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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 537 Documents
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The Relationship Between Parental Socio-Economic Status, Birthweight, and Development in Children Aged 1-5 Years in Surakarta Kusumasari, Rizka Agnes; Tamtomo, Didik; Retno Dewi, Yulia Lanti
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Health report by The Ministry of Health in 2006 revealed that 16% of children under five had mild to severe development problem.  About 5-10% of children under five had mental retardation. The current study hypotesized that parental socio-economic status such as family income and maternal education affect child development. The purpose of this study was to analyze the relationshipbetween parental socio-economic status, birthweight, and development in children aged 1-5 years in Surakarta.Subjects and Method: This was an analytic observational study with case control design. This study was conducted at Ngoresan Health Center, Surakarta, from December, 2016 to January, 2017. The study population was children under five living within the area of Ngoresan Health Center. A total of 100 children under five was selected by fixed disease sampling, consisting of 25 cases and 75 controls. The dependent variable was child development, measured by Ministry of Health’s KPSP. The independent variables were family income, maternal education, and birthweight. The data were analyzed by chi-square and multiple logistic regression.Results:T here were positive and statistically signifcant relationships between maternal education ≥ high school  (OR=1.61; 95% CI=1.5 to 15.7; p=0.046), family income ≥minimum regional wage(OR=5.1; 95% CI= 1.1 to 22.8; p=0.032), and normal birthweight (OR=8.5; 95% CI= 2.4 to 30.1; p=0.001) and child development.Conclusion: There are positiverelationships between highfamily income,high maternal education, normal birthweight, and normal development in children aged 1-5 years.Keywords: parental socio-economic status, birthweight, child development Correspondence: Rizka Agnes Kusumasari. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: rizka.agnes@gmail.comJournal of Maternal and Child Health (2016), 1(3): 195-199https://doi.org/10.26911/thejmch.2016.01.03.07 
Determinants of Womens Choice of a Long-Acting Reversible Contraceptive in Boyolali, Central Java Ilmiyah, Desy Eka; Budihastuti, Uki Retno; Nurhaeni, Ismi Dwi Astuti; Mudigdo, Ambar
Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and thehormonal contraceptive implant(effective for 10, 5 and 3 years, respectively). These methods of birth control can prevent unwanted pregnancy up to 20 times better than birth control pills, patches, and vaginal rings. However, the use of LARCs remains low in Boyolali, Central Java, Indonesia. This study aimed to analyze the determinants of womens choice of a LARC in Boyolali, Central Java.Subjects and Method: This was a case control study conducted in 25 community health centers, Boyolali District, Central Java, from April 24 to May 20, 2018. A sample of 200 women in reproductive age was selected by fixed disease sampling. The dependent variable was choice of a LARC. The independent variables were age, education, parity, knowledge, husband support, and counseling by health worker. The data were collected by questionnaire and analyzed by a logistic regression multilevel using Stata 13 program.Results:Womens choice of the LARC increased with age ?35 years (b= 4.54; 95% CI= 1.69 to 12.15; p= 0.003), education ?senior high school (b= 4.59; 95%CI= 1.80 to 11.70; p= 0.001), parity ?3 (b = 7.15; 95%CI= 2.63 to 19.44; p<0.001), better knowledge (b= 2.20; 95% CI= 0.88 to 5.50; p= 0.089), counseling by health worker (b= 2.82; 95% CI= 1.11 to 7.11; p= 0.028), and husband support (b= 5.54; 95% CI= 2.15 to 14.28; p<0.001).Conclusion: Womens choice of LARC increases with age ?35 years, education ?senior high school, parity ?3, better knowledge, counseling by health worker, and husband support.Keywords: long-acting reversible contraceptive, womens choice, determinantsCorrespondence:Desy Eka Ilmiyah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: desyekailmiyah@gmail.comJournal of Maternal and Child Health (2018), 3(3): 225-232https://doi.org/10.26911/thejmch.2018.03.03.07
Biopsychosocial Factors Associated with Preterm Birth at Dr. Moewardi Hospital, Surakarta, Central Java Bachtiar, Harrys; Budihastuti, Uki Retno; Salimo, Harsono
