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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 12 Documents
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Search results for , issue " Vol 4, No 5 (2019)" : 12 Documents clear
Social Cognitive Theory on the Domestic Violence in Yogyakarta Jati, Linda Puspita; Joebagio, Hermanu; Prasetya, Hanung
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Domestic violence (also named domestic abuse or family violence) is violence or other abuse by one person against another in a domestic setting, such as in marriage or cohabitation. This study aimed to explore domestic violence in Yogyakarta using Social Cognitive Theory.Subjects and Method: This was a qualitative study using phenomenology approach. The study was carried out in a non-government organization, in Yogyakarta, in November 2018. The key informants included counselor at the Swadaya Masyarakat Rifka Annisa Yogyakarta and two victims of domestic violence. The data were collected by in-depth interview, participative observation, and document review. Results:There were variations of domestic violence, but the majority stemmed from external factors. Social environment, perceived gender equality, socioeconomic factor, and patriarchal culture affected the incidence of domestic violence. The educational background did not affect the risk of domestic violence. All victims experienced domestic violence due to gender inequality in decision making. Domestic violence could be physical or psychic.Conclusion: Domestic violence is affected by social environment, perceived gender equality, socioeconomic factor, and patriarchal culture. The educational background did not affect the risk of domestic violence.Keywords: domestic violence, Social Cognitive TheoryCorrespondence: Linda Puspita Jati. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami36 A, Surakarta 57126, Central Java, Indonesia. Email: linda.puspitajati@student.uns.ac.id. Mobile: +6285643538539. Journal of Maternal and Child Health (2019), 4(5): 326-334https://doi.org/10.26911/thejmch.2019.04.05.04
Multilevel Analysis on the Determinants of Overweight and Obesity among Primary School Students in Boyolali, Central Java Wijayanti, Dwi; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Fat and obesity are serious problems in children because they will continue into adulthood. Diarrhea occurs in groups of children under five years old (toddlers). According to the 2013 risk assessment, in Boyolali District the prevalence of obesity in children was 11.6% consisted of 7.5% fat and 4.1% obese. This study aimed to examine the determinants of overweight and obesity among primary school students in Boyolali, Central Java.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at 25 elementary schools in Ngemplak sub-district, Boyolali, Central Java, from April 2017 to June 2018. A sample of 200 students was selected by fixed disease sampling. The dependent variable was fat and obese nutritional status. Independent variables were family income, pocket money, paternal BMI, maternal BMI, nutritional intake, and physical activity. The data were collected by questionnaire and analyzed by a multilevel linear regression.Results: Family income (b= 1.65; 95% CI= 8.28 to 2.48; p<0.001), pocket money (b = 0.001; 95% CI 0.01 to 0.01; p<0.001), paternal BMI (b= 0.11; 95% CI = 0.06 to 0.16; p<0.001), maternal BMI (b= 0.06; 95% CI= 0.38 to 0.96; p<0.001), nutritional intake (b = 0.87; 95% CI= 0.35 to1.14; p= 0.001), and physical activity (b= -0.04; 95% CI= -0.05 to -0.06; p<0.001) increased fat and obesity in children. School had a strong contextual effect on fat and obesity among children with ICC= 14.34%.Conclusion: Family income, pocket money, paternal BMI, maternal BMI, nutritional intake, and physical activity increase fat and obesity in children. The school has a strong contextual effect on fat and obesity among children.Keywords: determinants, fat, obesity, physical activity, nutritional intake, multilevel analysisCorrespondence: Dwi Wijayanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java. Email: dwijaymail@gmail.com. Mobile:+6285642214066.Journal of Maternal and Child Health (2019), 4(5): 304-311https://doi.org/10.26911/thejmch.2019.04.05.01
