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Journal of Maternal and Child Health
Published by Universitas Sebelas Maret
ISSN : -     EISSN : 25490257     DOI : -
Core Subject : Health,
Medicine & Pharmacology Public Health
Journal of Maternal and Child Health (JMCH) is an electronic, open-access, double-blind and peer-reviewed international journal, focusing on maternal and child health. The journal began its publication on July 11, 2015, and is published four times yearly. JMCH aims to improve the policy, program, service, and practice, as they impact infant, children, mother, women, adolescent, and family health.
Arjuna Subject : -
Articles 374 Documents
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Comparison of Preeclampsia Rates in Pregnant Women with Mild vs. Moderate-to-Severe Systemic Lupus Erythematosus Permana, Sandi Putra; Adrianes, Muhammad Bachnas; Aryoseto, Lukman; Yuliantara, Eric
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.2024.09.05.07

Abstract

Background: Preeclampsia is one of the leading causes of maternal mortality in Indonesia and is often associated with autoimmune conditions, such as Systemic Lupus Erythematosus (SLE). Therefore, this study aimed to compare the proportion of preeclampsia in pregnant women with mild and moderate-severe SLE. Subjects and Method: This cross-sectional design conducted in RSUD Dr. Moewardi. The population consisted of pregnant women with SLE treated at RSUD Dr. Moewardi between 2021 and 2023. A total of 77 pregnant patients with SLE selected from this study. The dependent variable was preeclampsia. The independent variable was pregnant women with SLE. This study utilized tools and materials in the form of medical record data from the Obstetrics and Gynecology Department at Dr. Moewardi Hospital, Surakarta. Data were analyzed using bivariate analysis with SPSS software and Fisher’s exact test tests. Results: A total of 77 subjects who met the inclusion criteria. Subjects with moderate-severe degrees had preeclampsia 28.6% (n = 4). While subjects with mild degrees experienced preeclampsia 20.6% (n = 13). There was no significant relatoionship between the degree of systemic lupus erythematosus activity and preeclampsia (p = 0.496). Conclusion: This study showed no significant association between the degree of systemic lupus erythematosus activity and preeclampsia.
Comparison of Pregnancy Loss Proportions Between Pregnant Women with Mild and Moderate-Severe Systemic Lupus Erythematosus Dinda Husna Azalia Soesetyo; Muhammad Adrianes Bachnas; Lilik Wijayanti; Abdurahman Laqif
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.2024.09.05.06

Abstract

Background: Pregnancy in systemic lupus erythematosus (SLE) patients is considered high-risk due to potential negative impacts on both the mother and fetus, such as pregnancy loss. One of the factors influencing pregnancy loss in SLE patients is increased lupus activity and antiphospholipid syndrome (APS). This study aimed to evaluate the relationship between pregnancy loss and SLE disease activity levels. Subjects and Method: This cross-sectional study conducted at Dr. Moewardi Hospital. The population consisted of pregnant women with SLE treated at RSUD Dr. Moewardi between 2021 and 2023. A total of 81 pregnant patients with SLE selected through purposive sampling. The dependent variable was pregnancy loss. The independent variable was pregnant women with SLE. This study utilized tools and materials in the form of medical record data from the Obstetrics and Gynecology Department at Dr. Moewardi Hospital, Surakarta. Data were analyzed using bivariate analysis with SPSS software and Fisher’s exact test tests. Results: A total of 81 respondents meeting the inclusion criteria were included, consisting of 66 pregnant women with mild SLE activity and 15 pregnant women with moderate-to-severe SLE activity. There was no significant relationship between the degree of systemic lupus erythematosus activity and pregnancy loss (p =0.723). Conclusion: There is no significant association between pregnancy loss and the degree of systemic lupus erythematosus activity, whether mild or moderate-severe.
Health Belief Model: Analysis of Maternal Perception on Completeness of Child Immunization Status in Manokwari, West Papua Pihahey, Priscilla Jessica
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.2025.01.01.04

