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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 4 Documents
 1 
Search results for , issue " Vol 4, No 6 (2019)" : 4 Documents clear
The Relationship between Social Economic Levels and Anemia Events in Pregnant Women in Glugur Darat Health Center Noviyanti, Berliana; Simanjuntak, Harry C; Hutasoit, Eka Samuel P; Silitonga, Hendrika A; Julianto, Endy
Journal of Maternal and Child Health Vol 4, No 6 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anemia is a condition where the hemoglobin level in the blood was lower than normal. Anemia diagnosed when the hemoglobin level was <11 gr / dl in the first and third trimesters or <10.5 gr% in the second trimester in pregnant women. WHO stated in 2010 that 40% of the causes of maternal mortality in developing countries were associated with ane­mia in pregnancy. Based on the Riskesdas (Basic Health Research) in 2013, the prevalence of ane­mia in pregnant women in Indonesia was 37.1%. One of the factors that influenced the inciden­ce of anemia in pregnant women was the socio-economic level. The purpose of this study was to determine the relationship between socio-economic level and the incidence of anemia in preg­nant women at the Glugur Darat Health Center.Subjects and Method: This was an analytical study with a cross sectional approach, conducted at Glugur Darat health center, Medan in 2018. Total 65 pregnant women were selected by consecutive sampling. The independent were the education level, job status, income level. The dependent variable was the incidence of anemia in pregnant women. Data obtained by a set of questionnaire. The data analysis was conducted using Chi Square test. Results: As many as 40 pregnant women (61.5%) had anemia and 25 (38.5%) who were not anemic. 34 people (85.0%) among pregnant women with anemia was in the non-risk group, and 22 people in the Multi-gravida group (55.0%), 16 (40.0%) people in the Primipara group, 27 people (67.5%) in Trimester gestational age III.  As many as 28 people (70.0%) had secondary education. Based on occupational 31 people (77.5%) was not working, 19 people (47.5%) had medium income.Conclusion: There was no significant relationship between the level of education, occupational status, and income level with the incidence of anemia in pregnant women.Keywords: Education, Employment, Income, Anemia, Pregnant Women.Correspondence: Berliana Noviyanti. Faculty of Medicine, Universitas Methodist Indonesia, Medan, Sumatra Utara. Email: berliana.noviyanti55@gmail.com.Journal of Maternal and Child Health (2019), 4(6): 48-56https://doi.org/10.26911/thejmch.2019.04.06.05
Contextual Effect of “Posyandu” in the Incidence of Anemia in Children under Five Rokhayati, Rokhayati; Salimo, Harsono; Murti, Bhisma
Journal of Maternal and Child Health Vol 4, No 6 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Iron deficiency can cause anemia which adversely affects children's growth, especially in terms of achievement, quality of life, and performance as human resources in the future. Birth weight, exclusive breastfeeding complementary feeding (EBF-CF) have a direct relationship with the incidence of anemia in infants. The purpose of this study is to examine the factors that influence anemia in children under five at the Banguntapan II Bantul Health Center, Yogyakarta.Subjects and Method: The cross sectional study was conducted at 25 posyandu in the working area of Banguntapan II Bantul Health Center, Yogyakarta, Indonesia. A sample of 200 children aged 24–60 months was selected by simple random sampling. The dependent variable is anemia in infants. Independent variables are exclusive breastfeeding, breastfeeding, birth weight, nutritional status (BB / TB), mother's education, and mother's work. Anemia data was measured by Hb meter, other variable data were collected using questionnaires. The data were analyzed using a multiple logistic regression with a multilevel approach.Results: The risk of anemia in infants is reduced by exclusive breastfeeding (b = –5.77; 95% CI = -11.30 to -0.24; p = 0.041), EBF-CF administration is appropriate (b = –12.24; 95% CI = -22.47 to -2.00 , p = 0.019), birth weight 2500–4000 g (b = –5.04; CI 95% = -9.87 to 0.21; p = 0.040), good nutritional status (-2SD - + 2SD) (b = –9.11; CI 95% = -17.99 to 0.23; p = 0.044), high maternal education (high school) (b = -10.96; 95% CI = -20.61 to 1.31; p = 0.026), and mothers who work at home (b = -5.98; 95% CI = -11.27 to -0.68; p = 0.026). Posyandu strata showed that there was a contextual influence of posyandu on variations in anemia incidence (ICC = 62.62%).Conclusions: Exclusive breastfeeding, proper EBF-CF, normal birth weight, good nutritional status, high maternal education, and mothers working at home reduce the risk of anemia in infants.Keywords: anemia, children under five, exclusive breastfeeding, multilevelCorrespondence: Rokhayati. Public Health Master’s Program, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Jawa Tengah.Email: ocharochayati1991@gmail.com. Mobile +6285­328014414Journal of Maternal and Child Health (2019), 4(6): 1-10https://doi.org/10.26911/thejmch.2019.04.06.01
