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The Factors Associated with Ownership of Health Insurance Among Women of Reproductive Health in Guyana Rusmitasari, Heni; Santoso, Eko Budi; Supriatin, Supriatin; Maretalinia, Maretalinia
Unnes Journal of Public Health Vol 13 No 1 (2024): Unnes Journal of Public Health
Publisher : Universitas Negeri Semarang (UNNES) in cooperation with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/ujph.v13i1.70196

Abstract

Women of reproductive age are one vulnerable group because of the phase of pregnancy, childbirth, and contraceptive use. Due to those reasons, they need to be covered by health insurance. However, the coverage of health insurance remains low, especially in developing countries including Guyana. This study aimed to examine the factors associated with ownership of health insurance among women of reproductive age. This study used the data from Multiple Indicators Cluster Survey Wave 6 (MICS6) Guyana in 2019-2020. Totally, 5,470 women met the criteria. The multivariate analysis was done by 2 models including the community characteristics. It was found some factors related to having or not having health insurance, including living in Damerara-Mahaica and Mahaica-Berbice regions, having Muslim, female, and from Amerindian, East Indian, and Mixed ethnic of household head, having a higher wealth index and education level, aged 30-34, and formerly marriage or never married. The health insurance scheme needs to be arranged especially at tat regional level to ensure women can access maternal services easily and effectively.
Urban-rural Gaps in Early Initiation of Breastfeeding (IEBF) Practices: Evidence from Thailand Intarti, Wiwit Desi; Siregar, Renince; Siantar, Rupdi Lumban; Rostianingsih, Dewi; Suyitno, Suyitno; Maretalinia, Maretalinia
Jurnal Kesehatan Masyarakat Vol 20, No 2 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i2.50331

Abstract

The evidence that several factors can play a role as risk factor on initiation of breastfeeding. This study aimed to examine the risk factor of initiation of early breastfeeding in Thailand that differentiate by place of residence. This study used secondary data from MICS (Multiple Indicators Cluster Survey) of Thailand in 2022. Total sample lived in Urban area is 1226 and those lived in Rural area is 1,430. The analysis of this study has differentiated to urban area. The statistical test used is STATA. The prevalence of EIBF in urban. The findings of both place of residence revealed that delivery by caesarean section as risk factor in the urban and rural area with AOR 2.5 and 1.93 times respectively. Others risk factors in urban are formally married and in rural are the risk factors are delivery with practical nurse, and low birth weight of baby. The factors that supporting EIBF implementation are wealth index with AOR 0.48 and 1.46 respectively. Government and stockholders can focus to support the financial issue in the households to decrease the probability of not EIBF. Future study can include more variables in households and community levels and add the qualitative approach.
Appropriate Complementary Feeding Among Indonesian Children Aged 6-23 Months: A Descriptif Literature Review Suyitno, Suyitno; Maretalinia, Maretalinia; Khan, Muhammad Uzair; supriatin, Supriatin
Ahmar Metastasis Health Journal Vol. 4 No. 2 (2024): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i2.317

Abstract

The introduction of complementary foods (CF), which includes solid and semi-solid foods alongside breastfeeding, is crucial for ensuring adequate nutrition and supporting healthy growth and development in children aged 6-23 months. In Indonesia, a country with diverse cultures and socioeconomic conditions, family dynamics significantly influence practices and choices related to CF. These factors collectively shape the nutritional status and health outcomes of children during this critical developmental period. This descriptive literature review was conducted by searching electronic databases such as PubMed, Google Scholar, and local Indonesian academic repositories. Keywords used included "complementary feeding," "family dynamics," "child nutrition," and "Indonesia." The review focused on studies published in the last ten years to ensure relevance and timeliness. The results indicate that inappropriate CF practices, such as the early or late introduction of solid foods and a lack of food diversity, contribute to malnutrition. Nutritional status in this critical age group is heavily influenced by the type and timing of CF, with children receiving diverse and timely foods showing better growth outcomes. CF practices are also closely related to the incidence of diarrhea in infants. Factors such as the child's age, nutritional status, breastfeeding practices, and hygiene can affect the risk of diarrhea. Educational interventions and the provision of fortified foods can improve the growth and micronutrient status of children aged 6-23 months. Findings from various studies highlight the crucial role of appropriate CF practices in influencing the nutritional status, growth, and overall health of children aged 6-24 months. Comprehensive strategies that include education, fortification, and the promotion of local food cultures are essential for improving the nutritional outcomes and development of young children.
Determinants of cigarette consumption among Indonesian adolescents: a cross-sectional study Halid, Musparlin; Amaliah, Lili; Nurcahyati, Sri; Jayanti, Krisnita Dwi; Supriatin, Supriatin; Suyitno, Suyitno; Maretalinia, Maretalinia
International Journal of Public Health Science (IJPHS) Vol 14, No 2: June 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i2.25304

