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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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THE CONTEXTUAL EFFECT OF PLACE OF BIRTH DELIVERY AND BIOPSYCHOSOCIAL DETERMINANTS ON POSTPARTUM DEPRESSION: A MULTILEVEL EVIDENCE FROM YOGYAKARTA Febrianti, Selvia; Tamtomo, Didik; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Postpartum depression is a condition that affects 20% women in the first four weeks of the puerperium. Postpartum depression can be affected by biological, psychological, socio-cultural, and economic factors. This study aimed to analyze biopsychosocial factors affecting postpartum depression in Sleman, Yogyakarta.Subjects and Method: This was a cross-sectional study. This study was conducted at 25 delivery places in Sleman, Yogyakarta, in August-September 2019. A sample of 200 postpartum mothers was selected by multistage random sampling. The dependent variable was postpartum depression. The independent variables were traditional treatment, age, education, income, parity, pregnancy status, type of delivery, complication, marital satisfaction, and contextual delivery place. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression.Results: The risk of postpartum depression increased with delivery with intervention (b= 3.30; 95% CI= 1.57 to 5.02; p<0.001), delivery with complication (b=3.77; 95% CI= 2.25 to 5.28; p<0.001), and age ?35 years (b=0.93; 95% CI=-0.20 to 2.07; p=0.109). The risk of postpartum depression decreased with traditional treatment (b= -1.33; 95% CI= -2.51 to -0.15; p= 0.027), education ?Senior high school (b=-1.98; 95% CI= -3.59 to -0.38; p=0.015), family income ?Rp 1,701,000 (b= -3.55; 95% CI= -5.08 to -2.02; p<0.001), multiparous (b= -1.25; 95% CI= -2.45 to -0.04; p=0.041), intended pregnancy status (b= -3.11; 95% CI= -4.96 to -1.25; p= 0.001), and happy marital satisfaction (b= -1.18; 95% CI= -2.30 to -0.05; p=  0.039). There was strong contextual effect of delivery place on postpartum depression with intra-class correlation (ICC)= 31.6%.Conclusion: The risk of postpartum depression increases with delivery with intervention, delivery with complication, and age ?35 years. The risk of postpartum depression decreases with traditional treatment, education ?Senior high school, family income ?Rp 1,701,000, multiparous, intended pregnancy status, and happy marital satisfaction. There is strong contextual effect of delivery place on postpartum depression.Keywords: Postpartum depression, determinant, delivery placeCorrespondence: Selvia Febrianti. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: selvia.febri11@gmail.com. Mobile: 0811593921Journal of Maternal and Child Health (2020), 5(1): 88-99https://doi.org/10.26911/thejmch.2020.05.01.10
CONTEXTUAL EFFECT OF COMMUNITY HEALTH SERVICE ON THE USE OF TRIPLE ELIMINATION SERVICE Verasita, Prissy; Budihastuti, Uki Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Triple elimination is the elimination of transmission of HIV, syphilis, and hepatitis B from mother to child. The Prevention of Mother to Child Transmission (PMTCT) program is a comprehensive activity. The basic condition of the case is carried out because of the importance of health promotion and early detection in strategies for managing HIV, Syphilis, and Hepatitis B infections. This study aimed to analyzecontextual effect of community health service on the use of triple elimination service in pregnant women.Subjects and Method: This was a cross sectional study conducted at 25 community health centers in Sragen Regency, Central Java, from June to July 2019. A sample of 200 pregnant women was selected by stratified random sampling. The dependent variable was the use of triple elimi­nation. The independent variables were age, perceived susceptibility, perceived seriousness, cues to action, attitude, motivation, occupation, income, and distance to health service. The data were collected by a set of questionnaire and analyzed by multilevel multiple logistic regression.Results: The use of triple elimination increased with age ?35 years (b=1.29; 95% CI=0.37 to 2.21; p=0.006), working outside the home (b=1.20; 95%CI=0.17 to 2.23; p=0.012), income by ?Rp 1,600,000 (b=1.52; 95% CI=0.54 to 2.50; p=0.002), perceived susceptibility (b=1.46; 95% CI=0.53 to 2.38; p=0.002), perceived seriousness (b=1.53; 95% CI=0.55 to 2.50; p=0.002), cues to action (b=1.30; 95% CI=0.30 to 2.30; p=0.010), attitude (b=1.10; 95% CI=0.02 to 2.18; p=0.046), and strong motivation (b=1.68; 95% CI=0.66 to 2.71; p=0.001). The use of triple elimination decreased by a distance ?5km (b=-1.36; 95% CI=-2.27 to -0.46; p= 0.003). Community health center had strong contextual effect on the use of triple elimination with ICC= 22.6%.Conclusion: The use of triple elimination increases with age ?35 years, working outside the home, income by ?Rp 1,600,000, perceived susceptibility, perceived seriousness, cues to action, attitude, and strong motivation. The use of triple elimination decreases by a distance ?5km. Community health center has strong contextual effect on the use of triple elimination.Keywords: triple elimination, Health Belief Model, Theory of Planned BehaviorCorrespondence: Prissy Verasita. