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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 8 Documents
 1 
Search results for , issue " Vol 3, No 3 (2018)" : 8 Documents clear
Multilevel Analysis on the Determinants of Exclusive Breastfeeding at Gunung Anyar Community Health Center, Surabaya, Indonesia Atika, Zummatul; Salimo, Harsono; Dewi, Yulia Lanti Retno
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:Zummatul Atika. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, Indonesia. Email: atikaprayogi6@gmail.com.Mobile:+6289656280307.Journal of Maternal and Child Health (2018), 3(3): 176-183https://doi.org/10.26911/thejmch.2018.03.03.02
Determinants of Womens Choice of a Long-Acting Reversible Contraceptive in Boyolali, Central Java Ilmiyah, Desy Eka; Budihastuti, Uki Retno; Nurhaeni, Ismi Dwi Astuti; Mudigdo, Ambar
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: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and thehormonal 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 womens 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:Womens 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: Womens choice of LARC increases with age ?35 years, education ?senior high school, parity ?3, better knowledge, counseling by health worker, and husband support.Keywords: long-acting reversible contraceptive, womens choice, determinantsCorrespondence:Desy Eka Ilmiyah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: desyekailmiyah@gmail.comJournal of Maternal and Child Health (2018), 3(3): 225-232https://doi.org/10.26911/thejmch.2018.03.03.07
The Effect of Parenting Style, Bilingual School, Social Environment, on Speech and Language Development in Preschool Children in Surakarta, Central Java Wijayanti, Arum; Wekadigunawan, CSP; Murti, Bhisma
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: Childhood speech and language development is considered an important predictor of their future achievement. This study aimed to analyze the effect of parenting style, bilingual school, social environment, on speech and language development in preschool children in Surakarta, Central Java. Subjects and Method: This was an analytic and observational study with a cross-sectional design. The study was conducted at 25 preschools in Surakarta, Central Java, from February March 2018. A sample of 200 preschool children was selected by simple random sampling from 25 preschools selected by stratified random sampling. The dependent variable was speech and language develop-ment. The independent variables were sex, nutritional status, parental education, parenting style, family income, bilingual school, and social environment. The data of speech and language development were measured by pre-screening development questionnaire. Other variables were collected by questionnaire. The data were analyzed by a multilevel logistic regression using Stata 13.Results: Speech and language development increased with age (b= 2.03; 95% CI= 0.38 to 3.68; p= 0.016), nutritional status (b= 2.44; 95% CI= 0.38 to 4.08; p= 0.003), maternal education (b= 1.50; 95% CI= 0.14 to 2.86; p= 0.031), democratic parenting style (b= 2.76; 95% CI= 1.16 to 4.08; p<0.001), family income (b= 1.69; 95% CI= 0.15 to 3.23; p= 0.031), bilingual school(b= -4.46; CI= -6.53 to -2.39; p= 0.001), and social environment (b= 1.80; 95% CI= 0.10 to 3.50; p= 0.038). Intra-class correlation= 28.06% indicating considerable contextual effect of preschool. Conclusion: Speech and language development increases with age, nutritional status, maternal education, parenting style, family income, bilingual school, and social environment.Keywords: speech and language development, parenting style, bilingual school, pre-school childrenCorrespondence:Arum Wijayanti. Program Magister Kesehatan Masyarakat, Universitas Sebelas Maret. Email: arumwijayanti.rf@gmail.comJournal of Maternal and Child Health (2018), 3(3): 184-196https://doi.org/10.26911/thejmch.2018.03.03.03
Associations of Self-efficacy, Family Support, Peer Support, and Posyandu Facility, with Mothers Visit to Posyandu in Karanganyar, Central Java Ernawati, Ernawati; Sulaeman, Endang Sutisna; Indarto, Dono
