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Journal of Maternal and Child Health

thejmch
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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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Search results for , issue "Vol. 7 No. 6 (2022)" : 12 Documents clear

Relationships between Body Mass Index, Psychological Stress, Physical Activity, and Oligomenorrhea in Adolescents at Yasinat Islamic Boarding School, Surabaya Rosida, Silvi Dina; Sa'adi, Ashon; Purwanto, Bambang
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Oligomenorrhea is one of the most common types of menstrual cycle disorders. Cases have increased in recent decades. Women with oligomenorrhea have menstrual intervals of more than 35 days and less than 90 days. Oligomenorrhea is common in adolescents, particularly 75% of women in late adolescence suffer from oligomenorrhea. The study aims to analyze the effect of BMI, psychological stress, and physical activity on the incidence of oligomenorrhea in young women in Yasinat Islamic Boarding School. Subjects and Method: This was an analytical observational study with a cross-sectional design. The study sample was adolescents aged 17-19 years with a total of 82 students at Yasinat Islamic Boarding School. The dependent variable was oligomenorrhea. Independent variables were BMI, stress psychology, and physical activity. The study instrument was a questionnaire. The study data were analyzed using the Chi-Square. Results: BMI <18.5 kg/m2 and BMI >25 kg/m2 or 24.4% experienced oligomenorrhea, 3.7% of subjects with light activity experienced oligomenorrhea, while subjects with physical activity of more than 40% experienced oligomenorrhea, 21.7 % of subjects with the normal category experienced oligomenorrhea, 27.8% mild stress, 47.1% moderate stress experienced oligomenorrhea. BMI had a significant effect on oligomenorrhea (p= 0.006). Psychological stress (p= 0.227) and physical activity (p= 0.224) showed no significant influence on oligomenorrhea. Conclusion: There is a relationship between BMI and oligomenorrhea incidence. However, there is no relationship between psychological stress, physical activity, and oligomenorrhea. Keywords: physical activity, body mass index, oligomenorrhea, psychological stress. Correspondence: Silvi Dina. Study Program of Midwifery, Faculty of Medicine, Universitas Airlangga. Jl. Mayjen Pro. Dr. Moestopo No. 47, Surabaya 60132, East Java, Indonesia. Email: silvi.dina.rosida-2019@fk.unair.ac.id. Mobile: +6282140485431.

Stunting Determinant Analysis in the East Mainland Province of East Nusa Tenggara for the Period of 2017-2021 Picauly, Intje; P Manongga, Stefanus; Adar, Damianus; CH Liufeto, Franchy
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The Mainland of Timor, East Nusa Tenggara Province (NTT) has a diverse regional topography with a high prevalence of stunting (>20%). The local government has taken preventive measures. However, the results show a very small reduction in the prevalence of stunting (±2-3%/year). This study aimed to determine the factors that influence the incidence of stunting in the Eastern Mainland Region, NTT Subjects and Method: This data was a cross-sectional study conducted in NTT, from in June to August 2022. A sample of 28 informants who were selected with the following considerations: officials from the Health Office, PUPR Service, Agriculture Service, and Regency/ City BPS data managers for the Eastern mainland region of NTT. The dependent variable was stunting. The independent variables were Availability of Public Health Workers, Infectious infectious diseases, Open defecation behavior, Family income level, Availability of clean water and proper sanitation, Exclusive breastfeeding, Posyandu visits, Program for giving iron tablets to young women, and Administration of Vitamin A. The data were analyzed by linear regression analysis. Results: Factors that influence the incidence of stunting were sanitation factors (b= -2.22; 95% CI= -3.52 to -0.91; p= 0.012), factor of pneumonia infection (b= 0.07; 95% CI= 0.01 to 0.13; p= 0.038), open defecation behavior factor (b= 2.60; 95% CI= 0.99 to 4.21; p= 0.014), and family income level factor (p= -1.21; 95% CI= -1.80 to -5.70; p= 0.009). Conclusion: The incidence of stunting in the East Mainland Region, NTT is influenced by factors: sanitation, pneumonia infection, open defecation behavior; and family income level. Keywords: stunting incidence, eastern mainland, sanitation factors, infectious diseases, pneumonia, open defecation. Correspondence:Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana, Kupang, Nusa Tenggara Timur, Indonesia, Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, Nusa Tenggara Timur. Mobile: +62822-3714-5517. Email: intjepicauly@staf.undana.ac.id.