Abstract

Background: Immunization can save millions of lives and is one of the most economical health interventions in the world. Parental perception is crucial in decision-making, but the mother’s characteristics, family, beliefs, culture, and environment influence perception. The Health Bilieu Model theory can show evidence that supports predictions about parents’ decisions to immunize their children. Subjects and Method: The design of this study is observational analysis with a case-control design. The research was conducted in 3 working areas of the Puskesmas in the Manokwari district, namely the Prafi SP IV Health Center, the Pasir Putih Health Center, and the Sanggeg Health Center. The research was conducted from July to August 2023. The target population is mothers who have children >9 months old. A total of 96 samples were selected using the fixed disease sampling tech­nique. The incomplete immunization case group was 24, and the complete immunization control group was 72. The dependent variable is the completeness of immunization status, and the inde­pen­dent variable is the maternal perception of threats, benefits, seriousness, obstacles, and vulne­rabilities. The data were analyzed by PATH analysis. Results: The completeness of basic immunization, as reviewed from the Health Belief Model during the Covid-19 Pandemic, was directly influenced by the perception of barriers to the completeness of immunization status (b= 0.99; 95% CI= -0.43 to 2.02; p= 0.060), the perception of benefits to the completeness of immunization status (b= 1.15; 95% CI= 0.11 to 2.19; p= 0.029) and the perception of threats to the completeness of immunization status (b= 1.36; 95% CI= 0.30 to 2.41; p= 0.012). Indirect influence through threat perception is: Vulnerability perception (b= 0.08; 95% CI= -0.87 to 1.04; p= 0.858) and Vulnerability perception (b= 0.25; 95% CI= -0.69 to 1.18; p= 0.606).   Conclusion: Maternal characteristics and maternal perception of obstacles, benefits, threats, seriousness, and vulnerability significantly affect the completeness of basic immunization for infants aged 0 months to 9 months.
Relationship Between Pregnancy Anemia and Depression in Postpartum Mothers: Systematic Review Wijayanti, Poppy; Bainuan, Lina Darmayanti; Yuliana, Nur Aida
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.2024.09.05.10

Abstract

Background: Anemia is one of the most significant global public health problems that affects a person's physical and mental abilities. Geography, lifestyle, and diet influence the prevalence of anemia in pregnant women, which is estimated to range from 14 to 80% in different countries (WHO, 2019. This study aims to analyze the relationship between pregnancy anemia and the incidence of depression in postpartum mothers. Subjects and Method: Systematic Review using the PRISMA diagram in the RevMan 5.3 application. Database searches from PubMed, Scopus, Wiley Online Library, and Science Direct were conducted in 2022-2024, and can be accessed for free, with the search terms "Anemia in pregnancy" OR "Low level of hemoglobin in pregnancy" AND "depression". Results: A total of 6 articles that were selected from 432 quantitative articles based on inclusion and exclusion criteria, showed that there was a significant relationship between gestational anemia and the incidence of depression in postpartum mothers. However, some articles have not shown a significant association between pregnancy anemia and postpartum depression. Conclusion: Although there are studies that have not significant results, the administration of blood supplement tablets and monitoring of Fe intake in pregnant women for the prevention of anemia is important because there is a 50% chance of causing depression and other consequences during and after childbirth.
A Path Analysis of Social Cognitive Theory Implementation in Exclusive Breastfeeding Rismawati, Normalia Levi; Pamungkasari, Eti Poncorini; Novika, Revi Gama Hatta
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.2024.09.05.09

Abstract

Background: Choosing exclusive breast milk is the best decision made by mothers for the health of mothers and babies, breast milk is the best nutrition for babies in the first 6 months of life. This study aims to identify how Social Cognitive Theory (SCT) factors through self-efficacy, outcome expectation, modeling, and reinforcement in maternal decision-making to determine the choice of exclusive breastfeeding and the success of exclusive breastfeeding. Subjects and Methods: This study uses a cross sectional study approach. The target population is mothers who have children aged 0-6 months in 12 health centers in the Boyolali Regency area. A total of 256 study samples were determined using the Purposive Random Sampling technique. The dependent variable is the selection of exclusive breast milk. The independent variables are self-efficacy, outcome expectation, modeling, reinforcement. Data were collected through questionnaires and multivariate analysis using pathway analysis techniques and using STATA 17. Results: The results of the pathway analysis showed that the selection of exclusive breast milk was directly influenced by self-efficacy (OR= 2.22; CI 95%= 1.22 to 4.02; p=0.009) and strengthening (OR= 5.06; CI 95%= 2.81 to 9.14; p<0.001). The selection of exclusive breast milk was indirectly influenced through self-efficacy by modeling (OR= 1.74; CI 95%= 1.00 to 3.02; p=0.050), outcome expectation (OR= 2.66; CI 95%= 1.55 to 4.56; p<0.001). Influenced by strengthening by outcome expectations (OR= 2.98; CI 95%= 1.70 to 5.23; p<0.001). Conclusion: The choice of exclusive breastfeeding is directly influenced by self-efficacy and strengthening. It is also indirectly influenced by modeling and outcome expectations
The Differences in Characteristics of Preeclampsia Before and During The COVID-19 Pandemic: Systematic Review Kusuma, Rahayu; Aditiawarman, Aditiawarman; Atika, Atika
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.2024.09.05.08

