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Wekadigunawan, CSP.
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia
Medicine & Pharmacology Public Health

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Factors Associated with Use of Intra-Uterine Device in Women of Reproductive Age in Boyolali, Central Java Susilowati, Bekti; Wekadigunawan, CSP.; Murti, Bhisma; Rahardjo, Setyo
Journal of Maternal and Child Health Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Family planning is a key strategy for reduction of maternal mortality. Family planning aims to control birth in order to control population growth. Long-acting reversible contraceptives (LARCs), which include intra-uterine device (IUD), are the most effective methods of birth control. Studies into factors affecting the uptake of IUD was lacking in Indonesia. This study aimed to investigate factors associated with use of IUD in women of reproductive age in Boyolali, Central Java, using multilevel analysis model and Theory of Planned Behavior.Subjects and Method: This was a case control study carried out in 25 posyandus (integrated community health posts) in Boyolali, Central Java, from April to June 2018. A sample of 200 women was selected by simple random sampling. The dependent variable was IUD use. The independent variables were education, family income, intention, attitude, subjective norm, perceived behaviour control, and husband support. The data were collected by questionnaire and analyzed by a multilevel logistic regression on Stata 13.Results: IUD use among women reproductive age increased with higher maternal education (b= 4.06; 95% CI= 0.68 to 7.44; p=0.019), higher family income (b= 3.90; 95% CI= 1.67to 7.64; p=0.041), positive attitude (b= 4.54; 95% CI= 0.52 to 8.55; p=0.027), positive subjective norm (b= 3.06; 95% CI= 0.01to 6.10; p= 0.049), strong perceived behaviour control (b= 3.40; 95% CI= -0.04to 6.85; p=0.053), strong intention (b= 3.18; 95% CI= -0.06to 6.41; p= 0.054), and strong husband support (b= 4.28; 95% CI= 0.01to 7.44; p= 0.050). Posyandu had a contextual effect on IUD use with ICC= 32.10%.Conclusion: IUD use among women reproductive age increases with higher maternal education, higher family income, positive attitude, positive subjective norm, strong perceived behaviour control, strong intention, and strong husband support. Posyandu has sizeable contextual effect on IUD use.Keywords: intra-uterine device, utilization, determinants, multilevel analysisCorrespondence:Bekti Susilowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: susila.nawa16@gmail.com. Mobile: +6281226808595.Journal of Maternal and Child Health (2018), 3(4): 252-260https://doi.org/10.26911/thejmch.2018.03.04.02
Association between Socio-demographic, Nutrition Intake, Cultural Belief, and Incidence of Anemia in Pregnant Women In Karanganyar, Central Java Sinawangwulan, Indah Permatasari; Dewi, Yulia Lanti Retno; Wekadigunawan, CSP.
Journal of Maternal and Child Health Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Anemia in pregnancy remains a major public health issue in developing countries. Studies in Indonesia examining the effects of socio-demographic factors, dietary pattern, and cultural belief on the risk of anemia in pregnancy are lacking. This study aimed to examine the effects of socio-demographic factors, dietary pattern, and cultural belief on the risk of anemia in pregnancy.Subjects and Method: An analytic cross-sectional study was conducted in 5 community health centers in Karanganyar, Central Java, from February to March 2018.A total of 200 trimesters I, II, and III pregnant mothers was selected for this study by fixed disease sampling, consisting of 50 mothers with anemia and 150 mothers without anemia. The dependent variable was anemia during pregnancy. The independent variables were nutrition intake, dietary pattern, consumption of iron tablet, family income, parity, family size, antenatal care visit, and cultural belief. The data were collected by questionnaire. The anemia status was obtained from the medical record. The data were analyzed by path analysis performed on Stata 13.Results: The risk of anemia during pregnancy directly decreased with better nutrition intake (b= -1.02; 95% CI= -1.73 to -0.31; p= 0.005) and regular consumption of iron tablet (b= -0.79; 95% CI= 1.48 to -0.10; p= 0.024). The risk of anemia during pregnancy was indirectly affected by better dietary pattern, higher family income, larger family size, cultural belief, parity, higher education, and antenatal care visit.Conclusion: Good nutrition intake and regular consumption of iron tablet decreased the risk of anemia during pregnancy. Dietary pattern, family income, family size, cultural belief, parity, and maternal education have indirect effects on the risk of anemia during pregnancy.Keywords: anemia, pregnancy, nutrition intake, iron tablet, dietary patternCorrespondence: Indah Permatasari Sinawangwulan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: siindahnawang@gmail.com. Mobile: +6285655261261.Journal of Maternal and Child Health (2018), 3(2): 128-137https://doi.org/10.26911/thejmch.2018.03.02.05
Co-Authors Bhisma Murti Rahardjo, Setyo Sinawangwulan, Indah Permatasari Susilowati, Bekti yulia lanti retno dewi