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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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Effect of Social Suport and Social Interaction on Anxiety Among Pregnant Women Imelda Dearni Simarmata; Uki Retno Budihastuti; Didik Tamtomo
Journal of Maternal and Child Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: There is growing evidence that the antenatal period is a time of increased liability to mental disorders. The most common psychiatric illnesses during pregnancy and the postpartum period are depressive and anxiety disorder. The purpose of this study was to examine the effect of social support and social interaction on anxiety among pregnant women.Subjects and Method: A cross-sectional study was carried out in community health centers in Kutai Kartanegara, East Kalimantan, from November to December 2018. A sample of 200 pregnant women was selected by simple random sampling. The dependent variable was anxiety. The independent variables were education, parity, stress, family income, family support, social interaction, and counseling. The data were collected by questionnaire and analyzed by multiple linear regression.Results: Anxiety among pregnant women increased with stress (b= 0.33; 95% CI= 0.16 to 0.49; p= 0.001). It was decreased by high education (b= - 2.37; 95% CI= -3.93 to -0.81; p= 0.003), high income (b= -4.69; 95% CI= -7.81 to -1.57; p= 0.003), parity (b= 0.38; 95% CI= -2.98 to -0.26; p= 0.001), strong family support (b= -0.38; 95% CI= 0.52 to 0.24; p= 0.001), social interaction (b= -0.27; 95% CI= -0.42 to -0.12; p= 0.001), and conselling (b= -0.91; 95% CI= - 1.77 to -0.05; p= 0.004).Conclusion: Anxiety among pregnant women increases with stress. It is decreased by high education, high income, parity, strong family support, social interaction, and counseling.Keywords: anxiety, stress, social interaction, pregnant womenCorrespondence:
Religious Belief, Social Support, and the Acceptance of Intrauterine Device Among Women of Reproductive Age in Klaten, Central Java Veronica Fenny Wijaya; Setyo Sri Rahardjo; Rita Benya Adriani
Journal of Maternal and Child Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia is one of the developing countries with complex population problems. According to the Central Bureau of Statistics, the current population in Indonesia in 2016 reached 258,704,986 people. One of the government's efforts to reduce population growth is Family Planning (KB) program. This study aimed to determine the socioeconomic determinants, social norm, religion on the use of IUD contraceptive among women in Klaten, Central Java, using Theory of Planned Behavior. Subjects and Method: This was a cross-sectional study conducted in 25 community health centers in Klaten, Central Java, from November to December 2018. A sample of 200 women of reproductive age was collected by simple random sampling. The dependent variable was the use of IUD. The independent variables were education, husband support, health personnel support, employment, income, social norm, religion, intention, attitude, perceived behavior control. The data were measured by questionnaire and analyzed by a multilevel logistic regression.Result: The use of IUD was positively influenced by higher education (b= 1.40; 95% CI= 0.12 to 2.78; p= 0.047), strong husband support (b= 1.57; 95% CI= 0.12 to 3.03; p= 0.034), strong health personnel support (b= 1.70; 95% CI= 0.14 to 3.26; p= 0.033), employed (b= 1.50; 95% CI= 0.17 to 2.99; p= 0.047), high income (b= 2.14; 95% CI= 0.36 to 3.92; p= 0.018), supportive social norm (b= 1.50; 95% CI= 0.49 to 2.95; p= 0.043), supportive religion (b= 1.42; 95% CI= 0.12 to 2.84; p= 0.048), intention (b= 1.75; 95% CI= 0.15 to 3.35; p= 0.032), positive attitude (b= 2.16; 95% CI= 0.45 to 3.86; p= 0.013), and perceived behavior control (b= 1.57; 95% CI= 0.29 to 3.11; p= 0.046). Community health center had a contextual effect on the use of IUD contraception with ICC= 10.6%.Conclusion: The use of IUD is positively influenced by higher education, strong husband support, strong health personnel support, employed, high income, supportive social norm, supportive religion, intention, positive attitude, and perceived behavior control. The community health center has a contextual effect on the use of IUD contraception.Keywords: IUD contraceptive, utilization, community health center, multilevel analysisCorrespondence: Veronica Fenny Wijaya. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: veronicafenny04@gmail.com.