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: prissyoppo@gmail.com. Mobile: +6285879-345269.Journal of Maternal and Child Health (2020), 5(1): 68-78https://doi.org/10.26911/thejmch.2020.05.01.08
Does Entitlement Card ensure Utilization of Urban Primary Healthcare Clinic in Bangladesh? Mizan, Sharmin; Rahman, Md Mizanur; Safii, Razitasham binti; Ahmad, Sk Akhtar
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Although Bangladesh substantial­ly reduced 40% maternal death in the last deca­des, it is still challenging, especially among the ur­ban poor. The achievements are not equitable bet­ween different economic quintiles and bet­ween the rich and the urban poor. This study aims to examine the extent to which the entitle­ment card affects the utilization of maternal and child health care and identifies other factors that influence MCH services.Subjects and Method: This cross-sectional study was carried out in the working areas of the Ur­ban Primary Healthcare Project (UPHCP) in Bang­ladesh. A two-stage cluster sampling tech­ni­que was used to select the participants. A total of 3,949 women aged 15-49 years, having at least one child aged two years or less were selected for this study. The data were collected through face-to-face inter­views. The data were analyzed using multinomial logistic regression.Results: The proportion of utilization of UPH­CC was 49.9%. One-fourth (26.6%) of them fully utilized it and another 23.3% utilized it partially. Stepwise multinomial logistic regression analysis revealed that those who had an Entitlement Card from the UPHC project were 11.75 times (95% CI= 9.481, 14.549; p= 0.001) more likely to fully Utilized and 3.64 times (95% CI= 3.643, 2.911; p= 0.001) likely be utilized partially compared to non-utilizer. Respondents having no formal edu­cation utilized UPHCC fully (AOR=2.32; 95% CI= 1.46, 3.68; p= 0.001) and partially (AOR= 1.76; 95% CI= 1.12, 2.77; p= 0.014) used UPHCC. It was 3.08 (95% CI= 2.03, 4.67; p= 0.001) times for fully and 2.71 (95% CI= 1.82, 4.04; p= 0.001) times for partially utilized UPHCC compared to non-users among the primary level of education. Small family size (≤4) and monthly family in­come in the range of BDT 10,000 above were likely to utilise UPHCC. However, non-Muslims were less likely to Utilized UPHCC.Conclusion: Apart from the entitlement card, other factors such as monthly income BDT> 10,000, small family size, no formal educated mo­ther appeared to be potential predictors for utilization of the Urban Primary Health care clinic.Keywords: entitlement card, maternal care, Utilization, urban primary healthcareCorrespondence: Md Mizanur Rahman. Department of Community Medicine and Public Health, Faculty of Medicine and Health Sciences, Universiti Malaysia Sa­rawak. Email: rmmizanur@unimas.my, rmizanur1958@gmail.com.Journal of Maternal and Child Health (2020), 5(2): 213-225https://doi.org/10.26911/thejmch.2020.05.02.12
Determinants of Low Birth Weight in Cilacap District Septikasari, Majestika
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Low birth weight (LBW) is closely related to the increased risk of child morbidity and mortality, disruption of developmental growth and in the long-run has an increased risk of chronic disease in their adulthood. This study aims to analyze the effect of nutritional status at the beginning of pregnancy, maternal education and family expenditure on the incidence of low birth weight (LBW) in Cilacap District.Subjects and Method: This study is an obser­vational analytic study with a cross sectional approach. The study was conducted in three health centers in Cilacap District, Central Java, in 2016. A sample of 144 children aged less than 1 year was selected by cluster sampling. The depen­dent variable was birth weight. The independent variables were maternal MUAC, maternal educa­tion, and family income. The data are collected with medical records. The data were analyzed using multiple logistic regression analysis.Results: Maternal MUAC ≥23.5 cm (OR = 0.22; 95% CI = 0.57 to 0.89; p = 0.033) reduced the risk of LBW and it was statistically significant. Maternal education (OR = 0.51; 95% CI = 0.12 to 2.13; p = 0.356) and high family income (OR = 0.47; 95% CI = 0.09 to 2.47; p = 0.376) reduced the risk of LBW but it is statistically insignificant.Conclusion: Maternal MUAC ≥23.5 cm, high maternal education, and high family income reduced the risk of LBW.Keywords: low birth weight, maternal mid-upper arm circumferenceCorrespondence: Majestika Septikasari. School of Health Sciences Al-Irsyad Al-Islamiyyah Cilacap, Central Java, Indonesia. Email: majestika86@gmail.com.Journal of Maternal and Child Health (2020), 5(2): 141-146https://doi.org/10.26911/thejmch.2020.05.02.03