The Associations between Maternal Education, Chronic Energy Deficit, and Anemia in Pregnant Women: An Evidence from Lhokseumawe, Indonesia Helliyana, Helliyana; Aritonang, Evawany Y.; Sanusi, Sri Rahayu
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Chronic Energy Deficiency (CED) and anemia in pregnant women have a health impact on the mother and child in the womb. This condition can increase the risk of babies with low birth weight, miscarriage, premature birth, even death in mothers and newborns. This study aims to determine the relationship between CED and anemia in pregnant women at the Muara I Health Center in Lhokseumawe City in 2017.Subjects and Method: This study was a cross-sectional study conducted at the Muara I Community Health Center, Lhokseumawe, in December 2017. A sample of 90 pregnant women was selected by consecutive sampling. The dependent variable was the anemia of pregnant women. The independent variables were education and CED. CED was measured based on maternal mid-upper arm circumference (MUAC) during pregnancy using MUAC tape. The hemoglobin level was measured by Hb Sahli. Other data were measured using a questionnaire. The data were analyzed using multiple logistic regression tests.Results: CED has a significant positive and statistically significant effect on anemia in pregnant women (OR = 64.34; 95% CI = 15.10 to 274.10; p <0.001). Low maternal education has a positive effect but was statistically significant towards anemia in pregnant women (OR = 3.15; 95% CI = 0.81 to 12.27; p = 0.099).Conclusion: CED and low maternal education have a positive effect on anemia in pregnant women.Keywords: anemia, pregnant women, education, chronic lack of energyCorrespondence: Helliyana, Masters Program in Public Health, Faculty of Public Health, Universitas Sumatera Utara, Jl. Prof. T. Maas, Medan, Sumatera Utara. Email: andybaso11@gmail.com. Mobile: 0852­60­129999.Journal of Maternal and Child Health (2019), 4(5): 312-316https://doi.org/10.26911/thejmch.2019.04.05.02
The Contextual Effect of Village on Early Marriage in Wonogiri, Central Java Prawita, Mirna; Soemanto, RB; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In spite of international agreements and national laws, the marriage of girls <18 years of age is common worldwide and affects millions. Child marriage is a human rights violation as it prevents girls from obtaining an education, enjoying optimal health, bonding with others their own age, maturing, and ultimately choosing their own life partners. Child marriage is driven by poverty. Therefore, village level of prosperity may have a contextual effect on child marriage. The purpose of this study was to examine the contextual effect of the village on early marriage in Wonogiri, Central Java.Subjects and Method: A case-control study was conducted at 25 villages in Wonogiri, East Java, in December 2018. A sample of 225 women was selected by fixed disease sampling. The dependent variable was an early marriage. The independent variables were the intention, attitude, perceived behavior control, paternal education, maternal education, and information exposure. The data were collected by questionnaire and analyzed by multilevel analysis.Results: The risk of early marriage increased with exposure to negative information (b= 0.97; 95% CI= 0.20 to 1.72; p<0.012), negative attitude (b= 1.67; 95% CI= 1.00 to 2.67; p<0.001), and strong intention (b= 1.86; 95% CI= 1.03 to 2.70; p<0.001). The risk of early marriage decreased with high paternal education (b= -0.81; 95% CI= -1.57 to -2.14; p= 0.009), high maternal education (b= -0.65; 95% CI= -1.37 to 0.85; p= 0.083), strong perceived behavior control (b= -1.77; 95% CI= -1.77 to -0.20; p= 0.013). Village had contextual effect on early marriage with ICC= 15%.Conclusion: The risk of early marriage increases with high exposure to information, negative attitude, and strong intention. The risk of early marriage increases with high paternal education high maternal education, strong perceived behavior control. The village has a contextual effect on early marriage.Keywords: intention, early marriage, parental education, information exposureCorrespondence: Mirna Prawita. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: mirna.prawita2013@gmail.com. Mobile: 085­642331691.Journal of Maternal and Child Health (2019), 4(5): 317-325https://doi.org/10.26911/thejmch.2019.04.05.03
