<![CDATA[Background: Postpartum depression is a feeling disorder experienced by the mother after giving birth that can occur at any time within one year. According to the WHO, the post-disaster of most of the affected population have normal psychological reactions and around 15 to 20% will experience mental disorders that refer to Post Traumatic Stress Disorder (PTSD). 3 to 4% experience severe disorders such as psychosis, major depression and high anxiety. This study aims to analyze the village contextual influence on postpartum depression post earthquake.Subjects and Method: This was observational analytic study with cross sectional approach, conducted in 25 villages in East Lombok district, Indonesia in March to April 2019. The total sample of 225 postpartum mothers was selected using stratified random sampling. The dependent variable was postpartum depression. The independent variables were age, parity, education, employment, income, obstetric history, social support, stress coping, government support, the role of health personnel, and the level of loss. The data collection was conducted using questionnaires and analyzed using multilevel multiple logistic regression analysis.Results: Postpartum depression was affected by age <20 or > 35 years (b = 1.79; 95% CI = 2.85 to 13.37; p = 0.001), parity <2 or > 4 (b = 1.45; 95% CI = 0.37 to 2.53; p = 0.008), high income (b = -1.68; CI 95% = -2.75 to -0.61; p = 0.002), there was an obstetric history (b = 1.03; CI 95% = -0.03 to 2.11; p = 0.059), strong social support (b = -1.62; 95% CI = -2.76 to -0.48; p = 0.005, good coping stress (b = -3.95; 95% CI = -5.42 to -2.47; p <0.001), strong government support (b = -1.26; 95% CI = -2.34 to -0.18; p = 0.022), the role of health personnel (b = -2.06; CI 95% = -3.29 to -0.83; p = 0.001), and the rate of loss (b = 2.69; 95% CI = 1.46 to 3.92; p <0.001) Postpartum depression was not influenced by higher education (b = -0.60; 95% CI = -1.63 to 0.42; p = 0.250) and low employment (b = 0.57; 95% CI = -0.44 to 1.59; p = 0.272). Villages has a contextual influence on postpartum depression after the earthquake (ICC = 8.36%).Conclusion: Age, parity, income, obstetric history, social support, stress coping, government support, the role of health personnel, and the level of loss have an influence on postpartum depression after the earthquake. There is a contextual influence between the villages on average on the incidence of postpartum depression after the earthquake.Keywords: postpartum depression, stress coping, post earthquake, multilevel analysisCorrespondence: Baiq Tuhu Abdiani, Public Health Master’s Program, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Jawa Tengah. Email: tuhuabdiani8@gmail.com. Mobile: 081999546500.Journal of Maternal and Child Health (2019), 4(5): 380-391https://doi.org/10.26911/thejmch.2019.04.05.12]]>
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