Multilevel Analysis on the Contextual Effect of Posyandu on Exclusive Breastfeeding in Sleman, Yogyakarta Esti Lestari; Eti Poncorini Pamungkasari; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: There is a piece of increasing evidence that exclusive breastfeeding (EBF) up to six-month of age has important consequences on health and nutritional outcomes of children. However, studies on the contextual effect of integrated health post (posyandu) on EBF are scarce. The purpose of this study was to examine the contextual effect of posyandu on exclusive breastfeeding using multilevel analysis.Subjects and Method: A cross-sectional study was conducted in Sleman, Yogyakarta, from November to December 2018. A sample of 200 lactating mothers was selected by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were knowledge, education, age, parity, birth spacing, employment, and family support. The data were collected by a multilevel logistic regression.Results: Exclusive breastfeeding increased with good knowledge (b= 2.66; 95% CI= 0.85 to 4.47; p= 0.004), high education (b= 2.10; 95% CI= 0.29 to 3.91; p= 0.023), maternal age 20-35 years (b= 3.35; 95% CI= 1.46 to 5.24; p<0.001), multiparous (b= 2.90; 95% CI= 0.41 to 3.39; p= 0.012), birth spacing ?2 years (b= 2.91; 95% CI= 0.92 to 4.89; p= 0.004), unemployed mother (b= 4.53; 95% CI= 2.39 to 6.67; p<0.001), strong family support (b= 2.88; 95% CI= 1.04 to 4.72; p= 0.002). Integrated health post had substantial contextual effect on exclusive breastfeeding with ICC= 29.2%.Conclusion: Exclusive breastfeeding increases with high knowledge, high education, maternal age 20-35 years, multiparous, birth spacing, unemployed mother, strong family support. Integrated health post has the substantial contextual effect on exclusive breastfeeding.Keywords: exclusive breastfeeding, integrated health post, multilevel analysisCorrespondence:
Logistic Regression Analysis on the Determinants of Stunting among Children Aged 6-24 Months in Purworejo Regency, Central Java Atika Rakhmahayu; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Maternal and Child Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting is a representation of the state of chronic malnutrition in the first 1000 days of life that occurred in the world at an incidence of 22.2% in 2017. Stunting in children has impact on morbidity and mortality, resulting in a long-term decline socio-economic productivity of the community. The purpose of this study was to analyze the determinants of stunting in children aged 6-24 months in Purworejo, Central Java.Subjects and Method: This was an analytic observational study with a case control design. It was conducted in 25 integrated community health posts (posyandu) in Purworejo, from October to December 2018. A sample 200 children under five was selected using by simple random sampling. The dependent variable was stunting. The independent variables were maternal mid-upper arm circumference (MUAC) at pregnancy, maternal education, paternal education, family income, family food allocation, infant birth weight, exclusive breastfeeding, complementary feeding (CF), posyandu strata, stunting monitoring at posyandu, and posyandu stunting intervention. The data was collected by questionnaire and analyzed by a multiple logistic regression.Results: Maternal MUAC at pregnancy ?23.5 cm (b= -1.56; 95% CI= 0.06 to 0.67; p = 0.009), high maternal education (b= -1.70; CI95% = 0.06 to 0.57; p = 0.003), high paternal education (b= -1.90; 95% CI= 0.05 to 0.51; p= 0.002), high family income (b= -1.85; 95% CI= 0.05 to 0.50; p = 0.002), family food allocation (b= -2.26; 95% CI= 0.03 to 0.37; p<0.001), birth weight ?2,500 g (b= -1.39; 95% CI= 0.08 to 0.83; p= 0.024), exclusive breastfeeding (b = -2.04; 95% CI= 0.04 to 0.48; p= 0.002), and adequate complementary feeding (b= -1.61; 95% CI= 0.06 to 0.65; p= 0.007) reduced the risk of stunting in children aged 6-24 months.Conclusions: Maternal MUAC at pregnancy ?23.5 cm, high maternal education, high paternal education, high family income, family food allocation, birth weight ?2,500 g, exclusive breastfeeding, and adequate complementary feeding reduce the risk of stunting in children aged 6-24 months.Keywords: stunting, determinants, children aged 6-24 monthsCorrespondence:
Contextual Effect of Place 0f Birth Delivery on Depression in Karanganyar, Central Java Ahadyah Miftahul Jannah; Uki Retno Budihastuti; Bhisma Murti