Association Between Nutritional Status and Age at Menarche Harahap, Asrika Sari; Santosa, Heru; Siagian, Albiner
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Menarche age is often considered for various reasons. It is one of the major indices of the female fertility which includes the period up to the menopause. More critically, menarche marks the onset of ovarian activity associated with reproduction and affects breast cancer risk. Some earlier studies reported that subjects who had menarche before 13 years of age were at a significantly higher risk of cancer cervix. Nutrition has an important bearing on age at menarche. Menarche is attained earlier by well-nourished adolescents. This study aimed to assess the relationship between menarche age and body mass index.Subjects and Method: This was a cross-sectional study conducted at Ki Hajar Dewantara Foundation Junior High School, Kota Pinang, Labuhanbatu Selatan, North Sumatera, in December 2017. A sample of 58 school girls attending Junior High School was selected for this study. The dependent variable was the menarche age. The independent variable was the body mass index (BMI). Body weight was measured by a scale. Body height was measured by micro toise. Other variables were measured by questionnaire. The data were analyzed by simple logistic regression.Results: BMI ≥ 25 was associated with an earlier menarche age (OR = 0.71; 95%CI= 0.20 to 0.85; p= 0.046).Conclusion: BMI ≥ 25 is associated with an earlier menarche age.Keywords: menarche age, body mass index, adolescentsCorrespondence: Asrika Sari. Masters Program in Public Health, Universitas Sumatera Utara, Jl. Universitas No.21, Medan 20115, North Sumatera, Indonesia, Email: asrikasariharahap1993@gmail.com. Mobile: +6282274134348.Journal of Maternal and Child Health (2019), 4(5): 335-337https://doi.org/10.26911/thejmch.2019.04.05.05
The Association between Maternal Knowledge, Family Support, and Exclusive Breastfeeding in Siborong Borong Community Health Center, North Tapanuli, North Sumatera Sipahutar, Selferida; Lubis, Namora Lumongga; Siregar, Fazidah Agusliana
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding means that the infant receives only breast milk. No other liquids or solids are given – not even water – with the exception of oral rehydration solution, or drops/syrups of vitamins, minerals or medicines.WHO reported that nearly 90% of the under-five deaths occurred in developing countries and more than 40% of the deaths were due to diarrhea and acute respiratory infections. These diseases can be prevented by exclusive breastfeeding. This study aimed to examine the association between maternal knowledge, family support and exclusive breastfeeding in SiborongBorong Community Health Center, North Tapanuli, North Sumatera.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Siborongborong community health center, North Tapanuli, North Sumatera. A sample of 97 mothers who had children aged 6-12 months were selected for this study by proportional random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal knowledge and family support. The data were analyzed by simple logistic regression.Results: Exclusive breastfeeding was associated with maternal knowledge (OR=11.40; p= 0.001) and family support (OR= 9.30; p= 0.001).Conclusion: Exclusive breastfeeding is associated with maternal knowledge and family support.Keywords: exclusive breastfeeding, maternal education, family supportCorrespondence: Selferida Sipahutar. Masters Program in Public Health, Faculty of Public Health, Universitas Sumatera Utara, Jl. Universitas 21, Medan 20115, North Sumatera, Indonesia. Email: selferida­bidan@gmail.com. Mobile: +081362123930Journal of Maternal and Child Health (2019), 4(5): 338-341https://doi.org/10.26911/thejmch.2019.04.05.06
Maternal Mortality Evaluation: A Case Study in Bantul, Yogyakarta Dewi, Arlina; Bekti, Nikma Kurnianingtyas; Supriyatiningsih, Supriyatiningsih
