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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 6 (2019)" : 12 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 
Risk Factors of Maternal Death in Karanganyar, Central Java, Indonesia Kusnadi, Noferi; Respati, Supriyadi Hari; Sulistyowati, Sri
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 maternal mortality rate is an indicator of national health status. To reduce the Maternal Mortality Rate (MMR), especially in Karanganyar Regency, the risk factors that affect maternal mortality must be known.Subjects and Method:  This was a case-control study conducted in Karanganyar, Central Java, from 2016 to 2017. A sample of 57 study subjects was selected by fixed disease sampling. The dependent variable was maternal mor­tality. The independent variables were pregnancy complica­tions, labor complications, post­partum complications, maternal age, a distance of pregnancy, parity, maternal nutritional status during pregnancy, number of antenatal care visits, delay in making decisions, late referrals, late handling of staff, maternal education, maternal work, and income family. Data collected using questionnaires were then analyzed using bivariate analysis and multivariate analysis.Results: Maternal mortality was affected by pregnancy complications (OR= 6.98; 95% CI= 2.06 to 23.71; p= 0.001), labor complication (OR= 7.59; 95% CI= 2.19 to 26.28; p= 0.001), delayed labor (OR = 5.39; 95% CI= 1.17 to 24.75; p= 0.021), and family income (OR= 4.29; 95% CI= 1.28 to 14.41; p = 0.015).Conclusion: Maternal mortality was affected by pregnancy complications, labor complication, delayed labor, and family income.Keywords: risk factors, maternal mortality, Karanganyar RegencyCorrespondence: Noferi Kusnadi. Department of Obstetrics and Gynecology, Dr. Moewardi Hospital/ Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Central Java. Mobile: 08112654789. Email: noferikusnadi.og@gmail.comJournal of Maternal and Child Health (2019), 4(6): 499-506https://doi.org/10.26911/thejmch.2019.04.06.10 
Multilevel Analysis on Factors Affecting Measles Rubella Immunization Uptake among Toddlers in Pekanbaru, Indonesia Rosadi, Wahyuni; Sulaeman, Endang Sutisna; Prasetya, Hanung
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: Measles-Rubella (MR) immunization is a way to prevent measles and rubella, because the disease cannot be treated and the treatment given to patients is only supportive. Measles and rubella are spread in almost all provinces in Indonesia, so it needs a high and evenly coverage of at least 95% to break the chain of transmission. This study aimed to analyze the determinants of MR immunization uptake in infants.Subjects and Method: This was a cross-sectional study conducted in 25 community health posts (posyandu) in Pekanbaru, Indonesia, from April to May 2019. A sample of 200 mothers who had children aged 9-59 months was selected by stratified random sampling. The dependent variable was Rubella-Measles immunization. The independent variables were maternal education, maternal knowledge, family support, perceived susceptibility, perceived severity, perceived benefit, perceived barrier, cues to action, and self-efficacy. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression.Results: Measles-Rubella immunization uptake increased with high maternal education (b= 0.66; 95% CI= -0.07 to 1.41; p= 0.080), high maternal knowledge (b= 0.90; 95% CI= 0.14 to 1.65; p= 0.020), strong family support (b= 0.71; 95% CI= -0.05 to 1.48; p= 0.068), high perceived susceptibility (b= 1.24; 95% CI= 0.33 to 2.14; p= 0.007), high perceived severity (b= 1.19; 95% CI= 0.36 to 2.03; p= 0.005), strong perceived benefit (b= 0.93; 95% CI= 0.19 to 1.66; p= 0.013), high cues to action (b= 0.96; 95% CI= 0.19 to 1.73; p= 0.014), and high self efficacy (b= 1.45; 95% CI= 0.59 to 2.31; p= 0.001). It decreased with strong perceived barrier (b= -1.05; 95% CI= -1.81 to -0.29; p= 0.007). Posyandu had a contextual effect on Rubella-Measles immunization with ICC= 10.53%.Conclusion: Measles-Rubella immunization uptake increases with high maternal education, high maternal knowledge, strong family support, high perceived susceptibility, high perceived severity, strong perceived benefit, high cues to action, and high self efficacy. It decreases with strong perceived barrier. Posyandu has a contextual effect on Rubella-Measles immunization.Keywords: Measles, Rubella, immunization, health belief model, multilevel analysisCorrespondence: Wahyuni Rosadi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: wahyuni.rosadi08@gmail.com. Mobile: 085271819193.Journal of Maternal and Child Health (2019), 4(6): 448-460https://doi.org/10.26911/thejmch.2019.04.06.06 