Abstract

Adolescent smokers in Indonesia remain a problem that impacts educational output. This study aimed to examine the determinants of cigarette consumption among school-age adolescents. The study employed a cross-sectional design in Lombok Island, West Nusa Tenggara Province, Indonesia. The study collected data from January 2022 to July 2023. The total sample in this study consisted of 819 adolescents from junior high and senior high schools (SHS). Among all respondents, 438 adolescents (53.5%) reported smoking >10 stems/day. The binary logistic regression results revealed that significant variables associated with cigarette consumption included males aged 14 to 16, who drank alcohol more than three times a week, consumed more than three liters of alcohol a week, had low parental education levels, had peer influence, were exposed to social media, had parents who smoked, and had experienced parental divorce. The collaboration between stakeholders at the school level and parents, such as counseling and supervision intensive, can prevent adolescent smoking behavior.
Delivery Health Service Utilization and Barriers to Access in Lao People’s Democratic Republic (PDR): An Analysis of MICS Data 2023 Amaliah, Lili; Supriatin, Supriatin; Sadli, Mohamad; Maretalinia, Maretalinia
Journal of Health and Nutrition Research Vol. 4 No. 1 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i1.345

Abstract

Technological advances and accessibility influence the utilization of health services in today's world, but barriers still exist. This study aims to comprehensively analyze the utilization of maternal health services and the barriers that hinder access in the Lao People's Democratic Republic (PDR). This study analyzed 2023 MICS data from 3,754 women in the Lao People's Democratic Republic, examining maternal health service utilization. The dependent variable was categorized as utilization or non-utilization, while the independent variables included demographics, geography, decision-making power, and health system factors. Descriptive statistics, chi-square tests, and binary logistic regression were used for data analysis. This study found that of the 3,754 respondents, 2,930 people used health services to give birth. The chi-square test showed that age, education, residence, region, decision making, insurance ownership, and wealth index were significantly associated with using maternal health services. Multivariate analysis showed that higher education was the strongest predictor of health service use (OR = 20.90), with geographic factors, wealth inequality, and shared decision-making. Areas without road access and the poorest wealth groups were less likely to use services, while shared decision-making increased the likelihood by 45%. It is recommended that higher education be promoted, road access improved, and shared decision-making be encouraged to increase the utilization of maternal health services, especially among the poorest communities and those living in rural areas.
Factors Associated with Miscarriages and Abortions among Women of Reproductive Age in Kyrgyzstan: An Analysis of the Multiple Indicators Cluster Survey 2023 Indrawati, Fitri; Supriatin, Supriatin; Maretalinia, Maretalinia; Yunus, Mohd
JURNAL INFO KESEHATAN Vol 23 No 2 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Politeknik Kesehatan Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss2.1944

Abstract

Reproductive health, including miscarriages and abortions, remains a critical public health issue, especially in low- and middle-income countries such as Kyrgyzstan, where access to quality health services is limited, particularly in rural areas. Unsafe abortions contribute significantly to maternal morbidity and mortality, while miscarriages can have physical, emotional, and social consequences for women. This study aims to explore factors associated with miscarriages and abortions among women of reproductive age in Kyrgyzstan. This study used secondary data from Kyrgyzstan’s Multiple Indicator Survey (MICS) 2023, which provides comprehensive data on health, education, and living conditions. The survey focused on women aged 15–49 who had experienced miscarriage or abortion, analyzing factors such as age, marital status, education, and wealth index. Data analysis was performed using binary logistic regression with STATA software to identify demographic and socioeconomic factors associated with miscarriage and abortion. The finding of this study were 11.47% of women experienced miscarriage and 6.45% experienced abortion, with most participants aged 30-39, married, with a junior high school education, residing in rural areas, and belonging to the Kyrgyz ethnic group. Factors linked to miscarriage included age, marital status, rural residency, Russian ethnicity, and wealth level, while factors associated with abortion included age, marital status, rural residence, and certain wealth levels (second, middle, and fourth). The study suggests prioritizing reproductive health education and support for women, especially those in rural areas and with lower to middle income, to help reduce the risks of miscarriage and abortion.
The Hospital Characteristics (Public and Private) Utilization by Caesarean Section Delivery in Thailand Fitriani, Arifah Devi; Suroyo, Razia Begum; Suharto, Teguh; Manisha, Manisha; Farachdiba, Farachdiba; Maretalinia, Maretalinia
JURNAL INFO KESEHATAN Vol 23 No 2 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Politeknik Kesehatan Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss2.1981

