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Journal of Maternal and Child Health
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : 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 8 Documents
Search results for , issue "vol. 3 no. 1 (2018)" : 8 Documents clear
Psychosocial Factors Associated with Anxiety and Delivery Pain Shofia Maharani Khoirun Nisa; Isna Qadrijati; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anxiety and pain are physiologic symptoms experienced by mothers during birth delivery. However, if these symptoms are not well-managed they can cause low birth weight, prematurity, prolonged labor, and postpartum depression. This study aimed to analyze the psychosocial factors associated with anxiety and delivery pain.Subjects and Method: This was an analytical observational study with cross sectional design. The study was conducted at Gajahan community health center, Surakarta Hospital, and Muhammadiyah Hospital, Delanggu, Central Java, from December 2017 to January 2018. A total sample of 166 delivery mothers were selected for this study by purposive sampling. The dependent variables were anxiety and delivery pain. The independent variables were parity, psychological stress, coping mechanism, family income, and family support. The data were collected by questionnaire. Anxiety was measured by modified Preg
Biopsychosocial and Economic Determinants of Low Birth Weight in Jambi, South Sumatera: Path Analysis Iga Trisnawati; Harsono Salimo; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Low birth weight (LBW) is one of the main risk factors of neonatal mortality and morbidity. It is an important public health issue particularly in developing countries. Worldwide, LBW shares around 15-20% of birth outcome. In Indonesia, LBW shares about 10.2% of birth outcome. In theory, the risk factors of LBW include not only biological aspect but also psychosocial and economic aspects. This study sought to estimate the biopsychosocial and economic determinants of LBW in Jambi, South Sumatera, using path analysis approach.Subjects and Method: This was an analytic observational study with case-control design. The study was carried out at 20 community health centers in Jambi, South Sumatera, from December 2017 to January 2018. A total sample of 200 newborn infants consisting of 50 LBW and 150 normal birth weight newborn infants were selected for this study by fixed disease sampling. The dependent variable was birth weight. The independent variables were gestational age, infant sex, maternal mid-upper arm circumference (MUAC), maternal gestational stress, maternal education, family income at gestational period, and sanitation. Data on birth weight and MUAC were taken from obstetric record. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: The risk of LBW directly decreased with gestational age ?37 weeks (b= -5.06; 95% CI= -6.49 to -3.62; p<0.001), male sex (b= -0.99; 95% CI= -2.12 to -0.12; p= 0.081), low maternal stress (b= -2.35; 95% CI= 14.01 to -0.70; p= 0.005), and good sanitation (b= -1.04; 95% CI= -2.13 to -0.05; p= 0.062). Gestational age increased with family income (b= 1.74; 95% CI= 0.96 to 2.52; p<0.001). Low maternal stress was positively affected by high family income (b= 1.34; 95% CI= 0.197 to 2.50; p= 0.022). Good sanitation was positively affected by high family income (b= 0.71; 95% CI= 0.01 to 1.41; p= 0.046). High family income was positively affected by high education level (b= 1.37; 95% CI= 0.57 to 2.18; p= 0.001)Conclusion: The risk of LBW directly decreases with gestational age ?37 weeks, male sex, low maternal stress, and good sanitation. LBW is indirectly affected by maternal education and family income.Keywords: biopsychosocial, economic, determinant, LBWCorrespondence:
Path Analysis on the Effects of Psychosocial Development, Nutritional Status, and Family Acceptance on Learning Achievement in Autistic Children, in Jember, East Java Tutut Okta Diana; Didik Tamtomo; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The prevalence of autism has been increasing worldwide annually. Autistic children are at higher risk of physical, mental, and intellectual disorders. However, autistic children may have above average academic achievement. With support from family, teacher, and society, autistic children can gain maximum academic achievement. This study aimed to determine the effects of psychosocial development, nutritional status, and family acceptance, on learning achievement in autistic children, in Jember, East Java.Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at Special Elementary School in Jember, East Java. A total sample of 50 autistic students were collected for this study by exhaustive sampling. The dependent variable was learning achievement. The independent variables were nutritional status, psychosocial development, and family acceptance. The data were collected by questionnaire and analyzed by path analysis.Results: Learning achievement was directly affected by psychosocial development (b= 0.36; SE= 0.13;p= 0.005) and nutritional status (b= 1.42; SE= 0.65; p= 0.029). Nutritional status was positively affected by strong family acceptance (b= 0.07; SE= 0.01; p<0.001).Conclusion: Learning achievement of autistic children is affected by psychosocial development and nutritional status.Keywords: learning achievement, psychosocial development, nutritional status, family acceptance, path analysisCorrespondence:
Prevalence and Determinants of Postpartum Depression in Sukoharjo District, Central Java Ryanawati Putriarsih; Uki Retno Budihastuti; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: After delivery of psychological disorder otherwise appropriately and immediately handled may lead to postpartum depression (PPD). PPD has a serious impact on mothers that manifests as lower quality of life and inability to care of themselves, their partner, and infants. There is a lack of studies on PPD in Indonesia. Its prevalence and determinants are not well-understood. This study sought to estimate the prevalence and the determinants of PPD in Sukoharjo, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at community health centers in Sukoharjo District, Central Java, from November to December 2017. A total sample of 200 postpartum mothers was selected for this study using cluster random sampling, with a community health center as the cluster. The dependent variable was PPD. The independent variables were maternal age, parity, labor complication, maternal education, self-efficacy, family income, coping strategy, unwanted pregnancy, and family support. The data were collected by questionnaire and analyzed by path analysis.Results: PPD prevalence in Sukoharjo, Central Java, was 18.5%. The risk of PPD increased with labor complication (b= 3.14, SE= 0.45, p<0.001), unwanted pregnancy (b= 1.54, SE= 0.45, p<0.001), and low family income (b= -0.05, SE= 0.01, p<0.001). The risk of PPD decreased with age (b= -0.07, SE= 0.03, p= 0.028), stronger self-efficacy (b= -0.55, SE= 0.09, p<0.001), and improved coping strategy (b= -0.56, SE= 0.03, p= 0.064). PPD was indirectly affected by younger age, parity, weaker family support, lower family income, coping strategy, and maternal education.Conclusion: PPD prevalence is 18.5% in Sukoharjo, Central Java. The risk of PPD increases with labor complication, unwanted pregnancy, and low family income, but decreases with age, stronger self-efficacy, and improved coping strategy.Keyword: prevalence, postpartum depression, determinant, path analysisCorrespondence:
Determinants of Stunting and Child Development in Jombang District Vivin Eka Rahmawati; Eti Poncorini Pamungkasari; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting is a very short body state in children that goes beyond the 2 SD deficit below the child population height. Worldwide stunting affects about 162 million children under five. Indonesia is included in 17 countries that have three nutritional problems in children under five: stunting, wasting, and overweight. This study aimed to investigate the determinants of stunting and child development in children under five.Subjects and Method: This was a retrospective cohort study conducted at Mayangan and Jarak Kulon Community Health Centers, Jombang, East Java, in Januari 2018. A total sample of 58 children were selected for this study by fixed exposure sampling. The dependent variables were stunting and child development. The independent variables were birth-length, maternal age, maternal height, maternal education, and family income. The data were collected by questionnaire. Data on birth length was taken from maternal and child record at community health center. The data were analyzed by path analysis model.Results: The likelihood of good child development increased with maternal education (b= 1.08; 95% CI= 0.41 to 1.75; p= 0.001) and decreased with stunting (b= -0.78; 95% CI= -1.46 to -0.10; p=0.025). The risk of stunting decreased with birth-length (b= -0.90; 95% CI= -1.60 to -0.21; p=0.011) and maternal height (b=-0.92; 95% CI= -1.69 to -0.16; p=0.018). The risk of stunting increased with maternal age <20 y.0. or ?35 y.o. at pregnancy (b= 0.73; 95% CI= -0.03 to 1.46; p=0.051). The likelihood of maternal age <20 y.0. or ?35 y.o. at pregnancy decreased with higher education (b=-0.75; 95% CI= -1.44 to -0.06; p=0.033). Birth-length
Maternal Role in Guiding Social Communication to Autistic Children as a Quality of Life Determinant Tri Utami; Hermanu Joebagio; Rita Benya Adriani