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: Integrated service delivery has been defined as the organization and management of health services so that people get the care they need, when they need it, in ways that are user-friendly, achieve the desired results and provide value for money. In Indonesia, the integrated service delivery at the village level is called as posyandu (integrated health post) with the support of community health workers working together with formal primary health care workers. This study aimed to examine the associations of self-efficacy, family support, peer support, and posyandu facility, with mothers visit to posyandu in Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 25 posyandus in Karanganyar, Central Java, from April 16 to May 15, 2018. A sample of 200 mothers was selected by simple random sampling. The dependent variable was mothers visit to posyandu. The independent variables were self-efficacy, family support, peer support, and posyandu facility. The data were collected by questionnaire and analyzed by a multilevel logistic regression using Stata 13 program.Results: Mothers visit to posyandu was positively associated with self-efficacy (b= 1.90; 95 CI= 0.43 to 3.36; p= 0.011), family support (b= 2.24; 95% CI= 0.81 to 3.67; p= 0.002), peer support (b= 1.98; 95% CI= 0.63 to 3.34; p= 0.004), and posyandu facility (b= 3.86; 95% CI= 1.93 to 5.80; p<0.001). Posyandu had a contextual effect on mothers visit to posyandu with ICC 24.79%.Conclusion: Mothers visit to posyandu is positively associated with self-efficacy, family support, peer support, and posyandu facility. Posyandu has a considerable contextual effect on mothers visit to posyandu.Keywords: integrated health post, mothers visit, self-efficacy, family support, multilevel analysisCorrespondence: Ernawati. Vocational High School of Empat Lima Surakarta, Nursing Academy Insan Husada Surakarta. Email: 3rn4wati.ew@gmail.comJournal of Maternal and Child Health 2018, 3(3): 233-241https://doi.org/10.26911/thejmch.2018.03.03.08
Biopsychosocial Determinants of Visual Inspection Acetic-Acid Test Uptake in Sragen, Central Java Saptowati, Dewi; Mudigdo, Ambar; Murti, Bhisma
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: Cervical cancer ranks second among the top ten leading causes of death in women in the world, especially in developing countries. Cervical cancer can be cured if detected early. A simple and common method in early detection of cervical cancer is a visual inspection acetatic-acid (VIA) test. This study aimed to analyze the biopsychosocial factors associated with use of VIA test, using health belief model and a path analysis model.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was carried out in Sragen, Central Java, from October 2017 to May 2018. A sample of 200 women was selected by fixed disease sampling. The dependent variable was utilization of VIA test. The dependent variables were intention, self-efficacy, perceived benefit, perceived barrier, attitude, subjective norm, knowledge, education, perceived susceptibility, perceived seriousness, and number of children. Data on VIA test were obtained from medical record. The other variables were measured by questionnaire and analyzed by path analysis.Results: Use of VIA test was directly and positively affected by intention (b= 3.50; 95% CI= 1.20 to 5.79; p=0.003), perceived benefit (b= 5.21; 95% CI= 1.98 to 8.44; p= 0.002), and number of children (b= 4.23; 95% CI= 1.61 to 6.86; p<0.001). Use of VIA test was directly and negatively affected by perceived barrier (b=-5.98; 95% CI= -8.83 to -3.13; p<0.001). Use of VIA test was indirectly affected by attitude, subjective norm, self-efficacy, knowledge, education, perceived susceptibility, and perceived seriousness.Conclusion: Use of VIA test is directly and positively affected by intention, perceived benefit, and number of children, but negatively affected by perceived barrier.Keywords: visual inspection acetic-acid test, determinants, biopsychosocial, health belief modelCorrespondence: Dewi Saptowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: dewi.saptowati@gmail.com.Journal of Maternal and Child Health (2018), 3(3): 197-206https://doi.org/10.26911/thejmch.2018.03.03.04
Biopsychosocial Factors Associated with Postpartum Haemorrhage in Surakarta, Central Java Dewi, Rizqa Kartika; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
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: Postpartum haemorrhage is the primary cause of maternal mortality worldwide. However, studies in Indonesia examining factors associated with postpartum haemorrhage are sparse. The purpose of this study was to examine factors associated with postpartum haemorrhage.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Dr. Moewardi hospital, Surakarta, Central Java, from May 2017 to May 2018. A total sample of 200 postpartum mothers was selected by fixed disease sampling. The dependent variable was postpartum haemorrhage. The independent variables were age, parity, birth space, anaemia, antenatal care, obstetrics history, education, and self-efficacy. The data were collected by questionnaire and analyzed by path analysis on Stata 13.Results:Postpartum haemorrhagewas positively and diretlyassociated with poor obstetric history(b=0.87; 95%CI=-0.03 to 1.79; p=0.059), older age (b=1.86; 95%CI=0.81 to 2.92; p= 0.001), multiparity(b= 1.62; 95%CI=0.08 to 3.15; p=0.038), anemia (b=1.74; 95%CI= 0.83 to 2.66; p<0.001), and narrow birth space (b=-2.51; 95%CI=-3.56 to -1.47; p<0.001). Postpartum haemorrhage was indirectly associated with antenatal care, education, and self-efficacy.Conclusion: Postpartum haemorrhageis positively associated with poor obstetric history, older age, multiparity, anemia, and narrow birth space. Postpartum haemorrhage is indirectly associated with antenatal care, education, and self-efficacyKeywords: postpartum haemorrhage, determinant, path analysisCorrespondence:Rizqa Kartika Dewi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: rizqakartika@gmail.com.Journal of Maternal and Child Health (2018), 3(3): 207-215https://doi.org/10.26911/thejmch.2018.03.03.05
