Poncorini, Eti
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Case Study on the Biopsychosocial Impacts and Coping Behaviors among Victims of Female Sexual Violence in Sukoharjo, Central Java Retnaningsih, Isna Rahmawati; Demartoto, Argyo; Poncorini, Eti
Journal of Health Promotion and Behavior Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Sexual violence on women is a serious social problem. It may cause various impacts including biological, reproductive, psychological, and social impacts. There is a need for behavioral change to deal with the impact of sexual violence. This study aimed to explore the biopsychosocial impacts and coping behaviors among female sexual violence victims.Subjects and Method: This was a qualitative descriptive research using case study method. The study was conducted in Sukoharjo from 15 June to 25 July 2017. Key informants were included female sexual violence victims and close persons, Chairman of NGO Alliance of Concern in Womens Welfare (APPM), volunteers of One Heart Disability Society, staff of Office for Womens Empowerment, and Head of  Women and Child Protection Unit, and medical personnel. The data were collected by in-depth interview, observation, and document review. Interactive analysis included data collection, reduction, display, and verification.Results: The age of female victims of sexual violence ranged between 15 and 21 years. They had no schooling or junior high school education. All of them came from Sukoharjo, Central Java. The forms of sexual violence were sexual harassment and rape. The perpetrators were close persons of the victim. The biological, reproductive, and psychological impacts of the victim included fear, irritation, trauma, worry, self-imprison, self-contain, feelings of revenge, emotion, stress, pain during urination, fever, unwanted pregnancy, and complications of childbirth. The social impacts included isolation, gossiping, and negative stigma of the victim. The victims behaviors in coping with the biopsychosocial impacts included routine medical check up, attempt to forget, taking for granted, and avoidance of bringing up the incidents of sexual violence, preoccupation with positive activities, seeking support of the close person, being more careful of the opposite sex, and avoidance of mingling with unrecognized people in a strange environment.Conclusion: Female sexual assault cases suffered undesireable biological, reproductive, psychological, and social impacts. The impacts of biological and reproductive health take the forms of health problems, unwantted pregnancy, and complications of childbirth. There is a need for support to help overcome the biopsychosocial impacts of sexual violence victims.Keywords: Health Belief Model, biopsychosocial impacts, sexual violenceCorrespondence: Isna Rahmawati Retnaningsih. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: rahmawatiisna.ir@gmail.com. Mobile: +6285640533107.Journal of Health Promotion and Behavior (2017), 2(3): 218-231https://doi.org/10.26911/thejhpb.2017.02.03.03
Health Belief Model: Health Preventive Behavior of Sexually Transmitted Infection in Female Sex Workers in Surakarta Wulandari, Yenni Apriana; Suryani, Nunuk; Poncorini, Eti
Journal of Health Promotion and Behavior Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background:  Sexually  Transmitted Infection (STI), such as HIV/ AIDS, is a public health problem. The prevalence of HIV in Indonesia in 2014 was 32,711 cases, and the prevalence of AIDS was 5,494 cases. In 2015 the Municipality Health Office of Surakarta  found 71 cases of STI, consisting of 18 cases of HIV, 47 cases of AIDS, and 6 cases of Siphilis. A female sex worker may have several sexual partners per day. As studies have shown, female sex workers have 12 times higher risk of HIV infection than loyal housewife. Condom use can reduce up to 85% risk of HIV transmission. This study aimed to investigate the factors affecting STI preventive behavior among female sex workers in Surakarta, using  Health Belief Model (HBM).Subjects and Method: This was an observational analytic study with cross-sectional design. This study was conducted in Banjarsari, Surakarta, Indonesia, from August to October 2016. A total of 130 female sex workers were selected at random. The independent variables were perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, and self-efficacy. The dependent variable was STI preventive behavior. The data was collected by questionnaire and analyzed by logistic regression model.Results: Perceived susceptibility (OR=7.45; CI=95%; 1.61 to 49.89; p=0.012), severity (OR=4.02; CI=95%; 1.14 to 14.17; p=0.310), benefit (OR=5.63; 95% CI; 1.10 to 28.91; p=0.390), barrier (OR = 0.18; 95% CI; 0.02 to 