RB. Soemanto
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Association between the Socioeconomic Factors, Healthy Home, and Healthy Behavior among Parents of Toddler with Acute Respiratory Infection in Kediri, Indonesia Anggraini, Tiyan; Mudigdo, Ambar; Soemanto, RB.
Journal of Epidemiology and Public Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Acute Respiratory Infection or ARI is the most deaths occurred in toddler. Many factors lead to a high incidence of this disease among socioeconomic, healthy home and healthy behavior of parents. This study was aimed to determine the association between socioeconomic and healthy homehealthy home with healthy behavior in parents of toddler with acute respiratory infections.Subject and Methods: This was a case study conducted in Kediri, East Java, Indonesia. A total of 100 toddlers consisted of 20 toddlers and parents with ARI and 80 toddlers with parents without ARI. The dependent variable was parents of toddlers with acute respiratory infection. The independent variables included socioeconomic and healthy home with healthy behavior. The data were collected by pre-tested questionnaire, and analyzed using a multiple logistic regression model.Results: Theresults obtained by the education (OR = 9.1; 95%CI = 0.8 to 98.4; p = 0.001),  family income (OR = 1.3; 95% CI = 0.1 to 14.2; p = 0.000), housing components (OR = 4.0, 95%CI = 0.5 to 27.7; p = 0.005), sanitation (OR = 6.9; 95% CI = 1.1 to 41.9; p = 0.001), healthy behavior (OR = 8.9; 95% CI = 1.6 to 48.7 ; p = 0.003).Conclusion: The results of this study concluded that education, family income, housing components, sanitation and behavior of the occupants had a statistically significant relationship to healthy behaviors parents of toddlers with ARI.Keywords: education, family income, housing components, sanitation, healthy behavior, and healthy behavior parents of toddler patients with Acute Respiratory Infections (ARI).Correspondence: Tiyan Anggraini. School of Health Sciences, Kadiri University, Kediri, Indonesia. Email: tiyananggraini@yahoo.co.idJournal of Epidemiology and Public Health (2016), 1(1): 66-74https://doi.org/10.26911/jepublichealth.2016.01.01.08 
Socioeconomic and Cultural Determinants of Early Marriage in Ngawi, East Java: Application of PRECEDE-PROCEED Model Wijayati, Noviana Ayumi; Soemanto, RB.; Pamungkasari, Ety Poncorini
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Indonesia ranks 37 of the countries in the world with the highest rate of early marriage. Center for Gender and Sexuality Studies, University of Indonesia reported in 2015 that Indonesia rank the second highest rate of early marriage in South East Asia. Approximately 2 millions (7.3%) girls aged under 15  years old have been married and dropped out of school. This number is expected to become 3 million married girls in 2030. This study aimed to determine the effect of socioeconomic and cultural factors on early marriage in Ngawi, East Java.Subjects and Method: This was an analytical observational study with case control design. Study subjects consisted of 75 women of reproductive age who got married before 20 years old and 75 women of reproductive age who got married had 20-30 years of age. The dependent variable was early marriage. The independent variables were paternal education level, maternal education level, family income, family belief, culture, and peers. The data were collected by a set of questionnaire and analyzed by path analysis model.Results: Early marriage was positively affected by family belief (b=1.47; 95% CI= 0.44 to 2.50; p=0.005) and culture (b=1.56; 95% CI= 0.54 to 2.58; p=0.003). Early marriage was negatively affected by family income (b=-2.20; 95% CI= -3.18 to -1.21; p<0.001) and positive peers (b=-2.51; 95% CI= -3.58 to -1.44; p<0.001). Family income was affected by paternal education (b=2.24; 95% CI= 0.37 to 4.12; p=0.019) and maternal education (b= 6.53; 95% CI= 4.25 to 8.80; p<0.001). Family belief  was affected by paternal education (b= -1.20; 95% CI= -2.10 to -0.30; p= 0.009) and maternal education (b= -1.20; 95% CI= -2.10 to -0.30; p= 0.009).Conclusion: Early marriage is directly affected by family income, family belief, culture, and positive peers.Keyword: early marriage, family education, family income, family belief, culture, peersCorrespondence: Noviana Ayumi Wijayati. Masters Program in Public Heath, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: novianaayumi@gmail.com. Mobile: +6285645828766.Journal of Health Promotion and Behaviour (2017), 2(4): 302-312https://doi.org/10.26911/thejhpb.2016.02.04.02 
