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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 506 Documents
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Path Analysis on the Life-Course Biopsychosocial Determinants of Stunting in Children Under Five Years of Age in Karawang, West Java Rona Luthfi Fauziyyah; Yulia Lanti Retno Dewi; CSP Wekadigunawan; Rita Benya Adriani
Journal of Maternal and Child Health Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Studies have shown that stunted children are more likely to start school later, perform more poorly on cognitive functioning tests, and are more likely to drop out of school. In future, adults who are stunted as children earn 20% less than comparable adults who were not stunted and are 30% more likely to live in poverty and less likely to work in skilled labor. This study aimed to examine the life-course biopsychosocial determinantsof stunting in children under five years of agein Karawang, West Java, using a path analysis model.Subjects and Method: This was a case control study carried out inTunggakjati, Rengasdengklok, Kutawaluya, Pedes, and Medangasem community health centers, Karawang, West Java, from April to May 2018. A sample of 225 children under five was selected for this study by fixed disease sampling, consisting of 75 stunted children and 150 normal children. The dependent variable was stunting. The independent variables were maternal height, maternal middle upper arm circumference (MUAC), low birthweight (LBW), history of infection illness, maternal education, exclusive breastfeeding, complementary feeding, and family support. Child height was measured by infantometer or microtoice. The other variables were measured by questionnaire. The data were analyzed by path analysis run on Stata 13.Results: Stunting increased with LBW (b=1.64; 95% CI=0.69 to 2.59; p=0.001) and history of infection illness (b=1.80; 95% CI=0.94 to 2.67; p<0.001). Stunting decreased with maternal height ?150 cm (b=-1.57; 95% CI=-2.43 to -0.71; p<0.001) and appropriate complementary feeding (b=-1.80; 95% CI=-2.53 to -1.08; p<0.001). Stunting was indirectly affected by maternal MUAC, maternal education, exclusive breastfeeding, and family support.Conclusion: Stunting increases with LBW and history of infection illness, but decreases with maternal height ?150 cm and appropriate complementary feeding. Stunting is indirectly affected by maternal MUAC, maternal education, exclusive breastfeeding, and family support.Keywords: stunting, life-course, biopsychosocial, children under fiveCorrespondence:
Expanded Maternal and New Born Survival Program on Strengthening Mother and Child Health Referral System in Cilacap, Indonesia Indah Sulistyoningrum; Uki Retno Budihastuti; Endang Sutisna
Journal of Maternal and Child Health Vol. 1 No. 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In 2012, the maternal mortality rate or MMR and infant mortality rate or IMR in Cilacap, Central Java, tends to increase through the Expanding Maternal and Neonatal Survival or EMAS. This study aimed to determine the implementation expanding maternal and new born survival program in strengthening mother and child health and referral services.Subjects and Method: This was qualitative study. This was conducted in Cilacap.A total of 16 health professional and four societies. The informants were team leader of EMAS, EMAS quality improvement coordinator, civil society coordinator strengthener of EMAS, head of health service in Cilacap, and Chairman of the Civil Society Forum. The data was collected with interviews, observation and document and analyzed using content analysis.Results: The results of this study showed that the standard policy of the implementation of the EMAS clear, precise, clear measurable was indicators of achievement. Objectives of this study could be understood by health professionals and civil society of maternal and child health forum. Health professionals resources in an amount sufficient, with the competence and there was lack equipment and drugs in health centers. Networking system of EMAS utilization was optimal in public health center and hospitals. Communication is effective starting from the initial visit, counseling, socialization, and comparative study. Characteristics of executing agencies indicate good working procedures. Disposition implementer showed a positive attitude and support. The environmental conditions of social, political and economic support. Some of the program started in Cilacap to reduce MMR and IMR and fairly produced significant results.Conclusions: It is suggested to Cilacaphealth service to hold aid and medicine midwife training to improve skills in handling emergency cases of maternal and neonatal.Keywords: Expanding Maternal and New Born Survival, maternal mortality, infant mortalityCorrespondence: Indah Sulistyoningrum. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.Journal of Maternal and Child Health (2016), 2(1): 19-24https://doi.org/10.26911/thejmch.2016.01.01.04
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,