0.70; p=0,018), cues to action (OR=7.32; CI=95%; 1,18 to 29.29; p=0.050), self-efficacy (OR=5.10; CI=95%; 1.10 to 23.58; p=0.370), had positive effects on STI preventive behavior.Conclusion: Perceived susceptibility, severity, benefit, barrier, cues to action, self-efficacy, had positive effects on STI preventive behavior. This study supports the applicability of the HBM constructs when they are used to explain factors affecting STI prevention behavior.Keywords: Health Belief Model, sexually transmitted infection, female sex workerCorrespondence: Yenni Apriana Wulandari. Masters Program in Public Health, Sebelas Maret University, SurakartaJournal of Health Promotion and Behavior (2016), 1 (2): 70-78https://doi.org/10.26911/thejhpb.2016.01.02.02
Factors Associated with Exclusive Breastfeeeding: Application of PRECEDE-PROCEED Model and Theory of Planned Behavior Alfianrisa, Anggityas; Salimo, Harsono; Poncorini, Eti
Journal of Maternal and Child Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Exclusive breastfeeding (EBF) is an ideal food for infants aged 0-6 months. EBF is useful for infants, but it is under-implemented. A non profit organization, namely Indonesian Association of Lactating Mothers (AIMI), has been established recently, with an objective to disseminate knowledge and information on breastfeeding and to increase breastfeeding practice in Indonesia. This study aimed to examine factors associated with exclusive breastfeeeding using  PRECEDE-PROCEED model and Theory of Planned Behavior.Subjects and Methods: This was an analytic observational study with retrospective cohort design. This study was conducted at Pajang Community Health Center, Surakarta, Central Java, from January to March, 2017. A total sample of 120 lactating mothers were selected for this study by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal education, maternal employment status, participation in AIMI, knowledge, attitude, family support, perceived behavior control, and intention. The data were collected by a set of questionnaire and analyzed by path analysis.Results: Exclusive breastfeeding were positively associated with maternal education ≥senior high school (b= -0.13; SE= 0.22; p= 0.572), participation in AIMI (b= 0.45, SE= 0.26, p= 0.085), maternal employment status (b= -0.63; SE= 0.20; p= 0.002), attitude (b= 0.05; SE= 0.03; p= 0.172), family support (b= 0.06; SE= 0.03; p= 0.039), perceived behavior control (b= 0.04; SE= 0.03; p= 0.164), and intention (b= 0.09; SE= 0.05; p= 0.045). EBF intention were positively associated with maternal education ≥senior high school (b=1.44; SE=0.42; p<0.001), participation in AIMI (b= 0.55; SE= 0.46; p= 0.229), attitude (b= 0.11; SE= 0.06; p= 0.046) and perceived behavior control (b= 0.38; SE= 0.05; p <0.001).Conclusion: Exclusive breastfeeding are positively associated with maternal education ≥senior high school, participation in AIMI, maternal employment status, attitude, family support, perceived behavior control, and intention. EBF intention are positively associated with maternal education ≥senior high school, participation in AIMI, attitude and perceived behavior control.Keywords: PRECEDE-PROCEED model, theory of planned behavior, AIMI, exclusive breastfeedingCorrespondence: Anggityas Alfianrisa. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: anggityasrisa@gmail.com. Mobile: +6285647563476.Journal of Maternal and Child Health (2017), 2(1): 42-53https://doi.org/10.26911/thejmch.2017.02.01.05
Effect of Family Income, Education, Occupation, and Birth Weight on Child Growth at Aisyiyah III Kindergarten, in Kadipiro, Indonesia Haryanti, Rusiana Sri; Murti, Bhisma; Poncorini, Eti
Journal of Maternal and Child Health Vol. 1 No. 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (151.809 KB) | DOI: 10.26911/thejmch.2016.01.01.01

Abstract

Background: Children under five years old are the future generation. Stages of child development during the golden period require stimulation to increase the potential of healthy children. As such the growth and development of children under five need serious attention. This study aimed to analyze the effect of family income, education, maternal occupation, and birth weight, on the development of children under five.Subjects and Method: The study was observational analytic using cross sectional design. The study was conducted in Kindergarten of Aisyiyah III Kadipiro in May-June 2016. A total sample of 50 subjects was selected for this study. The independent variables were family income, education, maternal occupation, and birth weight. The dependent variable was child development. The data were analyzed using a multivariate linear regression model.Results: Family income had a negative relationship with child