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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 6 Documents
 1 
Search results for , issue "Vol. 10 No. 1 (2025)" : 6 Documents clear
Metrics from a Congenital Hypothyroidism Screening Program – A Tale of Unmet Challenges Kanani, Fatima; Kumar, Vikram; Mushtaq, Mamona; Sameer, Dua; Ali, Rehan
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.01.02

Abstract

Background: Congenital hypothyroidism is one of the most common Inherited Metabolic Diseases for which newborn screening is recommended. A wide-scale program for this is lacking in our country. We undertook a study to retrospectively review our metrics from a regional project for newborn screening of Congenital Hypothyroidism including frequency of elevated neonatal Thyroid Stimulating Hormone (TSH), recall rate, rate of missed testing and turnaround time for results. Subjects and Method: Retrospective data of neonates born between 13th July 2020 and 10th August 2021 was collected from electronic medical records. Dried blood spot specimens for TSH were collected from the umbilical cords for neonates born vaginally and by heel prick for those born by caesarian section and sent to the designated laboratory. Data was entered on Microsoft Excel and analyzed. Results: 4037 babies were screened for neonatal TSH, 2149 males and 1888 females. The median (IQR) TSH level was 3.34 (2.09-5.30) µIU/mL. The TSH levels of ≥15 µIU/mL were noted in 95 newborns, out of which 31 newborns had values of ≥ 20 µIU/mL. There was a median (IQR) turnaround time of 14.00 (4.00-55.00) days for initial results accessibility to the clinician. The recall rate was 0.3%. Around 10% of the neonates were not screened and retesting was performed in 12 neonates with high TSH. Only one neonate was identified with persistently raised TSH and suppressed FT4. Conclusion: Congenital Hypothyroidism was diagnosed in one out of 4037 neonates while 10% were not screened. Recall rate was low, 0.3%. The median turnaround time for reporting was 14 days. Increased awareness, strict monitoring, resource allocation, administrative support and follow-up are required for successful implementation of a CH screening program.
An Analysis of the Quality of Life of Children Experiencing Stunting and Wasting Born to Adolescent Mothers in the Alak District Nenogasu, Yeri Delsia; Wulandari, Estiyani; Buan, Gerda N.
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.01.01

Abstract

Background: Adolescent pregnancy remains a prevalent global issue with well-documented causes. However, it contributes significantly to nutritional challenges among young children, including stunting and wasting. This study aims to assess the impact of neonatal health, maternal caregiving practices, incidence of illness, disease prevention efforts, and nutritional intake on the quality of life of stunted and wasted children aged 37–60 months born to adolescent mothers. Subjects and Method: This study is analytical correlational research using a cross-sectional approach. The study is conducted in Alak District (Consisting of Penkase, Alak, Naoini, and Manutapen Community Health Centers), Kupang City, from September to October 2024. The sample comprises 50 mother-child pairs selected based on specified inclusion criteria. Data collection, including primary and secondary sources, was conducted from September to October 2024 following ethical approval. The study aims to analyze the effects of latent variables within a factor model related to the quality of life of children. These latent variables include the newborn’s health history, maternal caregiving practices, illness occurrence, disease control efforts, nutritional intake, and the child’s quality of lifePartial Least Squares (PLS) analysis was performed using the Smart PLS 3.0 software. Results: The study findings reveal that newborn health, maternal caregiving practices, illness incidence, disease control efforts, and nutritional intake have both direct and indirect positive effects on children's quality of life. Significant direct positive relationships were observed between maternal caregiving practices and nutritional intake (T-statistic: 3.307), maternal caregiving practices and disease control efforts (T-statistic: 2.151), and disease control efforts and children’s quality of life (T-statistic: 2.578). Conclusion: Preventing adolescent pregnancy and childbirth is crucial, as it significantly impacts the long-term growth and development of children.
Effect of Health Education Using the Questions and Answers Module on Knowledge about Breastfeeding Meilanda, Vella; Yanuarti, Riska; Wati, Nopia; Afriyanto; Pratiwi, Bintang Agustina
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.01.03

Abstract

Background: Lack of knowledge about breastfeeding is often a major barrier for mothers to provide exclusive breastfeeding for the first six months of a baby's life, This is recommended as the optimal standard to support infant growth and health. This study aimed to evaluate the effectiveness of health education using the Questions and Answers module in improving knowledge about breastfeeding. Specifically, it sought to assess the extent to which this educational approach enhances participants' understanding of breastfeeding benefits, techniques, and common challenges. The study aimed to determine whether the interactive nature of the module leads to better knowledge retention compared to traditional educational methods. Subjects and Method: This was a quasi-experimental design involving 30 third trimester pregnant women who were divided into an intervention group and a control group. The intervention group received education based on question-and-answer modules, while the control group relied on standard Maternal and Child Health (MCH) books. The dependent variable included knowledge about breastfeeding. The independent variable was health education using the Questions and Answers module, as it represented the intervention aimed at improving participants' breastfeeding knowledge. The data were then collected by questionnaire. The mean difference of knowledge before and after question-and-answer modules was tested by independent t-test. Results: Knowledge scores about breastfeeding were higher in the intervention group (Mean= 19.60; SD= 2.13) than in the control group (Mean= 16.27; SD= 2.15), but this result was not statistically significant (p= 0.253). Conclusion: There was an increase in knowledge scores about breastfeeding after the Questions & Answers module was given, but the results were not statistically significant. There is a need to develop more interactive education programs to support mothers in providing exclusive breastfeeding, especially in areas with low levels of knowledge.
Health Belief Model: Analysis of Maternal Perception on Completeness of Child Immunization Status in Manokwari, West Papua Pihahey, Priscilla Jessica
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.01.04