Meta-Analysis the Effect of Hormonal Contraception on Sexual Disfunction in Injection and Oral Contraceptive Acceptors Sumiyati, Sumiyati; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: One of the factors that cause sexual dysfunction is the use of hormonal contraception. The hormone progesterone in contraceptives functions to thicken cervical mucus. In addition, the hormone progesterone also facilitates the conversion of carbohydrates into fat so that one of the side effects is causing body weight to increase and reducing sexual arousal which causes an effect on sexual desire. This study aimed to analyze the effect of the use of injectable hormonal contraception and pills on the incidence of sexual dysfunction using a meta-analysis study. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flowchart diagram. The process of searching for articles was carried out with a range of 2011-2022 in the Google Scholar, PubMed, Science Direct, Researchgate and Springerlink databases. The keywords used in the article search are “hormonal contraceptive” AND “oral contraception” OR “pills contraceptive” AND “injectable contraceptive” AND “sexual dysfunction” AND “cross-sectional”. The inclusion criteria are full text articles with cross-sectional study design, articles using English, multivariate analysis with Adjusted Odds Ratio. Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: A total of 14 articles with a cross-sectional study design originating from Iran, Indonesia, Malaysia, Ethiopia, Egypt, Washington, Sweden and Polan were meta-analyzed in this study. A meta-analysis of 7 articles showed that there was an effect of using injectable hormonal contraception on the incidence of sexual dysfunction 1.66 times compared to those not using injectable contraception, but this was not statistically significant (aOR= 1.66; 95% CI= 0.65 to 4.26; p= 0.290). Meanwhile, 7 articles showed that women using oral contraceptives had a 1.42 times risk of experiencing sexual dysfunction compared to not using oral contraceptives and this was statistically significant (95% CI= 1.04 to 1.92; aOR= 1.42; p= 0.030). Conclusion: Injectable hormonal contraceptives show that there is an effect on the incidence of sexual dysfunction, but statistically this relationship is not significant. Hormonal contraceptive pills showed an effect on the incidence of sexual dysfunction and was statistically significant. Keywords: sexual dysfunction, injectable contraceptives, oral contraceptives, meta-analysis. Correspondence:Sumiyati. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: mia.azizi.ma@gmail.com. Mobile: +6282282246211.

Association between Women’s Empowerment and Other Socio-Demographic and Nutritional Factors on Stunting among Children Aged 6 to 59 Months: Data from 2016 EDHS Baruda, Yirgalem Shibiru; Yilma, Mengistu; Gebremariam, Mulugeta Betre; Assebe, Lelisa Fekadu
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting is the most prevalent form of malnutrition in children under five years of age in Ethiopia. Evidence supporting women’s impact on reducing child stunting is limited. In this paper, we examine the association between women’s empowerment and socio-demographic factors on stunting among children aged 6 to 59 months. Subjects and Method: The study used the EDHS 2016 dataset. Children aged 6-59 months whose mothers (aged 15-49 years) were living with their husbands at the time of the survey were included. We enrolled 8,496 mother and child pairs. Complex sample logistic regression analysis was employed to determine the association between child stunting and the predictors. Data analyses were employed using SPSS Version 22. Results: Around 2,624 (31%) of the mothers were 25 to 29 years old. In the 12 months before the survey, around 45% (3,806) of the mothers were employed; 2,072 (54%) of them had seasonal jobs, and the 1,734 (45%) remaining mothers had full-time employment. Among employed mothers, about 50.5% (1,921) had not received payment for their work. Household wealth index (AOR= 1.9; 95% CI= 1.44 to 2.73) and maternal height (AOR= 1.9; 95% CI= 1.28 to 2.82), and having a boy child (AOR= 1.3; 95%CI= 1.08 to 1.46) is more liked associating with stunting. But maternal attitude towards wife-beating (AOR= 1.1; 95% CI= 0.89 to 1.26) had no association with it. Conclusion: children born from the poorest households, low maternal height (<145cm), and male sex have increased risk of stunting. Lastly, Mothers' economic and socio-familial empowerment do not predict the risk of child stunting. Keywords: stunting, empowerment, women, Ethiopian demographic health survey. Correspondence: Yirgalem Shibiru Baruda. School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia. Email: yirgalemsh75@gmail.com.

