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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 549 Documents
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Meta Analysis: Effects of Prelacteal Feeding and Vitamin A Supplementary Intake on Stunting in Children Aged 6-59 Months Alifariani, Aulia; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.11

Abstract

Background: Stunting describes the condition of failure to thrive in children under five years old (toddlers) due to chronic malnutrition and recurrent infections, especially in the first 1,000 days of life as a golden period with proper nutrition. This study aimed to examine the effect of prelacteal feeding and vitamin A on the incidence of stunting in children aged 6-59 months using a meta-analysis. Subjects and Method: The meta-analysis was carried out using the PRISMA flowchart and the PICO model. Population: children aged 6-59 months. Intervention: giving prelacteal feeding and vitamin A. Comparison: not giving prelacteal feeding and vitamin A. Outcome: stunting. The online databases used are Google Scholar, ProQuest and Elsevier with the keywords “Stunting” AND “Prelacteal feeding” AND “Vitamin A” AND “Children Aged 6–59 Months” AND “Multivariate” AND “Cross Sectional”. There were 15 cross-sectional studies published in 2013-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: A meta-analysis of 15 articles with a cross-sectional study design from different countries, namely Ethiopia, Uganda, Somalia, Indonesia and Sudan in children aged 6-59 months with a total sample of 94,212 research subjects. The results of the meta-analysis showed that there was an effect of not being given prelacteal feeding on the reduced risk of stunting in children aged 6-59 months. Children who were not given prelacteal feeding had 0.57 times the risk of stunting compared to those who were given prelacteal feeding (aOR= 0.57; 95% CI= 0.38 to 0.84; p= 0.005), Children who were not given vitamin A had a risk of being stunted 1.19 times compared to children who were given vitamin A (aOR= 1.19; 95% CI= 1.00 to 1.41; p= 0.050). Conclusion: Children who are not given prelacteal feeding and children who are given vitamin A reduce the risk of stunting in children aged 6-59 months. Keywords: prelacteal feeding, vitamin A, stunting, children aged 6-59 months. Correspondence:Aulia Alifariani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: aulia.alifariani26@gmail.com. Mobile: +6282­236887887.
Meta-Analysis the Effects of Education, Pregnancy Planning, Husband Support, and Distance to Health Facilities on the Utilization of Antenatal Care Service Sitepu, Fransiska; Tamtomo, Didik; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.12

Abstract

Background: Antenatal care (ANC) is comprehensive and quality antenatal care provided to pregnant women in the form of antenatal checks to prevent causes of morbidity and mortality in pregnant women and children. The decrease in the number of visits of pregnant women to health facilities has resulted in high maternal mortality due to complications of pregnancy and childbirth. This study aimed to analyze the effect of education, pregnancy planning, husband's support, and distance to health facilities on the utilization of ANC. Subjects and Method: This was a meta-analysis. Population was pregnant women. Intervention: higher education, planned pregnancies, strong husband support, and distance to close facilities. Comparison: low education, unplanned pregnancies, weak spousal support, and long distances to facilities. Outcome: utilization of ANC. The articles used were obtained from Google Scholar, BMC Pregnancy and Childbirth, PubMed, and Science Direct. The keywords used “Antenatal Care” AND “Utilization of ANC” AND “Husband Support and ANC”. The articles used were full text in English from 2009 to 2022. Articles were selected using the PRISMA diagram and analyzed using the Review Manager 5.3 application. Results: 14 cross-sectional studies showed that mothers with higher education (aOR=2.93; 95% CI=1.93 to 4.45; p=0.001); planned pregnancy (aOR= 1.99; 95% CI= 1.26 to 3.15; p=0.003); had husband support (aOR=2.89; 95% CI= 1.23 to 6.81; p=0.020); and closer distance to health facilities (aOR=3.07; 95% CI=1.43 to 6.55; p=0.003) had high and significant posibility to utilize ANC. Conclusion: Higher education, pregnancy planning, husband's support, and proximity to health facilities influence the utilization of antenatal care. Keywords: antenatal care, pregnant women, morbidity. Correspondence: Fransiska Sitepu. Master's Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: fransiskasitepu16@gmail.com. Mobile: +628136­7655293.
Knowledge, Practices and Associated Factors to Sexual and Reproductive Health of Young People of Cotonou, Bénin in 2022 Lee, Sogbossi D Nancy; Georgia, Damien Barikissou; Badirou, Aguemon
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.05

