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Journal of Maternal and Child Health

thejmch
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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 374 Documents

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Factors Influencing the Role of Religious Leaders in the Process Accelerate Stunting Response in East Nusa Tenggara Province Picauly, Intje; Adi, Anak Agung Ayu Mirah; Meiyetriani, Eflita; Mading, Majematang; Weraman, Pius; Nashriyah, Siti Fadhilatun; Hidayat, Ahmad Thohir; Boeky, Daniela L. Adeline; Lobo, Varry; Saleh, Asmulyati S.; Peni, Jane A.
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting was the impact of chronic malnutrition in the long term and has an impact on children's growth and development disorders. Stunting has become a priority for the Indonesian government, including in the Province of East Nusa Tenggara with a stunting reduction target of 14% in 2024. The Indonesian governments have made many efforts to overcome stunting. Religious leaders are parties suspected of being able to play a role in the process. This study was aimed to determine the factors that influence the role of religious leaders in supporting the process of accelerating stunting reduction in the dry land area in East Nusa Tenggara. Subjects and Method: This was a mixed-method study. This study was conducted in May 2022 using the focus group discussion (FGD) method and involved 13 religious leaders who were taken purposively. The data collected were analyzed qualitatively (making interview transcripts) and quantitatively. The independent variables were level of understanding about stunting, support for policies/programs related to stunting, stunting program budget support, national program support: CATIN facilitation, and cross-sectoral cooperation support. The statistical analysis used is multiple logistic regression analysis. Results: Factors that significantly influence the role of religious leaders are the level of understanding of religious leaders about stunting (aOR= 3.50; 95% CI= 0.12 to 12.3; p= 0.010) and support factors for cross-sectoral cooperation (aOR= 2.00; 95% CI= 1.22 to 21.10; p= 0.007). Budget support for stunting related policies/ program (aOR= 2.40; 95% CI= 1.76 to 12.32; p= 0.621), support policy/ program related to stunting (aOR= 1.70; 95% CI= 1.27 to 7.32; p= 0.387), and national program, support “CATIN Mentoring” (aOR= 1.10; 95% CI= 0.37 to 21.02; p= 0.621) were statistically non-significant. Conclusion: Factors that influence the role of religious leaders were the level of understanding of religious leaders about stunting, support factors for cross-sectoral cooperation, budget support for stunting related policies, support policy related to stunting national program, and support “CATIN Mentoring”. Keywords: the role of religious leaders, acceleration of stunting prevention, chronic malnutrition. Correspondence:Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Kupang, East Nusa Tenggara, Indonesia. Mobile: +62822-3714-5517. Email: intjepicauly@staf.undana.ac.id.

Meta-Analysis: The Effect of Anxiety During Pregnancy on the Risk of Premature Birth and Low Birth Weight in Infants Suparno, Amalia Ulfah; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 5 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Pregnancy can be defined as the process of meeting spermatozoa with the ovum which is followed by attachment of the embryo to the uterine wall, in the process of pregnancy according to some or almost all women it becomes a happy process or causes anxiety due to the occurrence of many physiological and psychological changes, so that if it is not treated seriously then will have an impact on the baby such as premature birth and low birth weight. This study aims to estimate the magnitude of the effect of anxiety during pregnancy on premature birth and low birth weight with a meta-analysis study. Subjects and Method: This was a meta-analysis and systematic review conducted with PRISMA flow diagrams. Population= pregnant women, Intervention= anxiety, Comparison= not anxious, Outcomes= premature birth and low birth weight. Search articles through journal databases include: Google Scholar, PubMed, Science Direct. The articles used in this study are articles that have been published from 2000-2021. The keywords to search for articles were as follows: “antenatal anxiety” OR “pregnancy anxiety” OR “anxiety during pregnancy” OR “anxiety disorder” OR anxiety OR pregnancy AND “Perinatal outcomes” OR “adverse birth outcome” OR “neonatal outcome” OR “low birth weight” OR “Low Birth Weight” AND “preterm birth” OR “preterm infant”. The inclusion criteria were full text with a cohort study design, articles in English, analysis used multivariate with adjusted odds ratio. Eligible articles were analyzed using the Revman5 application. Results: 10 observational studies showed that anxiety during pregnancy increased the risk of preterm delivery by 1.49 times compared with no anxiety (aOR=1.49; 95% CI 1.33 to 1.66; p<0.001). A meta-analysis of 7 observational studies showed that anxiety during pregnancy increased the risk of low birth weight by 1.55 times compared with no anxiety (aOR=1.55; 95% CI 1.26 to 1.91; p<0.001). Conclusion: Anxiety during pregnancy increases the risk of premature birth and low birth weight.