Proportion of Birth Asphyxia and Its Associated Factors among Newborns Delivered in Public Hospitals in Addis Ababa, Ethiopia, 2019: A Multicenter Cross-Sectional Study Godie, Yohannes; Yenus, Hedija; Ayenew, Fentahun; Birhanu, Dires; Guadie, Yitayal
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Birth asphyxia is a serious clinical problem that causes neonatal mortality and morbidity worldwide, Even though Ethiopia has made significant progress in lowering the under-five mortality rate, the neonatal mortality burden has not decreased significantly, which may be due to birth asphyxia. Therefore, the purpose of this study was to address this gap by assessing the prevalence of neonatal asphyxia and its associated factors among newborns in Addis Ababa public hospitals, Ethiopia. Subjects and Method: A facility-based cross-sectional study was conducted on 683 live newborns born at Addis Ababa public hospitals. Data were gathered through structured face-to-face interviews, questionnaire administration, and a systematic random sampling technique with proportional allocation. For statistical analysis, data were entered into Epi-data version 4.6 and exported to SPSS version 26. All variables with p-value ≤ 0.2 were taken into the multivariable model. A statistical significant level was declared at 95% CI and adjusted odds ratio (AOR) at a p <0.05. Results: The prevalence of birth asphyxia was 72 (10.6%) with a 95 % CI of (8.3 to 13.0). According to this study, birth asphyxia was significantly associated with the odds of newborns whose mothers were not educated (AOR= 8.09; 95 % CI= 1.63 to 40.19; p= 0.011), prolonged labor (AOR= 3.52; 95 % CI= 1.47 to 8.43; p= 0.005), ante-partum hemorrhage (AOR= 5.36, 95 % CI= 1.69 to 16.99; p= 0.004), preeclampsia (AOR= 5.09, 95 % CI= 2.09 to 12.47; p <0.001). Conclusion: Birth asphyxia was found in 10.6 % of neonates. Birth asphyxia was significantly predicted by the mother's educational level, complicated labor, and low birth weight. Keywords: proportion, Birth asphyxia, Newborns, Addis Ababa. Correspondence: Yohannes Godie. Debre Markos University, Ethiopia, Email: yohannesguadie@gmail.com, Mobile: +25192857735.

Correlation between Low Birthweight and Underweight in Children Under Five: A Meta-Analysis Nurfitria, Adilla Misi; Raharjo, Setyo Sri; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Underweight among children results in growth disorders, and stunting. The study aims to determine the correlation between low birthweight and underweight in children under five based on primary studies previously conducted. Subjects and Methods: This study used a meta-analysis study with PICO as follows: P=chidren under five, I= low birthweight, C= normal birthweight, O= underweight. The search for articles in this study used databases, namely Pubmed, Google Scholar, and Springerlink. The article search used the following keywords: Low birth weight AND underweight OR underweight toddler AND low birthweight. The articles were analyzed by using Review Manager 5.3. Results: There were 9 articles from Ghana, Bangladesh, East Kenya, Pakistan, Malawi, China, Ethiopia, and Rwanda from 2017-2022 analyzed by using PRISMA flow diagrams. These results indicated that children under five with a history of low birthweight had 2.21 times risk of being underweight compared to children under five who had a history of normal birthweight (aOR= 2.21; CI 95% = 1.96 to 2.49; p<0.001). Conclusion: Children under five with low birthweight history are at risk of being underweight. Keywords: low birthweight, underweight, children under five, meta-analysis Correspondence: Adilla Misi Nurfitria. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A Surakarta 57126, Central Java, Indonesia. Email: Adillamisi2502@gmail.com. Mobile: +6285786605313.

