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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.
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Articles 549 Documents
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Multilevel Analysis on the Biosocial and Economic Determinants of Exclusive Breastfeeding Sinta, Prabawati; Salimo, Harsono; Pamungkasari, Eti Poncorini
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: Exclusive breastfeeding is provided to infants from birth to 6 months of age without supplementary or substitution food and drink. Breastmilk contains nutrients and protective factors that can reduce morbidity and mortality risks of children. This study aimed to determine the effect of maternal nutritional status, parity, employment status, family income, health personnel support, subjective norm, and stratification status of community health center (posyandu), on exclusive breastfeeding in Banjarsari Sub-District, Surakarta.Subjects and Method: This was an analytic observational study with cross sectional design. The study was conducted in Banjarsari sub-district, Surakarta, Central Java, from October 17 to November 7, 2017. Twenty five posyandus were selected by stratified random sampling. Of the posyandus selected, 200 lactating mothers were selected by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal nutritional status, parity, employment status, family income, subjective norm, and health personnel support. The data were collected using a set of questionnaire and analyzed by multilevel logistic regression in Stata 13.Results: The likelihood of exclusive breastfeeding increased with better maternal nutritional status (b= 1.65; 95% CI= 0.14 to 3.17; p= 0.032), multi parity (b= 1.72; 95% CI= 0.57 to 2.86; p= 0.003), working outside the house (b= -2.94; 95% CI= -3.99 to -1.88; p= 0.001), higher family income (b= -1.94; 95% CI= -3.13 to -0.76; p= 0.001), strong health personnel support (b= 1.13; 95% CI= 0.02 to 2.25; p= 0.046), and positive subjective norm (b= 1.20; 95% CI= 0.14 to 2.25; p= 0.025). Posyandu showed strong contextual effect on exclusive breastfeeding with intra-class correlation (ICC)= 28.87%.Conclusion: The likelihood of exclusive breastfeeding increases with better maternal nutritional status, multi parity, working outside the house, higher family income, strong health personnel support, and positive subjective norm.Keyword: exclusive breastfeeding, multilevel analysis, maternal nutritional status, parity, employment status, family income, health personnel support, subjective norm, and posyanduCorrespondence: Prabawati Sinta. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A Surakarta. Email: prabawatisinta887@gmail.comJournal of Maternal and Child Health (2017), 2(4): 356-370https://doi.org/10.26911/thejmch.2017.02.04.06 
Biopsychosocial Factors, Life Course Perspective, and Their Influences on Language Development in Children Safriana, Latifah; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Speech and language disorder if untreated may cause deficiency in reading, verbal, psychosocial, behavioral, and academic abilities. Studies have shown that birthweight, body length at birth, maternal education, parenting style, maternal stress, income at pregnancy, and current income can influence child development. This study aimed to determine the biopsychosocial factors, life course perspective, and their influences on language development in children. Subject and Method: This was an analytic observational study using case control design. The study was conducted in Surakarta, Central Java, from February to May 2017. A sample of 140 children aged 2 to 5 years old were selected for this study by fixed disease sampling with 1:3 ratio between case (children with speech and language disorder) and control (children without such disorder). The dependent variable was child speech and language development. The independent variables were birthweight, body length at birth, maternal education, maternal stress, parenting style, family income at pregnancy, and current family income. The data were collected by a set of questionnaire and medical record. The data on speech and language ability was measured by Denver II questionnaire. Path analysis was employed for data analysis.Results: Language development was directly and positively affected by democratic parenting style (b=0.46; SE=0.08; p<0.001), permissive parenting style (b=0.10; SE=0.11; p=0.020), birthweight (b=0.12; SE=0.02; p=0.002), maternal education (b=0.11; SE=0.31; p=0.007), maternal stress (b=-0.13; SE=0.04; p=0.013). Language development directly and negatively affected by autoritarian parenting style (b=-0.37; SE=0.09; p<0.001). Language development was indirectly affected by body length at birth, family income at pregnancy, and current family income.Conclusion: Language development is directly affected by parenting style, birthweight, maternal education, maternal stress.Keywords: biopsychosocial, life course, language development, children 2 to 5 years old, path analysisCorrespondence: Latifah Safriana. School of Health Polytechnics Permata Indonesia, Yogyakarta. Email: latifsafri@gmail.com. Mobile : +6282225246917.Journal of Maternal and Child Health (2017), 2(3): 245-256https://doi.org/10.26911/thejmch.2017.02.03.06