development, but was not statistically significant (OR= 0:13; 95% CI <0.01 to 5.02; p= 0.274). Maternal education (OR= 22.22; 95% CI= 1.35 to 365.07; p= 0.030), occupation (OR= 96.18; 95% CI= 1.69 to 5644.84; p=0.027), and birth weight (OR= 32.21; 95% CI= 1.76 to 588.84; p= 0.019), had positive and statistically significant relationship with child development.Conclusion: Maternal education, maternal occupation, and birth weight have positive effect on child development.Keywords: family income, education, occupation, birth weightCorrespondence:Rusiana Sri Haryanti. School of Health, STIKes PKU Muhammadiyah, Surakarta, Indonesia. Email: rusianamolyn@gmail.com.Journal of Maternal and Child Health (2016), 1 (1): 1-6https://doi.org/10.26911/thejmch.2016.01.01.01
The Effectiveness of Hypnobirthing in Reducing Anxiety Level During Delivery Imannura, Pramita Sandy Ulya; Budhiastuti, Uki Retno; Poncorini, Eti
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Neonatus given birth by pregnant mothers suffering from excessive anxiety and stress have higher risk of low-birthweight, small head circumference, low APGAR score at birth, in adequate neurologyc development, premature birth, weak immunity system, and emotional disorder, than those given birth by happy mothers. This study aimed to examine the effect of effectiveness of hypnobirthing in reducing anxiety level during delivery.Subjects and Method: This was an analytic experimental study with Randomized Control Trial (RCT) design. A sample of 30 pregnant mothers near delivery date was selected for this study and allocated into hypnobirthing group and no-hypnobirthing group. The dependent variable was anxiety during delivery. The independent variable was hypnobirthing. The anxiety level between the two groups was tested by Mann Whitney.Results: After intervention, pregnant mothers who received hypnobirthing had anxiety level as low as 41.33 (p=0.003). Pregnant mothers who did not receive hypnobirthing had anxiety level as low as 51.60 (p=0.003). The reduction of anxiety between the two groups was statistically significant.Conclusion: Hypnobirthing can effectively reduce anxiety among pregnant mothers during birth delivery.Keywords: hypnobirthing, anxietyCorrespondence: Pramita Sandy Ulya Imannura. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: oxytocinyoga@gmail.com.Journal of Maternal and Child Health (2016), 1(3): 200-204https://doi.org/10.26911/thejmch.2016.01.03.08
Multilevel Analysis on the Factors Associated with Low Birth Weight in Temanggung, Central Java Khayati, Yulia Nur; Prayitno, Adi; Poncorini, Eti
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Infants with low birth weight or LBW is one of the risk factors for infant mortality. Complications LBW actually can be prevented and dealt with, but is constrained by access to health care, socio-economic circumstances, a referral system that has not gone well, delays in early detection and awareness of parents to seek medical help. By looking at the number of deaths caused by LBW remains high, and research on the causes of LBW widely used partial analysis, and have not been analyzed in stages, the researchers conducted this research with multilevel analysis.Subjects and Method: This was an observational studt with case control design. A total sample of 120 infants were selected by fixed disease sampling with a ratio of 1: 2 between cases and controls. Data were analyzed using multiple logistic regression.Results: There are three variables at the individual level were significantly associated with LBW and was statistically significant can among others, mother’s education (OR= 0.19; 95% CI= 0:07 to 0.53; p= 0.001), history of ANC t (OR= 7.76; 95% CI= 2.18 to 27.62; p= 0.002) and the nutritional mother status (OR= 5.61; 95% CI= 0.21 to 0.79; p= 0.008) and the variables that are not statistically significant is the mother’s age and family income, and there are  no contextual role within house with wellness facilities with LBW expressed by ICC < 0.001.Conclusion: The influence of maternal education, a history of the ANC examination and nutritional status of mothers with LBW and there is no contextual role of distance between home and health care facilities with LBW. This study suggests to health professional to improve the coverage of the ANC.Keywords: multilevel analysis, factor low birth weightCorrespondence: Yulia Nur Khayati. School of Health and sciences, STIKes Ngudi Waluyo, Ungaran, Indonesia. Email: yulia.farras@gmail.com.Journal of Maternal and Child Health (2016), 1(1): 7-12https://doi.org/10.26911/thejmch.2016.01.01.02
