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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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Effect of Family Hope Program on Maternal Health Behavior and Children Under Five Nutritional Status in Poor Families, Jombang, East Java Rosalina, Sintya; Sulaeman, Endang Sutisna; Murti, Bhisma
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,  and access to health service. The data were collected by maternal and child book record and questionnaire. The data were analyzed by path analysis.Results: The likelihood of good nutritional status of children under five increased with good nutritional intake (b= 1.9; 95% CI= 1.1 to 2.8; p <0.001), normal birthweight (b= 2.5;  95% CI= 0.9 to 4.1; p= 0.002), rare frequency of illness (b= 1.3; 95% CI= 0.5 to 2.1; p= 0.001), and strong family support (b= 1.5; 95% CI= 0.6 to 2.3; p<0.001). The likelihood of maternal healthy behavior increased with Family Hope Program (b= 4.1; 95% CI= 3.1 to 5.0; p <0.001) and higher maternal education (b= 1.9; 95% CI= 0.9 to 2.8; p<0.001). Good nutritional intake increased with maternal healthy behavior (b= 0.4; 95% CI= - 0.04 to 0.85; p = 0.074) and strong family support (b= 0.6; 95% CI = 0.2 to 1.1; p= 0.004).Conclusion: The likelihood of good nutritional status of children under five increases with good nutritional intake, normal birthweight, no history of illness over the past three months, and strong family support. Family Hope Program induces maternal health behavior, increases child nutritional intake, and eventually improves child nutritional status.Keywords: child nutritional status, maternal health behavior, Family Hope ProgramCorrespondence: Sintya Rosalina. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: sintya.rosalina@gmail.com. Mobile 085732761747.Journal of Maternal and Child Health (2018), 3(1): 33-43https://doi.org/10.26911/thejmch.2018.03.01.04
Multilevel Analysis on the Determinants of Overweight among Children Under Five in Kediri, East Java Khalifatunisak, Alfadefi; Salimo, Harsono; Dewi, Yulia Lanti Retno
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:Alfadefi Khaliatunnisak. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: emailealfadefi999@gmail.com.Journal of Maternal and Child Health (2018), 3(4): 261-268https://doi.org/10.26911/thejmch.2018.03.04.03
Effects of Maternal Education, Psychosocial Stress, Nutritional Status at Pregnancy, and Family Income, on Birthweight in Nganjuk, East Java Nurahmawati, Dhewi; Salimo, Harsono; Dewi, Yulia Lanti Retno
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: Dhewi Nurahmawati. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: dhenoura@gmail.com. Mobile: +62813330787826.Journal of Maternal and Child Health (2017), 2(4): 324-334https://doi.org/10.26911/thejmch.2017.02.04.04
Effect of Maternal Education, Family Income, Mother-Midwife Interface, and the Incidence of Iron Deficiency Anemia in Pemalang, Central Java Kurniati, Ade; Astirin, Okid Parama; Suryani, Nunuk
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.  Subjects and Method: This was an analytical observational with case control design. This study was conducted at Purwoharjo, Rowosari, and Petarukan health centers, Pemalang, Central Java. This study was carried out from March 2 to 27, 2016. A total of 146 pregnant women from the three health centers were selected for this study by fixed disease sampling. This study consisted of pregnant mothers with iron deficiency anemia (cases) and those without iron deficiency anemia (controls) with equal share. The dependent variable was iron deficiency anemia, which was measured by Sahli method. The independent variables were maternal education, family income, and mother-midwife interface. These variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Better knowledge (b= -1.26; p=0.002), positive attitude (b= -1.01; p=0.019), stronger purchasing power (b= -1.16; p=0.004) had direct effects on reduced risk of iron deficiency anemia, and they were statistically significant. There were positive effects of higher income on stronger purchasing power (b=0.63; p=<0.001), mother-midwife interface on better knowledge (b=0.19; p=0.021), mother-midwife interface on positive attitude (b=0.21; p=0.023), and higher education on better knowledge (b=0.21; p=0.035).Conclusion: Better knowledge, positive attitude, stronger purchasing power, have direct effects on reduced risk of iron deficiency anemia. Higher income has indirect effect on reduced risk of iron deficiency anemia via stronger purchasing power. Mother-midwife interface has indirect effect on reduced risk of iron deficiency anemia either via better knowledge or positive attitude. It is suggested that pregnant mothers increase their interaction with midwives so that they are able to detect sign and symptom of anemia and to take necessary preventive action.Keywords: iron deficiency anemia, pregnant mother, mother-midwife interfaceCorrespondence : Ade Kurniati. Masters Program in Public Health, Sebelas Maret University, SurakartaJournal of Maternal of Child Health (2026), 1(4): 220-229https://doi.org/10.26911/thejmch.2016.01.04.03
Risk Factors for Acute Respiratory Infection in Children Under Five in Padang, Indonesia Hidayanti, Rahmi; Yetti, Husna; Putra, Andani Eka
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:Rahmi Hidayanti. Masters Program in Public Health, Faculty of Medicine, Universitas Andalas Padang. Jl. Perintis Kemerdekaan Padang, Indonesia. Email: rahmi.hidayanti@yahoo.com. Mobile: +6281363467226Journal of Maternal and Child Health (2019), 4(2): 62-69https://doi.org/10.26911/thejmch.2019.04.02.01