Journal of Maternal and Child Health Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Preterm birth has been defined asgestational age of birth between 28 and 37 weeks. Prematurity is a major public health issue as studies have shown it increases the risk of mortality and morbidity of the newborns. The purpose of this study was to examine biopsychosocial factors associated with preterm birth.Subjects and Method: This was an analytic observational with a case control design. The study was carried out at Dr. Moewardi Hospital, Surakarta, Central Java, from April to May 2018. A total sample of 200 of the newborn infants was selected for this study by fixed disease sampling, composing of 100 preterm newborns and 100 term newborns. The dependent variable was prematurity. The independent variables were maternal age, nutritional status, parity, ambient smoke exposure, maternal education, family income, and family support. The data on prematurity was obtained from medical record. The other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Preterm birth was positively associated with maternal age <20 or ?35 years (b= 1.58; CI 95%= 0.65 to 2.50; p<0.001), ambient smoke exposure (b= 1.42; CI 95%= 0.41 to 2.44; p=0.006), and parity (b= 1.77; CI 95%= 0.87 to 2.67; p<0.001). Preterm birth was negatively associated with good maternal nutritional status (b= 2.00; CI 95%= 2.92 to 1.08; p<0.001). Good maternal nutritional status was positively associated with strong family support (b= 0.93; CI 95%= 0.24 to 1.61; p=0.008), high family income (b= 2.26; CI 95%= 1.57 to 2.95; p<0.001), and high maternal education (b= 2.45; CI 95%= 1.76 to 3.17; p<0.001).Conclusion: Preterm birth is positively associated with maternal age <20 or ?35 years, ambient smoke exposure, and parity, but negatively associated with good maternal nutritional status.Keywords: preterm birth, biopsychosocial factors, path analysisCorrespondence:Harrys Bachtiar. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Central Java. Email: harrysbachtiar@gmail.com. Mobile: +6285257311700.Journal of maternal and child health (2018), 3(2): 138-145https://doi.org/10.26911/thejmch.2018.03.02.06
Analysis of Factors Influencing Female Infertility Indarwati, Ika; Hastuti, Uki Retno Budi; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Female infertility is one of important public health problems worldwide. According to the World Health Organization, the incidence of infertile cases is increasing each year. Likewise, according to the Central Bureau of Statistics, infertile incidence in Indonesia has been increasing. Dr. Moewardi Hospital Surakarta is one of the hospitals in Central Java Province with increasing number of infertile patients visits. This study aimed to analyze risk factors influencing female infertility.Subjects and Method: This was an analytic observational study with case control design. The study was conducted at Sekar Clinic Dr. Moewardi Hospital, Surakarta from February to March, 2017. A sample of 105 fertile women, consisting of 35 infertile women and 70 fertile women, were selected for this study. The dependent variable was infertility. The independent variables were age, maternal employment status, level of stress, body mass index, abnormal reproductive organ. The data were collected by medical record and questionnaires. The data were analyzed by logistic regression.Results: Female infertility was affected by aged ≥35 years old (OR= 4.45; CI 95%= 1.27 to 15.54; p=0.019), career women (OR=3.91; CI 95%= 1.14 to 13.38; p=0.043), high level of stress (OR=3.89; CI 95%=1.04 to 14.46; p=0.046), body mass index(OR=4.37; CI 95%= 1.03 to 18.61; p<0.001), abnormal reproductive organ (OR=11.67; CI 95%= 2.80 to 48.54; p=0.030).Conclusion: female infertility is affected by aged ≥35 years old, carrer women, high level of stress, body mass index, and abnormal reproductive organ. Keywords: female infertility, age, level of stress, employment status, body mass index.Correspondence: Ika Indarwati. Masters Programin Public Heath, Sebelas Maret University, Surakarta. Email: ikaindarwaty@gmail.com. Mobile: +6285736222215.Journal of Maternal and Child Health (2017), 2(2): 150-161https://doi.org/10.26911/thejmch.2017.02.02.06
Qualitative Analysis on the Factors Affecting Exclusive Breastfeeding among Working Mothers at Community Health Center in Bangkalan, Madura Tiyas, Dwi Wahyuning; Murti, Bhisma; Indarto, Dono