The Influence of Personal Factor, Parental Support and Perceived Value of Children on Early Marriage in Trowulan Subdistrict Mojokerto Regency Widiyawati, Rina; Soemanto, RB.; Pamungkasari, Eti Poncorini
Journal of Health Promotion and Behavior Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: According to United Nations Development Economic and Social Affairs, Indonesia is 37th country in the world and 2nd in Southeast Asia after Cambodia with high percentage of early marriage. World Health Organization expects Indonesian government to be more committed to decrease maternal and infant mortality rates as the impacts of early marriage. This study aimed to discover the influence of personal factor, parental support and perceived value of children on early marriage in Trowulan Subdistrict Mojokerto Regency.Subjects and Methods: This was an analytic observational study with case control design. Subjects were women of reproductive age as case (married at the age of ≤20) and control (married at the age of 21-25), each consisted of 60 women. The dependent variable was early marriage and the independent variables were levels of education, premarital sexual behavior, perceived behavioral control, perceived benefits, parental support and perceived value of children. The data were analyzed by path analysis.Results: Perceived behavioral control (b= -1.27; CI 95%= -2.20 to -0.33; p= 0.008), perceived benefits (b= -1.06; CI 95%= -1.97 to -0.16); p= 0.020), parental support (b= -1.28; CI 95%= -2.16 to -0.39); p= 0.005) and perceived value of children (b=- 2.94; CI 95%= -5.20 to -0.68; p= 0.011) had direct influence on early marriage and were statistically significant. The levels of education had indirect influence on early marriage based on the figures of perceived behavioral control (b= 0.92; CI 95%= 0.17 to 1.68; p= 0.016) and perceived benefits (b= 1.31; CI 95%= -0.53 to 2.17; p= 0.001). Sexual behavior was influenced by perceived behavioral control (b= 1.35; CI 95%= 0.52 to 2.17; p= 0.001).Conclusions: Early marriage is influenced by perceived behavioral control, perceived benefits, parental support and perceived value of children. Levels of education influence early marriage based on perceived behavioral control and perceived benefits. Premarital sexual behavior is influenced by perceived behavioral control.Keywords: Personal factor, parental support, perceived value of children, early marriage.Correspondence: Rina Widiyawati. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: gugik.rina@gmail.com. Mobile: +6282330233064.Journal of Health Promotion and Behavior (2017), 2(1): 65-76https://doi.org/10.26911/thejhpb.2017.02.01.06
Determinants of Successful Smoking Cessation in Surakarta Atmodjo, Joko Tri; Soemanto, RB.; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Smoking cessation is not an easy endeavor as tobacco addiction is a group of behavioral, cognitive and physiological phenomena. This study aimed to analyze the determinants of successful smoking cessation using health belief model (HBM), PRECEDE-PROCEED model, and theory of planned behavior (TPB).Subjects and Method: This was an analytic observational study with cross-sectional design. It was conducted in Surakarta, in December 2017. A sample of  165 study subjects consisting of 68 ex-smokers who were successful in smoking cessation and 97 smokers who were unsuccessful in smoking cessation, by snowball sampling. The dependent variable was smoking cessation. The independent variables were intention to quit smoking, attitude toward smoking cessation, outcome expectation, addiction, stress, perceived behavioral control (PBC), subjective norm, social support, family income, purchasing power, smoking duration, and access to cigarette. The data were collected using questionnaire and analyzed using path analysis.Results: Successful smoking cessation was directly affected by strong intention (b= 2.39, SE= 0.51, p <0.001), duration of smoking (≥10 years) (b= -3.46; SE= 0.57; p <0.001), and easy access to cigarettes (b= -1.28; SE= 0.52; p= 0.008). Intention is was affeced by positive attitude (b = 0.79, SE= 0.39, p= 0.046), positive PBC (b= 1.89, SE= 0.40; p<0.001), high purchasing power (b= -1.23; SE= 0.39; p= 0.002), and positive subjective norm (b= 1.38; SE= 0.40; p= 0.001). Positive PBC was affected by duration of smoking (≥10 years) (b= -2.32; SE= 0.47; p<0.001), positive outcome expectation (b= 1.04; SE= 0.49; p= 0.035), and addiction (b= -2.96; SE= 0.49; p<0.001). Positive attitude was affected by positive expectation outcomes (b= 1.09; SE= 