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Hastuti, Uki Retno Budi
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
Medicine & Pharmacology Public Health

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The Influence of Personal Factor, Husband’s support, Health Workers and Peers toward the Use of IVA Screening among Women of Reproductive Age in the Regency of Karanganyar Wakhidah, Martini Shoim; Hastuti, Uki Retno Budi; Dewi, Yulia Lanti Retno
Journal of Health Promotion and Behavior Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Cervix cancer has been one of the highest cancer cases and becomes one of the main problems in women’s health throughout the world. The percentage of Women of Reproductive Age who performs early cancer detection is an indicator of success for health development. The Regency of Karanganyar is one of the regencies in the Province of Central Java with the percentage of Women of Reproductive Age who perform Visual Inspection with Acetic Acid (IVA) is equal to 5.50%. This percentage is still far below the target that has been set which is 10.00%.Subjects and Methods: This was an analytic observational study with cross-sectional design. This study was carried out in Re­gen­cy of Karanganyar. The subjects who had been involved were 150 respondents and these subjects were selected by means of fixed disease sampling. This sampling resulted in 50 cases and 100 controls. The dependent variable was behavior of using IVA screening, while the independent variables were perceived susceptibility, perceived seriousness, perceived benefits, perceived obstacles, husband’s support, health workers support, peer support, perceived threats and self-efficacy. In processing the data, the researchers implemented path analysis by means of Stata 13.Results: The results of the study showed perceived threats (b= 0.08; 95% CI= <0.01 until 0.16; p= 0.043), perceived benefits (b= 0.05; 95% CI= <-0.01 until 0.117; p= 0.091), perceived obstacles (b= -0.49; 95% CI= -0.07 until 0.11; p= 0.091), self-efficacy (b= 0.04; 95% CI= -0.13 until 0.11; p= 0.125), perceived susceptibility (b= 0.23; 95% CI= 0.11-0.34; p <0.001), perceived seriousness (b= 0.11; CI9 95%= 0.00 until 0.22; p= 0.049), husband’s support (b= 0.14; 95% CI= -0.01 until 0.29; p=0.068), health workers support (b= -0.23; 95% CI=-0.54 until 0.08; p= 0.149) and peer support (b= 0.18; 95% CI= -0.13 until 0.51; p= 0.256).Conclusion: There is a direct influence from perceived benefits, perceived obstacles, perceived threats and self-efficacy toward behavior of using IVA screening. Then, there is indirect influence from perceived susceptibility, perceived seriousness, husband’s support, health workers support and peer support toward behavior of using IVA screening.Keywords: IVA, HBM, support, path analysisCorrespondence: Martini Shoim Wakhidah. Masters Program of Public Health, Sebelas Maret University, Surakarta. Email:afkarshoim_msw@yahoo.com. Mobile: +6285235464812.Journal of Health Promotion and Behavior (2017),  2(2): 124-137https://doi.org/10.26911/thejhpb.2017.02.02.03
Analysis of Factors Influencing Female Infertility Indarwati, Ika; Hastuti, Uki Retno Budi; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Female infertility is one of important public health problems worldwide. According to the World Health Organization, the incidence of infertile cases is increasing each year. Likewise, according to the Central Bureau of Statistics, infertile incidence in Indonesia has been increasing. Dr. Moewardi Hospital Surakarta is one of the hospitals in Central Java Province with increasing number of infertile patients visits. This study aimed to analyze risk factors influencing female infertility.Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Sekar Clinic Dr. Moewardi Hospital, Surakarta from February to March, 2017. A sample of 105 fertile women, consisting of 35 infertile women and 70 fertile women, were selected for this study. The dependent variable was infertility. The independent variables were age, maternal employment status, level of stress, body mass index, abnormal reproductive organ. The data were collected by medical record and questionnaires. The data were analyzed by logistic regression.Results: Female infertility was affected by aged ≥35 years old (OR= 4.45; CI 95%= 1.27 to 15.54; p=0.019), career women (OR=3.91; CI 95%= 1.14 to 13.38; p=0.043), high level of stress (OR=3.89; CI 95%=1.04 to 14.46; p=0.046), body mass index(OR=4.37; CI 95%= 1.03 to 18.61; p<0.001), abnormal reproductive organ (OR=11.67; CI 95%= 2.80 to 48.54; p=0.030).Conclusion: female infertility is affected by aged ≥35 years old, carrer women, high level of stress, body mass index, and abnormal reproductive organ. Keywords: female infertility, age, level of stress, employment status, body mass index.Correspondence: Ika Indarwati. Masters Programin Public Heath, Sebelas Maret University, Surakarta. Email: ikaindarwaty@gmail.com. Mobile: +6285736222215.Journal of Maternal and Child Health (2017), 2(2): 150-161https://doi.org/10.26911/thejmch.2017.02.02.06
Relationship between Sociodemographic Factors and Mother’s Participation in Breast Feeding Support Group with Exclusive Breastfeeding Success in Banyuwangi Wardani, Endah Kusuma; Hastuti, Uki Retno Budi; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Exclusive breastfeeding for 6 months is every baby’s right as it can save the babys life and have a good impact on mothers health. The coverage of exclusive breastfeeding in Banyuwangi in 2015 was 78.7%. This study aims to explain the relationship between age, parity, education, occupation, household assistant (ART), mother participation in maternal breast support group (KP-ASI) and exclusive breastfeeding success.Subjects and Methods: This was an analytic observational study with cross sectional design. The study was conducted in 3 Puskesmas (community health center) in Banyuwangi. The study time was August to September 2017. The sample size was 120 subjects, selected by simple random sampling technique with the total of case group 40 and control group 80. The dependent variable was the exclusive breastfeeding (ASI) success. Independent variables were age, parity, education, occupation, ART, mother participation in KP-ASI. The data was analyzed using multiple logistic regressions.Result: Mother’s age (OR = 3.99; 95% CI = 1.08 to 14.64; p = 0.037), parity (OR = 7.15; 95% CI = 2.19 to 23.33; p = 0.001), education (OR = 1.30; CI95% = (OR = 0.99; 95% CI = 0.16 to 2.35; p = 0.488), household assistant (OR = 8.99; 95% CI = 2.32 to 34.88; p = 0.001); mother’s participation in breastfeeding (OR = 5.32; 95% CI = 1.79 to 15.76; p = 0.003) was related to exclusive breastfeeding success.Conclusions: The exclusive breastfeeding success is related to mother’s age, parity, household assistant, and mother’s participation in breastfeeding, but not significantly related to mother’s education and employment.Keywords: Exclusive breast feeding, Sociodemographic factors, KP-ASICorrespondence: EndahKusumaWardani. Masters Program in Public Health, SebelasMaret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: qsuma89@yahoo.com. Mobile: +6282257193736.Journal of Maternal and Child Health (2017), 2(4): 335-344https://doi.org/10.26911/thejmch.2017.02.04.05 
Risk Factors of Postpartum Hemorrhage in Bondowoso District, East Java Puspitasari, Ratna; Hastuti, Uki Retno Budi; Murti, Bhisma
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Postpartum hemorrhage is the leading cause of the maternal death worldwide. Postpartum hemorrhage accounted 20% of all causes of maternal death in Bondowoso, East Java. This study aimed to examine the risk factors of postpartum hemorrhage.Subjects and Method: This was an analytic observational study using case control design. The study was carried out at 5 community health centers, Bondowoso District, East Java, from March to May 2017. A sample of 120 study subjects were selected for this study by fixed disease sampling, consisting of 40 postpartum women with hemorrhage and 80 postpartum women without hemorrhage. The dependent variable was postpartum hemorrhage. The independent variables were family income, birth space, type of delivery, mothers middle upper arm circumference (MUAC), antenatal visit, and high-risk score card. The data were collected by a set of pre-tested questionnaire. Path analysis was employed for data analysis.Results: Post partum bleeding was directly affected by birth space <2 years or > 10 years (b=3.03; 95% CI = 