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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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Exploring Factors Impacting Oral Health Behavior in Children with Special Needs Choirunnisa, Amalia; Pamungkasari, Eti Poncorini; Murti, Bhisma; Sumardiyono, Sumardiyono; Novika, Revi Gama Hatta
Journal of Maternal and Child Health Vol. 9 No. 6 (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.2024.09.06.06

Abstract

Background: Oral health is a reflection of general health. Children with disabilities are more prone to problems such as dental caries and periodontal disease compared to children in general due to various factors. Indonesia has 3.3% of children with disabilities aged 5 to 17 years old. Families, especially mothers, play a crucial role in maintaining the dental health of children with disabilities because they are responsible for meeting basic needs and oral hygiene. The Health Belief Model theory can be used to understand parental behavior related to the health of children's oral cavity. This study aims to examine the influence of factors in HBM theory on the oral health of children with special needs. Subjects and Method: This study uses a cross-sectional method conducted at Sukoharjo and B-C YPPALB Langenharjo schools for special needs children, Central Java, Indonesia. A total of 200 parents or guardians of children with disabilities were obtained by random sampling. The bound variable was in the form of oral health behavior while the independent variable was in the form of vulnerability perception, severity perception, benefit perception, obstacle perception, stimulus to act, and self-efficacy. The results of the study were analyzed using multiple linear regression. Results: Oral Health Behavior increases with increased perception of vulnerability (b= 0.11; 95% CI= 0.11 to 0.21; p= 0.030), perception of severity (b= 0.16; 95% CI= 0.17 to 0.30; p= 0.028), perception of benefit (b= 0.12; 95% CI= 0.16 to 0.22; p= 0.024), stimulus to act (b= 0.18; 95% CI= 0.11 to 0.35; p= 0.037), and self-efficacy (b= 0.18; 95% CI= 0.11 to 0.26; p=0.000) and decreases with increasing perception of barriers (b= -0.15; 95% CI= -0.20 to - 0.11; p=<0.000). Conclusion: Perception of vulnerability, perception of severity, perception of benefit, stimulus to act and self-efficacy increase oral health behavior and perception of obstacles decreases oral health behavior.
Correlation between Nutritional Status and Diarrhea in Toddlers at Slawi Health Center, Tegal, Central Java, Indonesia Musdzalifah, Alfinatun; Khasanah, Uswatun; Zaidah, Niklah
Journal of Maternal and Child Health Vol. 9 No. 6 (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.2024.09.06.04

Abstract

Background: Diarrhea is a symptom of infection caused by bacteria, viruses, or parasites. It remains a significant public health issue in Indonesia that requires continued research and effective solutions. This study aimed to determine the relationship between nutritional status and the incidence of diarrhea among toddlers at the Slawi Public Health Center, Tegal Regency. Subjects and Method: A cross-sectional study was conducted in the working area of the Slawi Public Health Center from June to July 2023. A total of 190 subjects were selected for the study. The dependent variable was the incidence of diarrhea, while the independent variable was nutritional status. Nutritional status data were collected using height-for-weight measurements. Data were analyzed using the chi-square test. Results: Nutritional status was found to be associated with the incidence of diarrhea among toddlers. Toddlers with abnormal nutritional status had a 1.73 times higher risk of experiencing diarrhea compared to those with normal nutritional status, and this result was statistically significant (OR = 1.73; 95% CI = 1.13–2.66; p = 0.005).   Conclusion: Abnormal nutritional status is associated with a higher incidence of diarrhea among toddlers.
The Effect of Combination Catfish Nuggets and Omega-3 Eggs in Addressing Stunting in Toddlers Sartika, Rini; Kusumastuti, Nurry Ayuningtyas; Winarni, Lastri Mei
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.2025.01.01.05