Abstract

Background: The COVID-19 pandemic has entered Indonesia since 2020 and has become a global pandemic. In the pre-pandemic period, Preeclampsia was one of the main causes of death of pregnant women in Indonesia. During the COVID-19 pandemic, the mortality rate of pregnant women and childbirth due to preeclampsia has the possibility of an increase. The cause of preeclampsia in pregnant women is not yet known. Early detection of risk factors and early treatment of preeclampsia are not carried out quickly and appropriately due to social restrictions due to the pandemic. Subject and Method: This study is a systematic review literature review conducted on selected databases (PubMed, Science Direcet, Unair Repository) with a publication year between 2017 and 2022. Literature uses Indonesian and English. The literature included was literature with cohort, cross sectional, and case control methods. The quality assessment of the literature was carried out using the EPHPP (Effective Public Health Practice Project). Results: There were no significant differences in Preeclampsia characteristics i.e. age at pregnancy, parity, and BMI in both periods before and during the COVID-19 pandemic. However, differences were found that only existed in the period during the COVID-19 pandemic, namely comorbid diseases and previous history of preeclampsia Conclusions: In the period before and during the COVID-19 pandemic, pregnant women with preeclampsia did not show differences in outcomes in characteristics, but in the history of comorbid diseases and previous history of preeclampsia.
Evaluating Film’s Efficacy in Improving Individuals’ Attitudes and Knowledge About Maternal Health in Sierra Leone Erickson, Brooke; Mulligan, Constance; Le Vu, MJ; Kamara, Musa Santigie; Wakeel, Fathima; Kramp, Michael
Journal of Maternal and Child Health Vol. 10 No. 2 (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.2025.01.02.03

Abstract

Background: Sierra Leone’s high maternal mortality rate is attributed to inadequate healthcare, low health literacy, and distrust in healthcare facilities. The Mothers of Sierra Leone team produces films to empower women, improve maternal health attitudes, and facilitate care-seeking behaviors. This study quantifies the efficacy of two educational films on Sierra Leonean mothers’ and fathers’ health-related knowledge and beliefs.Subjects and Method: This pre- and post-survey study was conducted in Makeni and Freetown, Sierra Leone, with 76 participants recruited through convenience sampling - 19 mothers and 19 fathers in both film groups. Participants viewed films on either family planning or maternal mental health. The independent variables included the film subject, family planning, or maternal mental health, and the dependent variables involved changes in knowledge, attitudes, and behavior from pre- to post-intervention. Measurement instruments included surveys with questions on a Likert scale. Statistical analyses were performed in RStudio, using Wilcoxon Signed-Rank, Mann-Whitney, Fisher’s exact, and Spearman’s Rho tests to assess post-intervention changes and the efficacy of the films.Results: Findings revealed a 20.8% increase in perceived understanding (p = 0.02), a 61.1% increase in willingness to seek family planning services (p = 0.03) in mothers, and a 20.9% increase in the likelihood of managing mental health (p = 0.01) in mothers. Fathers’ willingness to be involved in their partners’ healthcare increased by 53.4% (p < 0.001). The family planning film was better received than the mental health film (U = 121.5, p = 0.03). Gender differences were observed, with fathers more inclined (p < 0.001) to address their mental health compared to mothers.Conclusion: Leveraging film as an educational tool to amplify community members’ stories can enhance health literacy, improve attitudes and behaviors, and support maternal health outcomes.
The Effectiveness of WHO Stress Management in Reducing Distress Among Parents as Caregivers of Children With Neurodevelopmental Disorders Alifiani Nurrohmah; Gusti Ayu Maharatih; Vitri Widyaningsih
Journal of Maternal and Child Health Vol. 10 No. 3 (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.2025.10.03.01

Abstract

Background: Caring for a child with neurodevelopmental disorders presents a significant challenge for caregivers, often resulting in stress, emotional pressure, and disruption in family and work life. To support the mental health and well-being of caregivers, effective interventions are needed to manage stress. This study was conducted to evaluate the effectiveness of stress management recommended by WHO in reducing stress levels among caregivers of children with neurodevelopmental disorders. Subjects and Method: The research was conducted using an experimental research design, pre-test and post-test design without a control group. The study was conducted at the Disability Service and Inclusive Education Center of Surakarta City in April-May 2024. A total of 103 participants completed the questionnaire, with 74 meeting the inclusion criteria (PSS score > 14). The dependent variable was distress measured using the PSS questionnaire. The independent variable was WHO Stress Management. Data were analyzed using the Wilcoxon test and multivariate linear regression. Results: The majority of caregivers were female (91.9%) with a mean age of 37.89 years (SD=6.2). The results showed that the mean PSS score decreased significantly from 19.14(SD=3.06) at pre-test to 17.51 (SD=3.23) at post-test (p <0.001). The level of moderate stress decreased from 97.3% to 90.5%, and the level of severe stress decreased to 0% (p=0.003). Family income (p=0.000), caregiving support (p=0.001), and compliance in listening to audio (p <0.001) variables significantly influenced the reduction in PSS scores. Conclusion: The WHO stress management intervention is effective in reducing distress among parents caring for children with neurodevelopmental disorders.
Geographically Weighted Regression Model of Stunting Determinants in Indonesia Kurniawati, Dini; Hastono, Sutanto Priyo; Safika, Iko; Wahyuningsih, Wiji
Journal of Maternal and Child Health Vol. 10 No. 3 (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.2025.10.03.02