Journal of Maternal and Child Health Vol 1, No 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breast milk is the main food for infants aged 0-6 months. Breast feeding can be extended up to 2 years with complementary food. The prevalence of exclusive breast feeding is targeted to exceed 80%. Study have shown some factors may determine exclusive breastfeeding among working mothers, such as desire to return to work soon after giving birth, distance from home to the workplace, and supporting facilities (e.g. space, freezer) at the workplace. This study aimed to investigate factors affecting exclusive breast feeding among working mother at the workplace.Subjects and Method: This was a qualitative study with phenomenology approach. This study was conducted at the Community Health Center, Bangkalan, Madura. A total of 9 working mothers were purposively selected as informants. The administrators at the workplace were interviewed as another source of information. Some family members were also selected as informants. The data were collected by interview, observation, taking photos, and document review (e.g. maternal and child health book).Results: Exclusive breastfeeding was associated with workplace support for breastfeeding. Adequacy of breastfeeding facility at the workplace was described by mothers as having a place allocated for expressing breast milk and provision of flexible time to express breast milk other than the usual rest time. Most of mothers who were interviewed breastfed their babies for less than three months. Mothers who worked in workplaces that did not provide breastfeeding rooms and refrigerators were more likely to discontinue breastfeeding. Lack of flexible time to express breast milk was also associated with breastfeeding discontinuation. The existence of policies breastfeeding leave, arrangement for light duty after delivery, and flexible working hours, were associated with breastfeeding.Conclusion: Provision of adequate breastfeeding facilities at the workplace, such as a room in which to express breast milk, and a refrigerator, as well as the existence of policy that allows mothers to have flexible time to express breast milk, are important determinants for exclusive breast feeding among employed mothers.Keywords: exclusive breast feeding, working mothers, workplace Correspondence: Dwi Wahyuning Tiyas. Masters Program in Public Health, Sebelas Maret UniversityJournal of Maternal and Child Health (2016), 1(2): 110-118https://doi.org/10.26911/thejmch.2016.01.02.06
Factors Associated with Exclusive Breastfeeeding: Application of PRECEDE-PROCEED Model and Theory of Planned Behavior Alfianrisa, Anggityas; Salimo, Harsono; Poncorini, Eti
Journal of Maternal and Child Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding (EBF) is an ideal food for infants aged 0-6 months. EBF is useful for infants, but it is under-implemented. A non profit organization, namely Indonesian Association of Lactating Mothers (AIMI), has been established recently, with an objective to disseminate knowledge and information on breastfeeding and to increase breastfeeding practice in Indonesia. This study aimed to examine factors associated with exclusive breastfeeeding using  PRECEDE-PROCEED model and Theory of Planned Behavior.Subjects and Methods: This was an analytic observational study with retrospective cohort design. This study was conducted at Pajang Community Health Center, Surakarta, Central Java, from January to March, 2017. A total sample of 120 lactating mothers were selected for this study by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal education, maternal employment status, participation in AIMI, knowledge, attitude, family support, perceived behavior control, and intention. The data were collected by a set of questionnaire and analyzed by path analysis.Results: Exclusive breastfeeding were positively associated with maternal education ≥senior high school (b= -0.13; SE= 0.22; p= 0.572), participation in AIMI (b= 0.45, SE= 0.26, p= 0.085), maternal employment status (b= -0.63; SE= 0.20; p= 0.002), attitude (b= 0.05; SE= 0.03; p= 0.172), family support (b= 0.06; SE= 0.03; p= 0.039), perceived behavior control (b= 0.04; SE= 0.03; p= 0.164), and intention (b= 0.09; SE= 0.05; p= 0.045). EBF intention were positively associated with maternal education ≥senior high school (b=1.44; SE=0.42; p<0.001), participation in AIMI (b= 0.55; SE= 0.46; p= 0.229), attitude (b= 0.11; SE= 0.06; p= 0.046) and perceived behavior control (b= 0.38; SE= 0.05; p <0.001).Conclusion: Exclusive breastfeeding are positively associated with maternal education ≥senior high school, participation in AIMI, maternal employment status, attitude, family support, perceived behavior control, and intention. EBF intention are positively associated with maternal education ≥senior high school, participation in AIMI, attitude and perceived behavior control.Keywords: PRECEDE-PROCEED model, theory of planned behavior, AIMI, exclusive breastfeedingCorrespondence: Anggityas Alfianrisa. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: anggityasrisa@gmail.com. Mobile: +6285647563476.Journal of Maternal and Child Health (2017), 2(1): 42-53https://doi.org/10.26911/thejmch.2017.02.01.05
