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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.
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Articles 7 Documents
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Search results for , issue " Vol 1, No 1 (2016)" : 7 Documents clear
Evaluation of “Jumat Pintar” Program in Reducing the Incidence of Anemia in Young Women in Sukoharjo, Indonesia Pratiwi, Ayudhia; Suryani, Nunuk; Indarto, Dono
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anemia is iron deficiency in the body which gives a negative impact. Anemia in the short term can lead to vulnerable young women experience a decline in achievement of learning at school. While long-term, sustained anemia from adolescence until the pregnant can lead to complications of bleeding to death and in Sukoharjo, Jumat Pintar implementation prevents the incidence anemia especially in young women. The activity encouraged from this policy is the giving of Fe tablet. The evaluation was conducted to assess the performance of the implementation of the policy of running and achievements obtained in accordance with the original purpose. This study was aimed to evaluate the implementation of Jumat Pintar program in lowering the incidence of anemia of young women.Subject and Methods: This was a qualitative study, was conducted in September-October 2016 in Sukoharjo. A total of 20 samples were selected by using purposive sampling technique. The data was collected using in depth interviews, observation and study of documentation. The data were analyzed using the interactive analysis techniques to compare the data obtained with data triangulation.Results: The execution of Jumat Pintar at stages of planning activities, the determination of the amount of goals and services granting Fe tablet was in adherence with the standard procedures of implementation. The stage of the expansion of the network of independent outlets and stages of monitoring and oversight have not run optimally. The scope of consumption of Fe tablet is not can be traced and decrease in the numbers of Genesis anemia in teenagers does not represent the entire area. The main constraints implementation comes from the absence of a legal umbrella agreement work, lack of financial support from various parties, the low commitment of the education sector, and low awareness of the goal.Conclusion: The implementation of Jumat Pintar is running optimally. The formation of independent outlets have yet to be implemented at each high school in Sukoharjo Regency, the absence of funding sources and still low level of involvement of target.Keywords: anemia, the movement of young women, the evaluation of the implementation of Jumat Pintar program.Correspondence: Ayudhia Pratiwi. School of Public Health, Sebelas Maret University, Surakarta.Journal of Maternal and Child Health (2016), 1(1): 25-33https://doi.org/10.26911/thejmch.2016.01.01.05 
Analysis of Factors Affecting Childbirth with Caesarean in Kediri, Indonesia Rahmawati, Dian; Tamtomo, Didik; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cesarean section has a maternal mortality risk 4 times higher than those with normal birth. In Kediri, the incidence of cesarean section increased, i.e. 8.5% in 2012 to 15.3% in 2015. Therefore, this study aimed to analyze the factors affecting cesarean section deliveries in Kediri.Subjects and Method: This was an observational analytical study with case control design. A total sample of 50 women giving birth with cesarean section and 50 normal birth. The population was all women giving birth by cesarean section in Kediri. A sampling technique was using a Fixed Sampling Disease. Data analysis used multiple logistic regression.Results: Maternal age <20 or ≥35 years was lower the chances of having cesarean 0.83 times compared to mothers aged 20-35 years and was not statistically significant (OR = 0.83; 95% CI = 0:26 to 2.78, p = 0.757), Parity 1 and ≥4 increase of 1.64 times more likely to undergo cesarean section than parity 2-3 and was not statistically significant (OR = 1.64; 95% CI = 0.60 to 4:58, p=0341). Less physical activity during pregnancy increases the likelihood of cesarean section 1:10 of times and was not statistically significant (OR = 1:10; CI 95% = 0:38 to 2.90, p = 0932). Mothers who experienced complications during labor increases the risk 12 times through cesarean