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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 8 Documents
 1 
Search results for , issue " Vol 1, No 4 (2016)" : 8 Documents clear
Mentoring of Pregnant Women at High Risk Program (Gerdaristi) to Reduce Maternal and Infant Mortality in Nganjuk, East Java Ratnaningsih, Titin; Joebagio, Hermanu; Murti, Bhisma
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.  A sample of 10 pregnant women, 4 cadres, 2 coordinator midwives, 2 community leaders, 1 of the IBI informant, 2 key informant from department of health were selected by using purposive sampling. The data collection used interview, Focus Group Discussion (FGD), observation and documentation. The data were analyzed by chain of evidence, triangulation, member check, checks the extension of participation and colleagues.Results: Implementation Gerdaristi program every month hosted in the health center.  Cadres assisted health centers and conducted home visits every week. Gerdaristi program success is as high as the number of maternal and infant mortality from year to year decline. Nevertheless they found several things including not maximal assistance from the volunteer and mothers level of knowledge about high risk pregnancies are still lacking, and still have a maternal and infant mortality in some districts. This is due to several factors that inhibit awareness among pregnant women to give birth at the hospital as well as their lower mortality factor that cannot be predicted from the beginning.Conclusion: Gerdaristi program has been implemented in accordance with the initial plan involving several related sectors, although there is a few things that implementation is not optimal, but rated this program has been quite successful.Keywords: gerdaristi program, maternal mortality rate, infant mortality rateCorrespondence: Titin Ratnaningsih. Masters Program in Public Health, Sebelas Maret University, Surakarta.Journal of Maternal and Child Health (2016), 1(4): 268-276https://doi.org/10.26911/thejmch.2016.01.04.08
Effectiveness of Pregnant Woman Class in The Prevention of Pregnancy Anemia in Banyuwangi, East Java Andriani, Yeni; Respati, Supriyadi Hari; Astirin, Okid Parama
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: In developing countries 40% of maternal mortality is associated with pregnancy anemia. Pregnancy anemia has negative effect to mothers, before, during, and after delivery. The purpose of this study was determined effectiveness of pregnant woman class in the prevention of pregnancy anemia in Banyuwangi, East Java.Subjects and Method: This was an analytical observational study with retrospective cohort design. This study was conducted at Benculuk health center, Banyuwangi, East Java. A total of 100 subjects were selected for this study by fixed exposure sampling, consisting of 50 pregnant mothers who participated pregnant woman class and 50  who did not participate pregnant woman class. The dependent variable was pregnancy anemia. The independent variables were  participation in the pregnant woman class, maternal education, family income, food myth, and visit to obstetric gynecology specialist. Anemia was measured by spectrophotometer. Other variables were measured by a set of questionnaire. The data were analyze by multiple logistic regression.Results: Participation in pregnant woman class (OR=0.18; CI 95%= 0.03 to 1.21; p=0.078), maternal education ≥ senior high school (OR=0.07; CI 95%= 0.01 to 0.92; p=0.043), and high family income (≥ Rp 1,599,000) (OR=0.18; CI 95%= 0.31 to 1.03; p=0.054) decreased the risk of pregnancy anemia. Myth in food restriction (OR=4.47; CI 95%=0.73 to 27.51; p=0.106) increased the risk of pregnancy anemia. There was no relationship between visit to obstetric and gynecology specialist and the risk of pregnancy anemia (OR=0.93; CI 95%=0.09 to 9.17; p=0.952).Conclusion: Participation in pregnant mother class, maternal education ≥ senior high school, and high family income (≥ Rp 1,599,000) decrease the risk of pregnancy anemia. Myth in food restriction increase the risk of pregnancy anemia. There is no relationship between visit to obstetric and gynecology specialist and the risk of pregnancy anemia.Keywords: pregnant woman class, pregnancy anemiaCorrespondence: Yeni Andriani. Masters Program in Public Health, Sebelas Maret University, Surakarta.Journal of Maternal and Child Health 2016, 1(4): 230-241https://doi.org/10.26911/thejmch.2016.01.04.04
Phenomenology Study: Factors Associated with the Choice of Unskilled Traditional Birth Attendants in Brebes, Central Java Prastiwi, Ratih Sakti; Budihastuti, Uki Retno; Wijaya, Mahendra