The Effect of Biological, Social, Economic, and Nutritional Factors on Low Birth Weight: A New Path Analysis Evidence from Madiun Hospital, East Java, Indonesia MS, Novi Paramitasari; Salimo, Harsono; Murti, Bhisma
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: Low birth weight (LBW) remains a major cause of death and illness in infants. This study aimed to analyze the effects of biological, social, economic, and nutritional factors on LBW at Madiun General Hospital, East Java.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Madiun General Hospital, East Java, from January to December 2017. A sample of 200 newborn babies were selected for this study using fixed disease sampling, consisting of 50 babies with low birth weight and 150 control infants with normal birth weight. The dependent variable was birth weight. The independent variables were maternal age, education, parity, maternal nutritional status, maternal employment, family income, anemia, and birth space. Clinical data were taken from medical record. The data of other variables were collected by questionnaire. Path analysis was employed for data analysis.Results: The risk of LBW increased with anemia (b= 1.09; CI 95%= 0.27 to 1.91; p= 0.009), multiparity (b= 1.73; CI 95%= 0.28 to 2.06; p= 0.010), and age <2o or >35 years (b= 1.41; CI 95%= 0.24 to 2.57; p= 0.018). The risk of LBW decreased with good maternal nutritional status (b= -1.49; CI 95%= -2.32 to -0.65; p< 0,001), maternal education ?high school (b= -1.05; CI 95%= -1.88 to -0.21; p= 0.014), and wide birth space (b= -1.06; CI 95%= -2.24 to 0.11 p= 0.076). Maternal employment and family income had indirect effect on the risk of LBW.Conclusion: The risk of LBW is affected by anemia, parity, maternal age <20 years and ?35 years, poor maternal nutritional status, low maternal education, and narrow birth space.Keywords: low birth weight, biological factor, social factor, economic factorCorrespondence:Novi Paramitasari MS, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: noviparamitasarims27@gmail.comJournal of Maternal and Child Health (2018), 3(3): 166-175https://doi.org/10.26911/thejmch.2018.03.03.01
Path Analysis on the Determinants of Unwanted Pregnancy Among Adolescents in Madiun, East Java Mutiara, Bunga; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
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: Unintended pregnancy is a worldwide problem that affects women, their families, and society. Unintended pregnancy can result from early marriage, contraceptive failure, non-use of contraceptive services, and, less commonly, rape. Consequences of unintended pregnancy include abortion with its long-term negative health effects including infertility and maternal death. This study aimed to examine the determinants of unwanted pregnancy among adolescents in Madiun, East Java, using path analysis model.Subjects and Method: This was a case control study conducted in Madiun, East Java, from April 4 to May 14, 2018. A sample of 150 adolescents was selected by fixed disease sampling, comprising 30 adolescents with and 120 adolescents without unwanted pregnancy. The dependent variable was unwanted pregnancy. The independent variables were knowledge, attitude, religiosity, sexual behavior, media exposure, parental role, and peer role. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Unwanted pregnancy was directly determined by negative sexual behavior (b= 4.14; 95% CI= 2.83 to 5.45; p<0.001). It was indirectly determined by negative peer role, negative media exposure, negative attitude, parental role, better knowledge, and religiosity.Conclusion: Unwanted pregnancy is directly determined by negative sexual behavior. It is indirectly determined by negative peer role, negative media exposure, negative attitude, parental role, better knowledge, and religiosityKeywords: unwanted pregnancy, determinants, adolescents, path analysisCorrespondence: Bunga Mutiara, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: theo03theo@gmail.comJournal of Maternal and Child Health (2018), 3(3): 216-224https://doi.org/10.26911/thejmch.2018.03.03.06

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