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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 4 (2018)" : 8 Documents clear
Path Analysis on the Biopsychosocial Determinants of Quality of Life among Children with Cerebral Palsy Ramadhani, Alinda Nur; Adriani, Rita Benya; Salimo, Harsono
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

Background: Cerebral palsy(CP) is group of disorders characterized by long-term disabilities that affect thequality of life(QoL) of both patients and those caring for them. This study aimed to examine biopsychosocial determinants of quality of life among children with cerebral palsy, using path analysis model.Subjects and Method: A cross-sectional study was conducted at Fondation for the Care of Disable Children (YPAC) and Pediatric Neurodevelopmental Therapy Center, Surakarta, Central Java, from April to May 2018. A sample of 110 children with cerebral palsy was selected for this study by simple random sampling. The dependent variable was quality of life. The independent variables were gross motoric skill, parental stress, family support, and social support. Data on quality of life was measured by Cerebral Palsy Quality of Life (CP-QOL) questionnaire. The other data were collected by questionnaire and analyzed by path analysis.Results: Quality of life of children with cerebral palsy increased with better gross motor (b= 2.79; 95% CI= 1.54 to 4.03; p<0.001), strong family support (b=1.25; 95% CI= 0.26 to 2.24; p= 0.013), and strong social support (b= 0.99; 95% CI= 0.014 to 1.97; p= 0.047). Quality of life of children with cerebral palsy indirectly decreased with high parental stress (b= -1.55; 95% CI= -2.38 to -0.72; p<0.001).Conclusion: Quality of life of children with cerebral palsy increases with better gross motor, strong family support, and strong social support, but indirectly decreases with high parental stress.Keywords: cerebral palsy, quality of life, gross motor, family support, parental stress, childrenCorrespondence:Alinda Nur Ramadhani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: aramadhani95@gmail.comJournal of Maternal and Child Health (2018), 3(4): 301-307<br/p>https://doi.org/10.26911/thejmch.2018.03.04.08
Factors Associated with Decision to Use a Long-Term Intra Uterine Device: A Path Analysis Evidence Deviasti, Rindra; Pamungkasari, Eti Poncorini; Murti, Bhisma
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

Background: Intra uterine device (IUD) is a highly effective contraceptive method with a 98-99 percent success rate over five years of IUD use. However, its share of modern method mix is pitifully small, at less than 5%, in 63 countries and only 5%9% in a further 32 countries. Moreover, IUD's share is declining in many countries. The reasons for this are not well understood, particularly in Mojokerto, East Java, Indonesia, apart from growing popularity of injectables. This study aimed to examine factors associated with decision to use a long-term intra uterine device using a path analysis model.Subjects and Method: A case control study was conducted at Puskesmas (community health center) Gondang, Mojokerto, East Java, from April to May 2018. A sample of 225 women was selected for this study by fixed disease sampling, comprising 75 IUD users and 150 non-IUD users. The dependent variable was IUD use. The independent variables were age, education, knowledge, attitude, self-efficacy, cultural belief, husband support, and peer support. Data on IUD use were taken from puskesmas Gondang. The data were collected by questionnaire and analyzed by path analysis.Results: IUD use was directly and positively associated with positive attitude (b= 0.79; 95% CI= 0.19 to 1.40; p= 0.010) and low anxiety (b= 0.76; 95% CI= 0.16 to 1.37; p= 0.014). IUD use was indirectly associated with cultural belief, self efficacy, education, knowledge, husband support, and peer support.Conclusion: IUD use is directly associated with positive attitude and low anxiety, and is indirectly associated with cultural belief, self efficacy, education, knowledge, husband support, and peer support.Keywords: intra-uterine devise use, biopsychosocial factor, cultural belief, anxietyCorrespondence:Rindra Deviasti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: widodarigunung@gmail.com. Mobile: +6281331301065.Journal of Maternal and Child Health (2018), 3(4): 269-277https://doi.org/10.26911/thejmch.2018.03.04.04
Factors Associated with the Risk of Autism in Children Under Five Years of Age: A Path Analysis Evidence from Banten Astuti, Fitriyani Dwi; Salimo, Harsono; Pamungkasari, Eti Poncorini
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