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: The number of birth delivery attended by unskilled traditional birth attendant in Brebes District, Central Java, was still high. From January to April 2016, 67 birth deliveries were attended by unskilled traditional birth attendant. This study aimed to delve information in how social and cultural factors influence the decision to choose traditional birth attendants in Brebes, Central Java.Subjects and Method: This was a qualitative study with phenomenology approach. This study was carried out in Brebes, Central Java. The key informants of this study were midwives, who by snowball sampling technique suggested on the traditional birth attendants and their clients (i.e. laboring mothers) to be interviewed. The data were collected by in-depth interview, focus group discussion, observation, and document review. The researcher did data reduction, data display, and made decision. The data were verified by triangulation of sources technique.Results: Some skilled traditional birth attendants actively collaborated with midwives. Today rarely traditional birth attendants attend birth delivery, although there was a considerable number of community members who sought their help for birth attendant. Community members regard these traditional birth attendants as to have charisma and some supernatural power. Usually traditional birth attendants get involved in cultural ceremonies. Sometimes community members seek traditional birth attendants as a source of advice. In an extended family the decision to choose birth attendant was made by the mother or grandmother of the laboring woman. In a smaller family the decision to choose birth attendant was made by the laboring woman.Conclusion: The decision to choose unskilled birth attendants is made by the family members of the laboring woman, and this choice was influenced by traditional birth attendant’s charisma.Keywords: birth delivery, traditional birth attendant, social and cultural factorsCorrespondence: Ratih Sakti Prastiwi. Diploma III Program of Midwifery, Health Polytechnics Harapan Bersama, Tegal. Email: ratih.sakti@ymail.com.Journal of Maternal and Child Health (2016), 1(4): 242-249https://doi.org/10.26911/thejmch.2016.01.04.05 
Multilevel Analysis on the Risk Factors of Post Partum Hemorrhage in Bondowoso, Central Java Saadah, Miftahus; Respati, Supriyadi Hari; Aristin, Okid Parama
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: The primary causes of maternal mortality in Indonesia are hemorrhage (32%), pre-eclampsia/ eclampsia (25%), infection (5%), prolonged labor (5%), abortus (1%), and other causal factors not related to pregnancy and birth delivery (32%). This study aimed to investigate risk factors of post partum hemorrhage in Bondowoso, East Java.Subjects and Method: This was an analytic observational study with case control design. This study was conducted in Bondowoso, East Java, from  May, 15 to June, 15, 2016. A total of 90 study subjects was selected by fixed disease sampling, consisting of 30 women with post-partum bleeding and 60 control women without post-partum bleeding. The dependent variable was post-partum hemorrhage. The independent variables were age, parity, hemoglobin, obstetric history, use of ANC, and type of birth attendant. The data were collected by questionnaire and medical record. The data were analyzed by mix-effect model.Results: Anemia (Hb <11 g%) (b=2.22; 95%CI=1.05 to 3.39; p=0.001) and obstetric history of bleeding (b=1.31; 95%CI= 0.15 to 2.47; p= 0.027) increased the risk logodd of postpartum hemorrhage, and it was statistically significant. ANC ≥ 4 times (b= -1.46; 95%CI=-2.95 to 0.02; p=0.052) decreased the risk logodd of postpartum hemorrhage, and it was marginally significant. Age <20 year or ≥ 35 year (b= 0.12; 95%CI= -1.01 to 1.26; p= 0.827) and parity = 1 or ≥4 (b= 0.18; 95%CI= -0.95 to 1.32; p=0.754) increased the risk logodd of postpartum hemorrhage, but it was not statistically significant. Multilevel analysis was not needed in this model because ICC <1%.Conclusion: Anemia and history of postpartum bleeding are important risk factors of postpartum hemorrhage. Use of ANC ≥4 times decreases the risk of postpartum bleeding.Keywords: Postpartum bleeding, risk factor.Journal of Maternal and Child Health (2016), 1(4): 205-213https://doi.org/10.26911/thejmch.2016.01.04.01
Effectiveness of the Expanded Maternal and Neonatal Survival Program in the Reduction of Maternal Mortality in Tegal, Central Java Karina Cibro, Adeyle Datna; Demartoto, Argyo; Sulaeman, Endang Sutisna