ASSOCIATIONS BETWEEN MATERNAL NUTRITIONAL STATUS, CARBOHYDRATE, FAT, AND PROTEIN INTAKES, AND LOW BIRTH WEIGHT IN JEMBER, EAST JAVA Winasandis, Brillia Firsti; Tamtomo, Didik; Anantanyu, Sapja
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Pregnancy can cause several bodily changes, both anatomically, physiologically, and biochemically. Mothers' metabolism and food intake will change during pregnancy. Food intake of pregnant women will increase every trimester, so it must be considered because it is not only for herself, but for the fetus she is carrying. Excessive carbohydrate intake has an adverse effect on babies born, lack of excessive intake is also not good. This study aims to analyze the association between nutritional status, carbohydrate, fat, and protein intakes of pregnant women with birth weight (BBL).Subjects and Methods: This was a cohort study conducted at community health center in Jember, East Java, from April to June 2019. The sample was randomly selected as many as 120 study subjects. The dependent variable was birth weight (LBW). The independent variables were carbo­hydrate, fat, protein intakes and maternal nutritional status. The data collection technique used was questionnaires and analyzed by path analysis.Results: Birth weight directly increased with the maternal nutritional status (b= 38.65; 95% CI= 24.96 to 53.33; p<0.001) and carbohydrate intake of pregnant women with birth weight (b= 0.53; 95% CI= - 0.48 to 1.54; p= 0.149). Birth weight directly decreased with protein intake (b= -0.53; 95% CI= -3.09 to 2.98; p= 0.729) (b= -0.75; 95% CI= -3.11 to 1.60; p= 0.010). Maternal carbo­hydrate and protein intake had an indirect association and birth weight.Conclusion: There is a direct association between fat intake and maternal nutritional status with birth weight. Nutritional status has a positive effect on birth weight. While fat intake has a negative effect on birth weight. Maternal carbohydrate and protein intake has an indirect effect on birth weight.Keywords: birth weight, macronutrient intake, nutritional statusCorrespondence: Brillia Firsti Winasandis. Masters Program in Nutrition, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: brilliabrillia@gmail.com. Mobile: +6281331221655.Journal of Maternal and Child Health (2020), 5(1): 1-11https://doi.org/10.26911/thejmch.2020.05.01.01
Micronutrients Intake and Mathematics Achievement among Primary School Children in Magelang, Central Java Arika, Romiza; Anantanyu, Sapja; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Micronutrient deficiency in school children is estimated at more than 2 million children. Deficiency of micronutrients causes damage to the physical functioning of children, impaired cognitive function, learning processes that are less than optimal, and poor academic performance. This study aimed to analyze the relationships between iodine, iron, zinc intake, and math achievement primary school children.Subjects and Method: This was an obser­vational analytic study with a cross sectional design. The study was conducted in four elemen­tary schools in Pakis, Magelang, Central Java, from March to April 2019. A sample of 177 stu­dents was selected by simple random sam­pling. The dependent variable was math achieve­ment. The independent variables were iodine, iron, and zinc intakes. The data were collected by question­naire and analyzed by a multiple linear regres­s­ion.Results: Iodine intake (b= 0.02; 95% CI= 0.01 to 0.03; p= 0.001) and zinc intake (b= 0.23; 95% CI= 0.04 to 0.41; p= 0.017), and iron intake (b= 0.08; 95% CI= -0.01 to 0.17; p= 0.052) increased math achievement in primary school children.Conclusion: Iodine intake, zinc intake, and iron intake increase math achievement in primary school children.Keywords: iodine, zinc, and iron, math achievement, primary school childrenCorrespondence: Romiza Arika. Masters Program in Nutrition, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: romiza­arika652@gmail.com.Mobile: +6289506237763. Journal of Maternal and Child Health (2020), 5(2): 182-192https://doi.org/10.26911/thejmch.2020.05.02.08