Background: Autism, now increasingly referred to as autism spectrum disorder (ASD) is a set of clinical phenotypes mirroring an early-onset neurodevelopmental disorder affecting social communication, imagination, and behavior. Children with ASD develop differently from other children. They also have challenges in interacting and communicating with others. These challenges can affect their development and learning. This study aimed to determine factors associated with the risk of autism in children under five.Subjects and Method: This was a case control study carried out at two special schools for children with development problem in Tangerang, Banten, from February to March 2018. A sample of 200 children aged 1-5 years was selected by fixed disease sampling, consisting of 50 children with autism and 150 normal children. The dependent variable was autism. The independent variables were family income, maternal education, maternal age, gestational stress, chemical exposure, nutritional intake, fever at pregnancy, growth and development impairment, and mumps-measles-rubella (MMR) vaccine. Data on immunization status, growth and development were taken from medical record. Data on the other variables were collected by questionnaire.The data were analyzed by path analysis.Results: The risk of autism increased with chemical exposure (b= 2.86; 95%CI= 0.77 to 4.96; p= 0.007), gestational stress (b= 2.45; 95% CI= 0.60 to 4.30; p= 0.010), growth and development impairment (b= 1.69; 95% CI= -0.24 to 3.61; p= 0.086), and maternal age ?35 years (b= 2.82; 95% CI= 0.73 to 4.92; p= 0.008). Autism decreased with good nutritional intake (b= -2.08; 95%CI= -3.88 to -0.28; p= 0.023). The risk of autism was indirectly affected by fever at pregnancy, chemical exposure, family income, and maternal education. MMR vaccine did not affect the incidence of autism (b= 1.12; 95% CI= -2.11 to 4.36; p= 0.500).Conclusion: The risk of autism increases with chemical exposure, gestational stress, growth and development impairment, maternal age ?35 years, and decreases with good nutritional intake. MMR vaccine does not affect the incidence of autism in children.Keywords: autism, chemical exposure, growth and development impairment, MMR vaccine, children under fiveCorrespondence:Fitriyani Dwi Astuti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: fitriyani.dwi.astuti@gmail.com. Mobile: +6281316730755.Journal of Maternal and Child Health (2018), 3(4): 278-286https://doi.org/10.26911/thejmch.2018.03.04.05
Life Course Epidemiology on the Determinants of Stunting in Children Under Five in East Lombok, West Nusa Tenggara Sajalia, Husniyati; Dewi, Yulia Lanti Retno; Murti, Bhisma
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

Background: Stunting remains a challenging global health issue. It is estimated by Global Nutrition Report that 155 million children were stunted in 2017. Stunting is associated with an underdeveloped brain, with long-lasting harmful consequences, including diminished mental ability and learning capacity, poor school performance in childhood, reduced earnings and increased risks of nutrition-related chronic diseases, such as diabetes, hypertension, and obesity in future. This study aimed to examine the determinants of stunting in children under five in East Lombok, West Nusa Tenggara.Subjects and Method: This was an analytic observational study with a case control design. The study was carried out in 31 posyandus (integrated family health posts) in East Lombok, West Nusa Tenggara, from April to May 2018.A sample of 186 children was selected by fixed disease sampling. The dependent variable was stunting. The independent variables were low birthweight (LBW), birth length, exclusive breastfeeding, history of infection disease, maternal age at pregnancy, maternal middle upper arm circumference (MUAC), and family income. The data were collected by questionnaire and analyzed by a multilevel logistic regression run in Stata 13.Results: The risk of stunting increased with LBW (b= 3.51; 95% CI= -0.28 to 7.31; p= 0.069), maternal age at pregnancy <20 or ?35 years (b= 2.73; 95% CI= 0.38 to 5.42; p=0.047), andhistory of infectious disease (b= 3.70; 95% CI= 0.84 to 6.56; p=0.011). The risk of stunting reduced with high family income (b= -2.15; 95% CI= -4.37 to 0.61; p=0.057), birth length (b= -4.17; 95% CI= -7.42 to -0.91; p=0.012), exclusive breastfeeding (b= -3.24; 95% CI= -5.63to -0.85; p=0.008), and maternal MUAC ?23.5cm (b= -4.53; 95% CI= -8.09to -0.97; p=0.013). Posyandu had a contextual effect on the incidence of child stunting with ICC= 15.00%.Conclusion: The risk of stunting increases with LBW, maternal age at pregnancy <20 or ?35 years, and history of infectious disease. The risk of stunting reduces with high family income, birth length, exclusive breastfeeding, and maternal MUAC. Posyandu has a contextual effect on the incidence of child stunting.Keywords: Stunting, low birthweight, birth length, exclusive breastfeedingCorrespondence:Husniyati Sajalia. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: sajalia@gmail.com. Mobile: +6281997987081Journal of Maternal and Child Health (2018), 3(4): 242-251https://doi.org/10.26911/thejmch.2018.03.04.01
Factors Associated with Newborn Asphyxia at Dr. Harjono Hospital, Ponorogo, East Java Purwaningsih, Yustina; Dewi, Yulia Lanti Retno; Indarto, Dono; Murti, Bhisma
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