Participation in Pregnant Mother Class and Implementation of Exclusive Breastfeeding in Betungan Community Health Center, Bengkulu Ismiati, Ismiati; Lubis, Yuliana; Susmini, Susmini
Journal of Maternal and Child Health Vol 4, No 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Exclusive breastfeeding can be seen from the role of the world in which in 2006, WHO (World Health Organization) issued a Child Growth Standard which is then applied throughout the world. The content is to emphasize the importance of breastfeeding only to infants from birth to 6 months of age. After that, the baby begins to be given complementary foods beside ASI. Data from the Health Profile of Bengkulu Province in 2014 showed that only 20.67% of infants aged 0-6 months get exclusive breastfeeding from the total number of infants aged 0-6 months ie 12.508 (Health Office, 2014). The purpose of this study is to obtain in-depth information about the implementation of prenatal class on exclusive breastfeeding at community health center.Subjects and Method: The qualitative research design used was Rapid Assessment Procedures, which is a qualitative approach or study. The population of mothers who have 0-6 months old baby sample was 16 people while the others were 4 heads of community health center, midwife, and cadre. Then the information received was processed and analyzed its theme (data reduction, data presentation, conclusion / verification) and then was tested for its validity with triangulation.Results: The lack of role of pregnant mother class in increasing exclusive breast feeding is caused by various factors. The practice of exclusive breastfeeding successfully performed by larger informants is due to the policies of maternity providers and post-maternal conditions for both mother and infant. For the maternal and child health program program, it is expected to be able to conduct periodic evaluation of the prenatal class.Keywords: exclusive breastfeeding, intention and classes of pregnant womenCorespondence:Ismiati. School of Health Polytechnics Bengkulu, North Sumatera, Jl. Indragiri No. 3 Padang Harapan Bengkulu. Email: ismiatidzaky@gmail.com. Mobile: 085290534545Journal of Maternal and Child Health (2019), 4(1): 36-39https://doi.org/10.26911/thejmch.2019.04.01.05
Evaluation of “Jumat Pintar” Program in Reducing the Incidence of Anemia in Young Women in Sukoharjo, Indonesia Pratiwi, Ayudhia; Suryani, Nunuk; Indarto, Dono
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anemia is iron deficiency in the body which gives a negative impact. Anemia in the short term can lead to vulnerable young women experience a decline in achievement of learning at school. While long-term, sustained anemia from adolescence until the pregnant can lead to complications of bleeding to death and in Sukoharjo, Jumat Pintar implementation prevents the incidence anemia especially in young women. The activity encouraged from this policy is the giving of Fe tablet. The evaluation was conducted to assess the performance of the implementation of the policy of running and achievements obtained in accordance with the original purpose. This study was aimed to evaluate the implementation of Jumat Pintar program in lowering the incidence of anemia of young women.Subject and Methods: This was a qualitative study, was conducted in September-October 2016 in Sukoharjo. A total of 20 samples were selected by using purposive sampling technique. The data was collected using in depth interviews, observation and study of documentation. The data were analyzed using the interactive analysis techniques to compare the data obtained with data triangulation.Results: The execution of Jumat Pintar at stages of planning activities, the determination of the amount of goals and services granting Fe tablet was in adherence with the standard procedures of implementation. The stage of the expansion of the network of independent outlets and stages of monitoring and oversight have not run optimally. The scope of consumption of Fe tablet is not can be traced and decrease in the numbers of Genesis anemia in teenagers does not represent the entire area. The main constraints implementation comes from the absence of a legal umbrella agreement work, lack of financial support from various parties, the low commitment of the education sector, and low awareness of the goal.Conclusion: The implementation of Jumat Pintar is running optimally. The formation of independent outlets have yet to be implemented at each high school in Sukoharjo Regency, the absence of funding sources and still low level of involvement of target.Keywords: anemia, the movement of young women, the evaluation of the implementation of Jumat Pintar program.Correspondence: Ayudhia Pratiwi. School of Public Health, Sebelas Maret University, Surakarta.Journal of Maternal and Child Health (2016), 1(1): 25-33https://doi.org/10.26911/thejmch.2016.01.01.05 
