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Journal of Maternal and Child Health
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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
Search results for , issue "Vol 5, No 2 (2020)" : 12 Documents clear
Issues, Challenges, and Potential of Palliative Care in Pediatric Nursing: A Systematic Review Widiyanto, Aris; Handayani, Rina Tri; Atmojo, Joko Tri
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Background: Palliative care is an essential right for infants and children with a life-threaten­ing ill­ness. However, palliative care is still un­ava­il­able in some developing countries. This stu­dy aim­ed to explore the issues, challenges, and po­ten­tial of palliative care in pediatric nursing care.Subjects and Method: A systematic review was conducted by searching published articles in PubMed, CINAHL, and EMBASE databases, from year 2000 to 2018. The keywords used for this stu­dy included “palliative” AND “children”, “pal­lia­tive” AND “nursing” AND “care”, “palliative ca­re” AND “pediatric care”. The data were analyzed by PRISMA flow diagram.Results: Palliative care is evolving continuously, meeting new challenges, and expand­ing beyond the care of terminally ill pediatric patients. A ma­jor challenge in palliative care is effective com­mu­­nication. However, only a few communication trainings exist for nurses. Obstacles of palliative care in pediatrics nursing included clinical, ope­ra­tional, and financial factors. However, pallia­tive care has a substantial potential to reduce morbidity in infants and children. In addition, a cohort study conducted in 265 pedia­tric cancer patients reported that palliative care reduced pain and improved their life expectancy.Conclusion: Palliative care is a comprehensive app­roach of care and its delivery to pediatric pa­tients is challenging. It has a substantial potential in reducing infant and child morbidity.Keywords: palliative care, pediatric nursing, pal­li­ative nursingCorrespondence: Aris Widiyanto. School of Health Sciences Mam­ba'ul 'Ulum, Surakarta, Jl. Ring Road Utara, Ta­wangsari, Mojosongo, Jebres, Surakarta, Central Java. Email: widiyantoaris99@gmail.com. Mo­bile: 081329209095Journal of Maternal and Child Health (2020), 5(1): 167-172https://doi.org/10.26911/thejmch.2020.05.02.06
Factors Affecting Late Infertility Examination Budihastuti, Uki Retno; Melinawati, Eriana; Sari, Arum Dessy Rahma; Jatiningtyas, Abida Zuhra
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Background:  Infertility is the inability of a couple to get pregnant after 12 months of regular sexual intercourse at least 2-3 times a week with­out using contraception. Delay in the examina­tion will have a bad impact considering that in­creas­ing age will affect the success of the hand­ling of infertility, especially in women so it is neces­sary to know the factors that influence the delay of the initial examination in order to be over­come. This study aims to determine the factors that influence the late infertility examin­ation.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted at Sekar Polyclinic, Dr. Moewardi Hospital, Surakarta, Central Java, from June to August 2019. A sample of 90 out­patients was selected by purposive sampling. The depen­­dent variable was late infertility exami­nation. The independent variables were family sup­port, knowledge, accessibility, and education. The data was collected by medical record and question­­naire. The data were analyzed by a multiple logistic regression.Results: Late infertility examination decreased with strong family support (OR= 0.20; 95% CI= 0.06 to 0.62; p= 0.006), high knowledge (OR= 0.29; 95% CI= 0.09 to 0.92; p= 0.036), good accessibility (OR= 0.18; 95% CI= 0.05 to 0.59; p= 0.005), and high education (OR= 3.41; 95% CI= 0.95 to 12.17; p= 0.059).Conclusion: Late infertility examination decreases with strong family support, high know­ledge, good accessibility, and high education.Keywords: infertility examination, family sup­port, accessibility, knowledgeCorrespondence: Uki Retno Budihastuti. Department of Obstetrics and Gynecology, Dr. Moewardi Hospital,Jl. Kolo­nel Sutarto132, Jebres, Surakarta, Central Java. Email: ukiretno@gmail.com. Mobile: 0812­26­56­140.Journal of Maternal and Child Health (2020), 5(2): 206-212https://doi.org/10.26911/thejmch.2020.05.02.11
Contextual Effect of Community Health Center on Visual Inspection Acetic Acid Uptake in Magelang, Central Java: A Multilevel Analysis Martaningrum, Herlina Ika; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Abstract

