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All Journal Journal of Maternal and Child Health Indonesian Journal of Global Health research Jurnal Medicare Jurnal Kesehatan
Tursina, Elsa
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Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing 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.
A Meta-Analysis of Gender, Marital Status, and Residence on Condom Use Among Adults Hariyadi, Agustin Mahardika; Putry, Mentary Febryant; Sanusi, Sita Rahayu; Murti, Bhisma; Tursina, Elsa
Journal of Maternal and Child Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.02.01

Abstract

Background: The use of condoms is the only method of contraception that can protect a person from sexually transmitted diseases (STDs). This study aims to analyze and estimate the effect of gender, marital status and residence on condom use among adults. Subject and Method: The systematic review and meta-analysis studies were conducted according to the PRISMA flowchart and PICO model. Population: Adults in general. Intervention: Gender (Female), Place of Residence (Rural) and Marital Status (Unmarried) in using condoms. Comparison: gender (male), place of residence (urban), and marital status (married). Outcome: condom use. The basic data used involves Google Scholar, PubMed, BMC, Scient Direct, and Springer Link with the keywords (“Use condom”) AND (“Gender”) AND (“Marital status”) AND (“Adult”) AND (“Cross -sectional”). Inclusion criteria were cross-sectional study articles in English published from 2014 to 2024. Data analysis was carried out using the Review Manager 5.3 application. Result: This meta-analysis included 14 cross-sectional studies from Ethiopia, Iran, Africa, and America. The sample size in this meta-analysis was 18,322. Meta-analysis showed that condom use was less in women (aOR= 0.66; 95% CI= 1.20 to 0.36; p 0.170), and more in rural areas (aOR= 0.80; 95% CI= 0.66 to 0.98; p= 0.620), with unmarried status (aOR = 0.92 CI 95%= 1.97 to 0.43; p 0.830). However, these three results were not statistically significant. Conclusion: Condom use is less among women and more in rural areas with unmarried status.
Meta-Analysis: Application of Health Belief Model Theory on Covid-19 Vaccine Acceptance Tursina, Elsa; Rahardjo, Budhi; Nugroho, Farid Setyo
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3385

Abstract

The Health Belief Model (HBM) helps in understanding health-related behaviors and is used to explore factors that influence the acceptance of COVID-19 vaccines. This exploration serves as the basis for designing more effective intervention programs to increase vaccine acceptance, both for COVID-19 and future vaccination programs. This study aims to analyze and estimate the impact of applying the Health Belief Model on the acceptance of COVID-19 vaccines. Methods: This study is a meta-analysis using the PICO model. Population: adults. Intervention: high perceived susceptibility, high perceived severity, high perceived benefits. Comparison: low perceived susceptibility, low perceived severity, low perceived benefits. Outcome: acceptance of COVID-19 vaccination. The research data was sourced from Google Scholar, ScienceDirect, and PubMed, using keywords “Health Belief Model” AND “HBM” AND “Vaccine COVID-19 Acceptance” OR “Receive” AND “Vaccine COVID-19 Hesitancy”. The inclusion criteria for articles in the meta-analysis were articles published between 2020 and 2022 in English. Analysis was performed using the RevMan 5.4 application. Results: A meta-analysis was conducted on 15 cross-sectional studies from Asia and Europe with a total sample size of 19,814 people. High perceived susceptibility (aOR= 1.28; 95% CI= 1.10 to 1.49; p= 0.001), high perceived severity (aOR= 1.24; 95% CI= 1.04 to 1.48; p= 0.020), and high perceived benefits (aOR= 2.64; 95% CI= 1.73 to 4.02; p<0.001) towards COVID-19 were found to increase the acceptance of COVID-19 vaccination, and these results were statistically significant. Conclusion: High perceived susceptibility, high perceived severity, and high perceived benefits towards COVID-19 increase the acceptance of COVID-19 vaccination.
HUBUNGAN ANTARA KESEPIAN DAN OBESITAS: META-ANALISIS STUDI OBSERVASIONAL Tursina, Elsa; Hikmah, Annisa Arifatul; Fatony, Riska Fajar; Yusuf, Muhammad
Jurnal Medicare Vol. 4 No. 4 (2025): OCTOBER 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i4.300