The Relationship Between Child Nurturing Pattern, Family Support, and Language Competence in Children Aged 5-6 Years with Auditory Disorder Tirtawati, Dewi; Suryani, Nunuk; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Hearing is one of the important senses for human that functions as a communication tool and education. Lack of hearing ability in children may hinder development and lead to problem in language and speaking ability. In turn it may affect academic achievement. Hearing disorder therefore needs to be detected early. This study aimed to determine the relationship between child nurturing pattern, family support, and language competence in children aged 5-6 years with auditory disorder.Subjects and Method: This was an analytic and observational study with cross sectional design. It was carried out at “Jala Puspa” Children Observation Garden (Taman Observasi Anak “Jala Puspa”) Dr. Ramelan Navy Hospital, Surabaya, East Java. A total sample of 40 children aged 5-6 years with their parents were selected for this study by simple random sampling. The dependent variable was language competence. The independent variables were child nurturing pattern and family support. The data were collected by a set of questionnaire, and were analyzed by logistic regression. Results: There were positive relationship between nurturing pattern (OR= 10.05; 95% CI= 1.85-54.73; p= 0.008), family support (OR= 6.76; 95% CI= 1.36-33.51; p= 0.019), and language competence.Conclusion: Nurturing pattern and family support have positive relationship with language competence.Keywords: child nurturing pattern, family support, language competence, auditory disorderCorrespondence: Dewi Tirtawati. School of Health Polytechnics, Surakarta. Email: tirta.dewi@yahoo.co.idJournal of Maternal and Child Health (2016), 1(3): 188-194https://doi.org/10.26911/thejmch.2016.01.03.06
Path Analysis on the Determinants of Unwanted Pregnancy Among Adolescents in Madiun, East Java Mutiara, Bunga; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Unintended pregnancy is a worldwide problem that affects women, their families, and society. Unintended pregnancy can result from early marriage, contraceptive failure, non-use of contraceptive services, and, less commonly, rape. Consequences of unintended pregnancy include abortion with its long-term negative health effects including infertility and maternal death. This study aimed to examine the determinants of unwanted pregnancy among adolescents in Madiun, East Java, using path analysis model.Subjects and Method: This was a case control study conducted in Madiun, East Java, from April 4 to May 14, 2018. A sample of 150 adolescents was selected by fixed disease sampling, comprising 30 adolescents with and 120 adolescents without unwanted pregnancy. The dependent variable was unwanted pregnancy. The independent variables were knowledge, attitude, religiosity, sexual behavior, media exposure, parental role, and peer role. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Unwanted pregnancy was directly determined by negative sexual behavior (b= 4.14; 95% CI= 2.83 to 5.45; p<0.001). It was indirectly determined by negative peer role, negative media exposure, negative attitude, parental role, better knowledge, and religiosity.Conclusion: Unwanted pregnancy is directly determined by negative sexual behavior. It is indirectly determined by negative peer role, negative media exposure, negative attitude, parental role, better knowledge, and religiosityKeywords: unwanted pregnancy, determinants, adolescents, path analysisCorrespondence: Bunga Mutiara, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: theo03theo@gmail.comJournal of Maternal and Child Health (2018), 3(3): 216-224https://doi.org/10.26911/thejmch.2018.03.03.06
Association between Socio-demographic, Nutrition Intake, Cultural Belief, and Incidence of Anemia in Pregnant Women In Karanganyar, Central Java Sinawangwulan, Indah Permatasari; Dewi, Yulia Lanti Retno; Wekadigunawan, CSP.