Meta-Analysis the Effect of Hormonal Contraception on the Weight Gain and Hypertension in Women of Reproductive Age Kusumaningtiyas, Zonna Aditiya; Tamtomo, Didik; Murti, Bhisma
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Hormonal contraception is a contraceptive method that can prevent pregnancy because it contains estrogen and progesterone. The use of hormonal contraception for a long time can cause side effects including increased body weight, cholesterol deposits, and hypertension. The purpose of this study was to examine, analyze, and estimate the magnitude of the effect of the use of hormonal contraception on the incidence of weight gain and hypertension in women of childbearing age based on the results of previous similar studies. Subjects and Method: This study is a systematic review and meta-analysis using PRISMA flowchart diagrams. The process of searching for articles was carried out between 2004-2021 using 3 databases, including Google Scholar, PubMed, and Science Direct. The keywords used in the database search are ""Hormonal Contraception" AND “DPMA injection” AND "Weight Gain" AND "Hypertension". Inclusion criteria for full text articles used the observational Randomized Controlled Trial method, the articles used English, and reported the Mean and SD in multivariate analysis. Articles that met the requirements were analyzed using the RevMan 5.3 application. Results: A total of 14 articles with a Randomized Controlled Trial study design originating from Thailand, Indonesia, Pakistan, America, California, Africa, Ethiopia, and Kenya were meta-analyzed in this study. Meta-analysis of 7 articles showed that hormonal contraception had an effect on weight gain in women of childbearing age by 0.03 units but not statistically significant (SMD= 0.03; 95% CI= 0.07 to 0.14; p= 0.530). Meanwhile, 7 articles showed that hormonal contraception increased the incidence of hypertension in women of childbearing age by 0.10 units, but it was not statistically significant (SMD= 0.10; 95% CI= 0.17 to 1.37; p= 0.460). Conclusion: Hormonal contraception increases body weight and hypertension in women of childbearing age. Keywords: hormonal contraception, weight gain, hypertension, meta-analysis. Correspondence:Zonna Aditiya Kusumaningtiyas. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: zonnaaditiya22@gmail.com. Mobile: +6282234998054.

Factors Influencing the Role of Religious Leaders in the Process Accelerate Stunting Response in East Nusa Tenggara Province Picauly, Intje; Adi, Anak Agung Ayu Mirah; Meiyetriani, Eflita; Mading, Majematang; Weraman, Pius; Nashriyah, Siti Fadhilatun; Hidayat, Ahmad Thohir; Boeky, Daniela L. Adeline; Lobo, Varry; Saleh, Asmulyati S.; Peni, Jane A.
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting was the impact of chronic malnutrition in the long term and has an impact on children's growth and development disorders. Stunting has become a priority for the Indonesian government, including in the Province of East Nusa Tenggara with a stunting reduction target of 14% in 2024. The Indonesian governments have made many efforts to overcome stunting. Religious leaders are parties suspected of being able to play a role in the process. This study was aimed to determine the factors that influence the role of religious leaders in supporting the process of accelerating stunting reduction in the dry land area in East Nusa Tenggara. Subjects and Method: This was a mixed-method study. This study was conducted in May 2022 using the focus group discussion (FGD) method and involved 13 religious leaders who were taken purposively. The data collected were analyzed qualitatively (making interview transcripts) and quantitatively. The independent variables were level of understanding about stunting, support for policies/programs related to stunting, stunting program budget support, national program support: CATIN facilitation, and cross-sectoral cooperation support. The statistical analysis used is multiple logistic regression analysis. Results: Factors that significantly influence the role of religious leaders are the level of understanding of religious leaders about stunting (aOR= 3.50; 95% CI= 0.12 to 12.3; p= 0.010) and support factors for cross-sectoral cooperation (aOR= 2.00; 95% CI= 1.22 to 21.10; p= 0.007). Budget support for stunting related policies/ program (aOR= 2.40; 95% CI= 1.76 to 12.32; p= 0.621), support policy/ program related to stunting (aOR= 1.70; 95% CI= 1.27 to 7.32; p= 0.387), and national program, support “CATIN Mentoring” (aOR= 1.10; 95% CI= 0.37 to 21.02; p= 0.621) were statistically non-significant. Conclusion: Factors that influence the role of religious leaders were the level of understanding of religious leaders about stunting, support factors for cross-sectoral cooperation, budget support for stunting related policies, support policy related to stunting national program, and support “CATIN Mentoring”. Keywords: the role of religious leaders, acceleration of stunting prevention, chronic malnutrition. Correspondence:Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Kupang, East Nusa Tenggara, Indonesia. Mobile: +62822-3714-5517. Email: intjepicauly@staf.undana.ac.id.