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 mortality rate is one of the sensitive indicators of population health in a country. Various measures have been implemented to reduce maternal mortality rate, including the Expanding Maternal And Neonatal Survival (EMAS) program. This study aimed to evaluate the effectiveness of the Expanded Maternal and Neonatal Survival program in the reduction of maternal mortality in Tegal, Central Java.Subjects and Method: This was a qualitative evaluative study using context, input, process, product (CIPP) framework. This study was conducted in Tegal, Central Java. The data were collected by in-depth interview, observation, and document review. The primary key informants of this study consisted of 10 subjects, including EMAS team, Head of the District Health Office Tegal, Head of Pagerbarang Health Center, Head of Dukuhwaru Health Center, their coordinating midwife, and community as the program beneficiary.Results: EMAS program was implemented in Tegal because of high maternal mortality rate and lack of community awareness on the importance of visiting health care facility. During the program implementation the district government synergized various stakeholders to realize good governance. Stakeholders work together according to each other task and function. EMAS program has resulted in improved skill of the doctors, midwives, and nurses in tackling emergency cases, so that the emergency cases can be tackled faster, and community awareness use health facilities. The barrier factor was the insufficient number of mentoring health personel.Conclusion: The EMAS program in Tegal district, which aims to reduce maternal mortality rate has been implemented effectively. The emergency referral system is well implemented. Working groups had performed tasks and functions well with adequate responsibility.Keywords: evaluation, EMAS program, maternal mortality rateCorrespondence: Adeyle Datna Karina Cibro. Masters Program in Public Health, Sebelas Maret University, Surakarta. Mobile: 085642596407.Journal of Maternal and Child Health (2016), 1(4): 250-256https://doi.org/10.26911/thejmch.2016.01.04.06
Association Between Pregnant Woman Class and Pregnancy Complication in Tegal District, Central Java Maryani, Siti; Respati, Supriyadi Hari; Astirin, Okid Parama
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 mortality amounted to 33 cases in Tegal, Central Java, in 2015. The leading cause of maternal mortality rate in Indonesia was obstetric complication, i.e 46.8%. Pregnancy complication may be affected by maternal age, parity, education, and maternal employment status. Various efforts have been implemented by the government to reduce maternal mortality rate, including pregnant woman class. The objective of the pregnant mother class is to increase maternal knowledge in risk factor detection and to increase their willingness to use antenatal care. This study aimed to estimate the association between pregnant woman class and pregnancy complication, while controlling for confounding factors.Subjects and Method: This was an analytical observational with case control design. This study was conducted at Pagerbarang, Pangkah and Dukuhwaru Health Centers, Tegal, Central Java. A total of 90 study subjects, consisting of 30 laboring women with complication and 60 without complication. The dependent variable was pregnancy complication. The independent variables were maternal age, parity, education, employment status, and participation in pregnant woman class. The data were collected by a set of questionnaire. The data on pregnancy complication was obtained from the obstetric record at the health center. The data were analyzed by multiple logistic regresion.Results: Parity ≥3 (OR = 3.47; CI 95% = 0.95 to 12.69; p=0.060) and maternal education <senior high school (OR= 8.58; CI 95% = 1.7 to 43.33; p= 0.009) increased the risk of pregnancy complication. Maternal age 20 to 35 years (OR= 0.26; CI 95% = 0.08 to 0.81; p=0.020), employed  mother (OR= 0.21; CI 95% = 0.06 to 0.71; p = 0.012), and participation in pregnant woman class (OR =0.35; CI 95% = 0.12 to 1.05; p = 0.061), decreased the risk of pregnancy complication.Conclusion: Participation in pregnant woman class is associated with decreased risk of pregnancy complication. Parity ≥3 and maternal education <senior high school are associated with increased risk of pregnancy complication. Maternal age 20 to 35 years and employed  mother are associated with decreased risk of pregnancy complication. It is suggested that pregnant women plan their pregnancy in order to prevent pregnancy complication.Keywords: pregnant woman class, pregnancy complication.Correspondence: Siti Maryani. Academy of Midwifery Siti Fatimah, Slawi, Central Java. Mobile: 085741950488.Journal of Maternal and Child Health (2016), 1(4): 214-219https://doi.org/10.26911/thejmch.2016.01.04.02
Implementation of Basic Obstetric and Neonatal Emergency Service Program (PONED) at Health Centers, Tegal Rejeki, Sri Tanjung; Akhyar, Muhammad; R, Supriyadi Hari