Abstract

Background: Immunization can save millions of lives and is one of the most economical health interventions in the world. Parental perception is crucial in decision-making, but the mother’s characteristics, family, beliefs, culture, and environment influence perception. The Health Bilieu Model theory can show evidence that supports predictions about parents’ decisions to immunize their children. Subjects and Method: The design of this study is observational analysis with a case-control design. The research was conducted in 3 working areas of the Puskesmas in the Manokwari district, namely the Prafi SP IV Health Center, the Pasir Putih Health Center, and the Sanggeg Health Center. The research was conducted from July to August 2023. The target population is mothers who have children >9 months old. A total of 96 samples were selected using the fixed disease sampling tech­nique. The incomplete immunization case group was 24, and the complete immunization control group was 72. The dependent variable is the completeness of immunization status, and the inde­pen­dent variable is the maternal perception of threats, benefits, seriousness, obstacles, and vulne­rabilities. The data were analyzed by PATH analysis. Results: The completeness of basic immunization, as reviewed from the Health Belief Model during the Covid-19 Pandemic, was directly influenced by the perception of barriers to the completeness of immunization status (b= 0.99; 95% CI= -0.43 to 2.02; p= 0.060), the perception of benefits to the completeness of immunization status (b= 1.15; 95% CI= 0.11 to 2.19; p= 0.029) and the perception of threats to the completeness of immunization status (b= 1.36; 95% CI= 0.30 to 2.41; p= 0.012). Indirect influence through threat perception is: Vulnerability perception (b= 0.08; 95% CI= -0.87 to 1.04; p= 0.858) and Vulnerability perception (b= 0.25; 95% CI= -0.69 to 1.18; p= 0.606).   Conclusion: Maternal characteristics and maternal perception of obstacles, benefits, threats, seriousness, and vulnerability significantly affect the completeness of basic immunization for infants aged 0 months to 9 months.
The Effect of Combination Catfish Nuggets and Omega-3 Eggs in Addressing Stunting in Toddlers Sartika, Rini; Kusumastuti, Nurry Ayuningtyas; Winarni, Lastri Mei
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.01.05

Abstract

Background: Stunting is still a scourge for Indonesia society, the incidence of which has not been reduce to date. Accelerating the reduction in stunting rates is still a priority for the Indonesian government in order to immediately achieve the reduction according to the expected target. Good and healthy nutritional conditions during infancy (under five years of age) are an important foundation for their health and well-being in the future. This study aimed to determine the effect of combination of catfish nuggets and omega-3 eggs in overcoming stunting in toddlers. Subjects and Method: Method of this study used true experimental with a two group pretest post-test control group design. The total samples of 30 toddlers was divided into 2 groups of 15 respondents each group, it was the intervention group which was given combination of catfish nuggets and Omega-3 Eggs and the control group which was not given it during 2 weeks. Technique sampling was cluster random sampling. The instrument used lenghtboard for height and observation form for combination of catfish nuggets and Omega-3 Eggs. Data analysis used Wilcoxon test. Results: The mean of height for toddlers increased after given combination of catfish nuggets and Omega-3 Eggs (Mean =-2.17; SD= 0.97) compared to before intervention (Mean= -2.52; SD= 0.87), and the results were statistically significant (p<0.001) Conclusion: Combination of catfish nuggets and Omega-3 Eggs effective is increase the height for toddlers.
Parental Insight and Action: Exploring the Link Between Knowledge and Early Childhood Dental Caries Prevention in Sukoharjo, Central Java, Indonesia Firmansyah, Gusti Fathoni; Pamungkasari, Eti Poncorini; Widyaningsih , Vitri
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.01.06

Abstract

Background: The most common case of dental and oral diseases suffered by early childhood is dental caries, dental caries can be prevented, one of which is by modifying the thoughts, lifestyle, and daily habits of the parents. One of the models that can be used to change dental caries prevention behavior is by using the Health Belief Model (HBM). The purpose of this study is to identify factors such as vulnerability perception, seriousness perception, benefit perception, obstacle perception, motivation to act and parental self-efficacy towards dental caries prevention behavior in early childhood in Sukoharjo Regency. Subject and Method: This study was conducted using a quantitative approach with an analytical observational research method with a cross-sectional research design. The sample amounted to 111 parents from children aged 6 to 8 years in Weru District, Sukoharjo Regency with the Multistage Cluster Random Sampling technique. This study uses primary data sources with data collection techniques through questionnaires and then multivariate analysis with multiple linear regression methods. The content of the questionnaire includes behavior to prevent dental caries in children based on parental perception and parental knowledge about dental caries prevention based on the Health Belief Model (HBM) construct. Results: There was a positive association of vulnerability perception (b=0.16; CI 95%= 0.01 to 0.17; p=0.024), perception of seriousness (b=0.16; CI 95%= 0.01 to 0.19; p=0.050), perception of benefits (b=0.173; CI 95%= 0.005 to 0.21; p=0.040), action signal (b=0.21; CI 95%= 0.01 to 0.27; p=0.036), and self-efficacy (b=0.19; CI 95%= 0.01 to 0.21; p=0.037) on the behavior of preventing dental caries in children, and there was a negative relationship between the perception of obstacles (b=0.15; CI 95%= 0.01 to 0.13; p=0.047) on the behavior of preventing dental caries in children. Conclusion: Perception of vulnerability, perception of seriousness, perception of benefit, action cues, and parental self-efficacy have a positive effect on dental caries prevention behavior in children. On the other hand, the perception of obstacles from parents has a negative effect on dental caries prevention behavior in children.

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