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INDONESIA
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 374 Documents
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The Impact of Social Support, Intimate Partner Violence, and Pregnancy Plans on Antenatal Depression: A Meta-Analysis Study Putri, Dominika Risnanda Alfinsia; Pamungkasari, Eti Poncorini; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.04.08

Abstract

Background: Antenatal depression is a type of depression that occurs during pregnancy and affects about 20% of pregnant women. This study aims to analyse the effects and estimate the magnitude of the effects of social support, intimate partner violence and pregnancy status on the incidence of antenatal depression with a meta-analysis. Subject and Method: The meta-analysis was performed using a PRISMA flowchart and a PICO model. Population: pregnant women. Intervention: strong social support, experiencing violence by intimate partners, and planned pregnancy status. Comparison: weak social support, no violence by intimate partners, and unplanned pregnancy status. Outcome: antenatal depression. The online databases used are Google Scholar, Hindawi, PubMed, Science Direct, Scopus, and ResearchGate. There were 17 cross-sectional studies published in 2018-2023 that met the inclusion criteria. Analysis was done with RevMan 5.3. Results: Meta-analysis was conducted on 17 cross-sectional studies from Australia, Thailand, Nepal, Bangladesh, Nigeria, Ethiopia, Rwanda, Norway, and Jamaica. Sample size = 11,517 study subjects. The risk of antenatal depression increases with intimate partner violence (aOR= 2.13; CI 95%= 1.65 to 2.74; p<0.001). The risk of antenatal depression decreased with strong societal support (aOR= 0.47; CI 95%= 0.38 to 0.58; p<0.001) and planned pregnancy (aOR= 0.45; CI 95%= 0.24 to 0.84; p=0.01). Conclusions: The risk of antenatal depression increases when there is intimate partner violence, decreases if social support is obtained and pregnancy is planned.
A Child Stunting Against Acute Respiratory Infections in Developing Countries: A Scoping Review Fadhila, Akbar Kholish; Rahfiludin, Mohammad Zen; Suyatno, Suyatno
Journal of Maternal and Child Health Vol. 9 No. 5 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.05.04

Abstract

Background: Acute Respiratory Infections (ARIs) are a leading cause of morbidity and mortality among young children, particularly those who experience stunting. This study aims to map the factors associated with ARIs in stunted toddlers using a scoping review methodology. Subjects and Method: This scoping review was conducted using data obtained from PubMed Central. The target population included toddlers with stunting and ARIs. A search was performed using the keywords "stunting AND acute respiratory infections AND toddler," yielding 712 articles, which were narrowed down to 8 relevant articles after applying a 10-year time frame. The factors influencing ARIs in stunted toddlers were categorized into five groups: (1) environmental and sanitation factors, (2) nutritional factors, (3) socio-economic factors, (4) co-infections, and (5) genetic and biological factors.       Results: The factors influencing ARIs in stunted toddlers were categorized into five groups: (1) environmental and sanitation factors, (2) nutritional factors, (3) socio- economic factors, (4) co-infections, and (5) genetic and biological factors. ARIs and stunting are interrelated through various complex factors. Conclusion: A multidisciplinary approach is essential to enhance access to healthcare services, improve nutritional education, and address sanitation conditions, with the goal of reducing the prevalence of ARIs and stunting in toddlers, thereby supporting optimal growth.
Does Social Cognitive Theory Explain Antenatal Care for Pregnant Women in Boyolali, Central Java? A Multilevel Analysis Soraya, Mira Mashita; Prasetya, Hanung; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.04.09

