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Maryana, Dyan
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Medicine & Pharmacology Public Health

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Meta Analysis of Factors Determining Postnatal Care Utilization Astari, Rahmi Windhy; Wardani, Aulia Ayu Kusuma; Maryana, Dyan; Kurniati, Era; Murti, Bhisma; Tursina, Elsa
Journal of Maternal and Child Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.03.02

Abstract

Background: Maternal and infant morbidity and mortality continue to be a challenge today. Most maternal and newborn deaths occur during the early postnatal period. This condition can be caused by low utilization of postnatal care services. This study aims to analyze and estimate the influence of determining factors on the utilization of postnatal care services. Subjects and Method: Meta-analysis was conducted using PRISMA guidelines and PICO format. Population: Postpartum Mothers. Intervention: high antenatal care, high maternal education, high family income and delivery in hospital. Comparison: low antenatal care, low maternal education, low family income, home birth. Outcome: postnatal care services. Cross-sectional study articles were collected from Google Scholar, PubMed, and Science Direct databases. The search strategy used the keywords: "Determinant Postnatal Care" AND "Maternal Health Service" AND "Cross-Sectional". The inclusion criteria for this study were full-text, cross-sectional studies published from 2014 to 2023. Data from articles were extracted with RevMan 5.3. Results: The meta-analysis included 16 cross-sectional studies from Ethiopia, Ghana, Kenya, and Malawi. The total sample was 29,165 postpartum mothers. Postnatal mothers with high antenatal care visits (aOR= 2.64; 95% CI= 1.87 to 3.71; p = 0.001), high education (aOR= 2.09; 95% CI= 1.67 to 2.63; p = 0.001), high family income (aOR= 1.63; 95% CI= 1.25 to 2.11; p = 0.002), and hospital delivery (aOR= 1.58; 95% CI= 1.15 to 2.97; p = 0.010) allow the utilization of postnatal care services and these results were statistically significant. Conclusion: The results of this study reveal that high antenatal care, high maternal education, high family income and delivery in hospital have a positive effect on the utilization of postnatal care services.
Effects of Family Income and Maternal Education on the Risk of Low Birth Weight Maryana, Dyan; Murti, Bhisma; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.03.10

Abstract

Background: LBW babies are still a problem, especially in developing countries. Family income and maternal education are factors that influence health service outcomes, including preventing low birth weight babies. The aim of this study was to analyze the influence of family income and maternal education on the risk of low birth weight babies. Subject and Methods: Observational analytical research design with a cross sectional approach. The sampling technique is random sampling. The research was conducted in Blora Regency, Central Java with a sample size of 200 mothers with newborn babies. The dependent variable is low birth weight. The independent variables consist of exposure to cigarette smoke, maternal age, family income, pos pelayanan terpadu strata and maternal education. The study instrument used was a questionnaire. Data were analyzed using path analysis with STATA 13. Result: The results of the path analysis explain that the risk of low birth weight babies is directly influenced by family income and this influence is statistically significant. Pregnant women with high family income have a risk of giving birth to babies with low birth weight 0.5 times compared to low family income (OR= 0.52; 95% CI= 0.27 to 1.00; p= 0.050). There was no significant effect of pos pelayanan terpadu strata or exposure to cigarette smoke on the risk of babies with low birth weight (LBW). Family income is influenced by the mother's education and this influence is statistically significant. The higher the mother's education, the higher the family income (OR= 2.35; 95% CI= 1.32 to 4.21; p = 0.004). There is a relationship between maternal age and maternal education and this relationship is statistically significant. Older mothers on average had lower education (OR= 0.43; 95% CI= 0.24 to 0.77; p = 0.004). Conclusion: There is a direct influence between family income, pos pelayanan terpadu strata and exposure to cigarette smoke on the risk of LBW babies. There is an indirect effect between maternal education on family income, and maternal age on maternal education.
Co-Authors Astari, Rahmi Windhy Bhisma Murti Eti Poncorini Pamungkasari Kurniati, Era Tursina, Elsa Wardani, Aulia Ayu Kusuma