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Maternal mortality rate is one of the indicators to measure the level of a woman's health. The maternal mortality rate in Indonesia is still high, it's about 190/100.000 live birth. The objective of the present study is to evaluate the cause of maternal death in Bantul at 2016 which related to the health services including human resources.Subjects and Method: This was a mixed method with case study design on maternal mortality in Bantul District. The qualitative data collected through Focus Group Discussion (FGD) and the quantitative data from the questionnaire were filled by a senior midwife throughout the hospital in Bantul. The number of hospitals in Bantul District was 11 consisting of 1 government hospital and 10 private hospitals.Results: The number of obstetricians who could be available 24 hours in hospitals was still limited. The skills of midwives were still considered to be limited in handling a number of obstetric emergency conditions due to the lack of regular training. The primary health care services which had been provided to support and handle obstetric emergencies, but the infrastructure and human resources were still considered inadequate. Thus, there was also a condition where the utilization of integrated ANC facilities in the primary health center (Puskesmas) was still low, soan early detection of complications of pregnancy was less optimal.Conclusion: There are three main topics causing the maternal mortality at Bantul, and those are 1)Maternal mortality related to hospital facilities, 2) Maternal mortality related to human resources at the hospital, 3) Maternal mortality related to health center facility.Keywords: maternal, obstetrician stand-by, hospitalCorrespondence: Arlina Dewi. Masters Program in Hospital Management, Universitas Muhammadiyah Yogyakarta. Jl. Brawijaya, Bantul 55183, Yogyakarta, Indonesia. Email: dewikoen@yahoo.com. Mobile: +6281­22972576Journal of Maternal and Child Health (2019), 4(5): 342-350https://doi.org/10.26911/thejmch.2019.04.05.07 
The Effect of Stimulation, Detection, and Early Intervention Development Training Based on Group Dynamics on Motivation and Skill among Cadre Sari, Tria Puspita; Haryanti, Rusiana Sri
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Early childhood development monitoring by cadre was an effort to detect delayed development among children. Knowledge of child growth and development was highlighted as important for all cadres. Based on the survey in Surakarta, Central Java, in 2017, many cadres did not know about stimulation detection and early interventions development (SDEID). The purpose of this study was to analyze the effect of SDEID training based on group dynamics on cadre’s motivation and skill.Subjects and Method: This study was a quasy experiment conducted in Kadipiro, Surakarta, Central Java, from February to September 2018. A sample of 21 cadres was selected for this study by total sampling. The dependent variable was motivation and skill. The independent variables were SDEID training. The data were collected by questionnaire and analyzed by paired t-test.Results: There was no difference motivation before (mean= 64.62; SD= 4.95) and after (mean= 63.62; SD= 5.17) training, but it was statistically non-significant (p= 0.526). Cadre’s skill after (mean= 29.71; SD= 6.52) was higher than before training (mean= 11.00; SD= 5.24) and it was statistically significant (p<0.001).Conclusion: SDEID training based on group dynamics is effective to improve cadre’s skill.Keywords: SDEID training, group dynamics, motivation, skill, cadresCorrespondence: Rusiana Sri Haryanti. Jl. Tulang Bawang Selatan No. 26, Kadipiro, Banjarsari, Surakarta, Central Java. Mobile: 085702162126, 082225297203. Email: triapipit20@gmail.com, ­rusiana­molyn@­gmail.com. Journal of Maternal and Child Health (2019), 4(5): 351-357https://doi.org/10.26911/thejmch.2019.04.05.08