Abstract

Background: The sexual and reproductive health of young people is a public health priority, especially in developing countries such as Benin. The objective of this research is to measure the level of knowledge and practices of young people regarding sexual and reproductive health and the factors associated with it in the city of Cotonou in 2022. Subjects and Method: This is a descriptive cross-sectional study with an analytical focus on a sample of 318 young people aged 15 to 25 years, randomly selected in the community by three-stage cluster sampling. The dependent variables were young people's overall knowledge of sexual and reproductive health with the modalities 'good knowledge' and 'poor knowledge' and young people's SRH practices with the modalities 'good practices' and 'poor practices'. The independent variables were socio-demographic data and individual background and factors. The data were analyzed by logistic regression. Results: In the study population, 51.3% were male with a sex ratio (M/F) of 1.05. The overall level of good knowledge of young people on sexual and reproductive health was assessed at 13.5%. The overall level of good sexual and reproductive health practices of young people was assessed at 72.6%. Good sexual and reproductive health knowledge was more prevalent among young people over the age of 19. The risk of having good SRH knowledge increased eightfold when the type of household in which the young person spent their adolescence was monogamous (OR = 8.03; 95% CI= 2.12 to 30.44; p= 0.017) compared to the single-parent/ isolated household. Conclusion: Promoting sexuality education from early adolescence within communities would be a high-impact solution to improve the quality of sexual and reproductive health of young people and the general population. Keywords: sexual and reproductive health, sexual and reproductive rights, youth, Benin. Correspondence: Sogbossi D. Nancy Lee. Public Health Unit, Faculty of Health Sciences, University of Abomey-Calavi, Cotonou. Email: nleezinsou@gmail.com.
Food Intakes and Determinants of Under-5 Health Outcomes in South Africa Molelekoa, Thonaeng Charity; Oyekale, Abayomi Samuel
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.09

Abstract

Background: Inadequate food intake has been implicated as the major cause of poor nutritional and health outcomes among children under the age of 5. However, little empirical evidence exists on the role of different food classes in promoting good health outcomes among under-5 children. Therefore, this study analysed the effect of food intakes on the occurrence of wasting, stunting and underweight among under-5 children in South Africa. Subjects and Method: The data were the Demographic and Health Survey (DHS) collected in 2016 with two stage stratified sampling. The z-scores for wasting, stunting and underweight were the indicators of child’s health outcomes, which were analysed with logistic regression model. Results: The logistic regression results revealed that the probability of stunting decreased with being discharged same time with the mother (0.90), residing in wealthy homes (0.90), and being a boy (0.82), but increased with sharing toilet (0.43), and number of children (0.90). In addition, wasting reduced with milk consumption (0.23), high birth weight (1.00) and number of children (1.50). In comparison with Western Cape, a child has 4.92, 7.29, 11.65 and 8.33 higher chances of being underweight when they reside in Kwazulu-Natal, North West, Gauteng and Limpopo province, respectively, while consumption of fruit and vegetables increased underweight. Conclusion: It can be concluded that there is still a nutritional problem on children under 5 in South Africa. It is recommended that government, especially the health department should advise mothers with child health related matters at clinics and encourage them to breastfeed their children and have recommended diet for them.Keywords: health outcomes, underweight, stunting, wasting, child. Correspondence:Thonaeng Charity Molelekoa, Department of Agricultural Economics and Extension, North-West University Mafikeng Campus, Mmabatho 2735 South Africa. Email: Thona.Maselwa@nwu.ac.za.
The Association between Hypothermia during Emergency Room Admission and Newborn Mortality at Dr. Moewardi Hospital Hidayah, Dwi; Rohsiswatmo, Rinawati; Hafidh, Yulidar
Journal of Maternal and Child Health Vol. 8 No. 4 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.04.06