Path Analysis on The Biological and Social Life Course Factors Affecting Childs Speech and Language Development Delay Indriasih, Merlita; Salimo, Harsono; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 4, No 6 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The development in children occurs once during the period of their life. The la­ngu­age ability is an indicator of all the development. The lack of stimulation can cause speech and la­ngu­­age disorders and this disorder can persist. This study aimed to determine the effects of bio­lo­gi­cal and social life course factors on delayed speech and language development.Subjects and Method: This study was an observational analytic with cross-sectional approach, conducted in 25 integrated health posts (posyandu) located in Sleman Regency, Yogyakarta in March to April 2019. The total sample of 225 toddlers was chosen using fixed exposure sampling. The dependent variable was delayed speech and language development. The independent variables we­re income, employment, nutritional status, birth weight, history of toxoplasma, rubella, CMV and TORCH, history of infection, duration of gadget use, language, frequency of posyandu visit, and early childhood education (PAUD). Data collection on delayed speech and language de­ve­lop­ment were measured by Denver II. The data were analyzed by path analysis.Results: Speech and language delayed development was directly decreased with normal birth weight (b= -2.19; 95% CI= -3.58 to -0.79; p= 0.002), employed mother (b = -1.32; 95% CI = -2.38 to -0.27; p = 0.013), good nutritional status (b = -2.14; 95% CI = -3.37 to -0.91; p = 0.001), re­gu­lar­ly attend integrated health post (b = -1.29; 95% CI = -2.31 to -0.26; p = 0.013 ), mono language (b = -1.02; 95% CI = -1.99 to -0.04; p = 0.041), low duration of gadget use (b = -1.59; 95% CI = 0.23 to 2.33; p = 0.017). Speech and language delayed development was directly increased with history of di­sease (b = 1.37; 95% CI = 0.34 to 2.40; p= 0.009), and did not attend Pre-school (b = 1.28; 95% CI = -2.65 to -0.53; p = 0.003). It was indirectly affected by number of children, income, and history of TORCH.Conclusion: Delays in speech and language development are directly influenced by birth weight, infection history, employment, nutritional status, frequency to posyandu (integrated health posts), long usage of gadgets, PAUD (pre-school) and indirectly influenced by income and the number of children.Keywords: the development of speech and language, the use of gadgetsCorrespondence: Merlita Indriasih. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir.Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: merlitaindriasih@gmail.com. Mobile: 085­641097941.Journal of Maternal and Child Health (2019), 4(6): 11-22https://doi.org/10.26911/thejmch.2019.04.06.02
Path Analysis on the Biological and Social-Economic Determinants of Anemia in Pregnant Mothers in Bantul, Yogyakarta Reso, Mulya Cunda Ratu; Dewi, Yulia Lanti Ratna; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 4, No 6 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anemia in pregnant women is one of the public health problems that is still considered as a serious problem. The most important things in handling cases of anemia in pregnant women is to pay attention to biological and socio-economic factors in pregnant women. This study aimed to determine the effect of biological and socio-economic factors on the incidence of anemia among pregnant women.Subjects and Method: This was a cross sectional study conducted in Bambanglipuro community health center, Bantul, Yogyakarta, from March to April 2019. A sample of 200 pregnant women was selected by fixed disease sampling. The dependent variable was anemia. The independent variables were age, gestational age, parity, birth spacing, education, income, adherence to iron tablet consumption, contraceptive use before pregnancy, dietary pattern, and body mass index (BMI). The data were collected by questionnaire and analyzed by path analysis.Results: The risk of anemia in pregnant women was directly and positively affected by education <Senior high school (b=1.92; 95% CI=0.67 to 3.17; p=0.003), age <20 or ≥35 years old (b=1.27; 95% CI= 0.09 to 2.46; p=0.036), parity ≥3 times (b=1.57; 95% CI= 0.42 to 2.72; p=0.007), birth spacing <2 years (b=2.58; 95% CI= 1.23 to 3.93; p<0.001), gestational age (II and III trimesters) (b=2.07; 95% CI=0.69 to 3.45; p=0.003), BMI <18.5 (b=3.21; 95% CI=1.98 to 4.44; p<0.001), and irregular iron tablet consumption (b=1.46; 95% CI=0.31 to 2.62; p=0.013). It was indirectly affected by education, history of contraceptive use, dietary pattern, and family income.Conclusion: The risk of anemia in pregnant women is directly and positively affected by education <Senior high school, age <20 or ≥35 years old, parity ≥3 times, birth spacing <2 years, gestational age (II and III trimesters), BMI <18.5, and irregular iron tablet consumption. It is indirectly affected by education, history of contraceptive use, dietary pattern, and family income.Keywords: anemia, iron tablet consumption, dietary pattern, path analysis Correspondence: Mulya Cunda Ratu Reso. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: mulyacund@gmail.com. Mobile: 08213­8095480Journal of Maternal and Child Health (2019), 4(6): 23-34https://doi.org/10.26911/thejmch.2019.04.06.03 

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