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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 5, No 1 (2020)" : 12 Documents clear
CONTEXTUAL FACTORS OF POSYANDU ON CADRE PERFORMANCE IN PROVIDING MATERNAL AND CHILD HEALTH SERVICE IN SURAKARTA, CENTRAL JAVA Pangestuti, Restu; Dewi, Yulia Lanti Retno; Sulaeman, Endang Sutisna
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Background: Cadre performance is an indicator of the success of the Posyandu program in maternal and child health services. Individual and social factors can influence the performance of cadres in providing health services. The purpose of this study was to determine factors affecting cadre performance in Surakarta, Central Java.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted on 25 integrated health services (posyandu) in Surakarta, Central Java, from June to July 2019. A sample of 200 cadres was selected by simple random sampling. The de­pendent variable was cadre performance. The independent variables were age, marital status, edu­cation, work, tenure, training, knowledge, and information. The data were collected by ques­tion­naire and analyzed by a multilevel logistic regression run on Stata 13.Results: Good cadre performance increased with age ?39 years (b = 1.70; 95% CI= 0.67 to 2.74; p= 0.035), education ?senior high school (b= 2.69; 95% CI= 1.10 to 4.28; p= 0.030), working at home (b= 1.87; 95% CI= 0.81 to 2.93; p= 0.024), tenure >3 years (b= 2.39; 95% CI= 1.21 to 3.56; p= 0.009), had trained (b= 1.94; 95% CI= 0.86 to 3.01; p= 0.021), married (b= 1.68; 95% CI= 0.75 to 2.60; p= 0.021), good knowledge (b= 2.17; 95% CI= 0.95 to 3.40; p= 0.023), and good infor­mation (b= 1.50; 95% CI= 0.36 to 2.63; p= 0.091). Posyandu had strong contextual effect on cadre performance with intraclass correlation (ICC)= 53.22%.Conclusion: Good cadre performance increases with age ?39 years, education ?senior high school, working at home, tenure >3 years, had trained, married, good knowledge, and good infor­mation. Posyandu has strong contextual effect on cadre performance.Keywords: work performance, maternal and child health, health services, cadreCorrespondence: Restu Pangestuti. Masters Program in Public Health, Universitas Sebelas Maret, JL. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: restupanges@gmail.com. Mobile: 085741405163 Journal of Maternal and Child Health (2020), 5(1): 28-36https://doi.org/10.26911/thejmch.2020.05.01.04
CONTEXTUAL EFFECT OF INTEGRATED HEATH POST ON NUTRITIONAL STATUS AMONG CHILDREN AGED 6-59 MONTHS IN SURABAYA, EAST JAVA Aziza, Triana Ulfa Nur; Dewi, Yulia Lanti Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: A child will come into toddler phase which is the rapid growth and development phase. It turns children into one of the groups that vulnerable to suffer from undernutrition. The data of Riskesdas (Basic Health Research) in 2018 indicates that the percentage of malnutrition and undernutrition  in Indonesia is 17.7%, in which the number is still higher than the target of National Medium Term Development Plan 2019 which is 17%. The study aimed to analyzes factors that affect nutritional status of children aged 6 ? 59 months in Surabaya, East Java.Subjects and Method: This was a cross sectional study conducted at 25 integrated health posts (posyandu) in Surabaya, East Java, from August to September 2019. A sample of 200 children aged 6 ? 59 months was selected by stratified random sampling. The dependent variable was nutritional status (weight for age). The independent variables were history of exclusive breastfeeding, history of low birth weigth (LBW), maternal educational level, maternal knowledge, maternal occupation, family income, and environmental hygiene and sanitation. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13.Results: Poor nutritional status increased with the history of LBW (b= 5.29; 95% CI= 1.87 to 6.72; p= 0.003) and poor environmental hygiene and sanitation (b= 3.35; 95% CI= 0.77 to 5.94; p= 0.011). Poor nutritional status decreased with maternal educational status ?Senior high school (b= -2.81; 95% CI= -5.24 to -0.38; p= 0.023), high maternal knowledge (b= -2.68; 95% CI= -5.01 to -0.35; p= 0.024), and high family income (b= -3.37; 95% CI= -6.04 to -0.71; p= 0.013).Conclusion: Poor nutritional status increases with the history of LBW and poor environmental hygiene and sanitation. Poor nutritional status decreases with maternal educational status ?Senior high school, high maternal knowledge, and high family income.Keywords: nutritional status, birth weight, sanitation, children under fiveCorrespondence: Triana Ulfa Nur Aziza. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir.Sutami 36A, Surakarta, Central Java, Indonesia. Email: trianaulfanuraziza@gmail.com. Mobile: +628135­8396565Journal of Maternal and Child Health (2020), 5(1): 79-87https://doi.org/10.26911/thejmch.2020.05.01.09
THE EFFECTIVENESS OF PREGNANT WOMEN CLASS TO INCREASE KNOWLEDGE AND HEMOGLOBIN LEVEL Husna, Putri Halimu; Purwandari, Kristiana Puji; Mawarni, Siti; Sundari, Sri; Wardani, Indah Kusuma; Maryati, Maryati
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Intrauterine Fetal Death (IUFD) is a birth process of a conception result in a state of death. It is also a contributor to death for Infant Mortality Rate (IMR). Pregnant Woman Class is a government effort to reduce IMR. However, the implementation has not been maximized. This stu­dy aimed to determine the effectiveness of pregnant woman class in increasing the level of know­ledge and hemoglobin (Hb) levels of the pregnant woman.Subjects and Method: This was a Randomized Controlled Trial (RCT). The population of the stu­dy consisted of 170 pregnant women was selected randomly from 3 Community Health Centers with the highest infant mortality rates. The dependent variables were knowledge and Hb levels. The independent variable was pregnant woman class. The level of knowledge was measured by ques­tionnaire with Cronbach's alpha by 0.64. Hb level was measured with Easy Touch GCHB. The Mean differences in knowledge and Hb between pregnant wo­men class and control groups, before and after participating in pregnant woman class, were tested by independent t-tests.Results: Before the intervention, the level of knowledge of the pregnant women class group (Mean= 31.07; SD=8.21) was comparable with the control group (Mean=29.30; SD=8.22), with p=0.162. It indicated the randomization success. After the intervention, the level of knowledge of preg­nant woman class group (Mean=35.07; SD=2.24) was higher than the control group (Mean= 29.10; SD= 4.77), and it was statistically significant (p<0.001). It indicated that the pregnant woman class was effective in increasing the knowledge of pregnant women. Before the inter­vention, the Hb level of pregnant woman class group (Mean=11.92, SD=2.18) was comparable with the con­trol group (Mean= 11.44; SD= 2.05), with p=0.162. It indicated the randomization success. After the inter­vention, the Hb level of the pregnant woman class group (Mean = 12.82; SD = 0.92) was higher than the control group (Mean=11.56; SD=1.05), and it was statistically significant (p<0.001). It showed that pregnant woman class was effective in increasing the Hb level of preg­nant women.Conclusion: Pregnant woman class was effective in increasing the knowledge and the Hb level of preg­nant women.Keywords: pregnant woman class, knowledge, hemoglobin, IUFDCorrespondence: Putri Halimu Husna. Nursing Academy of Giri Satria Husada Wonogiri. Jl. Tentara Pelajar 01 Giriwono, Wonogiri 57613, Central Java. Email: ns.haha354@gmail.com. Mobile: +622­73322610, +6281391277044.Journal of Maternal and Child Health (2020), 5(1): 50-57https://doi.org/10.26911/thejmch.2020.05.01.06
