERNAL HEALTH LITERACY Ayu Yuliani Sekriptini; Haryono Haryono; Oktia Woro Kasmini Handayani
Jambura Journal of Health Sciences and Research Vol 8, No 3 (2026): JULI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v8i3.40250

Abstract

Low birth weight (LBW) infants remain vulnerable to complications after discharge, making appropriate home-based care essential. This study examined the effects of Community Health Worker (CHW) Support on Home-Based Care Practices for LBW Infants, with Maternal Health Literacy as a mediating variable. This study advances previous research by positioning Maternal Health Literacy as an explanatory mediating mechanism that links CHW Support with Home-Based Care Practices, thereby providing a more comprehensive understanding of how community-based support contributes to maternal caregiving behavior after discharge. A quantitative cross-sectional survey was conducted among 250 mothers or primary caregivers of LBW infants selected through purposive sampling. Data were collected using a five-point Likert-scale questionnaire and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS) with SmartPLS 3. CHW Support significantly and positively affected Maternal Health Literacy (β = 0.632; p 0.001) and Home-Based Care Practices (β = 0.232; p = 0.006). Maternal Health Literacy also had a positive and significant effect on Home-Based Care Practices (β = 0.415; p 0.001). Furthermore, Maternal Health Literacy significantly mediated the relationship between CHW Support and Home-Based Care Practices (β = 0.262; p 0.001). The model explained 40.0% of the variance in Maternal Health Literacy and 35.7% of the variance in Home-Based Care Practices. These findings indicate that CHW Support improves home-based care both directly and indirectly by strengthening mothers’ capacity to access, understand, evaluate, and apply health information. The findings contribute to a community-based neonatal care model by integrating Social Support Theory and the Health Literacy Framework in post-discharge care for LBW infants.
Maternal Characteristics, Malnutrition, and Pregnancy Complications with the Incidence of Low Birth Weight in an Industrial Environment Yulia Nur Khayati; Tandiyo Rahayu; Oktia Woro Kasmini Handayani; Evi Widowati; Dina Nur Anggraini Ningrum
Jurnal Kesehatan Masyarakat Vol. 21 No. 1 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i1.27768

Abstract

Low Birth Weight is one of the leading causes of under-five deaths during the neonatal period. In Indonesia, the infant mortality rate is in the top 7 in the world. The industrial environment, where air pollution is high, is one of the factors causing LBW. The study aimed to identify the factors that influence the incidence of LBW in an industrial environment. Using data from a cohort of pregnant women in 2023, the study used a nested case-control design at Bergas Community Health Centre. The study population included all mothers who delivered live infants in 2023, totalling 832 respondents. Data from the study were analysed using Chi-Square for bivariate analysis and logistic regression for multivariate analysis. The results showed a relationship between maternal age, parity, maternal nutritional status, hypertension, preeclampsia, and anaemia with the occurrence of LBW with p < 0.0001. The multivariate analysis indicated a significant relationship between maternal age (OR 3.233, 95% CI 1.557 – 6.714), parity (OR 2.567, 95% CI 1.382 – 4.767), maternal nutritional status (OR 7.905, 95% CI 3.472 – 17.998), preeclampsia (OR 28.090, 95% CI 9.894 – 84.468), and maternal hemoglobin levels (OR 10.883, 95% CI 5.736 – 20.649) with the incidence of LBW. The most influential factor in LBW is the occurrence of preeclampsia in mothers.
Development of a Smartphone Application “Family Care Stunting” to Increase the Independence of Families with Stunting Toddlers and Comorbid Diseases Anita Dyah Listyarini; Oktia Woro Kasmini Handayani; Ari Yuniastuti; Eko Farida
Jurnal Kesehatan Masyarakat Vol. 21 No. 2 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v21i2.30551

Abstract

Stunting is a complex public health problem in Indonesia. The incidence of stunting in Kudus City was 3,601 toddlers (5.85%), with the highest prevalence in Dawe District (13.32%), Undaan District (11.13%), Gebog District (10.66%), and 238 children under five, accompanied by comorbidities such as acute respiratory tract infections (ARI), diarrhea, tuberculosis (TB), and worms. One of the determining factors for success in combating stunting is family independence in managing the health of toddlers. However, family independence is constrained by limited access to information, lack of balanced nutrition education, sanitation, personal hygiene, symptoms of comorbidities, monitoring and development of toddlers not routinely, non-compliance with immunization and treatment. Smartphone applications can be used to overcome these obstacles. This study aims to develop and evaluate the effectiveness of the “Family Care Stunting” smartphone application in improving the health independence of families of stunted toddlers with comorbidities. This study used a research and development design, with 201 respondents from families of stunted toddlers who had comorbidities. Effectiveness was analyzed using the Wilcoxon nonparametric differential test to compare the level of family health independence before and after the intervention. There was a significant increase in the level of family health independence after the intervention of the “Family Care Stunting” smartphone application (p-value = 0.000). This application has the potential to be an innovative tool that supports families to play an active role in child health management, thereby contributing to more comprehensive stunting prevention and handling efforts.
Co-Authors Anita Dyah Listyarini Ari Yuniastuti Ayu Yuliani Sekriptini Dina Nur Anggraini Ningrum Eko Farida Evi Widowati Haryono Haryono Tandiyo Rahayu Yulia Nur Khayati