DOES THE INTEGRATED HEALTH POST HAVE CONTEXTUAL EFFECT ON EXCLUSIVE BREASTFEEDING? A MULTILEVEL EVIDENCE FROM KARANGANYAR, CENTRAL JAVA ?Arub, Lathifah; Pamungkasari, Eti Poncorini; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 5, No 1 (2020)
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Abstract

Background: Breastfeeding provides amazing benefits for the health of the child and the mother. WHO and UNICEF suggest a mother should be able to practice and maintain exclusive breast­feeding during the first six months of her baby's life. This study aimed to analyze contextal effect of integrated health post on exclusive breastfeeding.Subjects and Method: This was cross sectional study conducted in 25 integrated health posts (posyandu) in Karanganyar, Central Java, from August to September 2019. A sample of 200 nursing lactating mothers who had children aged 7 to 12 months was selected by stratified random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal age, education, occupation, type of birth delivery, knowledge, attitude, family support, and so­cial capital. The data were collected by questionnaire. The data were analysis by multilevel mul­ti­ple logistic regression with Stata 13.Results: Exclusive breastfeeding increased with maternal age 20 to 34 years (b= 2.38; 95% CI= 0.62 to 4.15; p= 0.008), maternal education ?Senior high school (b= 1.64; 95% CI= 0.01 to 3.23; p= 0.049), good knowledge (b= 2.13; 95% CI= 0.41 to 3.86; p= 0.015), positive attitude (b= 1.67; 95% CI= 0.10 to 3.23; p= 0.036), strong family support (b= 1.58; 95% CI= 0.10 to 3.07; p= 0.036), and strong social capital (b= 1.64; 95% CI= 0.01 to 3.27; p= 0.049). Exclusive breast­fee­ding decreased with mother working outside the house (b= -3.54; 95% CI= -5.50 to -1.58; p<0.001) and sectio caesarea (b= -1.88; 95% CI= -3.58 to -3.58 to -0.19; p= 0.029). Integrated health post had strong contextual effect on exclusive breastfeeding with intra-class correlation (ICC)= 29.3%.Conclusion: Exclusive breastfeeding increases with maternal age 20 to 34 years, high maternal education, good knowledge, positive attitude, strong family support, and strong social capital. Exclusive breast­fee­ding decreases with mother working outside the house and sectio caesarea. Integrated health post has strong contextual effect on exclusive breastfeeding.Keywords: exclusive breastfeeding, multilevel analysis, posyanduCorrespondence: Lathifah ?Arub, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126. Email: lathifah.arub17@gmail.com. Mobile: 085789212539Journal of Maternal and Child Health (2020), 5(1): 100-110https://doi.org/10.26911/thejmch.2020.05.01.11 
Effect of Antenatal Mental Health Disorder on Fetal Growth: A Systematic Review Handayani, Rina Tri; Widiyanto, Aris; Atmojo, Joko Tri; Setyorini, Catur
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Maternal mental disorders during pregnancy are associated with a range of adverse health outcomes for infants. Re­cent studies indi­cate the possible mechanism of maternal mental health disorders asso­ciated with fetal develop­ment through prog­ram­­ming effect. This study aimed to sys­tema­t­ically review the effect of ante­natal mental health disorders on fetal growth.Subjects and Method: This was a sys­tem­atic review. The articles were selected from Psyc­INFO, Medline, Web of Science, Em­­­base, and PubMed journal databases pu­blis­hed from July to Septem­ber 2018. The keywords for this review included maternal mental health AND fetal growth, post­partum de­p­ress­­ion AND fetal growth, maternal mental health AND fetal growth AND review. As many as 11 articles were selected for this stu­dy from 575 articles.Results: Maternal mental health during preg­nancy was associated with fetal head cir­cum­­ference growth through 2 mechanism: (1) In­creased maternal stress response modifies neu­ro­en­docrine function, which included changes in cortisol regulation, adreno­corti­co­tropic, adrena­line and nor­adrenaline hor­mo­nes levels; and (2) Decreased 11β-hydroxy­steroid dehydrogenase (11β-HSD2) enzyme regulation in placenta. It decreased11β-HSD2 level, increa­s­ed fetal gluco­corticoids circu­la­tion, and affect­ed on fetal head growth restriction.Conclusion: Maternal mental health during pregnancy is associated with fetal head circ­um­­fe­rence growth restriction.Keywords: maternal mental health, fetal head circumference, growth, systematic re­viewCorrespondence: Rina Tri Handayani. School of Health Scien­ces Mamba'ul 'Ulum, Surakarta, Jl. Ring Road Utara, Tawangsari, Mojosongo, Jebres, Sura­­ka­r­ta, Cen­tral Java. Email: trihandayan­ir­ina­@gmail­.­com: 085642224141Journal of Maternal and Child Health (2020), 5(2): 147-153https://doi.org/10.26911/thejmch.2020.05.02.04