The Contextual Effect of Posyandu on the Decision to Use Long Term Contraceptive in Tulungagung, East Java Frafitasari, Dika Yanuar; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Family planning will help reduce population growth, fertility, improvement quality of life, women's health status, unwanted pregnancy, and abortion. The selection of the use of con­traceptives needed leads to a contraceptive that has higher effectiveness, namely the long-term contraceptive method. This study aimed to analyze contextual effect of posyandu on the decision to use long term contraceptive in Tulungagung, East JavaSubjects and Method: This was a cross-sectional study conducted at 25 integrated health posts (posyandu) in Kauman health service, Tulungagung, East Java, in January 2019. A sample of 200 women of childbearing age was selected by stratified random sampling. The dependent variable was the use of long-term contraceptive method. The independent variables were age, education, knowledge, occupation, husband and family supports, women's perception, local culture, and posyandu. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: The use of long-term contraceptive method increased with age ≥35 years (b= 1.68; 95% CI= 0.51 to 2.85; p= 0.005), education ≥Senior high school (b= 2.22; 95% CI= 0.97 to 3.46; p <0.001), high knowledge (b= 2.05; 95% CI= 0.75 to 3.35; p= 0.002), working outside the house (b= 1.66; 95% CI= 0.54 to 2.78; p= 0.004), strong husband and family support (b= 2.11; 95% CI= 0.87 to 3.34; p= 0.001), positive perception of long-term contraceptive method (b= 1.92; 95% CI= 0.75 to 3.08; p= 0.001), and supportive local culture (b= 1.10; CI 95%= -0.04 to 2.25; p= 0.009). Posyandu had strong contextual effect on the use of long-term contraceptive method with ICC= 26.70%.Conclusion: The use of long-term contraceptive method increases with age ≥35 years, education ≥Senior high school, high knowledge, working outside the house, strong husband and family support, positive perception of long-term contraceptive method, and supportive local culture. Posyandu has a strong contextual effect on the use of long-term contraceptive method.Keywords: long-term contraceptive, multilevel analysis.Correspondence: Dika Yanuar Frafitasari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: dikayanuar@gmail.com. Mobile: +6282145642707.Journal of Maternal and Child Health (2020), 5(1): 58-67https://doi.org/10.26911/thejmch.2020.05.01.07 
THE CONTEXTUAL EFFECT OF PLACE OF BIRTH DELIVERY AND BIOPSYCHOSOCIAL DETERMINANTS ON POSTPARTUM DEPRESSION: A MULTILEVEL EVIDENCE FROM YOGYAKARTA Febrianti, Selvia; Tamtomo, Didik; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Postpartum depression is a condition that affects 20% women in the first four weeks of the puerperium. Postpartum depression can be affected by biological, psychological, socio-cultural, and economic factors. This study aimed to analyze biopsychosocial factors affecting postpartum depression in Sleman, Yogyakarta.Subjects and Method: This was a cross-sectional study. This study was conducted at 25 delivery places in Sleman, Yogyakarta, in August-September 2019. A sample of 200 postpartum mothers was selected by multistage random sampling. The dependent variable was postpartum depression. The independent variables were traditional treatment, age, education, income, parity, pregnancy status, type of delivery, complication, marital satisfaction, and contextual delivery place. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression.Results: The risk of postpartum depression increased with delivery with intervention (b= 3.30; 95% CI= 1.57 to 5.02; p<0.001), delivery with complication (b=3.77; 95% CI= 2.25 to 5.28; p<0.001), and age ?35 years (b=0.93; 95% CI=-0.20 to 2.07; p=0.109). The risk of postpartum depression decreased with traditional treatment (b= -1.33; 95% CI= -2.51 to -0.15; p= 0.027), education ?Senior high school (b=-1.98; 95% CI= -3.59 to -0.38; p=0.015), family income ?Rp 1,701,000 (b= -3.55; 95% CI= -5.08 to -2.02; p<0.001), multiparous (b= -1.25; 95% CI= -2.45 to -0.04; p=0.041), intended pregnancy status (b= -3.11; 95% CI= -4.96 to -1.25; p= 0.001), and happy marital satisfaction (b= -1.18; 95% CI= -2.30 to -0.05; p=  0.039). There was strong contextual effect of delivery place on postpartum depression with intra-class correlation (ICC)= 31.6%.Conclusion: The risk of postpartum depression increases with delivery with intervention, delivery with complication, and age ?35 years. The risk of postpartum depression decreases with traditional treatment, education ?Senior high school, family income ?Rp 1,701,000, multiparous, intended pregnancy status, and happy marital satisfaction. There is strong contextual effect of delivery place on postpartum depression.Keywords: Postpartum depression, determinant, delivery placeCorrespondence: Selvia Febrianti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: selvia.febri11@gmail.com. Mobile: 0811593921Journal of Maternal and Child Health (2020), 5(1): 88-99https://doi.org/10.26911/thejmch.2020.05.01.10