Abstract

Background: Stunting is still a scourge for Indonesia society, the incidence of which has not been reduce to date. Accelerating the reduction in stunting rates is still a priority for the Indonesian government in order to immediately achieve the reduction according to the expected target. Good and healthy nutritional conditions during infancy (under five years of age) are an important foundation for their health and well-being in the future. This study aimed to determine the effect of combination of catfish nuggets and omega-3 eggs in overcoming stunting in toddlers. Subjects and Method: Method of this study used true experimental with a two group pretest post-test control group design. The total samples of 30 toddlers was divided into 2 groups of 15 respondents each group, it was the intervention group which was given combination of catfish nuggets and Omega-3 Eggs and the control group which was not given it during 2 weeks. Technique sampling was cluster random sampling. The instrument used lenghtboard for height and observation form for combination of catfish nuggets and Omega-3 Eggs. Data analysis used Wilcoxon test. Results: The mean of height for toddlers increased after given combination of catfish nuggets and Omega-3 Eggs (Mean =-2.17; SD= 0.97) compared to before intervention (Mean= -2.52; SD= 0.87), and the results were statistically significant (p<0.001) Conclusion: Combination of catfish nuggets and Omega-3 Eggs effective is increase the height for toddlers.
Parental Insight and Action: Exploring the Link Between Knowledge and Early Childhood Dental Caries Prevention in Sukoharjo, Central Java, Indonesia Firmansyah, Gusti Fathoni; Pamungkasari, Eti Poncorini; Widyaningsih , Vitri
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.2025.01.01.06

Abstract

Background: The most common case of dental and oral diseases suffered by early childhood is dental caries, dental caries can be prevented, one of which is by modifying the thoughts, lifestyle, and daily habits of the parents. One of the models that can be used to change dental caries prevention behavior is by using the Health Belief Model (HBM). The purpose of this study is to identify factors such as vulnerability perception, seriousness perception, benefit perception, obstacle perception, motivation to act and parental self-efficacy towards dental caries prevention behavior in early childhood in Sukoharjo Regency. Subject and Method: This study was conducted using a quantitative approach with an analytical observational research method with a cross-sectional research design. The sample amounted to 111 parents from children aged 6 to 8 years in Weru District, Sukoharjo Regency with the Multistage Cluster Random Sampling technique. This study uses primary data sources with data collection techniques through questionnaires and then multivariate analysis with multiple linear regression methods. The content of the questionnaire includes behavior to prevent dental caries in children based on parental perception and parental knowledge about dental caries prevention based on the Health Belief Model (HBM) construct. Results: There was a positive association of vulnerability perception (b=0.16; CI 95%= 0.01 to 0.17; p=0.024), perception of seriousness (b=0.16; CI 95%= 0.01 to 0.19; p=0.050), perception of benefits (b=0.173; CI 95%= 0.005 to 0.21; p=0.040), action signal (b=0.21; CI 95%= 0.01 to 0.27; p=0.036), and self-efficacy (b=0.19; CI 95%= 0.01 to 0.21; p=0.037) on the behavior of preventing dental caries in children, and there was a negative relationship between the perception of obstacles (b=0.15; CI 95%= 0.01 to 0.13; p=0.047) on the behavior of preventing dental caries in children. Conclusion: Perception of vulnerability, perception of seriousness, perception of benefit, action cues, and parental self-efficacy have a positive effect on dental caries prevention behavior in children. On the other hand, the perception of obstacles from parents has a negative effect on dental caries prevention behavior in children.
Social Capital and Antenatal Care: A Multilevel Analysis of Uptake Among Pregnant Women in Kuningan, West Java Rosid, Sultonnur; Pamungkasari, Eti Poncorini; Murti, Bhisma
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.2025.01.02.04

Abstract

Background: Antenatal care (ANC) services are activities and or a series of activities that are carried out from the occurrence of the conception period until before the start of the comprehensive and quality delivery process provided to all pregnant women. This study aims to analyze the relation­ship between education, family income, social capital of pregnant women, and posyandu strata with the use of ANC in posyandu. Subjects and Method: The study is an observational study using a cross-sectional design. This study was conducted in Kuningan Regency, West Java with a population of all pregnant women, from May to June 2024. A sample of 201 pregnant women >6 months was randomly selected. The dependent variable is the use of ANC in posyandu. The independent variables in this study were maternal education, family income, social capital and posyandu strata. Data collection was carried out by interviews with respondents and assisted by questionnaires and analyzed by square test and multilevel multiple logistic regression model.        Results: ANC visit among pregnant women in posyandu increased with high maternal education (OR= 2.78; 95% CI= 1.25 to 6.18; p= 0.012), high family income (OR= 2.19; 95% CI= 1.05 to 4.57; p= 0.036) and strong social capital (OR = 4.43; 95% CI = 2.22 to 8.86; p <0.001). Multi­level analysis showed a strong contextual influence of posyandu (ICC 18.6%; p = 0.008). Conclusion: The use of ANC for pregnant women in posyandu increased with high maternal edu­ca­tion, high family income and strong social capital. Multilevel analysis shows strong contextual influ­ence of posyandu.
Meta-Analysis of the Effect of Protected Well and Measles Vaccination on Stunting in Children Under Five Pramono, Edi; Murti, Bhisma; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 9 No. 6 (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.2024.09.06.03