Abstract

Background: Stunting is a chronic condition resulting from malnutrition during early growth, potentially affecting physical and cognitive development in children into adults. According to the 2023 Indonesian Health Survey (SKI), stunting in Indonesia remains at 21.5%. This figure is still far from the government's target for 2024, which was below 14%. This study aims to identify the determinants of stunting caused by spatial conditions in Indonesia in 2024. Subjects and Method: This study employed an ecological design with a spatial approach, utilizing aggregate data from the 2023 SKI and 2024 Central Bureau of Statistics (BPS) across 38 provinces in Indonesia. The dependent variable was stunting prevalence, and the analysis included eight independent variables using descriptive statistics, spatial analysis (Moran’s I and Local Moran’s I), multiple linear regression (OLS), and Geographically Weighted Regression (GWR). Data was processed between November 2024 and January 2025 using SPSS, Geoda, and R Studio. Results: Results show that the average stunting prevalence in Indonesia in 2024 was 23.56% (Standard Deviation: 6.80), which unmet the government’s target in the same year. The provinces with the lowest and highest stunting prevalence were Bali (7.2%) and Central Papua (39.3%). Meanwhile, Papua, West Papua, South Papua, Central Papua, and Highlands Papua were provinces with high stunting prevalence and surrounded by similarly high prevalence (high-high) provinces. In contrast, Banten and West Sumatra had high stunting prevalence but were surrounded by provinces with low prevalence (High-Low). Finally, factors influencing stunting across geographical areas included stunting knowledge, completion of immunization coverage, and poverty rates. Conclusion: Efforts to reduce stunting in Indonesia should focus on improving communication, information, and education, particularly in provinces with high prevalence. In addition, increasing coverage and access to complete basic immunization and enhanced family welfare should also be highlighted.
Path Analysis of the Relationship between Nutritional Status, Maternal Knowledge, Dietary Compliance and Health-Related Quality of Life in Children with Acute Lymphoblastic Leukemia Arini Tri Lestari; Dewi, Yulia Lanti Retno; Salimo, Harsono; Hikmayani, Nur Hafidha
Journal of Maternal and Child Health Vol. 10 No. 3 (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.2025.10.03.04

Abstract

Background: Acute Lymphoblastic Leukemia (ALL) is the most common type of blood cancer in children. Treatment for ALL may affect the patient's quality of life. Factors such as nutritional status, maternal knowledge of nutrition, and dietary compliance play a role in determining the quality of life of children with ALL. This study aims to analyze the relationship between nutritional status, maternal knowledge, and dietary compliance with health-related quality of life (HRQoL) in children with ALL. Subjects and Method: This study used a cross-sectional design with a sample of 52 children with ALL at the Pediatric Hematology Clinic of Dr. Moewardi Surakarta Hospital in October-November 2024. The independent variables were nutritional status, maternal knowledge, and dietary compliance, while the dependent variable was HRQoL. Data were collected using anthropometric instruments and questionnaires, then analyzed with single logistic regression and path analysis. Results: Single logistic regression analysis showed that nutritional status (OR= 4.60; 95% CI= 1.311 to 16.139; p = 0.017) and dietary compliance (OR= 4.82; 95% CI= 1.39 to 16.78; p= 0.013) were significantly associated with HRQoL. Maternal knowledge had no significant effect (OR= 1.88; 95% CI = 0.35 to 10.18; p = 0.467). Path analysis showed that nutritional status, dietary compliance, and body mass index had a direct positive association with the child's quality of life. The path analysis model showed a good fit with the data (goodness of fit p = 0.594). Conclusion: Nutritional status and dietary compliance are major factors in improving the quality of life of children with ALL. Although maternal knowledge does not have a direct effect, the mother's role remains important through improving the child's dietary compliance. Multidisciplinary interventions that integrate nutrition education and family support are needed to enhance HRQoL in pediatric patients with ALL.

Page 33 of 38 | Total Record : 374

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