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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.
Arjuna Subject : -
Articles 12 Documents
Search results for , issue "Vol. 9 No. 4 (2024)" : 12 Documents clear
Does Social Cognitive Theory Explain Antenatal Care for Pregnant Women in Boyolali, Central Java? A Multilevel Analysis Soraya, Mira Mashita; Prasetya, Hanung; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.04.09

Abstract

Background: Healthy mothers play a central role in forming the foundation of future generations' health. The role of Antenatal Care (ANC) is quite crucial in the continuation of optimal pregnancy. The main purpose of pregnancy examination is to monitor fetal well-being and identify early risk factors during pregnancy. Although antenatal examination is considered important, some pregnant women have not made maximum use of pregnancy examination services due to various factors. This study aims to analyze the influence of the Social Cognitive Theory construct and the contextual influence of Posyandu on antenatal examination behavior. Subjects and Method: A cross-sectional study was conducted at 25 integrated health posts (Posyandu) in Boyolali Regency, Central Java from August to September 2024. A total of 200 pregnant women were selected using a simple random sampling method. The dependent variable was complete antenatal examination (≥ 6 visits). The independent variables were self-efficacy, outcome expectation, modeling, and reinforcement. Data collection was carried out using interviews, questionnaires, and ANC visit data from village midwives. Data were analyzed using multilevel multiple linear regression. Results: Multilevel analysis in this study showed that antenatal care visiting behavior in pregnant women increases along with high self-efficacy. (b=0.23; CI 95% = 0.09 to 0.36; p<0.001), positive outcome expectation (b=0.32; CI 95% = 0.21 to 0.43; p<0.001), reinforcement (b=0.38; CI 95% = 0.24 to 0.53; p<0.001), high education (b=0.28; CI 95% = -0.43 to 1.01; p=0.433), and high family income (b=0.27; CI 95%= -0.27 to 0.81; p=0.327). The effect of modeling, education and family income on antenatal visit behavior was not statistically significant. This multilevel analysis model also showed that the contextual effect in the integrated health post on antenatal visit behavior was quite large (ICC=24%). Conclusion: The frequency of complete antenatal check-ups will increase with high self-efficacy, positive outcome expectations, and reinforcement. Thus, social cognitive theory can be used to explain and predict routine antenatal check-ups. Variations in the posyandu level have a significant contextual effect on the behavior of complete antenatal check-ups (≥ 6 check-up visits).
The Impact of Sibling Age Gap, Stimulation, Father Involvement, and Parenting Stress on the Development of Children Aged 36-59 Months: A Multilevel Analysis Rachmawati, Rulita Ayu; Adriani, Rita Benya; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.04.10

Abstract

Background: Early childhood development (36-59 months) is a critical period that significantly influences a child's growth, learning and overall well-being. Providing high-quality early childhood care and education is essential to maximizing children's potential for later success, as it equips them with the skills and competencies necessary for their future development. Subjects and Method: This study used a cross-sectional approach conducted in 28 Early Childhood Education (PAUD) in Wonogiri Regency, Central Java in August - September 2024. A total of 225 children aged 36-59 months were selected in this study with a randomized controlled trial (RCT). The dependent variable of this study was the development of children aged 36-59 months. The independent variables at level 1 were the age gap between children, parenting stimulation, father involvement and parenting stress. The independent variable at level 2 was Early Childhood Education (PAUD). Data were collected through questionnaires and the analysis of this study used multilevel multiple logistic regression and used STATA 13. Results: This multilevel multiple logistic regression analysis concluded that age-appropriate child development at 36–59 months increased with longer age gaps between children (OR=2.06; CI 95%= 0.97 to 4.42; p = 0.061), high parenting stimulation (OR=2.04; CI 95%= 1.30 to 3.20; p = 0.002), father's involvement (OR=2.74; CI 95%= 1.22 to 6.15; p= 0.014). Child development appropriate for the age of 36-59 months old decreased with high parenting stress (OR=0.34; 95% CI= 0.20 to 0.57; p < 0.001). Early Childhood Education (PAUD) was not statistically significant in influencing early childhood development with ICC = 0.36%< 8-10%. Conclusion: The development of children aged 36-59 months increased significantly with the age gap of children, nurturing stimulation, and father involvement in nurturing. Child development decreased with high parenting stress. Early Childhood Education (PAUD) has a low contextual effect on the development of children aged 36-59 months.

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