Abstract

Background: Stunting is a condition where children's growth fails (body and brain growth) due to malnutrition for a long time. The incidence of stunting in toddlers needs special attention because it can hinder children's physical and mental development. This study aims to analyze and estimate the effect of protected wells and the measles vaccine on the incidence of stunting in children under five, with a meta-analysis based on primary studies conducted previously. Subjects and Method: Meta-analysis was carried out in PICO format. Population: Children under five. Intervention: Protected Wells and Measles vaccine status. Comparison: Unprotected Well and Status not vaccinated against measles. Outcome: Stunting incidence. Article searches were carried out using several databases such as Google Scholar, PubMed, Science Direct, and Springerlink. The keywords used are "Protected well" AND Measles vaccine" AND "Stunting in toddlers". Inclusion criteria for the included articles were full-text articles with a cross-sectional design from 2015 to 2023. This study was conducted following PRISMA flow diagram guidelines. Data was analyzed using the Review Manager 5.3 application. Results: 12 cross-sectional studies from Asia and Africa were selected for meta-analysis. the total sample was 48,128 toddlers. Protected well (aOR= 0.86; 95% CI= 0.75 to 1.00; p= 0.040) and measles vaccine (aOR= 0.59; 95% CI= 0.27 to 1.29; p= 0.190) reduce the risk of stunting in children under five. Conclusion: Protected wells and administering the measles vaccine reduce the incidence of stunting in toddlers.
Relationship Between of Protein Level Intake and Perineal Wound Healing Indrianingrattu, Nindi; Fatmaningrum, Widati; Setyowati, Dewi
Journal of Maternal and Child Health Vol. 10 No. 5 (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.2025.10.05.05

Abstract

Background: The perineum is at risk of injury either spontaneously or by episiotomy during labor. Perineal wounds usually heal within 6-7 days postpartum. Healing of perineal wounds can be influenced by protein consumption in postpartum mothers. This purpose of this study was to determine the relationship between the levels of protein consumption with the perineal wound healing in postpartum mothers.Subjects and Method:  This cross sectional study conducted at Ciawi Public Health Center, West Java, in September-November 2022. The sample in this study were postpartum mothers who gave birth normally with perineal wounds at Ciawi Public Health Center. Sample selection used a purposive sampling method and the sample size was 67 respondents. The dependent variable was perineal wound healing. The independent variable was the level of protein consumption. The research instrument used a REEDA Scale observation sheet and Food Recall 24 hours questionaire. Data were analyzed using Chi-square test.Results: Healing of perineal wounds in postpartum mothers was good for 65 respondents (97%), postpartum mothers who had sufficient levels protein consumption levels were 33 respondents (49,3%). The results show that there is no relationship between perineal wound healing and the level of protein consumption (p= 0.197).Conclusion: There is no relationship between the level of protein consumption with the perineal wound healing
The Influence of Physical Activity on the Quality of Life of Cervical Cancer Patients Undergoing Chemotherapy Treatment Kurniasih, Dwi; Savitri, Elisabeth Wahyu; Angelina, Yusta
Journal of Maternal and Child Health Vol. 10 No. 6 (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.2025.10.05.06