Abstract

Background: Healthy mothers play a central role in forming the foundation of future generations' health. The role of Antenatal Care (ANC) is quite crucial in the continuation of optimal pregnancy. The main purpose of pregnancy examination is to monitor fetal well-being and identify early risk factors during pregnancy. Although antenatal examination is considered important, some pregnant women have not made maximum use of pregnancy examination services due to various factors. This study aims to analyze the influence of the Social Cognitive Theory construct and the contextual influence of Posyandu on antenatal examination behavior. Subjects and Method: A cross-sectional study was conducted at 25 integrated health posts (Posyandu) in Boyolali Regency, Central Java from August to September 2024. A total of 200 pregnant women were selected using a simple random sampling method. The dependent variable was complete antenatal examination (≥ 6 visits). The independent variables were self-efficacy, outcome expectation, modeling, and reinforcement. Data collection was carried out using interviews, questionnaires, and ANC visit data from village midwives. Data were analyzed using multilevel multiple linear regression. Results: Multilevel analysis in this study showed that antenatal care visiting behavior in pregnant women increases along with high self-efficacy. (b=0.23; CI 95% = 0.09 to 0.36; p<0.001), positive outcome expectation (b=0.32; CI 95% = 0.21 to 0.43; p<0.001), reinforcement (b=0.38; CI 95% = 0.24 to 0.53; p<0.001), high education (b=0.28; CI 95% = -0.43 to 1.01; p=0.433), and high family income (b=0.27; CI 95%= -0.27 to 0.81; p=0.327). The effect of modeling, education and family income on antenatal visit behavior was not statistically significant. This multilevel analysis model also showed that the contextual effect in the integrated health post on antenatal visit behavior was quite large (ICC=24%). Conclusion: The frequency of complete antenatal check-ups will increase with high self-efficacy, positive outcome expectations, and reinforcement. Thus, social cognitive theory can be used to explain and predict routine antenatal check-ups. Variations in the posyandu level have a significant contextual effect on the behavior of complete antenatal check-ups (≥ 6 check-up visits).
The Impact of Sibling Age Gap, Stimulation, Father Involvement, and Parenting Stress on the Development of Children Aged 36-59 Months: A Multilevel Analysis Rachmawati, Rulita Ayu; Adriani, Rita Benya; Murti, Bhisma
Journal of Maternal and Child Health Vol. 9 No. 4 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.04.10

Abstract

Background: Early childhood development (36-59 months) is a critical period that significantly influences a child's growth, learning and overall well-being. Providing high-quality early childhood care and education is essential to maximizing children's potential for later success, as it equips them with the skills and competencies necessary for their future development. Subjects and Method: This study used a cross-sectional approach conducted in 28 Early Childhood Education (PAUD) in Wonogiri Regency, Central Java in August - September 2024. A total of 225 children aged 36-59 months were selected in this study with a randomized controlled trial (RCT). The dependent variable of this study was the development of children aged 36-59 months. The independent variables at level 1 were the age gap between children, parenting stimulation, father involvement and parenting stress. The independent variable at level 2 was Early Childhood Education (PAUD). Data were collected through questionnaires and the analysis of this study used multilevel multiple logistic regression and used STATA 13. Results: This multilevel multiple logistic regression analysis concluded that age-appropriate child development at 36–59 months increased with longer age gaps between children (OR=2.06; CI 95%= 0.97 to 4.42; p = 0.061), high parenting stimulation (OR=2.04; CI 95%= 1.30 to 3.20; p = 0.002), father's involvement (OR=2.74; CI 95%= 1.22 to 6.15; p= 0.014). Child development appropriate for the age of 36-59 months old decreased with high parenting stress (OR=0.34; 95% CI= 0.20 to 0.57; p < 0.001). Early Childhood Education (PAUD) was not statistically significant in influencing early childhood development with ICC = 0.36%< 8-10%. Conclusion: The development of children aged 36-59 months increased significantly with the age gap of children, nurturing stimulation, and father involvement in nurturing. Child development decreased with high parenting stress. Early Childhood Education (PAUD) has a low contextual effect on the development of children aged 36-59 months.
Exploring the individual experiences of women facing cervical cancer: a study on sexual life changes, emotional responses, and physical adaptations Kurniasih, Dwi; Goretik, Maria; Siskawati, Siskawati
Journal of Maternal and Child Health Vol. 9 No. 5 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.05.02

Abstract

Background: Cervical cancer is one of the significant cancers in the female reproductive organs, namely the cervix. Diagnosis and treatment of cervical cancer not only affect physical health, but also psychologically and socially, especially in the context of sexual life. Physical and emotional changes that arise from treatments such as chemotherapy and radiotherapy can significantly affect women's sexual function, cause anxiety, and change the dynamics of interpersonal relationships. Subjects and Method: This study uses a qualitative approach with a descriptive phenomenological design. Data collection was conducted through in-depth interviews with five cervical cancer patients undergoing treatment at the Dr. Soedarso General Hospital, Pontianak. Data were analyzed using a thematic analysis approach to identify key themes in the experiences of changes in sexual life, emotional responses, and physical adaptation of the participants. Results: The results of the study showed that cervical cancer patients experienced various changes in their sexual lives after undergoing treatment. The main challenges faced were physical discomfort that leads to difficulty in achieving sexual satisfaction, diversion of sexual activities to meet the needs of partners, and complex emotional responses such as anxiety, depression, and feelings of hopelessness. Physically, adaptation to changes such as persistent fatigue and digestive changes were also significant problems. Conclusion: This study highlights the importance of comprehensive psychosocial support in caring for women with cervical cancer, including a holistic approach that considers physical, emotional, and interpersonal aspects. The findings also highlight the need for better sexual health education for patients and their partners, as well as the important role of families in providing adequate support. By better understanding the experiences of women with cervical cancer, it is hoped that their care and overall quality of life can be improved.
Determinants of Pregnancy Complications in Indonesia (Analysis of Indonesian Health Survey 2023) Bella Safhira; Nurmalia Ermi
Journal of Maternal and Child Health Vol. 9 No. 5 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.05.01