Abstract

Loneliness has been increasingly recognized as a psychosocial factor influencing obesity risk. However, findings from individual studies remain inconsistent. This meta-analysis aimed to analyze and estimate the pooled association between loneliness and obesity. A meta-analysis study using the PICO framework, adults (population), loneliness (intervention), not lonely (comparison), and obesity (Outcome). A search was conducted in PubMed, ScienceDirect, and Scopus databases for studies published between 2015 and 2025 following PRISMA guidelines. Search terms used were: ("loneliness" OR "social isolation") AND ("obesity" OR "BMI" OR "overweight") AND ("cross-sectional" OR "observational"). The inclusion criteria of the studies included were cross-sectional, reported odds ratios (OR) or adjusted odds ratios (AOR) with 95% confidence intervals (CI), and involved adult populations. Data were synthesized and analyzed using RevMan 5.3. Four studies (n = 137,846) met the inclusion criteria from Europe and South America. The pooled analysis showed individuals who experienced loneliness had 1.39 times the risk of obesity compared to those who did not feel lonely (AOR = 1.39; 95% CI= 1.09 to 1.76; p = 0.007). In conclusion, individuals who experienced loneliness had the risk of obesity compared to those who did not feel lonely.
Pertama Mendengar, Terakhir Dilatih: Analisis Jalur Peran Bidan dalam Kesehatan Mental Perinatal di Indonesia Maulina, Rufidah; Khuzaiyah, Siti; Setyaningrum, Agustina Catur; Sari, Atriany Nilam; Novika, Revi Gama Hatta; Wahidah, Nurul Jannatul; Nurhidayati, Siti; Maulida, Luluk Fajria; Tursina, Elsa
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 2 (2025): Jurnal Kesehatan Volume 16 Nomor 2 Tahun 2025
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i2.1330

Abstract

Background: Perinatal mental health disorders significantly contribute to maternal and neonatal morbidity, particularly in low- and middle-income countries (LMICs) such as Indonesia. Midwives, as frontline maternal healthcare providers, are uniquely positioned to screen for and support women experiencing mental health disorders. However, their involvement remains limited due to systemic, educational, and institutional barriers. Purpose: This study aims to understand the factors influencing midwives' knowledge and utilization of perinatal mental health screening services in Indonesia. Methods: A secondary analysis was conducted using cross-sectional data from an online survey of 300 midwives across Indonesia between June-August 2024. Variables included demographic characteristics, training experience, access to mental health resources, screening knowledge, and utilization behavior. Descriptive statistics and path analysis were used to examine direct and indirect influences on screening utilization. Results: Despite an average of 15 years of clinical experience, only 9.7% of midwives had used mental health screening tools. Just 8.7% had received formal mental health training, and only one-third had access to relevant guidelines. Screening knowledge was significantly predicted by access to structured information sources (β = 1.42; p < 0.001) and directly influenced screening utilization (β = 3.05; p < 0.001). Indirect factors, such as duration of service or interest in training, had no significant effect. Public health outreach and structured training improved access to learning materials. Conclusion: Despite strong interest among midwives, gaps in training, resources, and institutional support hinder effective mental health screening. Strengthening structured training programs and improving access to information are essential steps toward empowering midwives in perinatal mental health care. However, as most participants were from Western Indonesia, these findings should be interpreted with caution, and future studies should include broader geographic representation to better capture the national context
Co-Authors Adhimukti, Fahmi Andriani, Isna Astari, Rahmi Windhy Bhisma Murti Diba, Dinda Nabila Silva Fatony, Riska Fajar Gojali, La Karman Hariyadi, Agustin Mahardika Hikmah, Annisa Arifatul Kurniati, Era Livia, Wardhatul Luluk Fajria Maulida Mahzunah, Amalia Khurotul Maingu, Bertha Sylvester Maryana, Dyan Maulina, Rufidah Muhammad Yusuf Nabilla, Jihan Novika, Revi Gama Hatta Nugroho, Farid Setyo Paradela, Berti Vega Putry, Mentary Febryant Rahardjo, Budhi Sanusi, Sita Rahayu Sari, Atriany Nilam Sari, Ica Yuniar Setyaningrum, Agustina Catur Siti Khuzaiyah, Siti Siti Nurhidayati Wahidah, Nurul Jannatul Wardani, Aulia Ayu Kusuma