Psychosocial Factors Associated with Anxiety and Delivery Pain Nisa, Shofia Maharani Khoirun; Qadrijati, Isna; Murti, Bhisma
Journal of Maternal and Child Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anxiety and pain are physiologic symptoms experienced by mothers during birth delivery. However, if these symptoms are not well-managed they can cause low birth weight, prematurity, prolonged labor, and postpartum depression. This study aimed to analyze the psychosocial factors associated with anxiety and delivery pain.Subjects and Method: This was an analytical observational study with cross sectional design. The study was conducted at Gajahan community health center, Surakarta Hospital, and Muhammadiyah Hospital, Delanggu, Central Java, from December 2017 to January 2018. A total sample of 166 delivery mothers were selected for this study by purposive sampling. The dependent variables were anxiety and delivery pain. The independent variables were parity, psychological stress, coping mechanism, family income, and family support. The data were collected by questionnaire. Anxiety was measured by modified Preg­nancy Related Anxiety Questionaire (PRAQ_R). The data were analyzed by path analysis.Results: Delivery pain increased with higher anxiety (b= 0.30, SE= 0.02, p<0.001). Anxiety decreased with higher delivery pain (b = -1.19, SE= 0.02, p<0.001) and increased with higher stress (b = 0.92, SE= 0.09, p<0.001). Anxiety decreased with coping mechanism (b = -0.31, SE = 0.08, p<0.001) and parity (b= -0.86, SE= 0.37, p<0.001). Stress decreased with better coping mechanism (b= -0.48, SE= 0.08, p<0.001), higher family income (b = -0.16, SE = 0.04, p<0.001), parity (b= -2.13, SE= 0.36, p<0.001), and stronger family support (b = -0.22, SE = 0.06, p=0.007). Coping mechanism increased with parity (b = 1.39, SE = 0.33, p<0.001) and strong family support (b= 0.46, SE= 0.06, p<0.001).Conclusion: Delivery pain increases with higher anxiety. Anxiety associated with delivery pain, stress, and coping mechanism.Keywords: delivery pain, anxiety, psychosocial, family income, parity, coping mechanism, stressCorrespondence: Shofia Maharani Khoirun Nisa. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: shofiamkn@gmail.com. Mobile: +6285736382926Journal of Maternal and Child Health (2018), 3(1): 44-58https://doi.org/10.26911/thejmch.2018.03.01.05
Factors Associated with Decision to Use a Long-Term Intra Uterine Device: A Path Analysis Evidence Deviasti, Rindra; Pamungkasari, Eti Poncorini; Murti, Bhisma
Journal of Maternal and Child Health Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Intra uterine device (IUD) is a highly effective contraceptive method with a 98-99 percent success rate over five years of IUD use. However, its share of modern method mix is pitifully small, at less than 5%, in 63 countries and only 5%9% in a further 32 countries. Moreover, IUD's share is declining in many countries. The reasons for this are not well understood, particularly in Mojokerto, East Java, Indonesia, apart from growing popularity of injectables. This study aimed to examine factors associated with decision to use a long-term intra uterine device using a path analysis model.Subjects and Method: A case control study was conducted at Puskesmas (community health center) Gondang, Mojokerto, East Java, from April to May 2018. A sample of 225 women was selected for this study by fixed disease sampling, comprising 75 IUD users and 150 non-IUD users. The dependent variable was IUD use. The independent variables were age, education, knowledge, attitude, self-efficacy, cultural belief, husband support, and peer support. Data on IUD use were taken from puskesmas Gondang. The data were collected by questionnaire and analyzed by path analysis.Results: IUD use was directly and positively associated with positive attitude (b= 0.79; 95% CI= 0.19 to 1.40; p= 0.010) and low anxiety (b= 0.76; 95% CI= 0.16 to 1.37; p= 0.014). IUD use was indirectly associated with cultural belief, self efficacy, education, knowledge, husband support, and peer support.Conclusion: IUD use is directly associated with positive attitude and low anxiety, and is indirectly associated with cultural belief, self efficacy, education, knowledge, husband support, and peer support.Keywords: intra-uterine devise use, biopsychosocial factor, cultural belief, anxietyCorrespondence:Rindra Deviasti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: widodarigunung@gmail.com. Mobile: +6281331301065.Journal of Maternal and Child Health (2018), 3(4): 269-277https://doi.org/10.26911/thejmch.2018.03.04.04

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