Abstract

Background: Data from the Central Bureau of Statistics (2020) shows that MMR in Indonesia reached 189 deaths per 100,000 live births, which is higher than in countries in Southeast Asia such as Malaysia, Brunei, Thailand, and Vietnam. Maternal deaths are often caused by complications during pregnancy and childbirth, most of which are preventable or treatable (WHO, 2020). This study aims to identify factors that influence the occurrence of pregnancy complications in Indonesia Subjects and Method: This type of research is analytical observational with a cross-sectional study design. The target population was women aged 10-54 years who had given birth in Indonesia. The total sample of this study was 50,221 respondents. The dependent variable studied was pregnancy complications, and the independent variables were age, mother's education level, employment status, mother's region of residence, parity, multiple pregnancy, antenatal care (ANC) frequency, and ANC examination components. Data were obtained through direct interviews and the MCH book then analyzed using the Complex Sample method.              Results: Maternal age (aOR= 1.23; 95% CI= 1.11 to 1.36; p<0.001), maternal education (aOR= 0.90; 95% CI= 0.81 to 0.99; p= 0.038), maternal occupation (aOR= 0.88; 95% CI= 0.80 to 0.96; p= 0.008), maternal area of residence (aOR= 0.73; 95% CI= 0.66 to 0.81; p <0.001), multiple pregnancies (aOR= 1.83; 95% CI= 1.19 to 2.80; p= 0.005), and ANC (aOR= 1.17; 95% CI= 1.06 to 1.29; p= 0.001) were statistically significantly associated with pregnancy complications. Conclusion: To reduce the risk of pregnancy complications, pregnant women are strongly advised to regularly perform ANC visits and ultrasounds according to the latest regulations and conduct pregnancy examinations according to the 10T standard. Mothers with multiple pregnancies must ensure adequate nutritional intake due to higher nutrition needs.
Metrics from a Congenital Hypothyroidism Screening Program – A Tale of Unmet Challenges Kanani, Fatima; Kumar, Vikram; Mushtaq, Mamona; Sameer, Dua; Ali, Rehan
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.01.02

Abstract

Background: Congenital hypothyroidism is one of the most common Inherited Metabolic Diseases for which newborn screening is recommended. A wide-scale program for this is lacking in our country. We undertook a study to retrospectively review our metrics from a regional project for newborn screening of Congenital Hypothyroidism including frequency of elevated neonatal Thyroid Stimulating Hormone (TSH), recall rate, rate of missed testing and turnaround time for results. Subjects and Method: Retrospective data of neonates born between 13th July 2020 and 10th August 2021 was collected from electronic medical records. Dried blood spot specimens for TSH were collected from the umbilical cords for neonates born vaginally and by heel prick for those born by caesarian section and sent to the designated laboratory. Data was entered on Microsoft Excel and analyzed. Results: 4037 babies were screened for neonatal TSH, 2149 males and 1888 females. The median (IQR) TSH level was 3.34 (2.09-5.30) µIU/mL. The TSH levels of ≥15 µIU/mL were noted in 95 newborns, out of which 31 newborns had values of ≥ 20 µIU/mL. There was a median (IQR) turnaround time of 14.00 (4.00-55.00) days for initial results accessibility to the clinician. The recall rate was 0.3%. Around 10% of the neonates were not screened and retesting was performed in 12 neonates with high TSH. Only one neonate was identified with persistently raised TSH and suppressed FT4. Conclusion: Congenital Hypothyroidism was diagnosed in one out of 4037 neonates while 10% were not screened. Recall rate was low, 0.3%. The median turnaround time for reporting was 14 days. Increased awareness, strict monitoring, resource allocation, administrative support and follow-up are required for successful implementation of a CH screening program.
An Analysis of the Quality of Life of Children Experiencing Stunting and Wasting Born to Adolescent Mothers in the Alak District Nenogasu, Yeri Delsia; Wulandari, Estiyani; Buan, Gerda N.
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.01.01

