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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 549 Documents
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Religious Belief, Social Support, and the Acceptance of Intrauterine Device Among Women of Reproductive Age in Klaten, Central Java Wijaya, Veronica Fenny; Rahardjo, Setyo Sri; Adriani, Rita Benya
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. Journal of Maternal and Child Health (2019), 4(3): 201-211https://doi.org/10.26911/thejmch.2019.04.03.07
Multilevel Analysis on the Contextual Effect of Posyandu on Exclusive Breastfeeding in Sleman, Yogyakarta Lestari, Esti; Pamungkasari, Eti Poncorini; Dewi, Yulia Lanti Retno
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: Esti Lestari. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: estylestary727@gmail.com. Mobile: 082363242993.Journal of Maternal and Child Health, 2019, 4(4): 250-259https://doi.org/10.26911/thejmch.2019.04.04.04
Logistic Regression Analysis on the Determinants of Stunting among Children Aged 6-24 Months in Purworejo Regency, Central Java Rakhmahayu, Atika; Dewi, Yulia Lanti Retno; Murti, Bhisma
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: Atika Rakhmahayu. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: tikarakhmahayu@gmail.com. Mobile: 083124386960.Journal of Maternal and Child Health 4(3): 158-169https://doi.org/10.26911/thejmch.2019.04.03.03
Multilevel Analysis on the Determinants of Overweight and Obesity among Primary School Students in Boyolali, Central Java Wijayanti, Dwi; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Fat and obesity are serious problems in children because they will continue into adulthood. Diarrhea occurs in groups of children under five years old (toddlers). According to the 2013 risk assessment, in Boyolali District the prevalence of obesity in children was 11.6% consisted of 7.5% fat and 4.1% obese. This study aimed to examine the determinants of overweight and obesity among primary school students in Boyolali, Central Java.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at 25 elementary schools in Ngemplak sub-district, Boyolali, Central Java, from April 2017 to June 2018. A sample of 200 students was selected by fixed disease sampling. The dependent variable was fat and obese nutritional status. Independent variables were family income, pocket money, paternal BMI, maternal BMI, nutritional intake, and physical activity. The data were collected by questionnaire and analyzed by a multilevel linear regression.Results: Family income (b= 1.65; 95% CI= 8.28 to 2.48; p<0.001), pocket money (b = 0.001; 95% CI 0.01 to 0.01; p<0.001), paternal BMI (b= 0.11; 95% CI = 0.06 to 0.16; p<0.001), maternal BMI (b= 0.06; 95% CI= 0.38 to 0.96; p<0.001), nutritional intake (b = 0.87; 95% CI= 0.35 to1.14; p= 0.001), and physical activity (b= -0.04; 95% CI= -0.05 to -0.06; p<0.001) increased fat and obesity in children. School had a strong contextual effect on fat and obesity among children with ICC= 14.34%.Conclusion: Family income, pocket money, paternal BMI, maternal BMI, nutritional intake, and physical activity increase fat and obesity in children. The school has a strong contextual effect on fat and obesity among children.Keywords: determinants, fat, obesity, physical activity, nutritional intake, multilevel analysisCorrespondence: Dwi Wijayanti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java. Email: dwijaymail@gmail.com. Mobile:+6285642214066.Journal of Maternal and Child Health (2019), 4(5): 304-311https://doi.org/10.26911/thejmch.2019.04.05.01
Contextual Effect of Place 0f Birth Delivery on Depression in Karanganyar, Central Java Jannah, Ahadyah Miftahul; Budihastuti, Uki Retno; Murti, Bhisma
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 compli­cation, husband support. Data on depression were measured by the Edinburgh Postnatal Depression Scale (EPDS). Data on stress were measured by Depression Anxiety Stress Scale 42 (DASS 42). Data on coping mechanism were measured by Brief Cope (Coping Orientation for Problem Experiences). The other data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: Postpartum depression was influenced by husband support (b = -2.42; 95% CI= -4.73 to -0.12; p= 0.039), employment (b = -3.43; 95% CI = -5.51 to -1.35; p<0.001), income (b = -3.32; 95% CI= -6.18 to -0.46; p= 0.023), education (b= -2.69; 95% CI = -4.83 to -0.55; p= 0.014), pregnancy status (b= -3.16; 95% CI= -5.79 to - 0.54; p= 0.018), parity (b = -2.92; 95% CI = -5.14 to -0.71; p= 0.010), coping strategies (b= -2.38; 95% CI= -4.46 to -0.21; p= 0.032), complication (b = 3.39; 95% CI= 0.79 to 5.98; p= 0.011), and stress level (b= 2.68; 95 % CI= 0.35 to 5.12; p= 0.024). There was a contextual effect of place of birth delivery on postpartum depression (ICC= 20.15%).Conclusions: Postpartum depression is influenced by husband support, employment, income, education, pregnancy status, parity, coping strategies, complication, and stress level. There is a contextual effect of place of birth delivery on postpartum depression.Keywords: postpartum mother, depression, stress, coping strategyCorrespondence: Ahadyah Miftahul Jannah. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta. Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: ahadyahmj@gmail.com. Mobile: +6281228349874.Journal of Maternal and Child Health, 2019, 4(3): 212-221https://doi.org/10.26911/thejmch.2019.04.03.08
Path Analysis on the Associations between Infertility, Stress, and Depression among Women in Surakarta, Central Java Retiyansa, Yesi; Indarto, Dono; Murti, Bhisma