Background: Cervical cancer is a major prob­lem in women's. Cervical cancer can be prevented by early examinations i.e. visual inspection acetic acid (VIA). This study aimed to analyze the contex­tual effect of community health center on VIA up­take in Magelang, Central Java.Subjects and Method: This was analytic obser­­­­vational study with cross-sectional design. The stu­dy was conducted at 25 community health cen­­­­­ters in Magelang, Central Java, from Sep­tem­ber to October 2019. A to­tal sample of 200 women aged 30 to 50 years was selected ran­domly. The dependent variable was VIA uptake. The independent variables were knowledge, ob­ser­­­vational lear­ning, behavioral reinforcement, cues for action, access to information, family sup­port, attitude, self-efficacy, outcome expec­tation, and contextual factor of community health cen­ter. The data were collected by ques­tion­naire and analyzed by a multilevel multiple logistic reg­res­sion run on Stata 13.Results: VIA uptake increased with good know­ledge (b= 4.02; 95% CI= 0.61 to 7.42; p= 0.021), obser­­vational learning (b= 2.28; 95% CI= -0.35 to 4.93; p= 0.090), strong behavioral rein­force­ment (b= 4.11; 95% CI= 0.82 to 7.40; p= 0.014), strong cues to action (b= 5.36; 95% CI= 0.65 to 10.07; p= 0.026), good access to information (b= 3.71; 95% CI= 0.42 to 7.01; p= 0.027), strong family support (b= 4.23; 95% CI= 0.21 to 8.25; p= 0.039), positive attitude (b= 3.29; 95% CI= -0.23 to 6.81; p= 0.067), strong self-efficacy (b= 2.94; 95% CI= 0.10 to 5.78; p= 0.042), and strong outcome expectation (b= 3.39; 95% CI= 0.35 to 6.44; p= 0.029). Community health cen­ter had strong contextual effect on VIA uptake with intra-class correlation (ICC)= 23%.Conclusion: VIA uptake increases with good know­ledge, observational learning, strong beha­vi­o­ral rein­forcement, strong cues to action, good access to information, strong family support, posi­tive attitude, strong self-efficacy, and strong out­come expectation. The community health center has a strong contextual effect on VIA uptake.Keywords: visual inspection acetic acid, social cognitive theory, multilevel analysisCorrespondence: Herlina Ika Martaningrum, Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Su­tami 36A, Surakarta 57126, Central Java, Indo­nesia. Email: herlinaika21@gmail.com. Mobile: 085643528156Journal of Maternal and Child Health (2020), 5(2): 129-140https://doi.org/10.26911/thejmch.2020.05.02.02   
Path Analysis on the Biopsychosocial Determinants of Infertility among Reproductive Aged Women in Surakarta, Central Java Zauma, Luthfia; Budhiastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Abstract

Background:  Infertility is a multidimensional prob­­lem. This problem occurs not only because of health problems related to anatomic factors such as problems in the fallopian tubes, ovaries, and endo­­­metrium, but also there are more factors such as physiological, genetic, and environmental fac­tors. The purpose of this study was to analyze the factors that influence the incidence of infer­tility in women.Subjects and Method: A case control study was conducted at the Gynecology Obstetrics Poly­clinic and Sekar Fertility Clinic, Dr. Moewardi hos­pital, Surakarta, Central Java, from October to November 2019. A sample of 200 women rep­ro­­ductive age was selected by fixed disease samp­ling. The dependent variable was infertility. The inde­pen­dent variables were age, body mass index (BMI), physical activity, endo­metriosis, family his­tory, exposure to cigarette smoke, and stress. The data were obtained from medical record and question­naire. The data were analyzed by path analysis run on Stata 13.Results: Infertility in women was directly increased with age 35 years (b= 1.20; 95% CI= 0.18 to 2.22; p= 0.021), BMI <18 or ≥25 (b= 2.93; 95% CI= 1.95 to 3.91; p<0.001), high phy­sical activity (b= 1.30; 95% CI= 0.28 to 2.33; p= 0.013), endometriosis (b= 1.17; 95% CI= 0.20 to 2.13; p= 0.018), exposure to cigarette smoke (b= 1.19; 95% CI= 0.20 to 2.23; p= 0.023), and severe stress (b= 1.18; 95% CI= 0.27 to 2.08; p= 0.011). In­fer­­tility in women was indirectly increased with age, physical activity, and family history of infer­tile.Conclusion: Infertility in women is directly in­creas­ed with age 35 years, BMI <18 or ≥25, high phy­sical activity, endometriosis, exposure to ciga­ret­­­te smoke, and severe stress. Infertility in women is indirectly increased with age, physical acti­vity, and family history of infertile.Keywords: female infertility, risk factors, path analy­sisCorrespondence: Luthfia Zauma. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia, 57126. Email:el.chizauma@gmail.com. Mobile: 0813379 77377.Journal of Maternal and Child Health (2020), 5(2): 173-181https://doi.org/10.26911/thejmch.2020.05.02.07