Life Course Factors Associated with Stunting in Children Aged 2-5 Years: A Path Analysis Dewi, Ayu Rosita; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Worldwide, in 2014, 23.8% of the children under-five years of age were stunted following the WHO definition, 7.5% were wasted but 6.1% had overweight or were obese. Developing countries host the bulk of the global stunting and child mortality rate. This study aimed to examine life course factors associated with stunting in children aged 2-5 years, using path analysis model.Subjek dan Metode: A case control study was conducted in Tulungagung, East Java, from October to November 2018. A sample of 200 children under five was selected by fixed disease sampling. The dependent variable was stunting. The independent variables were maternal mid-upper arm circumference (MUAC), maternal height, exclusive breastfeeding, complementary feeding, birth weight, birth length, infection disease, and clean water supply and sanitation. Data on maternal height was measured by microtoise. The other data were collected by maternal and child health book and questionnaire. The data were analyzed by path analysis.Results: Stunting directly decreased with maternal MUAC (b= 2.47; 95% CI= 0.33 to 2.86; p= 0.013), maternal height (b=3.10; 95% CI= 0.79 to 3.54; p= 0.002), exclusive breastfeeding (b= 4.78; 95% CI= 2.05 to 4.91; p<0.001), complementary feeding (b= 2.35; 95% CI= 0.25 to 2.83; p= 0.019), normal birth weight (b= 3.64; 95% CI= 1.26 to 4.21; p<0.001), normal birth length (b= 4.10; 95% CI= 1.63 to 4.62; p<0.001), no infection disease (b= 3.28; 95% CI= 0.87 to 3.47; p= 0.001), and clean water supply (b= 2.99; 95% CI= 0.72 to 3.49; p<0.001). Stunting indirectly affected with infection disease and birth weight.Conclusion: Stunting directly decreases with maternal MUAC, maternal height, exclusive breastfeeding, complementary feeding, normal birth weight, normal birth length, no infection disease, and clean water supply. Stunting indirectly affects with infection disease and birth weight.Keywords: stunting, determinants, path analysisCorrespondence: Ayu Rosita Dewi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: ayrost2014@gmail.com. Mobile: +6285856852680.Journal of Maternal and Child Health (2019), 4(5): 358-367https://doi.org/10.26911/thejmch.2019.04.05.09
Path Analysis on the Factors Affecting Postnatal Depression Widarti, Sri; Budihastuti, Uki Retno; Widyaningsih, Vitri
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Postpartum depression is one of the emotional disorders as a result of failure to accept the psychological adaptation process in women in the postpartum period. There are many factors of postpartum depression. This study aimd to determine factors affecting postpartum depression.Subjects and Method: This was a cross sectional study conducted at 30 villages, in Bantul, Yogyakarta, from February to March 2019. A sample of 210 postaprtum mothers was selected by purposive sampling. The dependent variable was the postpartum depression. The independent variables were age, education, income, ANC visit, number of children, parity, unwanted pregnancy, type of labor, family support, domestic violence, and stress. Postpartum depression was measured by Endinburgh postnatal depression scale. Psychological stress was measured by Kessler psychological distress scale. The other variables were collected by questionnaire. The data was analyzed by path analysis.Results: Postpartum depression was directly and positively affected by type of labor (b = 3.85; 95% CI= 0.16 to 7.54; p = 0.041), stress (b= 3.53; 95% CI= 0.34 to 6.72; p= 0.030), parity (b= 4.01; 95% CI= 0.04 to 7.98; p= 0.048), unwanted pregnancy (b= 9.43; 95% CI= 1.51 to 17.3; p= 0.019). It was directly and negatively affected by number of children (b = -5.05; 95% CI= -10 to -0.02; p = 0.049), family support (b= -3.73; 95% CI= -6.98 to -0.50; p= 0.024), and ANC visit (b = -8.18; 95% CI= -15.3 to -1.00; p= 0.026). Postpartum depression was indirectly affected by education, income, domestic violence, and age.Conclusion: Postpartum depression is directly and positively affected by type of labor, stress, parity, unwanted pregnancy. It is directly and negatively affected by number of children, family support, and ANC visit. Postpartum depression is indirectly affected by education, income, domestic violence, and age.Keywords: Postpartum depression, domestic violence, path analysisCorrespondence: Sri Widarti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: widacorset@gmail.com.Mobile: 082135814923.Journal of Maternal and Child Health (2019), 4(5): 358-368https://doi.org/10.26911/thejmch.2019.04.05.10

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