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Journal of Maternal and Child Health
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Maternal and Child Health (JMCH) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on maternal and child health. The journal began its publication on July 11, 2015, and is published four times yearly. JMCH aims to improve the policy, program, service, and practice, as they impact infant, children, mother, women, adolescent, and family health.
Arjuna Subject : -
Articles 506 Documents
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Effect of Hormonal Contraceptive on Sexual Life, Body Mass Index, Skin Health, and Uterine Bleeding, in Women of Reproduction Age in Jombang, East Java Esti Pratiwi Yosin; Ambar Mudigdo; Uki Retno Budhiastuti
Journal of Maternal and Child Health Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Injection hormonal contraceptive can be distinguished into DMPA (depo medroxyprogesterone acetate) and combination. DMPA injection is administered in single dose of 150 mg/mL intramuscular every 12 week. It was hypothesized that DMPA injection resulted inadvertent effect such as lowered sexual life quality, increased body mass index, lowered quality of skin health, and abnormal uterine bleeding. This study aimed to examine the effects of DMPA injection on sexual life, body mass index, skin health, and abnormal uterine bleeding.Subjects and Method: This was analytical observational study with retrospective cohort design. This study was conducted in Jombang, East Java. A total sample of 149 women of reproductive age consisting of 99 DMPA injection contraceptive users and 50 non hormonal contraceptive users was selected for this study, by stratified random sampling. The dependent variables were sexual life quality, body mass index, quality of skin health, and uterine bleeding. The independent variable was DMPA injection contraceptive use and age. The data were collected by a set of questionnaire. Sexual life quality was measured by female sexual function index (FSFI). The data were analyzed by multiple logistic regression.Results: Use of hormonal contraceptive (OR= 20.17; 95% CI = 6.62 to 61.42; p<0.001) and age 30-35 years old (OR=17.51; 95% CI = 5.74 to 53.38; p<0.001) increased the risk of low quality of sexual life. Age 30-35 years old lowered (OR=0.16; 95% CI =0.07 to 0.36; p<0.001) and hormonal contraceptive (OR= 4.25; 95% CI = 1.95 to 9.30; p<0.001) increased the risk of low quality of skin health. Hormonal contraceptive (b=2.93; SE=0.23; p<0.001) and age 30-35 years old (b=0.70; SE=0.24; p<0.001) increased abnormal uterine bleeding. Hormonal contraceptive (b=5.75; SE=0.54; p<0.001) and age 30-35 years old (b=5.05; SE= 0.55; p<0.001) increased body mass index among women of reproductive age.Conclusion: Use of injection hormonal contraceptive lowers the quality of social life, lowers the quality of skin health, increases body mass index, and increases abnormal uterine bleeding.Keywords: hormonal contraceptive injection, sexual life, skin health, body mass index, uterine bleedingCorrespondence:
Multilevel Analysis on the Determinants of Exclusive Breastfeeding at Gunung Anyar Community Health Center, Surabaya, Indonesia Zummatul Atika; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding is provision of breast milk for infants from 0 to 6 months of age with no additional food or drink intake. Provision of medicine, vitamin, and mineral is allowable during the period of exclusive breastfeeding. There is a lack of studies examining factors associated with exclusive breastfeeding in Surabaya using multilevel analysis. This study aimed to examine factors associated with exclusive breastfeeding in Surabaya using multilevel analysis.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was carried out at Gunung Anyar community health center (puskesmas), Surabaya, East Java, Indonesia. A total of 25 puskesmas was selected by stratified random sampling, covering both accredited and non-accredited puskesmas. A total of 8 lactating mothers from each puskesmas were selected by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were subjective norm, leisure time for breastfeeding, attitude, husband support, family support, and health personnel support. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Exclusive breastfeeding was positively affected by positive subjective norm (b=4.31; 95% CI= 1.63 to 6.99; p=0.002), leisure time for breastfeeding (b=3.97; 95% CI= 1.12 to 6.81; p=0.006), positive attitude (b=3.01; 95% CI= 0.57 to 5.45; p=0.016), strong husband support (b=2.39; 95% CI= 0.29 to 4.51; p=0.026), strong family support (b=2.71; 95% CI= 0.46 to 4.97; p=0.018), and strong health personnel support (b=4.13; 95% CI= 1.28 to 6.99; p=0.005). Posyandu showed strong contextual effect on exclusive breastfeeding with intra-class correlation (ICC)= 69.47%.Conclusion: Exclusive breastfeeding is positively affected by positive subjective norm, leisure time for breastfeeding, positive attitude, strong husband support, strong family support, and strong health personnel support.Keywords: exclusive breastfeeding, subjective norm, attitude, husband support, health personnel supportCorrespondence:
Path Analysis on the Biological and Social Economic Determinants of Neonatal Death in Bantul District, Yogyakarta Funik Rahma Mei Listiani; Harsono Salimo; Bhisma Murti
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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Abstract

Background: Nearly four million or two-thirds of the newborns (first week of life) die each year worldwide. In Indo
The Effect of Socio-Demographic and Obstetric Factors on Early Initiation of Breastfeeding in Tegal District, Central Java Juhrotun Nisa; Harsono Salimo; Uki Retno Budihastuti
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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Abstract