Does Entitlement Card ensure Utilization of Urban Primary Healthcare Clinic in Bangladesh? Mizan, Sharmin; Rahman, Md Mizanur; Safii, Razitasham binti; Ahmad, Sk Akhtar
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Abstract

Background: Although Bangladesh substantial­ly reduced 40% maternal death in the last deca­des, it is still challenging, especially among the ur­ban poor. The achievements are not equitable bet­ween different economic quintiles and bet­ween the rich and the urban poor. This study aims to examine the extent to which the entitle­ment card affects the utilization of maternal and child health care and identifies other factors that influence MCH services.Subjects and Method: This cross-sectional study was carried out in the working areas of the Ur­ban Primary Healthcare Project (UPHCP) in Bang­ladesh. A two-stage cluster sampling tech­ni­que was used to select the participants. A total of 3,949 women aged 15-49 years, having at least one child aged two years or less were selected for this study. The data were collected through face-to-face inter­views. The data were analyzed using multinomial logistic regression.Results: The proportion of utilization of UPH­CC was 49.9%. One-fourth (26.6%) of them fully utilized it and another 23.3% utilized it partially. Stepwise multinomial logistic regression analysis revealed that those who had an Entitlement Card from the UPHC project were 11.75 times (95% CI= 9.481, 14.549; p= 0.001) more likely to fully Utilized and 3.64 times (95% CI= 3.643, 2.911; p= 0.001) likely be utilized partially compared to non-utilizer. Respondents having no formal edu­cation utilized UPHCC fully (AOR=2.32; 95% CI= 1.46, 3.68; p= 0.001) and partially (AOR= 1.76; 95% CI= 1.12, 2.77; p= 0.014) used UPHCC. It was 3.08 (95% CI= 2.03, 4.67; p= 0.001) times for fully and 2.71 (95% CI= 1.82, 4.04; p= 0.001) times for partially utilized UPHCC compared to non-users among the primary level of education. Small family size (≤4) and monthly family in­come in the range of BDT 10,000 above were likely to utilise UPHCC. However, non-Muslims were less likely to Utilized UPHCC.Conclusion: Apart from the entitlement card, other factors such as monthly income BDT> 10,000, small family size, no formal educated mo­ther appeared to be potential predictors for utilization of the Urban Primary Health care clinic.Keywords: entitlement card, maternal care, Utilization, urban primary healthcareCorrespondence: Md Mizanur Rahman. Department of Community Medicine and Public Health, Faculty of Medicine and Health Sciences, Universiti Malaysia Sa­rawak. Email: rmmizanur@unimas.my, rmizanur1958@gmail.com.Journal of Maternal and Child Health (2020), 5(2): 213-225https://doi.org/10.26911/thejmch.2020.05.02.12
Determinants of Low Birth Weight in Cilacap District Septikasari, Majestika
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Background: Low birth weight (LBW) is closely related to the increased risk of child morbidity and mortality, disruption of developmental growth and in the long-run has an increased risk of chronic disease in their adulthood. This study aims to analyze the effect of nutritional status at the beginning of pregnancy, maternal education and family expenditure on the incidence of low birth weight (LBW) in Cilacap District.Subjects and Method: This study is an obser­vational analytic study with a cross sectional approach. The study was conducted in three health centers in Cilacap District, Central Java, in 2016. A sample of 144 children aged less than 1 year was selected by cluster sampling. The depen­dent variable was birth weight. The independent variables were maternal MUAC, maternal educa­tion, and family income. The data are collected with medical records. The data were analyzed using multiple logistic regression analysis.Results: Maternal MUAC ≥23.5 cm (OR = 0.22; 95% CI = 0.57 to 0.89; p = 0.033) reduced the risk of LBW and it was statistically significant. Maternal education (OR = 0.51; 95% CI = 0.12 to 2.13; p = 0.356) and high family income (OR = 0.47; 95% CI = 0.09 to 2.47; p = 0.376) reduced the risk of LBW but it is statistically insignificant.Conclusion: Maternal MUAC ≥23.5 cm, high maternal education, and high family income reduced the risk of LBW.Keywords: low birth weight, maternal mid-upper arm circumferenceCorrespondence: Majestika Septikasari. School of Health Sciences Al-Irsyad Al-Islamiyyah Cilacap, Central Java, Indonesia. Email: majestika86@gmail.com.Journal of Maternal and Child Health (2020), 5(2): 141-146https://doi.org/10.26911/thejmch.2020.05.02.03