Consumption of Fat, Protein, and Carbohydrate Among Adolescent with Overweight / Obesity Febriani, Reny Tri; Soesetidjo, Ady; Tiyas, Farida Wahyuning
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:Reny Tri Febriani. Masters Program in Public Health, Universitas Jember. Email: reny.smkfmaharani@gmail.com.Journal of Maternal and Child Health (2019), 4(2): 70-76https://doi.org/10.26911/thejmch.2019.04.02.02
Efficacy of Yoga Exercise to Reduce Anxiety in Pregnancy: A Meta-Analysis using Randomized Controlled Trials Ningrum, Sintia Ayu; Budihastuti, Uki Retno; Prasetya, Hanung
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: Sintia Ayu Ningrum. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: tiayu.ningrum@gmail.com. Mobile: +6283866810777.Journal of Maternal and Child Health (2019), 4(2): 118-125https://doi.org/10.26911/thejmch.2019.04.02.07
The Effect of Exclusive Breastfeeding on Wasting in Children Under Five: A Meta-Analysis Study Wijiwinarsih, Amallia; Susilawati, Tri Nugraha; Murti, Bhisma
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: Amallia Wijiwinarsih.Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir, Sutami 36A, Surakarta, Central Java 57126.Email:  amalliawijiwinarsih@gmail.com. Mobile: 0857261706.Journal of Maternal and Child Health (2019), 4(2): 87-96https://doi.org/10.26911/thejmch.2019.04.02.04
Path Analysis on the Determinants of Severe Preeclampsia in Surakarta, Central Java Sari, Prafista Wulan; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
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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Background: Preeclampsia is a major cause of maternal morbidity and mortality that occurs at gestational age >20 weeks. It is characterized by hypertension and proteinuria. Shortly, severe preeclampsia may develop into eclampsia accompanied by seizures or coma. This study aimed to examine the determinants of severe preeclampsia in Surakarta, Central Java.Subjects and Method: This was a case-control study conducted in Gajahan health center, Dr. Moewardi hospital, and Surakarta hospital, Surakarta, Central Java, from October 2018 to December 2018. A sample of 200 pregnant women was selected by fixed disease sampling. The dependent variable was severe preeclampsia. The independent variables were age, education, stress, parity, history of hypertension, history of diabetes mellitus (DM), ANC visit, and family history of hypertension. Data on preeclampsia were obtained from medical record. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: Severe preeclampsia was directly and positively associated with age <20 or ≥35 years (b= 1.23; 95% CI= 0.31 to 2.14; p= 0.008), history of hypertension (b= 1.54; 95% CI= 0.58 to 2.51; p= 0.002), history of DM (b= 1.12; 95% CI= 0.21 to 2.03; p= 0.016), and stress (b= 1.58; 95% CI = 0.60 to 2.56; p = 0.002). It was negatively associated with parity (b= -0.96; 95% CI= -1.90 to - 0.01; p = 0.046) and ANC visit (b= - 1.98; 95% CI= -2.91 to - 1.05; p<0.001). Severe preeclampsia was indirectly associated with education, ANC visit, and family history of hypertension.Conclusion: Severe preeclampsia is directly and positively associated with age, history of hypertension, history of DM, and stress. It is negatively associated with parity and ANC visit. Severe preeclampsia is indirectly associated with education, ANC visit, and family history of hypertension.Keywords: severe preeclampsia, determinants, path analysisCorrespondence: Prafista Wulan Sari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: prafistaw@yahoo.com. Mobile: +6285740772699.Journal of Maternal and Child Health (2019), 4(2): 126-135https://doi.org/10.26911/thejmch.2019.04.02.08
Path Analysis on the Determinants of Pap Smear Uptake in Women of Reproductive Age in Tegal, Central Java Armadhani, Riska; Mudigdo, Ambar; Budihastuti, Uki Retno
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: Cervical cancer is a leading cause of cancer-related deaths in women in developing countries. Although Pap smear is known as an effective strategy to reduce the burden of cervical cancer, it is underused in developing countries at around 19%. This study aimed to examine the determinants of Pap smear uptake in women of reproductive age using Health Belief Model (HBM).Subjects and Method: This was a case-control study conducted in Tegal, Central Java, from October 4 to November 2, 2018. A sample of 200 women of reproductive age was selected by fixed disease sampling. The dependent variable was Pap smear uptake. The independent variables were perceived benefit, susceptibility, seriousness, and threat, cues to action, education, knowledge, and peer support. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Pap smear uptake directly increased with stronger perceived threat (b= 1.18; 95% CI= 0.44 to 1.92; p=0.002), stronger perceived benefit (b= 1.40; 95% CI= 0.63 to 2.16; p<0.001), and higher self-efficacy (b= 1.48; 95% CI= 0.73 to 2.24; p<0.001). Pap smear uptake was indirectly affected by perceived susceptibility, perceived seriousness, cues to action, education, knowledge, and peer support.Conclusion: Pap smear uptake is directly affected by perceived threat, perceived benefit, and self-efficacy. It is indirectly affected by perceived susceptibility, perceived seriousness, cues to action, education, knowledge, and peer support.Keywords: Pap smear, Health Belief Model, path analysisCorrespondence: Riska Armadhani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: riska.armadhani@gmail.comJournal of Maternal and Child Health (2019), 4(2): 77-86https://doi.org/10.26911/thejmch.2019.04.02.03

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