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  an analytic observational study with a cross sectional design. It was conducted in Surakarta, Central Java, from September to October 2018. A sample of 200 women of reproductive age was selected by fixed exposure sampling. The dependent variable was depression. The independent variables were social support, coping strategy, self-efficacy, infertility, and stress. Data on infertility was obtained from medical record. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: The likelihood of depression among women was directly increased by stress (b= 2.09; 95% CI= 1.31 to 2.87; p<0.001) but decreased by good coping strategy (b= -1.57; 95% CI = -2.34 to -0.80; p <0.001). It was indirectly affected by infertility, self-efficacy, and social support. Conclusions: Depression is directly increased by stress but decreased by good coping strategy. It is indirectly affected by infertility, self-efficacy, and social support.Keywords: depression, stress, infertility, path analysis, women of reproductive ageCorrespondence: Yesi Retiyansa. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email:yesi.retiyansa@gmail.com. Mobile: +6281252634625.Journal of Maternal and Child Health (2019), 4(4): 260-266https://doi.org/10.26911/thejmch.2019.04.04.05 
Biopsychosocial Determinants of Early Marriage in Wonogiri District, Central Java: A Logistic Regression Kamilda, Meylsa Rima; Nurhaeni, Ismi Dwi Astuti; Adriani, Rita Benya
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: Meylsa Rima Kamilda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126, Indonesia. Email: meyl.rima@gmail.com. Mobile: 6285728805820Journal of Maternal and Child Health (2019), 4(3): 170-179https://doi.org/10.26911/thejmch.2019.04.03.04
The Associations between Maternal Education, Chronic Energy Deficit, and Anemia in Pregnant Women: An Evidence from Lhokseumawe, Indonesia Helliyana, Helliyana; Aritonang, Evawany Y.; Sanusi, Sri Rahayu
Journal of Maternal and Child Health Vol 4, No 5 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Chronic Energy Deficiency (CED) and anemia in pregnant women have a health impact on the mother and child in the womb. This condition can increase the risk of babies with low birth weight, miscarriage, premature birth, even death in mothers and newborns. This study aims to determine the relationship between CED and anemia in pregnant women at the Muara I Health Center in Lhokseumawe City in 2017.Subjects and Method: This study was a cross-sectional study conducted at the Muara I Community Health Center, Lhokseumawe, in December 2017. A sample of 90 pregnant women was selected by consecutive sampling. The dependent variable was the anemia of pregnant women. The independent variables were education and CED. CED was measured based on maternal mid-upper arm circumference (MUAC) during pregnancy using MUAC tape. The hemoglobin level was measured by Hb Sahli. Other data were measured using a questionnaire. The data were analyzed using multiple logistic regression tests.Results: CED has a significant positive and statistically significant effect on anemia in pregnant women (OR = 64.34; 95% CI = 15.10 to 274.10; p <0.001). Low maternal education has a positive effect but was statistically significant towards anemia in pregnant women (OR = 3.15; 95% CI = 0.81 to 12.27; p = 0.099).Conclusion: CED and low maternal education have a positive effect on anemia in pregnant women.Keywords: anemia, pregnant women, education, chronic lack of energyCorrespondence: Helliyana, Masters Program in Public Health, Faculty of Public Health, Universitas Sumatera Utara, Jl. Prof. T. Maas, Medan, Sumatera Utara. Email: andybaso11@gmail.com. Mobile: 0852­60­129999.Journal of Maternal and Child Health (2019), 4(5): 312-316https://doi.org/10.26911/thejmch.2019.04.05.02
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; Dewi, Yulia Lanti Retno; Murti, Bhisma
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 Inayati, Rizqi; Rahardjo, Setyo Sri; Murti, Bhisma
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 expo­sure, attitude, subjective norm, perceived behavior control, and intention. The data were collected by questionnaire and analyzed by a multilevel logistic regression.Results: The use of DPT3 immunization was influenced by maternal education (b = 2.01; 95% CI= 0.26 to 3.76; p= 0.025), family income (b= 2.56; 95% CI= 0.45 to 4.67; p= 0.017), religion and beliefs (b= 4.37; 95% CI= 1.78 to 6.96; p= 0.001), family support (b= 1.92; 95% CI= - 0.07 to 3.90; p= 0.058), exposure to information (b= 1.82; 95% CI= 0.11 to 3.54; p= 0.037), attitude (b= 1.59; 95% CI= - 0.29 to 3.47; p= 0.097), subjective norm (b= 1.66; 95% CI= - 0.17 to 3.49; p= 0.074), perceived behavior control (b= 2.50; 95 % CI= 0.57 to 4.43; p= 0.011), and intention (b= 2.93; 95% CI= 0.68 to 5.19; p= 0.011). Integrated health post had strong contextual effect on the use of DPT3 immunization with ICC= 53%.Conclusion: The use of DPT3 immunization is influenced by maternal education, family income, religion and beliefs, family support, exposure to information, attitude, subjective norm, perceived behavior control, and intention. Integrated health post has strong contextual effect on the use of DPT3 immunization.Keywords: DPT3 immunization, factors, Theory of Planned Behavior, posyandu, information exposureCorrespondence: Rizqi Inayati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Indonesia. Email: inayati.rizqi12@gmail.com. Mobile: +6289681682143Journal of Maternal and Child Health (2019), 4(4): 267-278https://doi.org/10.26911/thejmch.2019.04.04.06

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