1.52 to 4.55; p< 0.001), antenatal visit ≥ 4 times (b=3.35; 95% CI= 1.82 to 4.87; p< 0.001), High risk score <2 (b=2.18; 95% CI= 0.92 to 3.44; p= 0.001), type of delivery (b=1.63; 95% CI= 0.39 to 2.87; p= 0.010). High-risk score card was affected by birth space <2 years or > 10 years (b=0.80; 95% CI= 0.32 to 1.57; p= 0.041), family income < Rp 1,417,000 (b=0.72; 95% CI= -0.57 to 1.49; p= 0.070), and antenatal visit ≥ 4 (b=0.70; 95% CI= -0.07 to 1.48; p= 0.076). MUAC was affected by family income ≥ Rp 1,417,000 (b=0.67; 95% CI= -0.08 to 1.44; p= 0.083). Type of delivery (assisted) was affected by high-risk score card <2 (b=1.00; 95% CI = 0.22 to 1.77; p= 0.011) and mother’s MUAC <23.5 cm (b=1.04; 95% CI= 0.20 to 1.88; p= 0.015).Conclusion: Post partum bleeding was directly affected by birth space, antenatal visit, high risk score, type of delivery. High-risk score card was affected by birth space, family income, and antenatal visit. MUAC was affected by family income. Type of delivery (assisted) was affected by high-risk score card  and mother’s MUAC.Keywords: postpartum hemorrhage, risk factorCorrespondence: Ratna Puspitasari. Masters Program in Public Helath, Sebelas Maret University, Surakarta. Email: ratnapuspita1987@yahoo.co.id. Mobile: +6285791373311Journal of Maternal and Child Health (2017), 2(2): 177-187https://doi.org/10.26911/thejmch.2017.02.02.08
PRECEDE-PROCEED Model: Predisposing, Reinforcing, and Enabling Factors Affecting the Selection of Birth Attendant in Bondowoso District Pramiyana, Ira Martin; Hastuti, Uki Retno Budi; Murti, Bhisma
Journal of Health Promotion and Behavior Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Skilled birth attendant is one of the determinants of maternal and infant mortality. One of the primary causes of maternal mortality in Bondowoso District was the reliance on the traditional birth attendant (TBA). In 2016, the number of birth delivery attended by TBA reached 510 out of 10,326 deliveries. This study aimed to determine the predisposing, reinforcing, and enabling factors affecting the selection of birth attendant in Bondowoso.Subjects and Method: This was an analytic observational study using case control design. The study was conducted at 5 community health centers in Bondowoso District, East Java, from April to May 2017. A sample of 160 delivering mothers, consisting of 110 mothers assisted by skilled birth attendants and 50 mothers assisted by traditional birth attendants, were selected for this study by fixed disease sampling. The dependent variable was the selection of birth attendant (skilled birth attendant vs. TBA). The independent variables were age, education, working status, ANC visit, tradition, and family support. The data were collected by a set of questionnaire. Path analysis was employed to analyze data.Results: Age 20-34 years (b= -2.10; 95% CI=-3.96 to -0.25; p= 0.026), working outside the house (b= 2.23; 95% CI=0.84 to 3.61; p= 0.002), ANC visit (b= 2.71; 95% CI=0.80 to 4.62; p= 0.005), good tradition (b= 4.05; 95% CI=2.38 to 5.72; p<0.001) increased the likelihood of selecting skill birth attendant. Age 20-34 years (b= 2.54; 95% CI=1.24 to 3.84; p<0.001) and maternal education ≥high school (b=3.69; 95% CI=2.47 to 4.92; p<0.001) increased ANC visit. Maternal education ≥ high school (b=0.74; 95% CI=-0.02 to 1.51; p= 0.059) increased age. Maternal education ≥  high school (b=1.39; 95% CI=0.63 to 2.14; p<0.001) increased the likelihood of mother working outside the house. Family support (b=2.02; 95% CI=1.21 to 2.82; p<0.001) increased the likelihood of good tradition.Conclusion: Age 20-34 years, working outside the house, ANC visit, good tradition, directly increase the likelihood of selecting skill birth attendant.Keywords: selection of birth attendant, predisposing, enabling, reinforcing factorsCorrespondence: Ira Martin Pramiyana. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: iramartinpramiyana87@gmail.com. Mobile: +6282337742697.Journal of Health Promotion and Behavior (2017), 2(2): 159-172https://doi.org/10.26911/thejhpb.2017.02.02.06
Co-Authors Bhisma Murti Desyandri Desyandri Hanung Adi Nugroho Indarwati, Ika Pramiyana, Ira Martin Rita Adriani Benya Adriani Wakhidah, Martini Shoim Wardani, Endah Kusuma yulia lanti retno dewi