section and was statistically significant (OR = 12; 95% CI = 3.56 to 41.81, p <0.001). Mothers who do their own request for delivery by cesarean section increases the likelihood 21 times through cesarean section and was statistically significant (OR = 21:24; 95% CI = 5.22 to 86.33, p <0.001).Conclusion: There is a positive correlation, very strong and statistically significant between the complications of labor and delivery at hisown request by cesarean section.Keywords: cesarean section, affecting factorsCorrespondence: Dian Rahmawati. School of Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: lintangkayana31@gmail.com.Journal of Maternal and Child Health (2016), 1(1): 34-40https://doi.org/10.26911/thejmch.2016.01.01.06
Multilevel Analysis on the Factors Associated with Low Birth Weight in Temanggung, Central Java Khayati, Yulia Nur; Prayitno, Adi; Poncorini, Eti
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Infants with low birth weight or LBW is one of the risk factors for infant mortality. Complications LBW actually can be prevented and dealt with, but is constrained by access to health care, socio-economic circumstances, a referral system that has not gone well, delays in early detection and awareness of parents to seek medical help. By looking at the number of deaths caused by LBW remains high, and research on the causes of LBW widely used partial analysis, and have not been analyzed in stages, the researchers conducted this research with multilevel analysis.Subjects and Method: This was an observational studt with case control design. A total sample of 120 infants were selected by fixed disease sampling with a ratio of 1: 2 between cases and controls. Data were analyzed using multiple logistic regression.Results: There are three variables at the individual level were significantly associated with LBW and was statistically significant can among others, mother’s education (OR= 0.19; 95% CI= 0:07 to 0.53; p= 0.001), history of ANC t (OR= 7.76; 95% CI= 2.18 to 27.62; p= 0.002) and the nutritional mother status (OR= 5.61; 95% CI= 0.21 to 0.79; p= 0.008) and the variables that are not statistically significant is the mother’s age and family income, and there are  no contextual role within house with wellness facilities with LBW expressed by ICC < 0.001.Conclusion: The influence of maternal education, a history of the ANC examination and nutritional status of mothers with LBW and there is no contextual role of distance between home and health care facilities with LBW. This study suggests to health professional to improve the coverage of the ANC.Keywords: multilevel analysis, factor low birth weightCorrespondence: Yulia Nur Khayati. School of Health and sciences, STIKes Ngudi Waluyo, Ungaran, Indonesia. Email: yulia.farras@gmail.com.Journal of Maternal and Child Health (2016), 1(1): 7-12https://doi.org/10.26911/thejmch.2016.01.01.02
Use of Vaginal Hygiene Product, Physical Activity, Age at Marriage, Body Mass Index, and Female Infertility Arifin, Ayu Kusuma Puspasari; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Various products are common in the market for vaginal hygiene purpose, such as povidone iodine vaginal douche, extract of betel leaf, and other herbal internal vaginal hygiene products. However, it is hypothesized that these hygiene products may hamper female fertility. This study aimed to examine the effect of vaginal hygiene product use on female fertility, while controlling for the level of physical activity, age at marriage, and body mass index.Subjects and Method: This study was analytical-observational with case control design, conducted at Dr. Moewardi Hospital, Surakarta, Indonesia. The study population were women aged 15-49 years old. A total of 55 infertile women and 55 pregnant or post-partum women were selected as cases and controls, respectively, by using fixed diseases sampling. The dependent variable was infertility. The independent variables were external and internal use of vaginal hygiene product, level of physical activity, age at marriage, and body mass index (BMI). The data were analyzed using multiple logistic regression.Results: External use of vaginal hygiene product decreased the risk of infertility, but it was statistically non-significant (OR=0.62; 95%CI= 0.22 to 1.74; p=0.366). Internal use of vaginal hygiene product (OR=14.97; 95%CI= 1.66 to 135.16; p=0.016), heavy physical