Correlation between Low Birth Weigth and Stunting in Children Under Five: Meta Analysis Ode, Diana; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting in children is a risk factor for increasing child mortality. The purpose of this study was to determine the relationship between LBW and the incidence of stunting based on previous primary studies. Subjects and Method: This research was conducted using a meta-analysis study with PICO as follows: P = toddler, I = low birth weight, C = normal birth weight, O = stunting. Search articles in this study using 3 databases, namely Pubmed, Google Scholar and Springerlink. Search articles using the following keywords: Low birth weight AND Stunted OR Birth weight AND Stunted, articles were analyzed using the Review Manager 5.3 application. Results: There are 11 articles from Rwanda, Nepal, Ethiopia, Eastern Kenya, Pakistan, China, Indonesia, and Tanzania from 2017-2022 which were analyzed using PRISMA flow diagrams. The results of this study indicate that toddlers who have a history of being born with low birth weight have a risk of experiencing stunting as much as 2.19 times compared to toddlers who have a history of birth with normal birth weight (aOR= 2.19; 95% CI= 1.77 to 2.69; p<0.001). Conclusion: Toddlers with a history of LBW births are at risk for stunting. Keywords: LBW, stunting, toddlers, meta-analysis. Correspondence: Diana Ode. Master’s Program in Public Health, Universitas Sebelas Maret. Jl.Lawu raya Seturan Caturtunggal Depok Sleman Yogyakarta 55281 Indonesia. Email: dianaodef161@gmail.com. Mobile: +6285395912173.

National Health Insurance Membership and Economic Status as Determinants of Accessibility of Antenatal Care Service Rosidah, Lely Khulafa'ur; Asdary, Rahma Novita
Journal of Maternal and Child Health Vol. 6 No. 4 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: According to WHO statistics, the maternal mortality rate (MMR) in developed countries is estimated at 12/100,000 live births, while in developing and low-income countries it is 239/100,000 live births. 99% of all maternal deaths are estimated to occur in developing countries, even though the causes of death can be prevented with the right policies considering that one of the goals of the Sustainable Development Goals is to reduce MMR. Antenatal Care (ANC) is the main technique to reduce maternal morbidity and mortality. This study evaluates JKN membership and economic status affecting ANC service coverage. Subjects and Method: This study is a cross-sectional study using data from the 2017 Indonesian Demographic and Health Survey (IDHS). This data is used to assess the proportion of economic status and national health insurance (JKN) membership and to measure the relationship between the two with ANC coverage. Analysis using Logistic Regression with R software version 3.6.3. and perform Propensity Score Matching (PSM) to reduce self-selection bias by balancing the observed variables between groups of respondents based on economic status with and without JKN. Results: Of the 5429 respondents, 20.2% were very poor, 20.9% poor, 19.9% middle class, 20.8% rich, and 18.2% very rich. Among these residents, 61.4% have JKN membership and 38.3% do not. The substantial gap in the utilization of maternal health services, especially in ANC4x services, is 30.7 points between the very poor (48.2%) and the very rich (86.9). Respondents who worked as employees were more likely to have JKN membership than those who did not have a job (AOR=2.34; 95% CI = 1.74 to 3.16). Respondents who were exposed to the internet at least once a week were more likely to have JKN membership than those who were not exposed to the internet (AOR=1.46; 95% CI= 1.09 to 1.97). Conclusion: JKN membership and economic status affect ANC 4x service coverage.

Correlation between Passive Cigarette Smoke Exposure on Low Birth Weight: Meta-Analysis Handriani, Winei; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low birth weight (LBW) is defined as a newborn baby weighing less than 2500 grams. Low birth weight is a serious condition in developing countries. The impact of cigarette smoke on pregnant women who are exposed to cigarette smoke is at a higher risk of complications, such as miscarriage, premature birth, or babies born with low weight. This study aims to analyze the relationship between exposure to secondhand smoke and low birth weight. Subjects and Method: This research is a systematic review and meta-analysis by systematically reviewing primary articles from Pubmed, Google Scholar, Scient Direct and Springerlink by selecting articles published in 2012-2022. The articles searched using PICO were P: Pregnant women, I: exposed to cigarette smoke, C: not exposed to cigarette smoke, O: low birth weight. Keywords "Exposure to smoking pregnant women" OR "Expectant mother" OR "Pregnancy women" OR "Exposed to cigarettes" OR "Secondhand smoke exposure" OR "Cigarette smoke expo- sure" AND "Low birth weight" OR "Low weight babies" AND “Case control” AND “Adjusted odds ratio”. Articles used PRISMA flow diagrams and analyzed using Review Manager 5.3. Results: There were nine articles analyzed consisting of Nepal, Morocco, Ethiopia, Sierra Leone, India, Indonesia and China. Meta-analysis showed that cigarette smoke exposure increased the risk of low birth weight and was statistically significant (aOR = 2.19; 95% CI = 1.58 to 3.03; p < 0.001). Conclusion: Exposure to cigarette smoke increases the risk of weight gain in LBW infants by 2.19 times compared to not exposed to cigarette smoke. Keywords: exposure to cigarette smoke, low birth weight, meta-analysis. Correspondence: Winei Handriani. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: wineihandriani02@gmail.com. Mobile: 083150000253.