Background: Asphyxia, or perinatal asphyxia, refers to oxygen deprivation during labor or delivery long enough to cause physical harm, and particularly brain damage. When birth asphyxia is severe, it can injure brain cells and cause potentially fatal conditions, including Hypoxic-Ischemic Encephalopathy (HIE), brain injuries, seizures, and cerebral palsy. This study aimed to investigate factors associated with newborn asphyxia at Dr. Harjono Hospital, Ponorogo, East Java. Subjects and Method: This was a case-control study conducted at perinatology ward, Dr. Harjono Hospital, Ponorogo, East Java, in July 2018. A sample data of 360 newly born infants between January 2017 and December 2017 was selected for this study by fixed disease sampling, comprising 180 newborns with asphyxia and 180 newborns without asphyxia. The dependent variable was birth asphyxia. The independent variables were low birthweight, prematurity, and post date. The secondary data were obtained from the medical record and analyzed by a multiple logistic regression.Results: The risk of asphyxia increased with low birthweight (OR= 4.45; 95% CI= 2.17 to 9.10; p<0.001), prematurity (OR= 4.83; 95% CI= 2.41 to 9.67; p<0.001), and post date (OR= 2.52; 95% CI= 1.31 to 4.81; p= 0.005).Conclusion: The risk of asphyxia increases with low birthweight, prematurity, and post date.Keywords: asphyxia, neonate, low birthweight, prematurity, post dateCorrespondence:Yustina Purwaningsihi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: yustinapurwaningsih202@gmail.comJournal of Maternal and Child Health (2018), 3(4): 287-293https://doi.org/10.26911/thejmch.2018.03.04.06
Factors Associated with Use of Intra-Uterine Device in Women of Reproductive Age in Boyolali, Central Java Susilowati, Bekti; Wekadigunawan, CSP.; Murti, Bhisma; Rahardjo, Setyo
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

Background: Family planning is a key strategy for reduction of maternal mortality. Family planning aims to control birth in order to control population growth. Long-acting reversible contraceptives (LARCs), which include intra-uterine device (IUD), are the most effective methods of birth control. Studies into factors affecting the uptake of IUD was lacking in Indonesia. This study aimed to investigate factors associated with use of IUD in women of reproductive age in Boyolali, Central Java, using multilevel analysis model and Theory of Planned Behavior.Subjects and Method: This was a case control study carried out in 25 posyandus (integrated community health posts) in Boyolali, Central Java, from April to June 2018. A sample of 200 women was selected by simple random sampling. The dependent variable was IUD use. The independent variables were education, family income, intention, attitude, subjective norm, perceived behaviour control, and husband support. The data were collected by questionnaire and analyzed by a multilevel logistic regression on Stata 13.Results: IUD use among women reproductive age increased with higher maternal education (b= 4.06; 95% CI= 0.68 to 7.44; p=0.019), higher family income (b= 3.90; 95% CI= 1.67to 7.64; p=0.041), positive attitude (b= 4.54; 95% CI= 0.52 to 8.55; p=0.027), positive subjective norm (b= 3.06; 95% CI= 0.01to 6.10; p= 0.049), strong perceived behaviour control (b= 3.40; 95% CI= -0.04to 6.85; p=0.053), strong intention (b= 3.18; 95% CI= -0.06to 6.41; p= 0.054), and strong husband support (b= 4.28; 95% CI= 0.01to 7.44; p= 0.050). Posyandu had a contextual effect on IUD use with ICC= 32.10%.Conclusion: IUD use among women reproductive age increases with higher maternal education, higher family income, positive attitude, positive subjective norm, strong perceived behaviour control, strong intention, and strong husband support. Posyandu has sizeable contextual effect on IUD use.Keywords: intra-uterine device, utilization, determinants, multilevel analysisCorrespondence:Bekti Susilowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: susila.nawa16@gmail.com. Mobile: +6281226808595.Journal of Maternal and Child Health (2018), 3(4): 252-260https://doi.org/10.26911/thejmch.2018.03.04.02
Prenatal Factors Associated with the Risk of Stunting: A Multilevel Analysis Evidence from Nganjuk, East Java Indriani, Dewi; Dewi, Lanti Retno; Murti, Bhisma; Qadrijati, Isna
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

