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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 12 Documents
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Search results for , issue "Vol. 8 No. 4 (2023)" : 12 Documents clear
Food Intakes and Determinants of Under-5 Health Outcomes in South Africa Molelekoa, Thonaeng Charity; Oyekale, Abayomi Samuel
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.09

Abstract

Background: Inadequate food intake has been implicated as the major cause of poor nutritional and health outcomes among children under the age of 5. However, little empirical evidence exists on the role of different food classes in promoting good health outcomes among under-5 children. Therefore, this study analysed the effect of food intakes on the occurrence of wasting, stunting and underweight among under-5 children in South Africa. Subjects and Method: The data were the Demographic and Health Survey (DHS) collected in 2016 with two stage stratified sampling. The z-scores for wasting, stunting and underweight were the indicators of child’s health outcomes, which were analysed with logistic regression model. Results: The logistic regression results revealed that the probability of stunting decreased with being discharged same time with the mother (0.90), residing in wealthy homes (0.90), and being a boy (0.82), but increased with sharing toilet (0.43), and number of children (0.90). In addition, wasting reduced with milk consumption (0.23), high birth weight (1.00) and number of children (1.50). In comparison with Western Cape, a child has 4.92, 7.29, 11.65 and 8.33 higher chances of being underweight when they reside in Kwazulu-Natal, North West, Gauteng and Limpopo province, respectively, while consumption of fruit and vegetables increased underweight. Conclusion: It can be concluded that there is still a nutritional problem on children under 5 in South Africa. It is recommended that government, especially the health department should advise mothers with child health related matters at clinics and encourage them to breastfeed their children and have recommended diet for them.Keywords: health outcomes, underweight, stunting, wasting, child. Correspondence:Thonaeng Charity Molelekoa, Department of Agricultural Economics and Extension, North-West University Mafikeng Campus, Mmabatho 2735 South Africa. Email: Thona.Maselwa@nwu.ac.za.
The Association between Hypothermia during Emergency Room Admission and Newborn Mortality at Dr. Moewardi Hospital Hidayah, Dwi; Rohsiswatmo, Rinawati; Hafidh, Yulidar
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.06

Abstract

Background: Hypothermia in newborns continues to be a significant issue and a leading cause of morbidity and mortality. The incidence of hypothermia in referral newborns is still high during hospital admission. Subjects and Method: This is a prospective cohort study conducted at Dr. Moewardi Hospital. Data collection was carried out on January 1, 2015, until March 31, 2015, for referred newborns. The dependent variable was mortality and the independent variables included gestational age, birth weight, sepsis, severe respiratory distress, and temperature at the time of admission at the ER. The chi-square test and logistic regression were used to analyze the data, with a cut-off value of p<0.05 cut off and a confidence interval of 95%. Results: There were 56 newborn referrals, with 60.7% incidence of hypothermia and 19.6% inci­dence with mortality. From the chi-square analysis, the variable of gestational age and weight did not meet the requirements of multivariate analysis (p> 0.25). The multivariate logistic regression analysis revealed a non-significant association between severe respiratory distress and mortality in referred newborns (OR= 5.25; 95% CI= 0.89 to 30.82; p= 0.066). After performing multivariate logistic regression analysis to obtain controlled ORs, there was a significant relationship between newborn referrals mortality and temperature at the time of ER admission (OR= 8.75; 95% CI= 1.07 to 3.26; p= 0.047) and sepsis (OR= 6.25; 95% CI= 150 to 28.69; p= 0.012) with mortality of referred newborns. Conclusion: The incidence of hypothermic referred newborns is high. Hypothermia during admission at the ER and sepsis are both associated with increased mortality in referred newborns. Keywords: newborns, hypothermia, mortality. Correspondence:Dwi Hidayah. Department of Child Health, Faculty of Medicine, Sebelas Maret University and Dr. Moewardi General Hospital, Jalan Kolonel Sutarto No.132, Surakarta 57126, Indonesia. Mobile: 08122623728 Email: dwihidayah_dr2020@staff.uns.ac.id

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