Abstract

Background: Hypothermia in newborns continues to be a significant issue and a leading cause of morbidity and mortality. The incidence of hypothermia in referral newborns is still high during hospital admission. Subjects and Method: This is a prospective cohort study conducted at Dr. Moewardi Hospital. Data collection was carried out on January 1, 2015, until March 31, 2015, for referred newborns. The dependent variable was mortality and the independent variables included gestational age, birth weight, sepsis, severe respiratory distress, and temperature at the time of admission at the ER. The chi-square test and logistic regression were used to analyze the data, with a cut-off value of p<0.05 cut off and a confidence interval of 95%. Results: There were 56 newborn referrals, with 60.7% incidence of hypothermia and 19.6% inci­dence with mortality. From the chi-square analysis, the variable of gestational age and weight did not meet the requirements of multivariate analysis (p> 0.25). The multivariate logistic regression analysis revealed a non-significant association between severe respiratory distress and mortality in referred newborns (OR= 5.25; 95% CI= 0.89 to 30.82; p= 0.066). After performing multivariate logistic regression analysis to obtain controlled ORs, there was a significant relationship between newborn referrals mortality and temperature at the time of ER admission (OR= 8.75; 95% CI= 1.07 to 3.26; p= 0.047) and sepsis (OR= 6.25; 95% CI= 150 to 28.69; p= 0.012) with mortality of referred newborns. Conclusion: The incidence of hypothermic referred newborns is high. Hypothermia during admission at the ER and sepsis are both associated with increased mortality in referred newborns. Keywords: newborns, hypothermia, mortality. Correspondence:Dwi Hidayah. Department of Child Health, Faculty of Medicine, Sebelas Maret University and Dr. Moewardi General Hospital, Jalan Kolonel Sutarto No.132, Surakarta 57126, Indonesia. Mobile: 08122623728 Email: dwihidayah_dr2020@staff.uns.ac.id
Seroprevalence and the Associated Risk Factors of Toxoplasma Gondii Infection among Pregnant Women in The Middle Belt of Ghana Adu Mensah, Derrick; Debrah, Linda Batsa; Bonney, Richard Abeiku; Bhavana, Singh; Bortie, Patience; Safo, Rebecca; Aryee, Clement Evans; Debrah, Alexander Yaw
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.02

Abstract

Background: Exposure to Toxoplasma gondii infection is prevalent in up to 90% of the world’s human population. Severe infections can be fatal and deforming in neonates, with cats serving as reservoirs for T. gondii infections. The objective of this study was to determine the seroprevalence of Toxoplasma gondii infection and its associated risk factors among pregnant women in the middle belt of Ghana. Subjects and Method: This was a cross-sectional study involving 266 pregnant women from two health facilities in the middle belt of Ghana. A structured questionnaire was administered to the parti­cipants to gather information on exposure to the associated infection risk factors and demo­graphy. In addition, 3ml of venous blood was collected from each participant for anti-Toxo­plasma gondii IgG/IgM antibody analyses. Results: A total of 64.3% of the study population had been exposed, whiles 26.3% were actively infected, being seropositive respectively to anti-Toxoplasma gondii IgG/IgM antibodies. In both districts, significant differences were recorded between anti-T. gondii IgG and IgM seroprevalences (95% CI= 0.00 to 0.02; p<0.001). There was no statistical difference observed between the parti­cipants’ mean antibody concentration levels and age (95% CI= 0.74 to 0.85; p=0.637) as well as the stage of pregnancy (95% CI= 0.38 to 0.43; p= 0.127). Also, no strong association (OR<0.6) was found between seropositivity and the suspected risk factors assessed in the study. Conclusion: The study showed that the seroprevalence of T. gondii infection among pregnant women visiting the two health facilities in the two regions was higher compared to the 30%-65% reported as the global population infection status. This study provides baseline data for future studies in other Districts and Regions in the country to ascertain the overall seroprevalence in Ghana and also push for a national programme/ policy for routine clinical screening of toxoplasmosis in pregnant women. Keywords: seroprevalence, Toxoplasma gondii, pregnant women, anti-T. gondii IgG/IgM antibodies. Correspondence: Derrick Adu Mensah, Department of Clinical Microbiology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana/Kumasi Center for Collaborative Research in Tropical Medicine, KCCR, Kumasi, Ghana. Mobile: +2332-6168-6052. Email: derrickadumensah@yahoo.com.
Utilizing Sleep Education to Reduce Postpartum Mood Disorder in New Mothers Osorio, Virginia; Martin, Daniel
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.04