Background: Globally, one in four children under the age of five suffers from stunting. Stunting is associated with an underdeveloped brain, with long-lasting harmful consequences, including diminished mental ability and learning capacity, poor school performance in childhood, reduced earnings and increased risks of nutrition-related chronic diseases, such as diabetes, hypertension, and obesity in future. This study aimed to analyze prenatal factors associated with the risk of stunting in Nganjuk, East Java, using a multilevel analysis.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted at 25 posyandus (integrated health posts) in Nganjuk, East Java, from June 03 to July 07, 2018. Posyandu was selected by stratified random sampling. A sample of 225 children under five was selected by fixed disease sampling, consisting of 75 stunted children and 150 normal children. The dependent variable was stunting. The independent variables were birth length, maternal height, and family size. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.Results: The risk of stunting increased with maternal height <150 cm (b= 2.59; 95% CI= -0.75 to 4.42; p= 0.006), birth length <48 cm (b=4.17; 95% CI= 2.19 to 6.15; p<0.001), and large family size (b= 2.31; 95% CI= 0.34 to 4.29; p= 0.022). Posyandu had a contextual effect on stunting with ICC= 63.39%.Conclusion: The risk of stunting increases with maternal height <150 cm, birth length <48 cm, and large family size. Posyandu has a sizeable contextual effect on stunting.Keywords: stunting, birth length, maternal height, family size, posyandu, multilevelCorrespondence:Dewi Indriani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: dindriani11@gmail.com. Mobile: +6285735830730.Journal of Maternal and Child Health (2018), 3(4): 294-300https://doi.org/10.26911/thejmch.2018.03.04.07
Multilevel Analysis on the Determinants of Overweight among Children Under Five in Kediri, East Java Khalifatunisak, Alfadefi; Salimo, Harsono; Dewi, Yulia Lanti Retno
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

Background: Child overweight and obesity are an important public health issue worldwide. Overweight and obese children are likely to stay obese into adulthood and more likely to develop non-communicable diseases like diabetes and cardiovascular diseases. This study aimed to determine factors associated with overweight among children under five in Kediri, East Java, using a multilevel analysis model.Subjects and Method: This was a case control study conducted at 25 posyandus (integrated family health posts) in Kediri, East Java, from April to May 2018. A sample of 200 children under five was selected by fixed disease sampling. Posyandu was selected by stratified random sampling. Children were located at level 1 and posyandu at level 2 in the multilevel analysis model. The dependent variable was overweight. The independent variables were maternal body mass index (BMI), exclusive breastfeeding, calorie intake, feeding pattern, and nutritional status monitoring. Overweight status was measured by weight for height z-score. The data were collected by questionnaire and analyzed by a multilevel logistic regression model run in Stata 13.Results: Maternal BMI ?25 (b= 0.72; 95% CI= -0.98 to 1.54; p= 0.085) and calorie intake exceeding the recommended allowance (b= 1.45; 95% CI= 0.59 to 2.31; p= 0.001) increased the risk of overweight in children under five. Good feeding pattern (b= -1.11; 95% CI= -2.15 to -0.08; p= 0.034), exclusive breastfeeding (b= -0.97; 95% CI= -1.98 to 0.02; p= 0.057), and regular nutritional status monitoring (b= -4.34; 95% CI= -6.42 to -2.21; p<0.001) decreased the risk of overweight. Posyandu showed negligible contextual effect on the incidence of child overweight with ICC= 0.98%.Conclusion: Maternal BMI ?25 and calorie intake exceeding the recommended allowance increase the risk of overweight in children under five. Good feeding pattern, exclusive breastfeeding, and regular nutritional status monitoring decrease the risk of overweight in children under five. Posyandu has a negligible contextual effect on child overweight.Keywords: overweight, children under five, exclusive breastfeeding, maternal body mass index, multilevel analysisCorrespondence:Alfadefi Khaliatunnisak. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: emailealfadefi999@gmail.com.Journal of Maternal and Child Health (2018), 3(4): 261-268https://doi.org/10.26911/thejmch.2018.03.04.03

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