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Autism spectrum disorder is a type of neural development disorder. It is characterized by deficit in social communication, social interaction, and repetitive behavior pattern. It is assumed that maternal role in child education is more dominant than paternal role, because children are closer to their mothers since birth. It is also assumed that the quality of life of autistic children would improve if there is improvement in their social communication and social interaction. This study aimed to examine the maternal role in guiding social communication to autistic children as a determinant of child quality of life.Subjects and Method: This was a qualitative study conducted in public special school in Tangerang District, West Java, from October to December 2017. Informants for this study included 5 mothers of autistic children and 3 teachers-therapists at the public special school. The constructs under study included maternal role in guiding social communication and social interaction in autistic children. The data were collected by in-depth interview, observation, and document review. The data were analyzed by Miles and Huberman method.Results: Mothers had an important role in observing various child behaviors, seeking advice from expert, determining child development need, exploring child sensory-dietary-medical need at home. Other maternal roles included admitting children to primary school or special school that was suitable for child potential development and involving children in simple daily activities at home. The maternal role in guiding social communication was considerably good including communication therapy at home using audio visual aids, stimulating oral motoric skill, providing social interaction therapy by story telling, teaching socialization to children by familiarizing them to greet and handshake with others, and letting them to play with other children. The maternal role in improving quality of life was sufficiently good, so that each child was able to develop their communication and interaction skills with variying levels of improvement. Conclusion: Maternal role in guiding social communication in autistic children is sufficiently good although there is a need to improve its implementation in order to gain improved quality of life. It is adviseable for mothers to carry on guiding program at home so as to develop child potentials and to reduce their weak aspects.Keywords: maternal role, guiding, communication, quality of life, autistic childrenCorrespondence:
Risk Factors of Postpartum Depression at Dr. Moewardi Hospital, Surakarta Matilda Bupu Ria; Uki Retno Budihastuti; Aris Sudiyanto
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Postpartum depression is one of the emotional disturbances that results from failure to postpartum psychological adaptation process. The global prevalence of postpartum depression is 10-15%. This study aimed to analyze the risk factors of pregnancy on the incidence of postpartum depression.Subjects and Method: This was an analytic and observational study with a cross-sectional design. The study was conducted at Dr. Moewardi hospital, from December 2017 to January 2018. A total sample of 150 postpartum mothers was selected for this study by exhaustive sampling. The dependent variable was postpartum depression (PPD). The independent variables were maternal age, stress, parity, unwanted pregnancy, type of labor, family income, family support, and domestic violence. The data were collected by questionnaire and analyzed by path analysis model.Results: Postpartum depression was directly and positively affected by psychological stress (b= 2.15; 95% CI= 1.17 to 3.13; p<0.001), delivery type (b= 1.27; 95% CI= 0.32 to 2.21; p= 0.008), and unwanted pregnancy (b= 1.57; 95% CI= 0.57 to 2.58; p= 0.002). Postpartum depression was directly but negatively affected by family income (b= -1.52; 95% CI= -2.51 to -0.54; p= 0.002), parity (b= -1.24; 95% CI= -2.21 to -0.28; p= 0.011), and family support (b= -1.31; 95% CI= -3.28 to -0.24; p= 0.016). Psychological stress increased with domestic violence (b= 2.68; 95% CI= 0.64 to 4.73; p= 0.010) and decreased with maternal age (b= -0.91; 95% CI= -1.68 to -0.13; p= 0.022). Parity increased with maternal age (b= 1.66; 95% CI= 0.79 to 2.53; p<0.001). Domestic violence decreased with maternal age (b= -1.34; 95% CI= -2.85 to 0.16; p= 0.081).Conslusion: Psychological stress, delivery type, unwanted pregnancy, family income, parity, and family support, are direct risk factors for postpartum depression.Keywords: Postpartum depression, unwanted pregnancy, domestic violence, family supportCorrespondence:
Effect of Family Hope Program on Maternal Health Behavior and Children Under Five Nutritional Status in Poor Families, Jombang, East Java Sintya Rosalina; Endang Sutisna Sulaeman; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Family Hope Program, or internationally referred to as Conditional Cash Transfer (CCT), is a government poverty allevation initiative by provision of conditional cash money that induces healthy behavior so as to achieve strong generation. This study sought to examine the effect of Family Hope Program on maternal health behavior and children under five nutritional status in poor families, Jombang, East Java.Subjects and Method: This was an analytic observational study with retrospective cohort design. This study was conducted in Jombang District, East Java, from November to December 2017. A total sample of 210 mothers and their children under five were selected for this study by fixed exposure sampling. The dependent variables were maternal health behavior and child nutritional status. The independent variables were birthweight, history of illness, maternal education, family income, family support, government Family Hope Program,

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