Biopsychosocial Factors Associated with the Occurrence of Female Infertility Sari, Suci Arsita; Budihastuti, Uki Retno; 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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Background: Infertility is not a disease that needs to be worried. However, it becomes a serious problem for certain people such as causing divorce. Infertility in women can be affected by Polycystic Ovary Syndrome (PCOS), Body Mass Index (BMI), lifestyle, age, occupation, stress, metabolic disorder, endometriosis, and uterine myoma. This study aimed to determine the factors associated with female infertility.Subjects and Method: This was an analytic observational study with a case-control design. This study was conducted at Dr. Moewardi hospital, Surakarta, Central Java, from May to July 2019. A sample of 200 women was selected by fixed disease sampling. The dependent variable was infertility. The independent variables were PCOS, BMI, lifestyle, age, occupation, stress, metabolic disorder, endometriosis, and uterine myoma. The data were collected by questionnaire and medical record. The study was analyzed by multiple logistic regression.Results: Female infertility was affected by age ?35 years (OR= 9.05; 95% CI= 2.61 to 31.39; p= 0.001), occupation (OR= 8.29; 95% CI= 2.25 to 30.48; p= 0.001), BMI ?25 (OR= 8.16; 95% CI= 2.44 to 27.29; p=0.001), PCOS (OR=117.34; 95% CI=10.31 to 1334.83; p <0.001), endometriosis (OR= 5.01; 95% CI= 1.17 to 21.38; p=0.029), uterine myoma (OR=6.59; 95% CI= 1.76 to 24.67; p= 0.005), and metabolic disorder (OR= 15.39; 95% CI= 4.02 to 58.84; p<0.001).Conclusion: Female fertility is affected by age ?35 years, occupation, BMI ?25, PCOS, endometriosis, uterine myoma, and metabolic disorder.Keywords: female infertility, PCOS, endometriosisCorrespondence:Suci Arsita Sari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: suciarsita@gma­il.com. Mobile: 08578­617­99­94.Journal of Maternal and Child Health (2019), 4(6): 507-515https://doi.org/10.26911/thejmch.2019.04.06.11 
Understanding Pregnant Women with Opioid Use Disorder Stiffler, Deborah; Amundson, Mia; Hapke, Lauren; Harvey, Emilie; Sizemore, Samantha; Smith, Savannah
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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Background: Pregnant women with opioid use disorder are a major concern to the healthcare industry. They are not only one of the most stigmatized groups but are in need of outreach. Women who are afflicted by opioid addiction are a highly vulnerable group who are at risk of adverse pregnancy outcomes and perinatal complications. The purpose of this study was to do a meta-synthesis of the literature to gain a better understanding of the women?s perspective who are addicted to opioid during pregnancy.Subjects and Method: We conducted an exhaustive literature search for qualitative studies that focused on women with opioid used disorder during pregnancy and postpartum. After conducting a rigorous methodological protocol for meta-synthesis described by Joanna Briggs Institute, ten studies met the criteria for inclusion into this study. We used the Qualitative Assessment and Review Instrument (QARI) from the Joanna Briggs Institute to assist with data management. We extracted the representative quotations and categorized them into like themes.Results: There were three themes formulated from this meta-synthesis: overarching fear, trust, and educational deficits. This meta-synthesis of qualitative studies leads to a greater understanding of how pregnant women with opioid use disorder perceive the consequences of their actions.Conclusion: Implications from this meta-synthesis will inform those working with opioid-addicted pregnant women and aid in establishing best practices for them and their infants by revealing their addiction experiences and narratives.Keywords: opioid use disorder, pregnancy, stigmaCorrespondence: Deborah Stiffler. Indiana University School of Nursing, Indianapolis, IN, USA. Email: dstiffle­@iu.edu.Journal of Maternal and Child Health (2019), 4(6): 461-474https://doi.org/10.26911/thejmch.2019.04.06.07 