CONTEXTUAL EFFECT OF COMMUNITY HEALTH SERVICE ON THE USE OF TRIPLE ELIMINATION SERVICE Verasita, Prissy; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Triple elimination is the elimination of transmission of HIV, syphilis, and hepatitis B from mother to child. The Prevention of Mother to Child Transmission (PMTCT) program is a comprehensive activity. The basic condition of the case is carried out because of the importance of health promotion and early detection in strategies for managing HIV, Syphilis, and Hepatitis B infections. This study aimed to analyzecontextual effect of community health service on the use of triple elimination service in pregnant women.Subjects and Method: This was a cross sectional study conducted at 25 community health centers in Sragen Regency, Central Java, from June to July 2019. A sample of 200 pregnant women was selected by stratified random sampling. The dependent variable was the use of triple elimi­nation. The independent variables were age, perceived susceptibility, perceived seriousness, cues to action, attitude, motivation, occupation, income, and distance to health service. The data were collected by a set of questionnaire and analyzed by multilevel multiple logistic regression.Results: The use of triple elimination increased with age ?35 years (b=1.29; 95% CI=0.37 to 2.21; p=0.006), working outside the home (b=1.20; 95%CI=0.17 to 2.23; p=0.012), income by ?Rp 1,600,000 (b=1.52; 95% CI=0.54 to 2.50; p=0.002), perceived susceptibility (b=1.46; 95% CI=0.53 to 2.38; p=0.002), perceived seriousness (b=1.53; 95% CI=0.55 to 2.50; p=0.002), cues to action (b=1.30; 95% CI=0.30 to 2.30; p=0.010), attitude (b=1.10; 95% CI=0.02 to 2.18; p=0.046), and strong motivation (b=1.68; 95% CI=0.66 to 2.71; p=0.001). The use of triple elimination decreased by a distance ?5km (b=-1.36; 95% CI=-2.27 to -0.46; p= 0.003). Community health center had strong contextual effect on the use of triple elimination with ICC= 22.6%.Conclusion: The use of triple elimination increases with age ?35 years, working outside the home, income by ?Rp 1,600,000, perceived susceptibility, perceived seriousness, cues to action, attitude, and strong motivation. The use of triple elimination decreases by a distance ?5km. Community health center has strong contextual effect on the use of triple elimination.Keywords: triple elimination, Health Belief Model, Theory of Planned BehaviorCorrespondence: Prissy Verasita. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: prissyoppo@gmail.com. Mobile: +6285879-345269.Journal of Maternal and Child Health (2020), 5(1): 68-78https://doi.org/10.26911/thejmch.2020.05.01.08
ASSOCIATIONS BETWEEN MATERNAL NUTRITIONAL STATUS, CARBOHYDRATE, FAT, AND PROTEIN INTAKES, AND LOW BIRTH WEIGHT IN JEMBER, EAST JAVA Winasandis, Brillia Firsti; Tamtomo, Didik; Anantanyu, Sapja
Journal of Maternal and Child Health Vol 5, No 1 (2020)
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Background: Pregnancy can cause several bodily changes, both anatomically, physiologically, and biochemically. Mothers' metabolism and food intake will change during pregnancy. Food intake of pregnant women will increase every trimester, so it must be considered because it is not only for herself, but for the fetus she is carrying. Excessive carbohydrate intake has an adverse effect on babies born, lack of excessive intake is also not good. This study aims to analyze the association between nutritional status, carbohydrate, fat, and protein intakes of pregnant women with birth weight (BBL).Subjects and Methods: This was a cohort study conducted at community health center in Jember, East Java, from April to June 2019. The sample was randomly selected as many as 120 study subjects. The dependent variable was birth weight (LBW). The independent variables were carbo­hydrate, fat, protein intakes and maternal nutritional status. The data collection technique used was questionnaires and analyzed by path analysis.Results: Birth weight directly increased with the maternal nutritional status (b= 38.65; 95% CI= 24.96 to 53.33; p<0.001) and carbohydrate intake of pregnant women with birth weight (b= 0.53; 95% CI= - 0.48 to 1.54; p= 0.149). Birth weight directly decreased with protein intake (b= -0.53; 95% CI= -3.09 to 2.98; p= 0.729) (b= -0.75; 95% CI= -3.11 to 1.60; p= 0.010). Maternal carbo­hydrate and protein intake had an indirect association and birth weight.Conclusion: There is a direct association between fat intake and maternal nutritional status with birth weight. Nutritional status has a positive effect on birth weight. While fat intake has a negative effect on birth weight. Maternal carbohydrate and protein intake has an indirect effect on birth weight.Keywords: birth weight, macronutrient intake, nutritional statusCorrespondence: Brillia Firsti Winasandis. Masters Program in Nutrition, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: brilliabrillia@gmail.com. Mobile: +6281331221655.Journal of Maternal and Child Health (2020), 5(1): 1-11https://doi.org/10.26911/thejmch.2020.05.01.01
DOES THE INTEGRATED HEALTH POST HAVE CONTEXTUAL EFFECT ON EXCLUSIVE BREASTFEEDING? A MULTILEVEL EVIDENCE FROM KARANGANYAR, CENTRAL JAVA ?Arub, Lathifah; Pamungkasari, Eti Poncorini; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Breastfeeding provides amazing benefits for the health of the child and the mother. WHO and UNICEF suggest a mother should be able to practice and maintain exclusive breast­feeding during the first six months of her baby's life. This study aimed to analyze contextal effect of integrated health post on exclusive breastfeeding.Subjects and Method: This was cross sectional study conducted in 25 integrated health posts (posyandu) in Karanganyar, Central Java, from August to September 2019. A sample of 200 nursing lactating mothers who had children aged 7 to 12 months was selected by stratified random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal age, education, occupation, type of birth delivery, knowledge, attitude, family support, and so­cial capital. The data were collected by questionnaire. The data were analysis by multilevel mul­ti­ple logistic regression with Stata 13.Results: Exclusive breastfeeding increased with maternal age 20 to 34 years (b= 2.38; 95% CI= 0.62 to 4.15; p= 0.008), maternal education ?Senior high school (b= 1.64; 95% CI= 0.01 to 3.23; p= 0.049), good knowledge (b= 2.13; 95% CI= 0.41 to 3.86; p= 0.015), positive attitude (b= 1.67; 95% CI= 0.10 to 3.23; p= 0.036), strong family support (b= 1.58; 95% CI= 0.10 to 3.07; p= 0.036), and strong social capital (b= 1.64; 95% CI= 0.01 to 3.27; p= 0.049). Exclusive breast­fee­ding decreased with mother working outside the house (b= -3.54; 95% CI= -5.50 to -1.58; p<0.001) and sectio caesarea (b= -1.88; 95% CI= -3.58 to -3.58 to -0.19; p= 0.029). Integrated health post had strong contextual effect on exclusive breastfeeding with intra-class correlation (ICC)= 29.3%.Conclusion: Exclusive breastfeeding increases with maternal age 20 to 34 years, high maternal education, good knowledge, positive attitude, strong family support, and strong social capital. Exclusive breast­fee­ding decreases with mother working outside the house and sectio caesarea. Integrated health post has strong contextual effect on exclusive breastfeeding.Keywords: exclusive breastfeeding, multilevel analysis, posyanduCorrespondence: Lathifah ?Arub, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126. Email: lathifah.arub17@gmail.com. Mobile: 085789212539Journal of Maternal and Child Health (2020), 5(1): 100-110https://doi.org/10.26911/thejmch.2020.05.01.11 
THE EFFECTIVENESS OF HYPNOTHERAPY TO REDUCE ANXIETY IN PRE-CAESAREAN SECTION WOMEN Mubarokah, Rizka Innayatun; Prasetya, Hanung; Respati, Supriyadi Hari