activity (OR=7.95; 95%CI= 1.54 to 41.08; p=0.013), age at marriage>29 years (OR=3.66; 95%CI= 0.68 to 19.76; p=0.131), BMI<18,5kg/m2(OR=1.62; 95%CI= 0.31 to 8.56; p=0.572), and BMI ≥ 25kg/m2(OR=23.17; 95%CI= 4.05 to 132.40; p<0.001) increased the risk of infertility.Conclusion: Internal use of vaginal hygiene product, heavy physical activity, age at marriage>29 years, underweight, and overweight, are risk factors of infertility in women. Women who use vaginal hygiene product internally should be aware that this practice significantly increased the risk of infertility.Keywords:Female infertility, vaginal hygiene product, physical activities, age at marriage, body mass indexCorrespondence: Ayu Kusuma Puspasari Arifin. Masters Program in Public Health, Sebelas Maret University. Email: puspasari.arifin@yahoo.comJournal of Maternal and Child Health (2016), 1(1): 41-52https://doi.org/10.26911/thejmch.2016.01.01.07
Path Analysis on Factors Associated withthe Incidence of Diarrhea in Infants Aged 6-12 MonthsatKaranganyar Community Health Center,inPurbalingga, Indonesia Narzah, Norma Arista; -, Pawito; Dharmawan, Ruben
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: A diarrheal disease is an endemic disease and has outbreak potential in Indonesia. In Indonesia (2012) the number of pain diarrhea on toddler reached 900 per 1,000 inhabitants. This study aimed to determine the factors associated to the incidence of diarrhea in infant aged 6-12 months.  Subjects and Method: This was an observational analytic study with cross sectional design. This was conducted in Karanganyar Community Health Center, Purbalingga, Indonesia, in April-Mei 2016. A total of 100 subjects was selected Fixed Disease. The data was using the questionnaire. The data analysis used path analysis.Results: There was a direct correlation between breast feeding, nutritional status, personal hygiene of mothers and infants, and the availability of basic sanitation with the incidence of diarrhea, and statistically significant (b= 2.62; 95% CI= 1.00 to 4.24; p= 0.001), (b= 3.37; 95% CI = 0.61 to 6.12; p=0.017), (b=3.70; 95% CI=2.07 to 5.33; p<0.001), (b=3.00; 95% CI=0.69 to 5.32; p=0.011). There is a positive correlation between indirect breast feeding with the incidence of diarrhea through nutritional status, culture with the incidence of diarrhea through breast feeding, culture with the incidence of diarrhea through the facilitys individual mothers and babies, the availability of basic sanitation with diarrhea through individual facilitys mothers and babies, statistically significant (b=0.91;  95%CI =-0.28 to2.11;p=0.135), (b=1.83; 95% CI=0.95 to 2.22; p<0.001), (b=1.40; 95% CI=0.46 to 2.25; p=0.003), (b=1.10; 95% CI= -0.10 to 2.22; p=0.076).Conclusion: There is a direct correlation between breast feeding, nutritional status, personal hygiene of mothers and infants, and the availability of basic sanitation with the incidence of diarrhea. There is indirect correlation between breast milk with the incidence of diar­rhea through nutritional status, culture, personal of mother and infants, the availability of basic sani­tation with diarrhea through individual facilitys mother and the baby.Keywords: nutritional status, culture, human breast milk, sanitation, individual hygiene, diarrheaCorrespondence: Norma Arista Narzah.Community Health Center, Karanganyar, Purbalingga,  Indonesia. Email: normaaristanarzah@yahoo.com. Journal of Maternal and Child Health (2016), 1(1): 13-18https://doi.org/10.26911/thejmch.2016.01.01.03 
Path Analysis: Effect of Gestational Factors, Psychosocial Factors, and Antenatal Class Program on Toddler Growth Indria, Gita Ayu; Murti, Bhisma; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: According to David Barker’s fetal origins hypothesis, the period of gestation has significant impacts on the developmental health and wellbeing outcomes for an individual ranging from infancy to adulthood. In the current study, toddlers growth is hypothesized to be affected by various gestational exposure and psychosocial factors at early childhood. In addition,the government has launched the class-room program for mothers of toddlers, which aimed improve maternal ability to raise healthy children. This study aimed to determine the effect of gestational factors,psychosocial,andmaternalclass-room programon toddler’s growth.Subjects and method: This was an