Journal of Maternal and Child Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Postpartum depression is a common mental health problem that usually occurs in women after childbirth. According to WHO, there are 377 million people in depression worldwide. In Indonesia, the prevalence of depression sufferers is 3.7%, and those who experience anxiety are 3.3%. Postpartum depression that is not immediately treated can cause an impact in nursing, namely communication and response is reduced, the existence of negative interactions, the existence of hostility, the existence of impaired competence. This study aimed to analyze the determinants of postpartum depression at the individual level and the contextual effect of place of birth delivery.Subjects and Method: This was a cross sectional study conducted in Karanganyar, Central Java, from November to December 2018. A sample of 200 postpartum mothers was selected by random sampling. The dependent variable was postpartum depression. The independent variables were stress level, work, income, education, pregnancy status, parity, coping strategy, and labor compli
Path Analysis on the Associations between Infertility, Stress, and Depression among Women in Surakarta, Central Java Yesi Retiyansa; Dono Indarto; Bhisma Murti
Journal of Maternal and Child Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In patriarchal societies like Indonesia, infertility is culturally considered as a problem of women. Most of the burden of infertility is borne by women because of a rapid decline in fertility with age, societal pressure and stigma. Infertility can affect psychological disorders such as stress and depression. This study aimed to examine the associations between infertility, stress, and depression among women in Surakarta, Central Java.Subjects and Method: This was
Biopsychosocial Determinants of Early Marriage in Wonogiri District, Central Java: A Logistic Regression Meylsa Rima Kamilda; Ismi Dwi Astuti Nurhaeni; Rita Benya Adriani
Journal of Maternal and Child Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Early marriage is one of the problems in Indonesia and the developing countries. It represents one of the violations of women's human right. Early marriage had physical, psychological, and social negative effects in the affected women. This study aimed to examine the determinants of early marriage in Wonogiri District, Central Java.Subjects and Method: This was a case control study carried out in Wonogiri, Central Java, from October to November 2018. A sample of 200 women was selected by fixed disease sampling, consisting of 50 women with early marriage and 150 women with timely marriage. The dependent variable was early marriage. The independent variables were menarche age, unwanted pregnancy, education level, gender inequality, parental perception on early marriage, local culture, residence, and employment before marriage. The data were collected using questionnaires and analyzed by logistic regression.Results: The risk of early marriage increased with age of menarche <12 years (OR= 3.41; 95% CI= 1.12 to 10.36; p= 0.003), gender inequality (OR= 4.70; 95% CI= 1.53 to 14.40; p= 0.007), and local culture pro early marriage (OR= 5.33; 95% CI= 1.62 to 17.42; p= 0.006). The risk of early marriage decreased with wanted pregnancy (OR= 0.17; 95% CI= 0.043 to 0.70; p= 0.014), education level (OR= 0.03; 95% CI= 0.01 to 0.14; p= 0.001), positive parental perception (OR= 0.24; 95% CI= 0.08 to 0.77; p = 0.016), neighborhood in city (OR= 0.29; 95% CI= 0.09 to 0.93; p = 0.035), and work before marriage (OR= 0.20; 95% CI= 0.63 to 0.65; p = 0.007).Conclusion: The risk of early marriage increases with age of menarche <12 years, gender inequality, and local culture pro early marriage. It decreases with wanted pregnancy, education level, positive parental perception, neighborhood in city, and work before marriage.Keywords: early marriage, gender inequality, local cultureCorrespondence:
Multilevel Analysis on the Contextual Effect of the Integrated Health Post Activity on Development of Children Under Five in Kubu Raya, West Kalimantan Lolita Lolita; Yulia Lanti Retno Dewi; Bhisma Murti
Journal of Maternal and Child Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: It is estimated that 200 million children in developing countries do not develop optimally. Child development is a complex improvement in body structure and function that include gross and fine motoric, speech, language, socialization, and independence aspects of development. The success of children in achieving optimal development determines the future of a nation. The purpose of this study was to analyze the contextual effect of integrated health post (posyandu) in child development in Kubu Raya District, West Kalimantan.Subjects and Method: This study was a cross sectional conducted at 25 integrated health post in Kubu Raya District, West Kalimantan, from November to December 2018. A sample 200 of children under five was selected by simple random sampling. The dependent variable was child development. The independent variables were maternal age at marriage, maternal education, parental income, parenting style, birth weight, birth length, child development monitoring, child development intervention, and integrated health post strata. Data collection was conducted using