Multilevel Analysis on the Determinants of Overweight among Children Under Five in Kediri, East Java Alfadefi Khalifatunisak; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 3 No. 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Child overweight and obesity are an important public health issue worldwide. Overweight and obese children are likely to stay obese into adulthood and more likely to develop non-communicable diseases like diabetes and cardiovascular diseases. This study aimed to determine factors associated with overweight among children under five in Kediri, East Java, using a multilevel analysis model.Subjects and Method: This was a case control study conducted at 25 posyandus (integrated family health posts) in Kediri, East Java, from April to May 2018. A sample of 200 children under five was selected by fixed disease sampling. Posyandu was selected by stratified random sampling. Children were located at level 1 and posyandu at level 2 in the multilevel analysis model. The dependent variable was overweight. The independent variables were maternal body mass index (BMI), exclusive breastfeeding, calorie intake, feeding pattern, and nutritional status monitoring. Overweight status was measured by weight for height z-score. The data were collected by questionnaire and analyzed by a multilevel logistic regression model run in Stata 13.Results: Maternal BMI ?25 (b= 0.72; 95% CI= -0.98 to 1.54; p= 0.085) and calorie intake exceeding the recommended allowance (b= 1.45; 95% CI= 0.59 to 2.31; p= 0.001) increased the risk of overweight in children under five. Good feeding pattern (b= -1.11; 95% CI= -2.15 to -0.08; p= 0.034), exclusive breastfeeding (b= -0.97; 95% CI= -1.98 to 0.02; p= 0.057), and regular nutritional status monitoring (b= -4.34; 95% CI= -6.42 to -2.21; p<0.001) decreased the risk of overweight. Posyandu showed negligible contextual effect on the incidence of child overweight with ICC= 0.98%.Conclusion: Maternal BMI ?25 and calorie intake exceeding the recommended allowance increase the risk of overweight in children under five. Good feeding pattern, exclusive breastfeeding, and regular nutritional status monitoring decrease the risk of overweight in children under five. Posyandu has a negligible contextual effect on child overweight.Keywords: overweight, children under five, exclusive breastfeeding, maternal body mass index, multilevel analysisCorrespondence:
Effects of Maternal Education, Psychosocial Stress, Nutritional Status at Pregnancy, and Family Income, on Birthweight in Nganjuk, East Java Dhewi Nurahmawati; Harsono Salimo; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 2 No. 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Low birthweight (LBW) is one of the primary causes of infant mortality. It shares 27% of infant mortality rate (IMR). The Indonesian Demographic and Health Survey in 2007 reported that the IMR was 34 deaths per 1,000 live births. As much as 30.3% of this rate was accounted by LBW. As such LBW is an important global public health issue. Countries arround the world have committed to overcome this problem. This study aimed to investigate the effects of maternal education, psychosocial stress, nutritional status at pregnancy, and family income, on birthweight.Subjects and Method: This was an observational analytic study with case control design. The study was conducted in Ngetos community health center, Nganjuk, East Java, from May to June, 2017. A total sample of 120 were selected for this study by fixed disease sampling, compresing 40 infants with low birthweight and 80 infants with normal birthweight. The dependent variable was birthweight. The independent variables were maternal education, psychosocial stress, nutritional status at pregnancy (middle-upper arm circumference, MUAC), maternal anemia, and family income. MUAC was measured by MUAC measuring tape. Hemoglobin concetration was measured by Sahli meter. Psychosocial stress was measured by Holmes and Rahe stress scale. The other variables were measured by a set of questionnaire. Path analysis was used for data analysis.Results: MUAC ?23.5 cm (b= -0.80, SE= 0.57; p=0.064), hemoglobin concetration ?11 g/dL (b= -120.16, SE= 45.14, p=0.008), and low psychosocial stress (b= -0.80, SE= 0.57, p=0.164) directly and negatively affected low birthweight. Maternal education ?Senior High School (b= 1.28, SE = 0.056, p= 0.022), psychosocial stress (b= -0.001, SE<0.001, p=0.097), and family income (b= 0.97, SE= 0.46, p=0.036) positively affected MUAC. MUAC ?23.5 cm positively affected hemoglobin concentration ?11 g/dL (b= 0.19, SE = 20.84, p<0.001).Conclusion: MUAC, hemoglobin concetration, and low psychosocial stress directly and negatively affect low birthweight.Keywords: low birthweight, MUAC, maternal anemia, psychosocial stress, family incomeCorrespondence:
Effect of Maternal Education, Family Income, Mother-Midwife Interface, and the Incidence of Iron Deficiency Anemia in Pemalang, Central Java Ade Kurniati; Okid Parama Astirin; Nunuk Suryani
Journal of Maternal and Child Health Vol. 1 No. 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Maternal mortality rate was 359 per 100,000 live birth in Indonesia in 2012. An indirect cause of maternal mortality rate is anemia. This study aimed to investigate effect of maternal education, family income, mother-midwife interface, on the incidence of iron deficiency anemia in Pemalang, Central Java.