Abstract

Background: Cervical cancer is one of the most common types of cancer experienced by women worldwide. During treatment procedures such as chemotherapy and radiotherapy, patients often face challenges in the recovery process, both physically and emotionally, which may lead to a decline in their quality of life. One of the ways to support reproductive health recovery is through physical activity, as it can improve blood circulation and help regulate hormonal balance. This study aims to analyze the effect of physical activity on the quality of life of cervical cancer patients undergoing chemotherapy.Subjects and Method:  This is a cross-sectional study conducted at Dr. Soedarso Hospital, Pontianak, West Kalimantan. A total of 30 cervical cancer patients undergoing chemotherapy were selected in this study. The dependent variable was quality of life. The independent variable was physical activity. Data were collected by questionnaire and analyzed using Spearman rho test.Results: Spearman's rho correlation analysis showed a strong and statistically significant relationship between physical activity and quality of life in cancer patients (r = 0.66; p < 0.001). These results indicate that higher levels of physical activity improve the quality of life in cervical cancer patients.Conclusion: The findings demonstrate a strong and significant relationship between physical activity and the quality of life of cervical cancer patients. This indicates that the better the physical activity performed, the better the quality of life of cervical cancer patients.
Analysis of Factors Influencing the Selection of Contraceptive Methods in Women of Reproductive Age Purwanti, Anik; Latifah, Ade Ifah
Journal of Maternal and Child Health Vol. 10 No. 6 (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.2025.10.06.03

Abstract

Background: Only 19% of women of reproductive age in Indonesia use long-term contraceptive methods, with injectable birth control being the most frequently used method at 43.5%. A comprehensive understanding of the factors that influence contraceptive selection is essential for designing effective family planning programs and improving the reproductive health of women of reproductive age. This study aims to identify the factors that affect the selection of contraceptive methods among women of reproductive age in Cikunir Village, Tasikmalaya.Subjects and Method: This study uses an observational analytical design with a cross-sectional study. This research was conducted in Cikunir Village, Tasikmalaya. Samples were taken using purposive sampling techniques, consisting of 153 women of reproductive age (15-44 years) who had more than two children and had no contraindications to birth control. The dependent variable was use of contraceptives. The independent variables were demographic, socio-economic, knowledge, attitudes, accessibility of health services, and the role of health workers. Data collection using a primary questionnaire that had been validated and tested for reliability. Data analysis using chi-square tests  and multivariate logistic regressionResults: Knowledge (OR=15.08; 95% CI=5.11 to 44.48; p<0.001), husband's support (OR=7.94; 95% CI=2.95 to 21.35; p<0.001), high income (OR=5.50; 95% CI=1.80 to 16.74; p=0.003), and parity (OR= 3.33; 95% CI=1.20 to 9.20; p=0.020) increased the likelihood of contraceptive use. Conclusion: The factors that affect the choice of contraceptive use in women of reproductive age in Cikunir Village are knowledge, husband's support, high income, and parity.
Stress and Maladaptive Psychological Responses as Predictors of Postpartum Depression Faujiah, Irfa Nur; Ambari, Alvin Alvani Tresna; Saefudin, Muhamad Arif
Journal of Maternal and Child Health Vol. 10 No. 6 (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.2025.10.06.02

Abstract

Background: Unmanaged stress and maladaptive psychological responses during the postpartum period increase the risk of postpartum depression, highlighting the need for evidence-based interventions in primary health care. This study aimed to analyze the influence of stress levels and psychological adjustment difficulties as risk factors for postpartum depression among mothers in the Singaparna Primary Health Care area.Subjects and Method: A cross-sectional study was conducted in five villages within the Singaparna Primary Health Care. A total of 150 postpartum mothers were recruited purposively. The independent variables were stress levels and psychological adjustment. The was dependent variable was postpartum depression. Data on stress were collected usng the Perceived Stress Scale (PSS-10). Psychological adjustment was measured using the Postpartum Adjustment Questionnaire (PAQ-15).  Postpartum depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Reliability and construct validity were confirmed, and Structural Equation Modeling (SEM) was applied to assess predictive relationships.Results: Maladaptive stress responses significantly reduced postpartum depression (β = 0.54, p= 0.002), Positive stress perception (β = 0.133, p= 0.302) and postpartum adjustment (β= 0.124, p= 0.159) were insignificantly associated. The SEM model showed acceptable fit (RMSEA= 0.06; CFI= 0.89; TLI = 0.88; SRMR= 0.07).Conclusion: Maladaptive stress responses are a key psychosocial risk factor for postpartum depression, whereas postpartum adjustment and positive stress perception show limited influence. Early screening and psychosocial interventions in primary care are essential to reduce postpartum depression and improve maternal mental health outcomes.

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