Abstract

Cesarean delivery (C-section) rates continue to rise worldwide, with Thailand showing a significant spike in the past two decades, surpassing WHO recommended rates. Hospital characteristics, such as ownership, financial incentives, and medical staffing patterns, can influence cesarean delivery rates. Private hospitals may be more susceptible to non-medical motivations, while public hospitals often face high patient volumes and resource constraints. This study aimed to investigate the use of cesarean delivery in relation to hospital characteristics, with a comparative focus between public and private hospitals in Thailand. This study used a cross-sectional quantitative approach with secondary data from the Thailand Multi Indicator Survey (MICS) 2022. The study sample consisted of 1,046 women who delivered by cesarean section and 1,720 women who did not, with the dependent variable being hospital utilization by caesarean section delivery. Data analysis was performed using univariate, bivariate (Chi-square test), and multivariate (binary logistic regression) tests to analyze the effect of independent variables on the choice of hospital type. The study findings were that in women undergoing cesarean section, wealth and region of residence were significantly associated with private hospital utilization, with women from the fourth wealth quintile (OR = 14.61; 95% CI: 1.88–113.85) and the richest (OR = 23.67; 95% CI: 3.03–185.09) more likely to use private hospitals than the poorest, while those living outside Bangkok were less likely. In women without cesarean section, living in rural areas (OR = 0.36; 95% CI: 0.16–0.81) and outside Bangkok also significantly decreased the odds of private hospital utilization.
The Relationship Between Parenting Style on Toilet Training Achievement in Preschool Children: Evidence from Cirebon City, Indonesia Nurcahyati, Sri; Yusuf, Yusuf; Maretalinia, Maretalinia
Ahmar Metastasis Health Journal Vol. 5 No. 2 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i2.594

Abstract

Toilet training is a key developmental milestone in preschool-aged children, influenced by physical, psychological, and social factors. Poor parenting style, poor parental knowledge, and not good cultural and environmental factors play a significant role in the success of toilet training, with educational interventions shown to improve outcomes. This study aims to examine the relationship between parenting style and the success of toilet training among preschool-aged children (2–6 years). This cross-sectional quantitative study examined the relationship between parenting style and toilet training success among 50 parents of preschool-aged children (2–6 years) at UPT Majasem Community Health Center, Cirebon City, Indonesia, with the relatively small sample size noted as a limitation to generalizability. Data were collected via a validated and reliable structured questionnaire, and ethical approval was obtained from the Research Ethics Committee of Institut Teknologi dan Kesehatan Mahardika, with informed consent and confidentiality ensured for all participants. The findings of this study showed that most parents demonstrated a good parenting style (66%), and the majority of children achieved successful toilet training (80%). A significant association was found between parenting style and toilet training success (p = 0.009, Cramer’s V = 0.36), indicating a moderate relationship, with children of parents practicing a poor parenting style showing higher success rates (100%) than those with a good parenting style (69.7%). In sum, parenting style significantly affects toilet training success in preschool children, and culturally sensitive parental education is recommended to improve training outcomes and child well-being.
The history of diarrhea and stunting in children aged 24-59 months: a relationship study Rahma Hilmawati, Zaida; Sujiyatini, Sujiyatini; Retnaningsih, Yuliantisari; Maretalinia, Maretalinia
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 2
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i2.2068

Abstract

The prevalence of stunting in Indonesia remains relatively high. Various consequences can arise due to stunting, including impaired cognitive development in children, suboptimal school performance, and potential long-term impacts on women during adulthood. Diarrhea is identified as one of the triggers for stunting, often caused by insufficient parental supervision and inadequate Exclusive Breastfeeding (EBF) and Complementary Feeding (CF) practices. The study aimed to investigate the relationship between diarrhea occurrence and stunting among toddlers aged 24-59 months. The research employed an observational analysis design using a case-control approach. Sample selection was done through purposive Sampling, involving criteria for inclusion and exclusion. The total sample size was 130 individuals, comprising 65 case samples and 65 control samples. The study was conducted at Dlingo II, Pajangan, and Imogiri II Public Health Centers in Bantul Regency in 2021. Secondary data from registers and medical records were utilized. Data analysis involved the use of the chi-square test and odds ratio (OR). The majority of stunted toddlers were male, had low birth weight, a history of exclusive breastfeeding, and a history of complementary feeding for less than six months. There was a significant relationship between diarrhea and stunting incidence (p=0.023) with an OR value of 3.335 (1.625-6.844). This implies that toddlers with a history of recurrent diarrhea are three times more likely to experience stunting. There is a significant association between diarrhea occurrence and stunting among toddlers aged 24-59 months in the working area of Bantul Regency.
Socio-demographic Characteristics of Delivery by Caesarean Section of the Vietnamese Population: A Cross-sectional study Siantar, Rupdi Lumban; Rostianingsih, Dewi; Pangaribuan, Maslan; Linh, Nguyễn Hoàng Thuỳ; Maretalinia, Maretalinia
JURNAL INFO KESEHATAN Vol 23 No 3 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss3.1997