THE EFFECTIVENESS OF HYPNOTHERAPY TO REDUCE ANXIETY IN PRE-CAESAREAN SECTION WOMEN Mubarokah, Rizka Innayatun; Prasetya, Hanung; Respati, Supriyadi Hari
Journal of Maternal and Child Health Vol 5, No 1 (2020)
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Abstract

Background: Anxiety felt by women before delivery with cesarean section can cause psycho­logical problem, increase pain in surgery, increase analgesic needs, and prolong hospital treatment. Hypnotherapy has minimal side effects and is easy to do in reducing anxiety. The purpose of this study was to analyze the effect of hypnotherapy in reducing anxiety in women with pre-cesarean section.Subjects and Method: This was a randomized controlled trial study conducted at in Karang­anyar Hospital, and PKU Muhammadiyah Hospital, Karanganyar, Central Java, from July to August 2019. A sample of 60 women was selected for this study by purposive sampling. 30 subjects of the treatment group received hypnotherapy intervention and 30 subjects of the control group received standard care. The dependent variable was anxiety. The independent variable was hypno­therapy. Anxiety was tested by the Hamilton Rating Scale for Anxiety questionnaire. Hypno­therapy was done using hypnosis recording/audio. The data were analyzed by independent t test.Results: Mean of anxiety after hypnotherapy (mean = 14.17; SD = 4.36) was lower than control group (mean = 19.93; SD = 6.02), effect size = -1.09, and is statistically significant (p <0.001).Conclusion: Hypnotherapy is effective in reducing anxiety in women before cesarean section.Keywords: anxiety, hypnotherapy, cesarean sectionCorrespondence: Rizka Innayatun Mubarokah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: rizka.inn@gmail.com.­ Mobile: 082240337404Journal of Maternal and Child Health (2020), 5(1): 12-18https://doi.org/10.26911/thejmch.2020.05.01.02
Visit to the Disability Integrating Health Post and Its Effect on the Quality of Life of Children with Cerebral Palsy: A Multivariate Evidence from Sukoharjo, Central Java Rohaniyati, Retno Dwi; Salimo, Harsono; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 5, No 2 (2020)
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Abstract

Background:  An assessment of the quality of life of children with cerebral palsy is important to be carried out, as part of the indicators of achiev­ing health service delivery goals. To faci­litate access to health services for children with dis­­abilities, the government of Sukoharjo Dis­trict esta­b­lished an integrated health post (pos­yandu) for children with disabilities called in­clu­sion cen­ters.  This study aimed to deter­mine the quality of life of children with cerebral palsy who receive ser­­­vi­ces at the inclusion center.Subjects and Method: his was a cross sec­tional study conducted in 12 inclusion centers in Suko­harjo, Central Java. A sample of 100 child­­ren with cerebral palsy (CP) aged 4-18 years old was selected by fixed disease samp­ling. The depen­dent variable was the quality of life of CP child­ren. The independent variables were the level of gross motor function capa­bility, parental cop­ing, quality service, and freq­uency of pos­yandu visits. Gross motor func­t­ion capability was mea­sured by Gross Motor Funt­ion Classifi­cation Sys­tem (GMFCS). Qua­lity of life was measured by the Cerebral Palsy Qua­lity of Life (CP-QOL) ver­sion of the parent proxy. Data collection used ques­tion­­naire and analyzed by a multiple linear reg­ression run on Stata 13.Results: Better quality of life of children with cereb­ral palsy was influenced by lower GMFCS levels (b= -128.72; 95% CI= -220.34 to -37.10; p= 0.006), good parental coping (b= 18.87; 95% CI= 10.85 to 26.89; p<0.001), good service quality (b= 20.79; 95% CI= 9.99 to 31.59;  p<0.001), and more frequent visits to posyandu (b= 214.86; 95% CI= 56.66 to 373.15; p= 0.008).Conclusion: Quality of life of children with cerebral palsy is influenced by lower GMFCS levels, good parental coping, good service qua­lity, and more frequent visits to posyandu.Keywords: quality of life, disability, cerebral palsy, integrating health post (posyandu)Correspondence: Retno Dwi Rohaniyati, Masters Program in Pub­­lic Health, Universitas Sebelas Maret, Jl. Ir. Su­­tami 36A, Surakarta, Central Java, Indo­ne­sia. Email: retnodr16@gmail.com. Mobile: 08­15­4626 8418.Journal of Maternal and Child Health (2020), 5(2): 193-199https://doi.org/10.26911/thejmch.2020.05.02.09

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