questionnaire and analyzed using multilevel logistic regression analysis in Stata 13.Results: Child development disorder increased with early maternal age at marriage (b= 3.18; 95% CI= 0.77 to 5.59; p = 0.010), but decreased with high maternal education (b= -2.22; 95% CI= -3.92 to -0.52; p= 0.010), high parental income (b= -4.01; 95% CI = -6.55 to -1.47; p= 0.002), proper parenting style (b= -2.89; 95% CI= -5.18 to -0.60; p= 0.013), normal birth weight (b= -2.87; 95% CI= -4.80 to -0.95; p= 0.003), normal birth length (b= -3.13; 95% CI= -5.63 to -0.63; p= 0.014), child development monitoring (b= -2.97 95% CI= -5.58 to -0.36; p= 0.025), and child development intervention (b = -3.53; 95% CI= -6.19 to -0.87; p= 0.009). The integrated health post had a contextual effect on child development with ICC= 19.9%.Conclusions: Child development disorder increases with early maternal age at marriage, but decreased with high maternal education, high parental income, proper parenting style, normal birth weight, normal birth length, child development monitoring, and child development intervention. The integrated health post has a contextual effect on child development.Keywords: child development, children under five, multilevel analysisCorrespondence: Lolita. Public Health Masters Program, Universitas Sebelas Maret, Jl. Ir Sutami 36A, Surakarta, Central Java, Indonesia. Email : Patricialolita25@gmail.com Seluler: 082328463344.Journal of Maternal and Child Health, 2019, 4(4): 222-229https://doi.org/10.26911/thejmch.2019.04.04.01
Contextual Effect of the Integrated Health Post on DPT3 Immunization Uptake among Infants in Wonogiri, Central Java Rizqi Inayati; Setyo Sri Rahardjo; Bhisma Murti
Journal of Maternal and Child Health Vol. 4 No. 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: DPT3 immunization coverage is considered as one indicator of the success of immunization programs in various countries. Indonesia is one of the countries that adopted Expand Program in Immunization (EPI) in 1977 which later introduced DPT as part of routine basic immunization services for infants, although there are still infants who do not get complete DPT immunization at this time. The purpose of this study was to analyze contextual effect of the integrated health post on DPT3 immunization uptake among infants in Wonogiri, Central Java.Subjects and Method: This was an analytical observational study with a cross sectional design. It was conducted in Wonogiri community health center II, East Java, from October to December 2018. A sample of 200 infants was selected from 25 integrated health posts with simple random sampling. The dependent variable was the use of DPT3 immunization. The independent variables were maternal education, family income, religion and beliefs, family support, information expo
Multilevel Analysis on the Determinants of Antenatal Care Visit at Community Health Center in Madiun, East Java Sinta Ayu Purbaningrum; Isna Qadrijati; Rita Benya Adriani; Hanung Prasetya
Journal of Maternal and Child Health Vol. 4 No. 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Antenatal care (ANC) is an important determinant of high maternal mortality rate and one of the basic components of maternal care. However, some pregnant women still had low awareness about the importance of ANC. The purpose of this study was to examine determinants of ANC visit in community health center, Madiun, East Java, and to determine the contextual effect of the community health center on the ANC visit.Subjects and Method: This was a case-control study conducted in Madiun, East Java, from November to December 2018. A sample of 200 pregnant women was selected by simple random sampling. The dependent variable was ANC visit. The independent variables were knowledge, occupation, number of children, attitude, income, and husband support. The data were collected by questionnaires and analyzed by a multilevel linear regression.Results: The likelihood of ANC visit increased with employment status (b= 1.97; 95% CI= 0.81 to 3.13; p= 0.001), good knowledge (b= 1.56; 95% CI= 0.41 to 2.72; p= 0.008), positive attitude (b= 1.74; 95% CI= 0.52 to 2.96; p= 0.005), higher family income (b= 1.42; 95% CI= 0.29 to 2.55; p= 0.014), and stronger husband support (b= 1.29; 95% CI= 0.16 to 2.43; p= 0.260). ANC visit decreased with larger number of children (b= -1.05; 95% CI= -2.17 to 0.07; p= 0.067). Community health center had strong contextual effect on ANC visit in pregnant women with ICC= 41.85%.Conclusion: ANC visit increases with employment status, good knowledge, positive attitude, high family income, and strong husband support. ANC visit decreases with large number of children. Community health center has strong contextual effect on ANC visit in pregnant women.Keywords: antenatal care, determinants, pregnant womenCorrespondence:

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