0.34; p= 0.001). Positive subjective norm (b= 0.77; SE = 0.33; p= 0.020) and positive outcome expectation (b= 0.77; SE= 0.33; p= 0.020) were affected by social support. Smoking duration was affected by stress (b= 0.09; SE=- 0.04; p= 0.018). Cigarette purchasing power was affected by high income (b=2.78; SE= 1.43; p= 0.053).Conclusion: Successful smoking cessation is directly affected by intention, smoking duration, stress, and access to cigarette. Success smoking cessation is indirectly affected by attitude, addiction, PBC, subjective norm, social support, outcome expectation, family income, purchasing power.Keyword: smoking cessation, HBM, PRECEDE-PROCEED, TPBCorrespondence: Joko Tri Atmojo. School of Health Sciences Mambaul Ulum, Surakarta, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: jokotriatmojo1@gmail.com. Mobile: 081393319000.Journal of Health Promotion and Behavior (2017), 2(4): 332-344https://doi.org/10.26911/thejhpb.2017.02.04.05 
Factors Affecting the Occurrence of Mental Disability in Ponorogo District, East Java Purwiyanti, Risye Endri; Soemanto, RB.; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Children with mental disability show below average intellectual abilities and social behavior adaptability. Living with a disabled child can have profound effects on the entire family–parents, siblings, and extended family members. Meeting the needs of children with disabilities can be challenging for schools and families. However, effective support for children’s mental health and wellbeing involves efforts to meet the social, emotional and learning needs of all children. This study aimed to investigate factors affecting the occurrence of mental disability in children aged 6 to 15 years old.Subjects and Method: This was an analytic observational study using case control design. The study was conducted in Ponorogo District, East Java, from March to April 2017. A sample of 150 children aged 6 to 15 years old, consisting of 50 children with mental disability and 100 children without mental disability, were selected for this study by fixed disease sampling. The exogenous variables were prematurity, maternal age during pregnancy, maternal stress during pregnancy, hereditary history, family income, parental education, and environmental exposure. The endogenous variables were maternal nutritional status, low birthweight, and mental disability. The data were collected by a questionnaire, and analyzed by path analysis.Results: Mental disability was directly affected by maternal age (b= 2.52, 95% CI = 1.23 to 3.81, p<0.001), low birthweight (b= 2.32, 95% CI = 1.11 to 3.54, p<0.001), hereditary history (b= 2.54, 95% CI = 1.34 to 3.74, p<0.001). Mental disability was indirectly affected by maternal nutritional status, maternal stress, maternal education, family income, and environmental exposure.Conclusion: Maternal age, low birthweight, and hereditary history, directly affect mental disability. Maternal nutritional status, maternal stress, maternal education, family income, and environmental exposure, indirectly affect mental disability.Keywords: mental disability, children aged 6 to 15 years oldCorrespondence: Risye Endri Purwiyanti. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: risye310390@gmail.com. Mobile: 085736575029.Journal of Maternal and Child Health (2017), 2(3): 257-269https://doi.org/10.26911/thejmch.2017.02.03.07
Multilevel Analysis on the Socio-Cultural, Lifestyle Factors, and School Environment on the Risk of Overweight in Adolescents, Karanganyar District, Central Java Widiyanto, Aris; Murti, Bhisma; Soemanto, RB.
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Basic Health Research (RISKESDAS) data in 2013 showed that the prevalence of overweight among adolescents aged 13-15 years was 10.8%. Karanganyar district is ranked fourth by the number of overweight adolescents cases in Central Java with prevalence of 8.2%. This study aimed to determine the asssociation between socio-cultural, lifestyle factors, and school environment on the risk of overweight in adolescents, Karanganyar District, Central Java, using social cognitive theory (SCT), PRECEDE-PROCEED model, and multilevel analysis.