Abstract

Background: Adolescent pregnancy remains a prevalent global issue with well-documented causes. However, it contributes significantly to nutritional challenges among young children, including stunting and wasting. This study aims to assess the impact of neonatal health, maternal caregiving practices, incidence of illness, disease prevention efforts, and nutritional intake on the quality of life of stunted and wasted children aged 37–60 months born to adolescent mothers. Subjects and Method: This study is analytical correlational research using a cross-sectional approach. The study is conducted in Alak District (Consisting of Penkase, Alak, Naoini, and Manutapen Community Health Centers), Kupang City, from September to October 2024. The sample comprises 50 mother-child pairs selected based on specified inclusion criteria. Data collection, including primary and secondary sources, was conducted from September to October 2024 following ethical approval. The study aims to analyze the effects of latent variables within a factor model related to the quality of life of children. These latent variables include the newborn’s health history, maternal caregiving practices, illness occurrence, disease control efforts, nutritional intake, and the child’s quality of lifePartial Least Squares (PLS) analysis was performed using the Smart PLS 3.0 software. Results: The study findings reveal that newborn health, maternal caregiving practices, illness incidence, disease control efforts, and nutritional intake have both direct and indirect positive effects on children's quality of life. Significant direct positive relationships were observed between maternal caregiving practices and nutritional intake (T-statistic: 3.307), maternal caregiving practices and disease control efforts (T-statistic: 2.151), and disease control efforts and children’s quality of life (T-statistic: 2.578). Conclusion: Preventing adolescent pregnancy and childbirth is crucial, as it significantly impacts the long-term growth and development of children.
THE The Relationship Between Hemoglobin Levels of Pregnant Mothers and Low Birth Weight at Dr. Moewardi Regional Hospital Surakarta Liandoro, Otniel; Fikritama, Aisya; Sekarhandini, Pitra; Vidya, Pridania
Journal of Maternal and Child Health Vol. 9 No. 5 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.05.05

Abstract

Background: Anemia is one of the nutritional problems commonly encountered in pregnant women. The World Health Organization (WHO) states that approximately 37% of pregnant women worldwide experience anemia. This condition reduces the amount of oxygen and nutrient supply available in the mother's blood, which can disrupt the development and growth of the fetus. The growth disturbances in the fetus can be evaluated through anthropometric examinations, such as measuring the birth weight of the baby. This study aims to determine the relationship between hemoglobin levels in pregnant women and the incidence of low birth weight. Subjects and Method: A cross-sectional study was conducted at Dr. Moewardi Regional Hospital in Surakarta from May to July 2024. A total of 68 pragnant women selected for this study. The dependent variable was newborn baby weight. The independent variable was hemoglobin levels of pregnant women in the third trimester. The data obtained from patient medical records. The data analyzed using a multiple logistic regression.    Results: Low Hb levels (anemia) increase the incidence of LBW. Pregnant women with low Hb levels (anemia) have a 2.30 times greater risk of experiencing LBW compared to pregnant women with normal HB levels, but this result was not statistically significant (OR= 2.30; 95% CI = 0.14 to 38.63; p = 0.563). Conclusion: Low Hb levels increase the incidence of LBW, but it is not statistically.
Effect of Health Education Using the Questions and Answers Module on Knowledge about Breastfeeding Meilanda, Vella; Yanuarti, Riska; Wati, Nopia; Afriyanto; Pratiwi, Bintang Agustina
Journal of Maternal and Child Health Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.01.01.03

Abstract

Background: Lack of knowledge about breastfeeding is often a major barrier for mothers to provide exclusive breastfeeding for the first six months of a baby's life, This is recommended as the optimal standard to support infant growth and health. This study aimed to evaluate the effectiveness of health education using the Questions and Answers module in improving knowledge about breastfeeding. Specifically, it sought to assess the extent to which this educational approach enhances participants' understanding of breastfeeding benefits, techniques, and common challenges. The study aimed to determine whether the interactive nature of the module leads to better knowledge retention compared to traditional educational methods. Subjects and Method: This was a quasi-experimental design involving 30 third trimester pregnant women who were divided into an intervention group and a control group. The intervention group received education based on question-and-answer modules, while the control group relied on standard Maternal and Child Health (MCH) books. The dependent variable included knowledge about breastfeeding. The independent variable was health education using the Questions and Answers module, as it represented the intervention aimed at improving participants' breastfeeding knowledge. The data were then collected by questionnaire. The mean difference of knowledge before and after question-and-answer modules was tested by independent t-test. Results: Knowledge scores about breastfeeding were higher in the intervention group (Mean= 19.60; SD= 2.13) than in the control group (Mean= 16.27; SD= 2.15), but this result was not statistically significant (p= 0.253). Conclusion: There was an increase in knowledge scores about breastfeeding after the Questions & Answers module was given, but the results were not statistically significant. There is a need to develop more interactive education programs to support mothers in providing exclusive breastfeeding, especially in areas with low levels of knowledge.

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