Multilevel Analysis: The Effect of Socioeconomic, Birth Weight, and Nutrition Intake with Wasting in Boyolali, Central Java Roobiati, Nur Fika; Poncorini, Eti; 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: Wasting is a major health problem. Globally, wasting accounts for 4.7% of all deaths of children aged under 5 years. Severely wasted children are, on average, 11 times more likely to die than their healthy counterparts. This study aimed to investigate the effect of socioeconomic, birth weight, and nutrition intake with wasting in Boyolali, Central Java, using multilevel analysis.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted in Boyolali, Central Java, from April to May 2018. Twenty five posyandus (integrated health posts) were selected and positioned at level 2 in the multilevel model (MLM) analysis. A sample of 200 children under five was selected for this study by fixed disease sampling and positioned at level 1 in the MLM. The dependent variable was wasting. The independent variables were birth weight, nutrition intake, maternal education, family income, and family size. Data on wasting was measured by microtoise and weight scale. Nutrition intake was measured by food recall. The other variables were collected by questionnaire. Data were analyzed by a MLM analysis.Results: The risk of wasting decreased with high family income (b= -1.92; 95% CI= -3.77 to -0.08; p= 0.041), high maternal education (b= -2.68; 95% CI= -4.97 to -0.38; p= 0.022), small family size (b= -2.01; 95% CI= -3.67 to -0.35; p= 0.018), normal birth weight (b= -2.55; 95% CI= -4.89 to -0.21; p= 0.033), good nutritional intake (b= -2.18; 95% CI= -3.95 to -0.41; p= 0.016). Posyandu had a contextual effect on wasting with ICC= 21.45%.Conclusion: The risk of wasting decreases with high family income, high maternal education, small family size, normal birth weight, good nutritional intake. Posyandu has a contextual effect on wasting.Keywords: wasting, socioeconomic, birth weight, nutrition intake, children under fiveCorrespondence:Nur Fika Roobiati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: nur_fika@ymail.com. Mobile: +6285799504324.Journal of Maternal and Child Health (2019), 4(1): 9-16https://doi.org/10.26911/thejmch.2019.04.01.02
Does Health Center Have Contextual Effect on Midwife Performance? Multilevel Analysis Evidence from East Kalimantan, Indonesia Rahmadani, Latifah Nur; Budihastuti, Uki Retno; Poncorini, Eti
Journal of Health Policy and Management Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The maternal mortality rate (MMR) which is still high has now become the priority in order to find its solution. Midwives play a very significant role in making efforts to reduce MMR through antenatal care (ANC) services. The performance of midwives directly influences the quality of service and health outcomes in the public health centers. The performance of midwives in ANC can be seen based on the coverage of K1 and K4. This study aimed to determine the contextual effect of public health centers and other factors that influence the performance of midwives in antenatal care services.Subjects and Method: This study was conducted using observational analytic with cross sectional approach. It was done in 25 health centers in Samarinda, East Kalimantan in April-May 2019. The number of samples was 180 midwives selected using the total sampling technique. The dependent variable is the performance of the midwife. The independent variables include age, knowledge, tenure, training, workload, incentive, supervision, and motivation. The data were collected by questionnaire and analyzed by multilevel multiple logistic regression.Results: Midwife performance was influenced by age >45 years (b = -2.48; 95% CI = -4.53 to -4.34; p = 0.018), good knowledge (b = 1.35; 95% CI = 0.38 to 2.31; p = 0.006), tenure ≥13 years (b = 1.89; 95% CI = -0.07 to 3.86; p = 0.059), training ≥2 (b = 1.30; 95% CI = 0.29 to 2.30; p = 0.011), heavy workload (b = -1.30; 95% CI = -2.27 to -0.34; p = 0.008), incentive (b = 1.74; 95% CI = 0.30 to 3.18; p = 0.018), supervision (b = 1.12; 95% CI = 0.19 to 2.05; p = 0.017), and high motivation (b = 1.42; 95% CI = 0.45 to 2.38; p = 0.004). There was no contextual influence of public health center on the performance of midwives in antenatal care services (ICC = <1%).Conclusion: Age, knowledge, tenure, training, workload, incentives, supervision, and motivation are associated with midwives performance. There is no contextual influence of public health centers on the performance of midwives.Keywords: work performance, midwife, contextual effect, antenatal careCorrespondence: Latifah Nur Rahmadani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah. Email: latifahnr8@gmail.com. Mobile: 085250118907.Journal of Health Policy and Management (2019), 4(3): 150-160https://doi.org/10.26911/thejhpm.2019.04.03.02