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at 25 junior high schools in Karanganyar district, Central Java, in December 2017. A sample of 200 junior high school students were selected for this study by stratified sampling and fixed disease sampling. The dependent variable was overweight. The independent variables were nutritional intake, snacking habits, physical activity, self efficacy, paternal BMI, maternal BMI, peer group influence, and school environment. Body weight data was measured by digital scale. Contextual effect of school environment was measured by the number of snack sellers at school. Other data were collected by questionnaire and analyzed by multilevel analysis.Results: High nutritional intake (b= 1.56, SE = 0.73, p= 0.032), high snacking habits (b= 1.27, SE = 0.70; p= 0.069), paternal BMI ≥23 (b= 1.60; SE= 0.79; p= 0.042 ), maternal BMI ≥23 (b= 2.29; SE = 0.76; p = 0.002), parent income ≥minimum  regional  wage (b= 2.17; SE= 0.76; p= 0.004), and strong peer group influence (b= 2.22; SE = 0.65; p= 0.001) increased the risk of overweight in adolescents. High self-efficacy (b= -3.61, SE= 0.75, p <0.001) and high physical activity (b= -2.92; SE= 0.80; p <0.001) decreased the risk of overweight in adolescents. Intraclass correlation= 9.92% indicating considerable contextual effect of school environment.Conclusion: Nutritional intake, snack habits, paternal BMI, maternal BMI, family income, and peer influence increase the risk of overweight in adolescent. Self-efficacy and high physical activity decrease the risk of overweight in adolescent. School environment has a considerable contextual effect on overweight in adolescents.Keyword: overweight, social cultural factor, adolescents, school environmentCorrespondence: Aris Widiyanto. School of Health Sciences Mambaul Ulum, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: widiyanto.aris99@gmail.com. Mobile: 081329209095.Journal of Epidemiology and Public Health (2018), 3(1): 94-104https://doi.org/10.26911/jepublichealth.2018.03.01.08
The Influence of Family Support, Social Capital, Self Efficacy, Education, Employment, Income, and Residential Status on the Quality of Life among the Elderly in Salatiga, Central Java -, Kadarwati; Soemanto, RB.; Murti, Bhisma
Journal of Epidemiology and Public Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Lengthening life expectancy of population worldwide has led to rapid growth of the elderly population. This change indicates good development progress. However, it also poses quality of life concern among the elderly. Since the elderly have limitation in many ways, their quality of life decreases, often requiring self-confidence, family support, as well as community awareness, to improve their quality of life. Quality of life is affected by physical, psychological, social and environmental conditions. This study aimed to determine the effects of self efficacy, education, employment status, income, family support, social capital, and residential status on the quality of life of the elderly.Subjects dan Method: This was an analytic observational study using cross-sectional design. The study was conducted in 6 villages, in Sidorejo sub-district, Salatiga, Central Java, from March to April 2017. A total sample of 150 elderlies aged between 60 to 74 years old were selected for this study by stratified random sampling. The exogenous variables were education, social capital and residential status. The endogenous variables were family support, self efficacy, employment status, income, and the quality of life. The data were collected by a set of questionnaire and analyzed by path analysis.Results: The quality of life of the elderly was directly affected by income (b=0.06; SE= 1.16; p=0.005), family support (b=0.14; SE=0.22; p=0.003), and self efficacy (b=0.79; SE= 0.11;  p<0.001). Family support was affected by residence status (b=0.54; SE=0.88; p<0,001), income (b=0.21; SE=0.40; p<0.001), and social capital (b=0.41; SE=0.02; p<0.001). Self efficacy was affected by family support (b=0.54; SE=0.10; p<0.001), and social capital (b=0.40; SE=0.04; p<0.001). Employment status was affected by education (b=0.16; SE=0.09; p=0.043). Income was influenced by education (b= 0.71; SE= 0.06; p<0.001).Conclusion: The quality of life of the elderly is directly affected by income, family support, and self efficacy. The quality of life is indirectly affected by education, employment status, social capital, and residential status.Keywords: quality of life, influencing factor, elderly, path analysisCorrespondence: Kadarwati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java. Email: kadarwati297@gmail.com. Mobile: +6285728953956.Journal of Epidemiology and Public Health (2017), 2(1):  58-69https://doi.org/10.26911/jepublichealth.2017.02.01.06 
Socioeconomic Determinants of Healthy Ageing and the Contextual Effect of Peer Group: A Multilevel Evidence from Blora, Central Java Cahyaningtyas, Niena Ayu; Sudiyanto, Aris; Soemanto, RB.