Meta-Analysis: The Effects of Depression and Anxiety on the Quality of Life of People with Disability Nurhayati, Iffah; Murti, Bhisma; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: A person with a disability is a person who has (suffers) a disability/ limitations in the structure and function of the body which can cause problems in their life. Environmental conditions (physical, biological and social) that are not disability-friendly will have an impact on mental problems and the most common are depression and anxiety. Depression and anxiety have an important influence on the health conditions and quality of life of persons with disabilities. The purpose of this study was to analyze the effect of depression on the quality of life of persons with disabilities and to analyze the effect of anxiety on the quality of life of persons with disabilities.Subjects and Method: The meta-analysis was carried out by systematically reviewing the same number of articles from PubMed, Science Direct, and Google Scholar. This is done using the search keywords

Relationships between Exclusive Breastfeeding, and History of Illness, and Stunting in Children Under Five Picauly, Intje
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Exclusive breastfeeding can affect a child's immune system against infectious diseases and malnutrition. Children under five who experience repeated infectious diseases and malnutrition will have the opportunity to experience stunting problems. Riskesdas (2018) shows that the prevalence of stunting under five in the Province of East Nusa Tenggara (NTT) is higher (42.6%) than the average prevalence of stunting in Indonesia (30.8%). The results of the initial survey found that the coverage of exclusive breastfeeding was very low and the morbidity rate for children under five was still high in the Working Area of the Kokar Health Center, Alor Barat Laut District, Alor Regency, NTT. Subjects and Method: A case control study conducted in Adang Village, the work area of the Kokar Health Center, Alor Barat Laut District, Alor Regency in October-November 2021. The size of the study sample was 132 toddlers with 66 case samples and 66 control samples taken by simple random sampling. The dependent variable was the incidence of stunting. The independent variables were the history of exclusive breastfeeding and the history of illness. The analysis used is simple logistic regression analysis and followed by Odd Ratio (OR) analysis. Results: The history of exclusive breastfeeding (OR=4.57; CI95%= 1.58 to 13.21; p= 0.003) and the history of illness (OR=5.33; CI95%= 2.53 to 11.24; p <0.001) were associated with the incidence of stunting. Further test results showed that every child under five who had a history of bad exclusive breastfeeding had a 4.5 times greater risk of experiencing stunting and a child under five who had a history of illness more often had a 5.3 times greater risk of experiencing stunting. Conclusion: The incidence of stunting in the Northwest Alor District, Alor Regency, NTT Province is influenced by a history of exclusive breastfeeding and a history of infectious diseases or illness. Keywords: history of exclusive breastfeeding, history of illness, incidence of stunting, infectious diseases, nutritional intake Correspondence: Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana, Kupang City, East Nusa Tenggara, Indonesia, Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, Nusa Tenggara Timur.

Meta-Analysis the Effect of Baby Massage in Increasing Quality of Sleep and Infant Body Weight Fauzia, Raina Lola; Budihastuti, Uki Retno; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 7 No. 1 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Sleep patterns and weight in infants are identified as one of the most important topics related to infant growth and development. Baby massage is a slow and gentle stroke movement throughout the baby's body starting from the baby's feet, stomach, chest, face, hands and back. Baby massage is a form of touch stimulation. Babies who are massaged experience an increase in vagus nerve tone (10th brain nerve) which will lead to increased levels of gastrin and insulin absorption enzymes. Thus the absorption of food will be better. Therefore, body weight and sleep quality increased more than those who were not massaged. Subjects and Method: This was a systematic review and meta-analysis conducted using PRISMA flow diagrams. Search articles through journal databases including: PubMed, Science Direct, Google Schoolar and SpingerLink by selecting articles published in 2010-2020. The keywords used were (“baby massage” OR “infant massage”) AND (“sleep quality” OR “baby sleep quality”) AND (“weight gain” OR “baby weight gain”) AND “randomized controlled trial”. Inclusion criteria were full paper articles with Randomized Controlled Trial (RCT) research methods, the relationship measure used was Mean SD, the intervention given was baby massage, research subjects were infants aged 0-3 years. Eligible articles were analyzed using the Revman 5.3 application. Results: A meta-analysis of 16 articles showed that baby massage improved sleep quality (SMD 0.70; 95% CI= -0.05 to 1.46; p=0.07). In addition, baby massage increased body weight (SMD 0.52; 95% CI= 0.08 to 0.96; p=0.02). Conclusion: Baby Massage has an effect on improving the quality of sleep and baby's weight.