observational analytical study with case-control design. The study was conducted in Banjarnegara, Central Java, Indonesia, from July 29 to August 31, 2016. A total of 120 toddlersaged 3 months to 5 years old along with their motherswere selected for the study by fixed exposure sampling. The exogenous variables were family support, family income, maternal education, maternal physical activity, and maternal participation in the class-room program. The endogenous variables were toddler’sbirthweight, weightfor age,height for age, weight for height. The data were collected with a questionnaire and anthropometric measures. The data were analyzed using path analysis model.Results: Maternal education (b=-2.44; p<0.001), birth weight (b= 0.01; p=0.038), family support (b = 0.04; p = 0.048), and maternal participation in the class-room program (b=1.29; p=0.007), had direct significant effect on toddler’s weight for age. Birth weight (b= 0.14; p=0.279), maternal participation in the class-room program (b=4.92; p=0.020), maternal education (b=-11.76; p=0.209) had direct significant effect on toddler’s height for age. Birth weight (b<0.01; p=0.047), maternal participation in the class-room program (b=0.01; p=0.016), family income (b=-0.01; p=0.549), maternal education(b=-0.01; p=0.008) had direct significant effect on toddler’s weight for height. The goodness of fit statistics for the three outcome variables indicated  the goodness of fit of the model specified in the path analysis. Conclusion: Somegestational factors,psychosocialfactors, and maternal participation in the class-room have significant effects on toddler’s growth.Keywords: path analysis, gestation period, psychosocial factors, toddler’s growthCorrespondence: Gita Ayu Indria. Masters Program of Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: gitaindria@gmail.com.Journal of Maternal and Child Health (2016), 1(1): 53-61https://doi.org/10.26911/thejmch.2016.01.01.08
Expanded Maternal and New Born Survival Program on Strengthening Mother and Child Health Referral System in Cilacap, Indonesia Sulistyoningrum, Indah; Budihastuti, Uki Retno; Sutisna, Endang
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In 2012, the maternal mortality rate or MMR and infant mortality rate or IMR in Cilacap, Central Java, tends to increase through the Expanding Maternal and Neonatal Survival or EMAS. This study aimed to determine the implementation expanding maternal and new born survival program in strengthening mother and child health and referral services.Subjects and Method: This was qualitative study. This was conducted in Cilacap.A total of 16 health professional and four societies. The informants were team leader of EMAS, EMAS quality improvement coordinator, civil society coordinator strengthener of EMAS, head of health service in Cilacap, and Chairman of the Civil Society Forum. The data was collected with interviews, observation and document and analyzed using content analysis.Results: The results of this study showed that the standard policy of the implementation of the EMAS clear, precise, clear measurable was indicators of achievement. Objectives of this study could be understood by health professionals and civil society of maternal and child health forum. Health professionals resources in an amount sufficient, with the competence and there was lack equipment and drugs in health centers. Networking system of EMAS utilization was optimal in public health center and hospitals. Communication is effective starting from the initial visit, counseling, socialization, and comparative study. Characteristics of executing agencies indicate good working procedures. Disposition implementer showed a positive attitude and support. The environmental conditions of social, political and economic support. Some of the program started in Cilacap to reduce MMR and IMR and fairly produced significant results.Conclusions: It is suggested to Cilacaphealth service to hold aid and medicine midwife training to improve skills in handling emergency cases of maternal and neonatal.Keywords: Expanding Maternal and New Born Survival, maternal mortality, infant mortalityCorrespondence: Indah Sulistyoningrum. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.Journal of Maternal and Child Health (2016), 2(1): 19-24https://doi.org/10.26911/thejmch.2016.01.01.04

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