Background:
Path Analysis: The Effect of Biopsychosocial and Environmental Exposure on Child Asthma in Surakarta Ayunita Dwi Hadianti; Uki Retno Budihastuti; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Asthma is a non-communicable disease with high morbidity in Indonesia.According to David Barker
Mentoring of Pregnant Women at High Risk Program (Gerdaristi) to Reduce Maternal and Infant Mortality in Nganjuk, East Java Titin Ratnaningsih; Hermanu Joebagio; Bhisma Murti
Journal of Maternal and Child Health Vol. 1 No. 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Maternal and infant mortality has the third rank in East Java. The effort to reduce the number of maternal and infant mortality is through Mentoring Program Pregnancy and High Risk Infants Mortality or Gerakan Pendampingan Ibu Hamil Beresiko Tinggi (Gerdaristi). This study aimed to investigate the success rate of implementation of Gerdaristi program in reducing Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Nganjuk.Subjects and Method: This was a case study with qualitative method. This was conducted in Nganjuk, East Java.
Path Analysis on the Biopsychosocial Determinants of Quality of Life among Children with Cerebral Palsy Alinda Nur Ramadhani; Rita Benya Adriani; Harsono Salimo
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

Socioeconomics Factors Associated with the Utilization of Primary Health Services of Mothers and Children at Nunukan District, North Kalimantan Yunita Kristiani; Didik Tamtomo; Mahendra Wijaya
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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Abstract

Background: One of the main health development agenda in Indonesia 2015 to 2019 is reduction in maternal mortality ratio and infant mortality rate, and improve access and quality of maternal and child health services. However, variance in socioeconomics status between individual and between rural-urban have caused to difference in utilization of health service. This study aimed to analyze socioeconomics factors associated with the utilization of primary health services of mothers and children at Nunukan District, North Kalimantan.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at six community health centers in Nunukan, North Kalimantan, from October to November, 2017. A total sample of 208 mothers was collected using multistage random sampling. The dependent variables were antenatal care (ANC) service, place of birth delivery, and basic immunization. The independent variables were maternal education, maternal employment status, family income, family welfare, and residence. The data were collected by questionnaire and analyzed by path analysis.Results: Utilization of ANC increased with better family welfare (b= 1.42; 95% CI= 0.34 to 2.49; p=0.010). Use of basic immunization increased with higher maternal education (b= 0.71; 95% CI= 0.06 to 1.35; p= 0.032). Place of birth delivery at formal health facility increased with living in urban area (b= 3.2; 95% CI= 1.97 to 4.44; p <0.001), maternal employment (b= 2.34; 95% CI= 0.77 to 3.91; p=0.003), and regular ANC (b=1.04; 95% CI= -0.10 to 2.18; p=0.074). Family income increased with higher maternal education level (b= 1.21; 95% CI= 0.50 to 1.92; p= 0.001) and maternal employment (b= 2.54; 95% CI= 1.67 to 3.41; p <0.001). Family welfare increased with living in urban area (b= 1.4; 95% CI= 0.09 to 2.68; p=0.035) and higher family income (b=2.5; 95% CI= 0.44 to 4.54; p= 0.017). Maternal employment status increased with higher maternal education level (b= 2.45; 95% CI= 1.63 to 3.26; p <0.001).Conclusion: Utilization of ANC directly increases with better family welfare. Utilization of basic immunization increases with higher maternal education. Place of birth delivery at formal health facility increases with living in urban area, maternal employment, and regular ANC.Keyword: social economics factors, ANC, place of birth delivery, basic immunization, mother, children
The Relationship Between Parental Socio-Economic Status, Birthweight, and Development in Children Aged 1-5 Years in Surakarta Rizka Agnes Kusumasari; Didik Tamtomo; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:
Determinants of Women’s Choice of a Long-Acting Reversible Contraceptive in Boyolali, Central Java Desy Eka Ilmiyah; Uki Retno Budihastuti; Ismi Dwi Astuti Nurhaeni; Ambar Mudigdo
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (440.553 KB) | DOI: 10.26911/

Abstract

Background: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and the hormonal contraceptive implant (effective for 10, 5 and 3 years, respectively). These methods of birth control can prevent unwanted pregnancy up to 20 times better than birth control pills, patches, and vaginal rings. However, the use of LARCs remains low in Boyolali, Central Java, Indonesia. This study aimed to analyze the determinants of women’s choice of a LARC in Boyolali, Central Java. Subjects and Method: This was a case control study conducted in 25 community health centers, Boyolali District, Central Java, from April 24 to May 20, 2018. A sample of 200 women in reproductive age was selected by fixed disease sampling. The dependent variable was choice of a LARC. The independent variables were age, education, parity, knowledge, husband support, and counseling by health worker. The data were collected by questionnaire and analyzed by a logistic regression multilevel using Stata 13 program. Results: Women’s choice of the LARC increased with age ≥35 years (b= 4.54; 95% CI= 1.69 to 12.15; p= 0.003), education ≥senior high school (b= 4.59; 95%CI= 1.80 to 11.70; p= 0.001), parity ≥3 (b = 7.15; 95%CI= 2.63 to 19.44; p<0.001), better knowledge (b= 2.20; 95% CI= 0.88 to 5.50; p= 0.089), counseling by health worker (b= 2.82; 95% CI= 1.11 to 7.11; p= 0.028), and husband support (b= 5.54; 95% CI= 2.15 to 14.28; p<0.001). Conclusion: Women’s choice of LARC increases with age ≥35 years, education ≥senior highschool, parity ≥3, better knowledge, counseling by health worker, and husband support.

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