Correlations between Maternal Age, Education, and Knowledge on the Compliance of COVID-19 Vaccine Uptake in Children Aged 6 – 11 Years Supiatun.M, Lilis Sri; Aâ€™yuni, Zera Qurrota; Marhana, Isnin Anang; Husada, Dominicus
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The coverage rate for giving the COVID-19 vaccine to children in several regions of Indonesia is still in the low category, one of which is in Abeli District, Kendari City. One of the factors that can affect the low administration of vaccines to children is due to mothers' concerns about their children so they are hesitant and reluctant to be given the COVID-19 vaccine. This study aims to analyze the relationship between age, education, and knowledge of mothers with compliance with the COVID-19 vaccine in children aged 6-11 years in Abeli District, Kendari City. Subjects and Method: A cross-sectional study was conducted in Abeli District, Kendari City, from August to October 2022. A total of 90 subjects were selected using a proportionate stratified random sampling technique. The dependent variable is adherence to giving the COVID-19 vaccine to children. The independent variables include age, education, and mother's knowledge. The instrument used is a questionnaire. Data analysis used was the Chi Square test. Results: Adherence to maternal COVID-19 vaccine administration increased with knowledge (OR= 3.57; 95% CI= 1.46 to 8.75; p= 0.007). Meanwhile, age (OR= 0.34; 95% CI= 0.14 to 0.83; p= 0.003) and education (0.31; 95% CI= 0.12 to 0.31; p= 0.020) reduced maternal adherence in administering the COVID-19 vaccine to children. Conclusion: There is a significant relationship between age, education, and mother's knowledge with compliance with the COVID-19 vaccine in children aged 6-11 years in Abeli District, Kendari City. Keywords: maternal age, maternal education, knowledge, COVID-19 vaccine. Correspondence: Lilis Sri Supiatun Mamesah. Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No.47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java, Indonesia. Email: lilis.sri.supiatun-2019@fk.unair.ac.id. Mobile: +6285333622541.

A Study on Role of Antenatal Care in Pregnancy Outcome K, Akhila; Kumar, Prasanth; Bhavani, Kenche
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Antenatal care (ANC) and regular antenatal visits are one of the interventions that have the potential to improve both maternal and child survival. The utilization of antenatal services remains less than 60% in India. The study aimed to find out the association between ANC visits and pregnancy outcome. Subjects and Method: Cross-sectional study was conducted on 200 antenatal women in a tertiary care centre over a period of 3 months. After taking informed consent data was collected by interviewer technique using a pretested semi-structured questionnaire. Questionnaire includes information related to socio-demographic variables, number of ANC visits, delivery outcome (normal/ LSCS) low birth weight, stillbirths, and abortions. Thus, collected data was entered in excel and analyzed using epi info 7.22.6. The bivariate analysis was the chi-square test. Binary logistic regression was used to study the association between delivery outcome and its covariates. Logistic regression was also done to see the association between ANC visits and Low birth weight and stillbirths. Results: Out of 59 women who had less than 4 ANC visits had more number of abortions (18.6%) (OR= 32.08; CI 95%= 4.03 to 255.07; p<0.001), low birth weights (52.5%) (OR= 4.46; CI 95%= 2.31 to 8.62; p= 0.001), still births (8.5%) (OR= -1.00; CI 95%= -1 to -0.001 p=0.001), out of 22 illiterate mothers 16 of them had poor pregnancy outcomes (p= 0.002) and first ANC visit during first trimester had less complications (p <0.001). Binary logistic regression revealed significant association between delivery outcome and Socio-economic status (OR= 2.14; CI 95%= -1.47 to 3.13; p<0.001) as well as frequency of ANC visits (OR= 0.65; CI 95%= 0.55 to 0.77; p<0.001). Significant association was also observed between ANC visits and Low birth weight (OR= 0.52; CI 95%= -0.43 to 0.62; p <0.001). Logistic regression between ANC visits and stillbirths/abortion showed significant association (OR= 0.36 (CI 95%= -0.23 to 0.55; p<0.001). Conclusion: The study shows that less than 4 ANC visits, illiteracy increases the risk of poor pregnancy outcome. Women who had their first ANC visits during first trimester had less complications. Keywords: antenatal care, pregnancy outcomes, socio-demographic factors. Correspondence:Bhavani. Department of Community Medicine, Osmania Medical College, Hyderabad, Telangana. Email: bhavanikenche1969@gmail.com. Mobile: 9502710778.

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