Abstract

Background: Infant sleep biology and maternal intuition challenge the idea of behavioral sleep training being authoritative knowledge in Western society. Behavioral sleep training may increase stress levels in postpartum mothers who feel conflicted and wish to use alternative methods. The aim of this study was to determine whether having access to infant sleep education improves maternal mental health.Subjects and Method: A quasi-experimental pretest-posttest design using web-based surveys was used to assess the impact of a three-week virtual infant sleep education program on the dependent variables of depression outcomes and consolidated infant sleep. The target population were postpartum women between the age of 18 and 50. Sample size was 18 subjects were recruited through convenience and criterion sampling. Pre-tests and post-tests included nominal questions, Likert scale items, and the Edinburg Postnatal Depression Scale (EPDS). Analysis included difference analyses, Shaprio-Wilk normality checks, Spearman’s rho and Bayes factor bounds.Results: The average improvement on the EPDS was a decrease of 1.89 points, 95% CI= -∞ to 0.11; p= 0.116), VS-MPR = 1.47, with the highest magnitude of improvements in domains regarding feelings of failure if their baby does not sleep through the night (r= 0.78; 95% CI= 0.40 to ∞; p= 0.012, desire to sleep train (r= 0.50; 95% CI = -0.10 to ∞; p= 0.091) and decreased feelings of self-blame (r= 0.34; 95% CI= -0.13 to ∞; p = 0.080).Conclusion: Sleep education can be beneficial in reducing stress related to infant sleep and feelings of failure as a parent in postpartum women. Keywords: behavioral training, maternal mental health, sleep education, postpartum depression. Correspondence: Virginia Osorio. Shenandoah University, 1460 University Drive, Winchester, VA 22601. vosorio-19@su.edu.
Relationship of Breastfeeding on Infant Development in Surakarta sari, Ropita; Fatsena, Rizka Adela; Parwatiningsih, Sri Anggarini; Megasari, Anis Laela; Kartikasari, M. Nur Dewi; Yunita, Fresthy Astrika; Hardiningsih, Hardiningsih; Hutomo, Cahyaning Setyo
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.10

Abstract

Background: Breast milk is the healthiest diet for newborns since it has the best immune system of any food, has a wealth of advantages, and contains the right combination and amount of nutrients to promote an infant's growth and development, especially between the ages of 0 and 6 months. This study aimed to determine the impact of breastfeeding on infant’s development in Surakarta. Subjects and Method: This was a retrospective cross-sectional study conducted at Community Health Centre in Surakarta, Central Java on March to August 2020. A total sample of 56 infants were selected for this study. The dependent variable was infant development. The independent variable was exclusive breastfeeding. The data collected by questionnaire. The data were analyzed by Chi-Square. Results: Infants who are exclusive breastfeeding have a 25.50 times chance of developing better com­par­ed to infants who are not exclusive breast­feeding, and this is statistically significant (OR= 25.50; 95% CI= 1.14 to 572.30; p <0.001). Infant with exclusive breast­feeding had a better commu­nication and social interaction at 6 months, and better cognition, communication, and social interaction at 12 months. Conclusion: The development of infants' psychological, linguistic, fine motor, and gross motor skills can be improved by exclusive breastfeeding. Keywords: breastfeeding, development, infants. Correspondence: Ropitasari. D-3 Midwifery Study Program of Vocational School, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java.  Phone: 082220023585. Email : ropita.uns@gmail.com
Meta Analysis: Effect's of Verbal and Physical Violences on Depression in Postpartum Women Putri, Ebtaria Hartiwi; Demartoto, Argyo; Murti, Bhisma
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.03