Micronutrients Intake and Mathematics Achievement among Primary School Children in Magelang, Central Java Arika, Romiza; Anantanyu, Sapja; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Background: Micronutrient deficiency in school children is estimated at more than 2 million children. Deficiency of micronutrients causes damage to the physical functioning of children, impaired cognitive function, learning processes that are less than optimal, and poor academic performance. This study aimed to analyze the relationships between iodine, iron, zinc intake, and math achievement primary school children.Subjects and Method: This was an obser­vational analytic study with a cross sectional design. The study was conducted in four elemen­tary schools in Pakis, Magelang, Central Java, from March to April 2019. A sample of 177 stu­dents was selected by simple random sam­pling. The dependent variable was math achieve­ment. The independent variables were iodine, iron, and zinc intakes. The data were collected by question­naire and analyzed by a multiple linear regres­s­ion.Results: Iodine intake (b= 0.02; 95% CI= 0.01 to 0.03; p= 0.001) and zinc intake (b= 0.23; 95% CI= 0.04 to 0.41; p= 0.017), and iron intake (b= 0.08; 95% CI= -0.01 to 0.17; p= 0.052) increased math achievement in primary school children.Conclusion: Iodine intake, zinc intake, and iron intake increase math achievement in primary school children.Keywords: iodine, zinc, and iron, math achievement, primary school childrenCorrespondence: Romiza Arika. Masters Program in Nutrition, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: romiza­arika652@gmail.com.Mobile: +6289506237763. Journal of Maternal and Child Health (2020), 5(2): 182-192https://doi.org/10.26911/thejmch.2020.05.02.08
Effect of Antenatal Mental Health Disorder on Fetal Growth: A Systematic Review Handayani, Rina Tri; Widiyanto, Aris; Atmojo, Joko Tri; Setyorini, Catur
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Abstract

Background: Maternal mental disorders during pregnancy are associated with a range of adverse health outcomes for infants. Re­cent studies indi­cate the possible mechanism of maternal mental health disorders asso­ciated with fetal develop­ment through prog­ram­­ming effect. This study aimed to sys­tema­t­ically review the effect of ante­natal mental health disorders on fetal growth.Subjects and Method: This was a sys­tem­atic review. The articles were selected from Psyc­INFO, Medline, Web of Science, Em­­­base, and PubMed journal databases pu­blis­hed from July to Septem­ber 2018. The keywords for this review included maternal mental health AND fetal growth, post­partum de­p­ress­­ion AND fetal growth, maternal mental health AND fetal growth AND review. As many as 11 articles were selected for this stu­dy from 575 articles.Results: Maternal mental health during preg­nancy was associated with fetal head cir­cum­­ference growth through 2 mechanism: (1) In­creased maternal stress response modifies neu­ro­en­docrine function, which included changes in cortisol regulation, adreno­corti­co­tropic, adrena­line and nor­adrenaline hor­mo­nes levels; and (2) Decreased 11β-hydroxy­steroid dehydrogenase (11β-HSD2) enzyme regulation in placenta. It decreased11β-HSD2 level, increa­s­ed fetal gluco­corticoids circu­la­tion, and affect­ed on fetal head growth restriction.Conclusion: Maternal mental health during pregnancy is associated with fetal head circ­um­­fe­rence growth restriction.Keywords: maternal mental health, fetal head circumference, growth, systematic re­viewCorrespondence: Rina Tri Handayani. School of Health Scien­ces Mamba'ul 'Ulum, Surakarta, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Sura­­ka­r­ta, Cen­tral Java. Email: trihandayan­ir­ina­@gmail­.­com: 085642224141Journal of Maternal and Child Health (2020), 5(2): 147-153https://doi.org/10.26911/thejmch.2020.05.02.04
Visit to the Disability Integrating Health Post and Its Effect on the Quality of Life of Children with Cerebral Palsy: A Multivariate Evidence from Sukoharjo, Central Java Rohaniyati, Retno Dwi; Salimo, Harsono; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Background:  An assessment of the quality of life of children with cerebral palsy is important to be carried out, as part of the indicators of achiev­ing health service delivery goals. To faci­litate access to health services for children with dis­­abilities, the government of Sukoharjo Dis­trict esta­b­lished an integrated health post (pos­yandu) for children with disabilities called in­clu­sion cen­ters.  