Risk Factors for Acute Respiratory Infection in Children Under Five in Padang, Indonesia Rahmi Hidayanti; Husna Yetti; Andani Eka Putra
Journal of Maternal and Child Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Acute Respiratory Infection (ARI) is a major cause of acute diseases and death in infants worldwide. Percentage of ARI (year 2017) in children aged 12-59 months in Padang was 26.5% and Andalas health center was 33.2%. ARI is influenced by many factors such as environmental condition. This study aimed to analyze risk factors for ARI in children under five in Padang, Indonesia.Subjects and Method: This was a case control study conducted at Andalas community health center, Padang, Indonesia. A sample of 90 children aged 12-59 months was selected for this study. The dependent variable was ARI. The independent variables were humidity, house ventilation, dwelling density, indoor smoke cigarette. Data on ARI status were taken from medical record. The other variables were measured by questionnaire and observation sheet. The data were analyzed by a multiple logistic regression.Results: Poor ventilation (OR = 11.73; 95% CI = 2.16 to 63.86; p = 0.004), high dwelling density (OR = 21.99; 95% CI = 3.75 to 129.04; p = 0.001), indoor cigarette smoke (OR = 5.09; 95 % CI = 1.06 to 24.34; p = 0.042), and high air humidity (OR = 5.00; 95% CI = 0.79 to 31.51; p = 0.086) increased the risk of ARI in children under five and they were statistically significant.Conclusions: Poor ventilation, high dwelling density, indoor cigarette smoke, and high air humidity increase the risk of ARI in children under five.Keywords: Acute respiratory infection, dwelling density, air humidity, children under fiveCorrespondence:
Consumption of Fat, Protein, and Carbohydrate Among Adolescent with Overweight / Obesity Reny Tri Febriani; Ady Soesetidjo; Farida Wahyuning Tiyas
Journal of Maternal and Child Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Excessive nutritional status is a problem related to food, nutrition and public health globally which increases its prevalence quickly and can occur in all aspects of life. The increasing prevalence of excessive nutritional status is a time bomb for some countries that can explode in the future both in terms of health, mental and economic impacts for countries that are associated with increased health costs. Consumption levels such as fat, protein, and carbohydrates affect excessive nutritional status, excessive fat intake for a long time can cause overweight/obesity.Subjects and Method: The design of the study is analytic observation including a total of 111 teens who are overweight and obese. The sampling technique is a random sampling. The analysis was conducted using smart pls version 3.Results: Diet had a positive effect on overweight (b= 2.18; p= 0.032) and level of food consumption (b= 2.33; p= 0.022). High level of fat, protein, and carbohydrates consumption had a positive effect on overweight among adolescents (b= 11.54; p<0.001).Conclusions: Diet has a positive effect on overweight and level of food consumption. High level of fat, protein, and carbohydrates consumption has a positive effect on overweight among adolescents.Keywords: diet, fat, protein, carbohydrate, overweight, obesity, adolescentCorrespondence:
Efficacy of Yoga Exercise to Reduce Anxiety in Pregnancy: A Meta-Analysis using Randomized Controlled Trials Sintia Ayu Ningrum; Uki Retno Budihastuti; Hanung Prasetya
Journal of Maternal and Child Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anxiety can have a negative impact on mothers and infants. Anxiety can cause prematurity, impaired motor development, mental and emotional development of children. This study aimed to examine efficacy of yoga on reducing anxiety in pregnant women.Subjects and Method: This was a meta-analysis. As many as 6 randomized control trials (RCT) were extracted from Pubmed, Science Direct, Springer, Proquest, and Cochrane databases. A sample of 426 pregnant women who took yoga exercises for 4-12 weeks was selected for this study. The data were analyzed in RevMan 5.3.Results: Yoga exercise reduce anxiety in pregnant women (SMD= -0.48; 95% CI= -0.92 to -0.03; p= 0.030).Conclusion: Yoga is effective to reduce anxiety in pregnant women.Keywords: Yoga exercise, anxiety, pregnant women, randomized control trials, meta-analysisCorrespondence:
The Effect of Exclusive Breastfeeding on Wasting in Children Under Five: A Meta-Analysis Study Amallia Wijiwinarsih; Tri Nugraha Susilawati; Bhisma Murti
Journal of Maternal and Child Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Wasting is a form of malnutrition that has become a serious global health problem for the past few decades. Global prevalence of wasting is reported to reach 52 million or 7.7% of the under-fives. Global coverage of exclusive breastfeeding was still as low as 40%. The purpose of this study was to due a meta-analysis on the effect of exclusive breastfeeding on wasting in children under five.Subjects and Method: This was a meta-analysis study conducted from PubMed, SCOPUS, DOAJ, BASE, EBSCO, Emerald, ProQuest, ScienceDirect, ResearchGate, and Google Scholar databases. This study sought a systematic review with observational study design and multivariate-adjusted odds ratio (AOR) analysis. Wasting was defined as weight for height (WHZ) Z score <-2. The data were analyzed by RevMan 5 meta-analysis program with a fixed effect and random effect analysis model.Results: There were 13 articles included in this study. Based on 3 study design, exclusive breastfeeding could prevent the risk of wasting in children under five with each meta-analysis result from a cross-sectional study 0.42 times (OR = 0.42; 95% CI = 0.28 to 0.62; p <0.001), case-control studies 0.38 times (OR = 0.38; 95% CI = 0.27 to 0.54; p <0.001), and cohort studies 0.75 times (OR = 0.75; 95% CI = 0.55 to 1.04; p = 0.08). There was no publication bias in the results of the cross-sectional and case-control study meta-analysis, but there was in the results of the meta-analysis of the cohort study.Conclusion: Exclusive breastfeeding can prevent wasting in children under five.Keywords: exclusive breastfeeding, wasting, observational studyCorrespondence:

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