Parental Posttraumatic Stress Disorder and Attunement: Meta-Analysis Asanov, Julia; Rehman, Neelofar
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Attunement between a primary carer and their infant plays a crucial role in infant brain development, attachment, sense of self and personality development, with long-term effects on risk of future psychopathology. The present study aimed at 1) identifying a comprehensive definition of attunement and 2) investigating parent-infant attunement in the context of parental posttraumatic stress disorder (PTSD). Subjects and Method: Following PRISMA guidelines, a systematic review of the literature was conducted on parental PTSD and parent-infant attunement. Eligible studies were prospective, quantitative, published in peer-reviewed journals, included normal samples and samples with PTSD along with attunement variables, reporting correlational data, with mothers aged 16 or older and infants aged 0-18 months. 48 articles were examined in full-text and 18 selected for analysis. A National Heart, Lung, and Blood Institute (NHLBI) quality assessment tool was used to assess the quality of selected studies. Pooled effect sizes were calculated separately for positive and negative attunement variables under the random effects model, using comprehensive meta analysis (CMA). Results: Analysis failed to reach statistical significance. The pooled effect size for parental PTSD and negative attunement was positive and small. The pooled effect size for parental PTSD and positive attunement was negative and small. Conclusion: Due to the high heterogeneity among the included articles and statistically non-significant effect sizes, results need to be interpreted with caution. However, the results indicate that the presence of PTSD symptoms is likely to influence parents’ capacity to attune to their infants. Limitations and implications for future research and clinical practice are discussed.

Correlations between Maternal Age, Education, and Knowledge on the Compliance of COVID-19 Vaccine Uptake in Children Aged 6 – 11 Years Supiatun.M, Lilis Sri; Aâ€™yuni, Zera Qurrota; Marhana, Isnin Anang; Husada, Dominicus
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The coverage rate for giving the COVID-19 vaccine to children in several regions of Indonesia is still in the low category, one of which is in Abeli District, Kendari City. One of the factors that can affect the low administration of vaccines to children is due to mothers' concerns about their children so they are hesitant and reluctant to be given the COVID-19 vaccine. This study aims to analyze the relationship between age, education, and knowledge of mothers with compliance with the COVID-19 vaccine in children aged 6-11 years in Abeli District, Kendari City. Subjects and Method: A cross-sectional study was conducted in Abeli District, Kendari City, from August to October 2022. A total of 90 subjects were selected using a proportionate stratified random sampling technique. The dependent variable is adherence to giving the COVID-19 vaccine to children. The independent variables include age, education, and mother's knowledge. The instrument used is a questionnaire. Data analysis used was the Chi Square test. Results: Adherence to maternal COVID-19 vaccine administration increased with knowledge (OR= 3.57; 95% CI= 1.46 to 8.75; p= 0.007). Meanwhile, age (OR= 0.34; 95% CI= 0.14 to 0.83; p= 0.003) and education (0.31; 95% CI= 0.12 to 0.31; p= 0.020) reduced maternal adherence in administering the COVID-19 vaccine to children. Conclusion: There is a significant relationship between age, education, and mother's knowledge with compliance with the COVID-19 vaccine in children aged 6-11 years in Abeli District, Kendari City. Keywords: maternal age, maternal education, knowledge, COVID-19 vaccine. Correspondence: Lilis Sri Supiatun Mamesah. Midwifery Program Study, Faculty of Medicine, Universitas Airlangga, Indonesia. Jl. Mayjen Prof. Dr. Moestopo No.47, Pacar Kembang, Tambaksari, Surabaya 60132, East Java, Indonesia. Email: lilis.sri.supiatun-2019@fk.unair.ac.id. Mobile: +6285333622541.

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