Abstract

The rising trend of caesarean deliveries in Vietnam, influenced by various social and demographic factors, has raised public health policy concerns as many procedures are performed without clear medical indications. This study seeks to explore the relationship between socio-demographic factors and the likelihood of caesarean section deliveries within the Vietnamese population. This study employed a cross-sectional design using data from the Vietnam Multiple Indicator Cluster Survey (MICS) 2020–2021, which utilized a two-stage stratified cluster sampling method to ensure national representativeness. The analysis focused on 1,049 women aged 15–49 who had at least one child. Data were collected through standardized questionnaires and analyzed using chi-square tests and binary logistic regression to examine associations between socio-demographic factors and caesarean section deliveries. Based on data from 1,343 Vietnamese women, this study found that 32.84% of deliveries were by caesarean section (CS). Bivariate analysis showed significant associations between CS and factors such as maternal age, education, residence, wealth, and place of delivery. However, multivariate logistic regression revealed that only maternal age, household wealth, and place of delivery remained significant predictors. Older women and those from wealthier households had higher odds of CS, while births at commune health centers were less likely to involve CS. Education level and rural residence were not independently associated with CS after adjustment.
Co-Authors Adi Yeremia Mamahit Agastya, I Gusti Ngurah Akbar, Hairil Amaliah, Lili Anita Rahmiwati Ari Nuswantoro Destiwi, Monita Diary, Dwina Gustia Dimas Sondang Irawan Doni Marisi Sinaga, Doni Marisi Donny Nauphar Dyah Anantalia Widyastari Dyah Suryani Edwin, Vebby Amellia Edwin, Vebby Emilia Eko Budi Santoso Eko Budi Santoso Elvi Juliansyah Farachdiba, Farachdiba Fardhiasih Dwi Astuti Fatmalina Febry Fattah, Rifqi Abdul Fenny Etrawati Fitri Indrawati Fitriani, Arifah Devi Hananto, Andang Adi Fitria Hariyanti, Yunida Hartuti, Eka Putri Hattapradit, Faron Heni Rusmitasari Heri, Mochamad I Wayan Supetran, I Wayan Imma Fatayati Indriyani, Mila Melinda ISWAHYUDI ISWAHYUDI Jamhari Jamhari Kaseger, Henny Khan, Muhammad Uzair Krisnita Dwi Jayanti, Krisnita Dwi Kurniawan, Febrian Hendra Laila Kamilla Linda Suwarni Linda Triana Linh, Nguyễn Hoàng Thuỳ Macnab, Andrew John Made Dian Shanti Kusuma Maemunah Manisha, Manisha Marice Marice Melisa Frisilia, Melisa Moehas, Puput Kusumawardani Mohamad Sadli Munazar Munazar Musparlin Halid Ni Wayan Kesari Dharmapatni Nilasari, Nilasari Niluh Desy Purnamasari Noor, Hafizh Muhammad Norsaputra, Ary Nurhadiah, Nurhadiah Nurmalita Sari, Marlynda Happy Oktaviyani, Prisilia Pancanugraha, Andi Pangaribuan, Maslan Pratama, Mahendrawan Nugraha Aji Pratamasari, Rossy Pratiwi, Ivana Aprilia Prautami, Erike Septa Purnama Sari, Indah Putra, I Gusti Ngurah Edi Putra, Wahyu Manggala Putri Sabila, Virgina Rahayu, Merda Sri Rahma Hilmawati, Zaida Rahman, Pamuko Aditya Rifky, Mohamed Rostianingsih, Dewi Ruswandi, Indra Sadli, Mohamad Saki, Vernonia Yora Salman Salman Salman Salman Samosir, Ricky Alexander Sari, Ariestya Indah Permata Sari, Marlynda Happy Nurmalita Satria, Ana Shidiq, Galih Albarra Siantar, Rupdi Lumban Siregar, Renince Sri Nurcahyati Suharto, Teguh Sujiyatini, Sujiyatini Sukmawati, Ellyzabeth Supriatin Supriatin, Supriatin SUROYO, RAZIA BEGUM Suyitno Suyitno Syamsuriansyah, Syamsuriansyah Syopingi, Syopingi Tantrakarnapa, Kraichat Teten Tresnawan Tiara Fatmarizka Vejvisithsakul, Pichpisith Pierre Viniriani, Marina Ayu Wibowo, Canggih Puspo Wiwit Desi Intarti Yeni Yeni Yuliantisari Retnaningsih Yulianto, Aris Yunus, Mohd Yusuf Yusuf