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 mortality reached 33 cases in Tegal in 2015. Some measures had been taken to reduce maternal mortality rate and infant mortality rate, among others was basic obstetric and neonatal emergency service program (PONED). The PONED program was operated by health centers with inpatients services 24 hours a day and 7 days a week. This study evaluated the Implementation of Basic Obstetric and Neonatal Emergency Service Program (PONED) at Health Centers, Tegal.Subjects and Method: This was an evaluation study with qualitative approach and CIPP (context, input, process, product) framework. This study was conducted in Tegal, Central Java. A total of 10 key informants, including Head of Family Health and Nutrition Division at the District Health Office Tegal, Head of Health Centers, Midwife responsible for operating PONED, mothers with post heavy pre-eclampsia, were selected for this study. The data were collected by in-depth interview, observation, and document review. Results: From the context perspective, the objective of PONED at the health centers conformed with the policy. The number of health personnel was sufficient. But nurses have not been involved in the PONED health centers. There was no special fund for operating PONED health centers. The number of facilities was sufficient. From the input perspective training on emergency service had been well carried of. An effort to increase facilities had been plan from the process perspective  the health centers PONED services had conformed with the SOP. The health personnel performed task according to the job description. Intersectoral collaboration and program were well implemented. The impeding factors included the long process of BPJS claim, and low community awareness. From the product perspective, patients reported high satisfaction of the health centers PONED services.Conclusion: The basic obstetric and neonatal emergency services program (PONED) has been well implemented in Tegal.Keywords: PONED program, evaluation, CIPP, maternal mortality Correspondence: Sri Tanjung Rejeki. School of Health Sciences Bhakti Mandala Husada, Slawi. Email: sritanjung-rejeki@yahoo.co.id.Journal of Maternal and Child Health (2016), 1(4): 257-267https://doi.org/10.26911/thejmch.2016.01.04.07
Effect of Maternal Education, Family Income, Mother-Midwife Interface, and the Incidence of Iron Deficiency Anemia in Pemalang, Central Java Kurniati, Ade; Astirin, Okid Parama; Suryani, Nunuk
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 mortality rate was 359 per 100,000 live birth in Indonesia in 2012. An indirect cause of maternal mortality rate is anemia. This study aimed to investigate effect of maternal education, family income, mother-midwife interface, on the incidence of iron deficiency anemia in Pemalang, Central Java.  Subjects and Method: This was an analytical observational with case control design. This study was conducted at Purwoharjo, Rowosari, and Petarukan health centers, Pemalang, Central Java. This study was carried out from March 2 to 27, 2016. A total of 146 pregnant women from the three health centers were selected for this study by fixed disease sampling. This study consisted of pregnant mothers with iron deficiency anemia (cases) and those without iron deficiency anemia (controls) with equal share. The dependent variable was iron deficiency anemia, which was measured by Sahli method. The independent variables were maternal education, family income, and mother-midwife interface. These variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Better knowledge (b= -1.26; p=0.002), positive attitude (b= -1.01; p=0.019), stronger purchasing power (b= -1.16; p=0.004) had direct effects on reduced risk of iron deficiency anemia, and they were statistically significant. There were positive effects of higher income on stronger purchasing power (b=0.63; p=<0.001), mother-midwife interface on better knowledge (b=0.19; p=0.021), mother-midwife interface on positive attitude (b=0.21; p=0.023), and higher education on better knowledge (b=0.21; p=0.035).Conclusion: Better knowledge, positive attitude, stronger purchasing power, have direct effects on reduced risk of iron deficiency anemia. Higher income has indirect effect on reduced risk of iron deficiency anemia via stronger purchasing power. Mother-midwife interface has indirect effect on reduced risk of iron deficiency anemia either via better knowledge or positive attitude. It is suggested that pregnant mothers increase their interaction with midwives so that they are able to detect sign and symptom of anemia and to take necessary preventive action.Keywords: iron deficiency anemia, pregnant mother, mother-midwife interfaceCorrespondence : Ade Kurniati. Masters Program in Public Health, Sebelas Maret University, SurakartaJournal of Maternal of Child Health (2026), 1(4): 220-229https://doi.org/10.26911/thejmch.2016.01.04.03

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