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Background: Anxiety felt by women before delivery with cesarean section can cause psycho­logical problem, increase pain in surgery, increase analgesic needs, and prolong hospital treatment. Hypnotherapy has minimal side effects and is easy to do in reducing anxiety. The purpose of this study was to analyze the effect of hypnotherapy in reducing anxiety in women with pre-cesarean section.Subjects and Method: This was a randomized controlled trial study conducted at in Karang­anyar Hospital, and PKU Muhammadiyah Hospital, Karanganyar, Central Java, from July to August 2019. A sample of 60 women was selected for this study by purposive sampling. 30 subjects of the treatment group received hypnotherapy intervention and 30 subjects of the control group received standard care. The dependent variable was anxiety. The independent variable was hypno­therapy. Anxiety was tested by the Hamilton Rating Scale for Anxiety questionnaire. Hypno­therapy was done using hypnosis recording/audio. The data were analyzed by independent t test.Results: Mean of anxiety after hypnotherapy (mean = 14.17; SD = 4.36) was lower than control group (mean = 19.93; SD = 6.02), effect size = -1.09, and is statistically significant (p <0.001).Conclusion: Hypnotherapy is effective in reducing anxiety in women before cesarean section.Keywords: anxiety, hypnotherapy, cesarean sectionCorrespondence: Rizka Innayatun Mubarokah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: rizka.inn@gmail.com.­ Mobile: 082240337404Journal of Maternal and Child Health (2020), 5(1): 12-18https://doi.org/10.26911/thejmch.2020.05.01.02
THE EFFECT OF GADGET USE ON CHILD DEVELOPMENT: A PATH ANALYSIS EVIDENCE FROM MELAWI, WEST KALIMANTAN Calorina, Livia; Pawito, Pawito; Prasetya, Hanung
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Background: The use of gadgets in early childhood can affect the mental and physical deve­lop­ment of children. The Indonesian Pediatric Association (IDAI) estimates that 5-10% of children ex­perience developmental delays. Children's development is influenced by environmental factors, pa­rents, nutritional status, and the use of gadgets. This study aimed to analyze the effect of gadget use on child development in Melawi, West Kalimantan, using path analysis model.Subject and Method: This was a cross sectional study conducted in Melawi, West Kalimantan, Indonesia, from August to September 2019. A total 200 children aged 3 to 5 years old was selected by fixed ex­posure sampling. The dependent variable was child development. The independent variables were gadget usage, maternal age, maternal education, maternal em­ploy­ment, family income, number of children, and family type. The data were collected by ques­tion­naire. The data were analyzed by path analysis run on Stata 13.Result: Child development was directly and positively affected by maternal aged ?20 years old (b= 1.52; 95% CI= -0.29 to 3.35; p= 0.101), high maternal education (b=2.53; 95% CI=1.23 to 3.84; p<0.001), family income ?Rp 2,288,000 (b= 1.38; 95% CI= 0.01 to 2.77; p= 0.049), and core family type (b= 1.61; 95% CI= 0.43 to 2.80; p= 0.008). Child development was directly and nega­tively affected by gadget use (b= -2.74; 95% CI= -3.99 to -1.49; p<0.001), mother working outside the house (b= -1.98; 95% CI= -3.06 to -0.90; p<0.001), and number of children >2 (b= -2.48; 95% CI= -3.67 to -1.29; p<0.001). Child development was indirectly affected by maternal education and maternal employment.Conclusion: Child development is directly and positively affected by maternal aged ?20 years old, high maternal education, high family income, and core family type. Child development is directly and nega­tively affected by gadget use, mother working outside the house, and number of children >2. Child development is indirectly affected by maternal education and maternal employment.Keywords: gadget use, child development, path analysisCorrespondence: Livia Calorina. Postgraduate of Public Health Sciences, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126. Email: liviacalorina41@gmail.com. Mobile: 081346595497Journal of Maternal and Child Health (2020), 5(1): 111-120https://doi.org/10.26911/thejmch.2020.05.01.12

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