Abstract

Background: Postpartum violence can manifest in many forms, including verbal, physical, and emotional abuse, as well as inappropriate clinical practice. This study aims to analyze previous primary studies in assessing the effect of verbal violence and physical violence on the incidence of depression in postpartum women.Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: postpartum women. Intervention: experiencing verbal violence and physical violence. Comparison: not experiencing verbal violence and physical violence. Outcome: depression. The online databases used are PubMed, SpringerLink, Scopus and ProQuest with the keywords “Verbal Abuse” Verbal Violence” OR “Intimate Partner Violence” AND “Physical Violence” OR “Physical Intimate Partner Violence” OR “Domestic Violence” OR “Physical Abuse” AND depression OR “Post Tramumatic Stress Disorder” AND “Postpartum” AND “Cross sectional” AND “aOR”. There were 12 cross-sectional studies published in 2016-2022 that met the inclusion criteria. The analysis was carried out using the Review Manager 5.3 application.Results: Meta-analysis was carried out on 12 articles with a cross-sectional study design from Malaysia, South Africa, Japan, Brazil and Spain. The results showed that postpartum women who received verbal violence were more likely to experience depression 2.89 times than those who did not experience physical violence (aOR= 2.89; 95% CI = 1.96 to 4.25; p= 0.001) and postpartum women who received physically abused were 2.29 times more likely to experience depression than those who did not experience physical violence (aOR = 2.29; 95% CI = 1.37 to 3.83; p= 0.002).Conclusion: Verbal violence and physical violence can affect the incidence of depression in postpartum women. Keywords: postpartum women, verbal abuse, physical abuse, depression. Correspondence: Ebtaria Hartiwi Putri, Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email: ebtariahartiwi273@gmail.com. Mobile: +6289666588614.
Meta-Analysis Effects of Antenatal Care Visit and Knowledge on the Adherence of Iron Tablet and Folic Acid Consumption Adhila, Siti Fatimah Aminah Nikita Putri; Budhiastuti, Uki Retno; Adriani, Rita Benya
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.01

Abstract

Background: Adherence to iron tablet and folic acid (IFA) supplementation is the main strategy for the prevention and control of iron deficiency and neural tube defects in pregnant women and the unborn child. This study aims to estimate the relationships of antenatal care (ANC) visits and maternal knowledge on IFA supplementation adherence in pregnant women. Subjects and Method: This study is a systematic review and meta-analysis using the PRISMA flow chart and the PICO model. Population: pregnant women. Intervention: conduct antenatal care visits and have knowledge of IFA Supplementation. Comparison: did not make antenatal care visits and had no knowledge of IFA Supplementation. Outcome: IFA consumption compliance. The databases used are PubMed, Google Scholar, and SpringerLink with keywords (“Antenatal Care” OR “IFA Supplementation” OR “Compliance”) AND “cross sectional”. There were 11 cross-sectional studies published in 2011-2023 that met the inclusion criteria. Analysis was performed with RevMan 5.3. Results: A meta-analysis of 11 cross-sectional studies from Ethiopia and Uganda was performed, with sample size= 4,367. This study showed that pregnant women who had regular ANC visits (aOR=2.22; 95% CI= 1.52 to 3.24; p < 0.001) and had good knowledge (aOR=2.48; 95% CI= 2.02 to 3.03; p<0.001) were more likely to adhere to IFA supplementation. The funnel plot indicates publication bias (overestimate). Conclusion: Pregnant women with regular ANC visits and good knowledge have the possibility to adhere with IFA supplementation. Keywords: antenatal care, knowledge, adherence. Correspondence: Siti Fatimah Aminah Nikita Putri Adhila. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java 57126, Indonesia. Email: putriadhila00@gmail.­com Mobile: +6282186635526.

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