Journal of Epidemiology and Public Health Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Healthy ageing is about "optimizing opportunities for good health, so that older people can take an active part in society and enjoy an independent and high quality of life". This study aimed to examine the socioeconomic determinants of healthy ageing and the contextual effect of peer group in Blora, Central Java.Subjects and Method: This was a cross-sectional study conducted in Blora, Central Java.A sample of 200 elderly was selected for this study by snowball sampling. The dependent variable was healthy ageing. The independent variables were nutrition intake, age, religiosity, education, and perceived financial position. Data on healthy ageing was collected by WHOQOL-BREF. The other variables were measured by questionnaire. The data were analyzed by a multilevel model.Results: Healthy ageing was positively affected by strong religous belief (b= 6.75; 95% CI= 3.91 to 9.59; p<0.001), better education (b= 8.16; 95% CI= 4.26 to 12.07; p<0.001), better perceived financial position (b= 6.46; 95% CI= 2.86 to 10.07; p<0.001), and good nutritional status (b= 6.79; 95% CI= 3.76 to 9.83; p<0.001).Conclusion: Healthy ageing is positively affected by strong religous belief, better education, better perceived financial position, and good nutritional status.Keywords: healthy ageing, religious belief, elderly, ageing, peer support groupCorrespondence: Niena Ayu Cahyaningtyas. Masters Program in Public Health, Universitas Sebelas Maret, Jl Ir. Sutami 36A, Surakarta 57126, Central Java. Email: niena.ayu21@gmail.com. Mobile: 085640776171Journal of Epidemiology and Public Health (2019), 4(1): 30-36https://doi.org/10.26911/jepublichealth.2019.04.01.04 
Effect of Dementia, Family Support, Peer Support, Type of Residence, and Marital Status on Quality of Life of the Elderly in Surakarta, Central Java Suwarni, Sri; Soemanto, RB.; Sudiyanto, Aris
Journal of Epidemiology and Public Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The aging population is increasing in Indonesia and worldwide. Indonesia is one of the countries that has high aging population structure. As such, the quality of life of the elderly is of major concern. This study aimed to determine the effect of dementia, family support, peer support, type of residence, and marital status on quality of life of the elderly in Surakarta, Central Java.Subjects and Method: This was an analytical observational study with cross-sectional design.  A total sample of 218 elderly people in Surakarta, Central Java, was selected for this study by fixed exposure sampling, with 1:3 ratio consisting of 50 elderly people living in Dharma Bakti nursing home and 168 elderly people living with their families in the community. The dependent variable was health-related quality of life. The independent variables were dementia, family support, peer support, type of residence, and marital status. The data were collected by questionnaire and analyzed by path analysis.Results: Better quality of life of the elderly was directly increased by strong peer support (b= 0.25, p<0.001), strong family support (b= 0.59, p= 0.002), mild dementia (b= 1.79, p<0.001), and being married (b= 12.73, p= 0.039). Better quality of life was also increased indirectly by strong peer support (b= 0.67, p= 0.012) and living with families (b= 22.93, p<0.001), through family support.Conclusion: Better quality of life of the elderly is directly increased by strong peer support, strong family support, mild dementia, and being married. It is indirectly increase by strong peer support and living with families.Keyword: quality of life, dementia, family support, peer support, elderlyCorrespondence: Sri Suwarni. School of Health Polytechnics, Ministry of Health, Surakarta. Email: tanasfa@gmail.comJournal of Epidemiologi and Public Health (2018), 3(1): 83-94https://doi.org/10.26911/jepublichealth.2018.03.01.07 
The Contextual Effect of Social Norm on Early Marriage Among Young Women in Lampung: A Multilevel Analysis Evidence Agtikasari, Nurhayati; Soemanto, RB.; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Early marriageis driven by poverty and has manyeffectson girls' health: increased risk for sexually transmitted diseases, cervical cancer, malaria, death during childbirth, and obstetric fistulas. Girls' offspring are at increased risk for premature birth and death as neonates, infants, or children. This study aimed to investigate the contextual effect of social norm on early marriage among young women in Lampung, using multilevel analysis.Subjects and Method: This was a case control study conducted in Metro, East Lampung, Indonesia, from May to June 2018. A sample of 200 women was selected by random sampling, comprising 50 women who got married at under 21 years of age and 150 women who got married at ?21 years of age. The dependent variable was early marriage. The dependent variables were self efficacy, family income, family support, informational access at level 1 in multilevel analysis. Social norm were placed at level 2 in multilevel analysis. The data were collected by questionnaire and analyzed by multilevel analysis.Results: Marital age was postpone by self-efficacy (b= -1.93; 95% CI= -2.81 to -1.05 ; p<0.001), high family income (b= -1.20; 95% CI= -2.07 to -0.33; p=0.007), strong family support (b= -1.27; 95% CI= -2.35 to -0.19; p= 0.021), and access to positive information (b= -1.06; 95% CI= -2.08 to -0.04; p=0.042). Social norm had a contextual effect on marital age postponement with ICC= 14.56%.Conclusion:Marital age is reduced by strong self-efficacy, high family income, strong family support, and access to positive information. Social norm has a contextual effect on marital age postponement.Keywords: marital age postponement, self-efficacy, family income, family support, access to positive information, social normCorrespondence:Nurhayati Agtikasari. Masters Program in Public Heath, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: agtikasari2@gmail.com. Mobile: +6282185965148.Journal of Maternal and Child Health (2019), 4(1): 1-8https://doi.org/10.26911/thejmch.2019.04.01.01