This study aimed to deter­mine the quality of life of children with cerebral palsy who receive ser­­­vi­ces at the inclusion center.Subjects and Method: his was a cross sec­tional study conducted in 12 inclusion centers in Suko­harjo, Central Java. A sample of 100 child­­ren with cerebral palsy (CP) aged 4-18 years old was selected by fixed disease samp­ling. The depen­dent variable was the quality of life of CP child­ren. The independent variables were the level of gross motor function capa­bility, parental cop­ing, quality service, and freq­uency of pos­yandu visits. Gross motor func­t­ion capability was mea­sured by Gross Motor Funt­ion Classifi­cation Sys­tem (GMFCS). Qua­lity of life was measured by the Cerebral Palsy Qua­lity of Life (CP-QOL) ver­sion of the parent proxy. Data collection used ques­tion­­naire and analyzed by a multiple linear reg­ression run on Stata 13.Results: Better quality of life of children with cereb­ral palsy was influenced by lower GMFCS levels (b= -128.72; 95% CI= -220.34 to -37.10; p= 0.006), good parental coping (b= 18.87; 95% CI= 10.85 to 26.89; p<0.001), good service quality (b= 20.79; 95% CI= 9.99 to 31.59;  p<0.001), and more frequent visits to posyandu (b= 214.86; 95% CI= 56.66 to 373.15; p= 0.008).Conclusion: Quality of life of children with cerebral palsy is influenced by lower GMFCS levels, good parental coping, good service qua­lity, and more frequent visits to posyandu.Keywords: quality of life, disability, cerebral palsy, integrating health post (posyandu)Correspondence: Retno Dwi Rohaniyati, Masters Program in Pub­­lic Health, Universitas Sebelas Maret, Jl. Ir. Su­­tami 36A, Surakarta, Central Java, Indo­ne­sia. Email: retnodr16@gmail.com. Mobile: 08­15­4626 8418.Journal of Maternal and Child Health (2020), 5(2): 193-199https://doi.org/10.26911/thejmch.2020.05.02.09
Contextual Effect of the Integrated Health Post and Other Determinants on Completeness of Basic Child Immunization: A Multilevel Analysis Evidence from Jember, East Java Erynda, Revina Fiandany; Sulaeman, Endang Sutisna; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Background: Every year, more than 1.4 million children worldwide die from diseases that can be prevented by immunization. Immunization is still one of the most cost-effective preventive mea­su­res to reduce mortality and morbidity among child­ren. This study aimed to analyze the influ­ence of posyandu contextual and maternal cha­rac­teristics on the provision of complete basic im­mu­ni­za­tion in children aged 12-23 months.Subjects and Method: This was an observa­tional analytic study with a cross sectional design. The study was conduct­ed at 25 integrated health posts (posyandu) in Jember, East Java, Indonesia from Sep­tem­ber to October 2019. A sample of 200 mothers who had children aged 12-23 months was selected by simple random sampling. The dependent variable was complete basic immunization. The independent variables were maternal education, maternal knowledge, parity, maternal em­ploy­ment status, family income, maternal attitude, family support, and contextual effect of pos­yandu. The data were collected by questionnaire and analyzed by a multilevel logistic regression analysis run on Stata 13.Results: Provision of complete basic immuniza­tion increased with maternal education ≥Senior high school (b= 2.99; 95% CI= 1.26 to 4.73; p= 0.001), good maternal knowledge (b= 1.93; 95% CI= 0.38 to 3.53; p= 0.018), family income ≥Rp 2,170,000 (b= 1.18; 95% CI= -0.15 to 2.50; p= 0.081), positive maternal attitude (b= 1.92; 95% CI= 0.45 to 3.39; p= 0.011), and strong family sup­port (b= 2.29; 95% CI= 0.62 to 3.96; p= 0.007). Complete basic immunization decreased with ma­ternal parity ≥3 (b= -1.35; 95% CI= -2.68 to -0.01; p= 0.048) and mother working outside the ho­me (b= -2.67; 95% CI= -4.49 to - 0.85; p= 0.004). Posyandu had contextual effect on the pro­vi­si­on of complete basic immunization in children aged 12-23 months with ICC= 23.65%.Conclusion: Provision of complete basic im­mu­nization increases with maternal education ≥Se­nior high school, good maternal knowledge, fa­mi­ly income ≥Rp 2,170,000, positive maternal at­titude, and strong family support. Complete basic immunization decreases with maternal parity ≥3 and mother working outside the home. Posyandu has contextual effect on the pro­vision of com­ple­te basic immunization in children.Keywords: basic immunization, children aged 12-23 months, integrated health post, multilevel analysisCorrespondence: Revina Fiandany Erynda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: revinaerynda@gmail.com. Mobile: 085­36­18­0003.Journal of Maternal and Child Health (2020), 5(2): 154-166https://doi.org/10.26911/thejmch.2020.05.02.05

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