Associations between Education, Knowledge, Attitude, and Maternal Intention on Antenatal Care Visit Panjaitan, Polma Ria Metawati; Santosa, Heru; Utama, Surya
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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Background: Good quality of health care is important for maternal and infants health. Regular antenatal visit can assist in identifying and reducing risks of mother and infant during pregnancy. This study aimed to examine the associations between education, knowledge, attitude, and maternal intention on antenatal care (ANC) visit.Subjects and Method: A cross sectional study was carried out at Ridos hospital, Medan, North Sumatera, in 2017. A sample of 89 pregnant women was selected by accidental sampling. The dependent variable was ANC visit. The independent variables were education, knowledge, and attitude. The data were collected by questionnaire and analyzed by linear multiple regression.Results: Maternal intention to do ANC visit increased with high education (b= 0.36; p= 0.001), knowledge (b= 0.48; p= 0.001), and attitude (b = 0.24; p= 0.001).Conclusion: Maternal intention to do ANC visit increased with high education, knowledge, and attitude.Keywords: antenatal care, pregnant womenCorrespondence: Polma Ria Metawati Panjaitan. Masters Program in Public Health, Universitas Sumatera Utara. Jl. Universitas 21, Medan 20155, North Sumatera. Email: happypolma@yahoo.com. Mobile: 08137­0801033.Journal of Maternal and Child Health (2019), 4(6): 516-521https://doi.org/10.26911/thejmch.2019.04.06.12 
Multilevel Analysis on Factors Associated with Occurrence Chronic Energy Deficiency among Pregnant Women Rachmawati, Nur Cahya; Dewi, Yulia Lanti Retno; Widyaningsih, Vitri
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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Background: One of the nutritional problems experienced by pregnant women is chronic energy deficiency (CED). Chronic energy deficiency is a condition in which women of childbearing age  experience a lack of energy and protein intake and take place continuously resulting in health problems. This study aims to analyze chronic energy deficiency factors in pregnant women in Gunungkidul Regency.Subjects and Method: This study implemented a case control design. It was conducted in 25 community health centers, Gunungkidul, Yogyakarta, from April to May 2019. A sample of 200 pregnant women was selected by fixed disease sampling. The dependent variable was chronic energy deficiency in pregnant women. The independent variables included food intake, education level, occupation, knowledge, family income, age, parity, utilization of antenatal care services (ANC), and food availability. The data were collected using the MUAC tape and questionnaire. The data were analyzed by a multilevel multiple logistic regression.Results: The risk of protein energy deficiency decreased with high energy and protein intake (b = -2.74; 95% CI = -7.74 to -1.28; p = 0.006), more education level than high school (b = -2.16; 95% CI = -4.54 up to -0.22; p = 0.030), working mothers (b = -2.75; CI 95% = -9.48 to -1.59; p = 0.006), sufficient knowledge (b = -2.32; CI 95% = -6.27 to -0.52; p = 0.020), high family income (b = -2.38; CI 95% = -6.27 to -0.60; p = 0.017), age ?20 years to 35 years (b = -2.17; 95% CI = -5.16 to - 0.26; p = 0.030), parity> 2 (b = -2.57; CI 95% = -8.42 to -1.13; p = 0.010), using high ANC services (b = -2.72; 95% CI = -9.20 to -1.49 ; p = 0.007), and food availability is fulfilled (b = -2.54; CI 95% = -7.63 to -0.98; p = 0.011). Public health centers had a large contextual influence on chronic energy shortages with an ICC of 51.25%.Conclusion: There is a significant influence between food intake, education level, occupation, knowledge, family income, age, parity, utilization of ANC services, and food availability for chronic energy shortages in pregnant women. The variations at the public health centers level show that there is a contextual influence on chronic energy shortages in pregnant women.Keywords: chronic energy deficiency (CED), multilevel analysis, pregnant womenCorrespondence: Nur Cahya Rachmawati. Master?s Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: nurcahyarachmawatii@gmail.com. Mobile: +6287838992205.Journal of Maternal and Child Health (2019), 4(6): 474-485https://doi.org/10.26911/thejmch.2019.04.06.08

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