Journal of Maternal and Child Health Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anemia in pregnancy remains a major public health issue in developing countries. Studies in Indonesia examining the effects of socio-demographic factors, dietary pattern, and cultural belief on the risk of anemia in pregnancy are lacking. This study aimed to examine the effects of socio-demographic factors, dietary pattern, and cultural belief on the risk of anemia in pregnancy.Subjects and Method: An analytic cross-sectional study was conducted in 5 community health centers in Karanganyar, Central Java, from February to March 2018.A total of 200 trimesters I, II, and III pregnant mothers was selected for this study by fixed disease sampling, consisting of 50 mothers with anemia and 150 mothers without anemia. The dependent variable was anemia during pregnancy. The independent variables were nutrition intake, dietary pattern, consumption of iron tablet, family income, parity, family size, antenatal care visit, and cultural belief. The data were collected by questionnaire. The anemia status was obtained from the medical record. The data were analyzed by path analysis performed on Stata 13.Results: The risk of anemia during pregnancy directly decreased with better nutrition intake (b= -1.02; 95% CI= -1.73 to -0.31; p= 0.005) and regular consumption of iron tablet (b= -0.79; 95% CI= 1.48 to -0.10; p= 0.024). The risk of anemia during pregnancy was indirectly affected by better dietary pattern, higher family income, larger family size, cultural belief, parity, higher education, and antenatal care visit.Conclusion: Good nutrition intake and regular consumption of iron tablet decreased the risk of anemia during pregnancy. Dietary pattern, family income, family size, cultural belief, parity, and maternal education have indirect effects on the risk of anemia during pregnancy.Keywords: anemia, pregnancy, nutrition intake, iron tablet, dietary patternCorrespondence: Indah Permatasari Sinawangwulan. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: siindahnawang@gmail.com. Mobile: +6285655261261.Journal of Maternal and Child Health (2018), 3(2): 128-137https://doi.org/10.26911/thejmch.2018.03.02.05
Analysis of Life-Course Factors Influencing Growth and Development in Children under 3 Years Old of Early Marriage Women in Kediri Wulandari, Umianita Risca; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Children is the future pillar of our nation. As such, children need is important to be fulfilled. Physical, mental, and emotional conditions of mothers during gestation period play an important role in growth and development of children. This study aimed to determine life-course factors influencing growth and development in children under 3 years old of early marriage women.Subjects dan Method: This was an analytic observational study with retrospective cohort design. This study was conducted at Sukorame and Campurejo Health Center, Kediri, East Java, on March, 2017. A sample of 120 children under 3 years old were selected for this study by fixed exposure sampling. The dependent variable was child growth (weight for age) and development. The independent variables were marital age, maternal mid upper arm circumference (MUAC) during pregnancy, gestational age of birth delivery, family stimulation, maternal education, and family income. The data of child weight were measured by scales and recorded in maternal and child health book. The data of other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Child growth (weight for age) was affected by birthweight (b= 0.07; SE= 0.02; p< 0.001) and family income (b= 0.04; SE= 0.02; p= 0.07). Birthweight was affected by maternal education (b= 2.11; SE= 1.83; p= 0.248), gestational age of birth (b= 0.67; SE= 0.22; p= 0.002), maternal MUAC (b= 1.46; SE= 0.24; p= 0.002), and family income (b= 0.22; SE= 0.09, p= 0.012). Family income was affected by marital age (b= 0.68; SE= 0.073; p<0.001). Maternal MUAC during pregnancy was affected by marital age (b= 0.12, SE= 0.03, p<0.001). Maternal education was affected by marital age (b=0.01; SE=0.001; p= 0.002). Family stimulation was affected by family income (b= 0.75, SE= 0.26, p= 0.003). Child development was affected by marital age (b= 0.07, SE= 0.02, p= 0.001), family stimulation (b= 0.02; SE= 0.01; p<0.001), and birthweight (b<0.001; SE<0.001; p= 0.373).Conclusion: Child growth of under 3 years old (weight for age) is directly affected by birthweight and family income, and indirectly affected by some other factors. Child development is directly affected by marital age, family stimulation, and birthweight, and indirectly affected by some other factors.Keywords: life-course, growth, development, children under 3 years oldCorrespondence: Umianita Risca Wulandari. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: umianita03@gmail.com. Mobile: +6285736404487.Journal of Maternal and Child Health (2017), 2(2): 137-149https://doi.org/10.26911/thejmch.2017.02.02.05
Effect of Breast Care and Oxytocin Massage on Breast Milk Production: A study in Sukoharjo Provincial Hospital Rahayuningsih, Tutik; Mudigdo, Ambar; Murti, Bhisma
Journal of Maternal and Child Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The prevalence of exclusive breast feeding was 39.05% in Sukoharjo in 2015, which is far bellow the national target of 80%. A study has shown that massage oxytocin increases oxytocin (OT) hormone release, and eventually decreases adrenocorticotropin hormone (ACTH), nitric oxide (NO), and beta-endorphin (BE). This OT hormone release will increase milk ejection, which facilitate milk production. This study aimed to investigate the effect of breast care and oxytocin massages on breast milk production in post–partum mothers.Subjects and method: This was a Randomized Controlled Trial (RCT), conducted at Sukoharjo Hospital, Central Java 19 October to November 18, 2016. A total of 90 post – partum mothers were selected at random and then allocated into breast care group and oxytocin massage group. The dependent variable was breast milk production. The independent variable was breast care and oxytocin massage. Changes in breast milk production before and after intervention between the two groups were tested by Mann-Whitney test.Results: The increase in breast milk production in breast care and oxytocin massage group (mean = 17.37, SD = 9.70) was larger than that of the control group (mean = 1.58, SD = 1.69), and it was statistically significant (p <0.001).Conclusion: Breast care and oxytocin massage can significantly increase breast milk production. Post-partum mothers are recommended to practice breast care and oxytocin massage, in order to increase breast milk production.Keywords: breast care, oxytocin massage, breast milk production.Correspondende: Tutik Rahayuningsih. School of Health Polytechnics, Poltekkes Bhakti Mulia, Surakarta. Email: tutikrahayu_abm@yahoo.co.idJournal of Maternal and Child Health (2016), 1(2): 101-109https://doi.org/10.26911/thejmch.2016.01.02.05
Path Analysis on Gestational Socio-economic Determinants of Nutritional Status in Children Under Five in Purworejo Regency, Central Java Ayuningrum, Ika Yuli; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Undernutrition by height-for-age standard starts during pregnancy and continues to the first two years of life. Linear growth disorders among children under five years are associated with morbidity, mortality, loss of physical growth potential, reduced neurological development, reduced cognitive functions, and increased risks of adulthood chronic diseases. In 2015, the number of undernourished children under five (height-for-age) reached 156 million globally. Purworejo regency was an area with the second highest under­nutrition cases in Central Java in 2014. This study aimed to analyze the life-course epidemiology perspectives on the socio-economic factors contributing to the nutritional status of the children aged two to five years in Purworejo regency, Central Java.Subjects and Method: This was an observational analytical study with case control design. This study was conducted in Purworejo, Kaligesing, and Bruno sub-districts, Purworejo Regency, Central Java in February to March 2017. A total sample 160 children aged two to five years and their mothers were selected by fixed disease sampling. There were 37 children in the case groups, and 113 children in the control groups. The independent variables included family income, maternal age, maternal nutritional status (mid upper arm circumference), birth length, exclusive breastfeeding and the children’s history of illness. The dependent variable was the children’s nutritional status (height-for-age/HAZ). Data on the children’s height were collected using microtoise. Other data were collected by maternal and children health (MCH) books and a set of questionnaires. The data were analyzed using path analysis.Results: Nutritional status of children under five (height-for-age/HAZ) was affected by family income (x Rp 100,000) (b=0.03; SE=0.24; p<0.001), maternal age (years) (b=0.02; SE=0.02; p=0.160), maternal nutritional status/MUAC (cm) (b=0.08; SE=0.05; p=0.066), birth length (cm) (b=0.22; SE=0.05; p<0.001), exclusive breastfeeding (b= 0.03; SE=0.16; p=0.080), and the absence of illness (b=0.39; SE=0.14; p=0.007).Conclusion: Nutritional status of the children under five (height-for-age/HAZ) is affected by family income, birth length, exclusive breastfeeding, maternal age, maternal nutritional status, and the absence of illness.Keywords: nutritional status, children under five, life-course epidemiology, socio-economicCorrespondence: Ika Yuli Ayuningrum. Magister of Public Health Program, Sebelas Maret University, Surakarta. Email: ayuningrum0811@gmail.com. Mobile: +6285729407360.Journal of Maternal and Child Health (2017), 2(1): 30-41https://doi.org/10.26911/thejmch.2017.02.01.04 
Path Analysis on the Life-Course Biopsychosocial Determinants of Stunting in Children Under Five Years of Age in Karawang, West Java Fauziyyah, Rona Luthfi; Dewi, Yulia Lanti Retno; Wekadigunawan, CSP; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 4, No 1 (2019)
Publisher : Journal of Maternal and Child Health

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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:Rona Luthfi Fauziyyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: rona.luthfi@gmail.com. Mobile: +6281316970696.Journal of Maternal and Child Health (2019), 4(1): 25-35https://doi.org/10.26911/thejmch.2019.04.01.04
Expanded Maternal and New Born Survival Program on Strengthening Mother and Child Health Referral System in Cilacap, Indonesia Sulistyoningrum, Indah; Budihastuti, Uki Retno; Sutisna, Endang
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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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

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