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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 506 Documents
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Phenomenology Study: Factors Associated with the Choice of Unskilled Traditional Birth Attendants in Brebes, Central Java Ratih Sakti Prastiwi; Uki Retno Budihastuti; Mahendra Wijaya
Journal of Maternal and Child Health Vol. 1 No. 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The number of birth delivery attended by unskilled traditional birth attendant in Brebes District, Central Java, was still high. From January to April 2016, 67 birth deliveries were attended by unskilled traditional birth attendant. This study aimed to delve information in how social and cultural factors influence the decision to choose traditional birth attendants in Brebes, Central Java.Subjects and Method: This was a qualitative study with phenomenology approach. This study was carried out in Brebes, Central Java. The key informants of this study were midwives, who by snowball sampling technique suggested on the traditional birth attendants and their clients (i.e. laboring mothers) to be interviewed. The data were collected by in-depth interview, focus group discussion, observation, and document review. The researcher did data reduction, data display, and made decision. The data were verified by triangulation of sources technique.Results: Some skilled traditional birth attendants actively collaborated with midwives. Today rarely traditional birth attendants attend birth delivery, although there was a considerable number of community members who sought their help for birth attendant. Community members regard these traditional birth attendants as to have charisma and some supernatural power. Usually traditional birth attendants get involved in cultural ceremonies. Sometimes community members seek traditional birth attendants as a source of advice. In an extended family the decision to choose birth attendant was made by the mother or grandmother of the laboring woman. In a smaller family the decision to choose birth attendant was made by the laboring woman.Conclusion: The decision to choose unskilled birth attendants is made by the family members of the laboring woman, and this choice was influenced by traditional birth attendant
Path Analysis on the Effect of Breastfeeding Complementary Food Pattern, Maternal Schooling, Family Income, and Birthweight, on Nutritional Status in Children Underfive Ahmitta Laila Nurjanah; Didik Tamtomo; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 1 No. 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Indonesia is one among the 17 countries with the highest prevalence of stunting, wasting, and overweight in children under five. In 2013, the prevalence of moderate undernutrition and severe undernutrition was 13.9% and 5.7%, respectively, in children under five. The prevalence of stunting was 19.2%. The period from birth to 2 years is so called as a sensitive period when the deleterious exposure and inadequate food intake can result in negative impact on the quality of the future generation. This study aimed to analyze the effect of breastfeeding complementary food pattern, maternal schooling, family income, and birthweight, on nutritional status in children underfive.Subjects and Method: This was an analytic observational with cross sectional design. This study was carried out in Klaten, Central Java from December 2016 to January 2017. A total sample of 120 out of 1236 mothers who had children aged 6-24 months were selected for this study by multi-stage sampling. The dependent variable was nutritional status measured in weight for age. The independent variables were breastfeeding complementary food pattern, maternal schooling, family income, and birthweight.
Biopsychosocial Determinants of Visual Inspection Acetic-Acid Test Uptake in Sragen, Central Java Dewi Saptowati; Ambar Mudigdo; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Cervical cancer ranks second among the top ten leading causes of death in women in the world, especially in developing countries. Cervical cancer can be cured if detected early. A simple and common method in early detection of cervical cancer is a visual inspection acetatic-acid (VIA) test. This study aimed to analyze the biopsychosocial factors associated with use of VIA test, using health belief model and a path analysis model.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was carried out in Sragen, Central Java, from October 2017 to May 2018. A sample of 200 women was selected by fixed disease sampling. The dependent variable was utilization of VIA test. The dependent variables were intention, self-efficacy, perceived benefit, perceived barrier, attitude, subjective norm, knowledge, education, perceived susceptibility, perceived seriousness, and number of children. Data on VIA test were obtained from medical record. The other variables were measured by questionnaire and analyzed by path analysis.Results: Use of VIA test was directly and positively affected by intention (b= 3.50; 95% CI= 1.20 to 5.79; p=0.003), perceived benefit (b= 5.21; 95% CI= 1.98 to 8.44; p= 0.002), and number of children (b= 4.23; 95% CI= 1.61 to 6.86; p<0.001). Use of VIA test was directly and negatively affected by perceived barrier (b=-5.98; 95% CI= -8.83 to -3.13; p<0.001). Use of VIA test was indirectly affected by attitude, subjective norm, self-efficacy, knowledge, education, perceived susceptibility, and perceived seriousness.Conclusion: Use of VIA test is directly and positively affected by intention, perceived benefit, and number of children, but negatively affected by perceived barrier.Keywords: visual inspection acetic-acid test, determinants, biopsychosocial, health belief modelCorrespondence:
The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months Ria Muji Rahayu; Eti Poncorini Pamungkasari; CSP Wekadigunawan
Journal of Maternal and Child Health Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Stunting and wasting are a growth disorder in children under five years of age caused by malnutrition. Stunting is generally caused by recurrent acute malnutrition, whereas wasting occurs due to short-term malnutrition. If untreated properly, stunting and wasting may cause low intelligence in adult life. This study aimed to analyze the biopsychosocial determinants of stunting and wasting in children aged 12-48 months.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Mulya Asri, Panaragan, and Da
Effect of Contraceptive Use, Parity, and Social Economic Factors on Age at Menopause at Bendo Community Health Center, Kediri, East Java Estin Gita Maringga; Rita Benya Adriani; Ambar Mudigdo
Journal of Maternal and Child Health Vol. 2 No. 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Menopause is the natural cessation of menstruation that usually occurs between the ages of 45 and 55. Menopause women may experience some undesirable effects, such as sleep disturbance, prone to pain, increased susceptibility to sexually transmitted disease (STD), and thinner hair. It is hypothesized that age at menopause is affected by genetic factor, as well as psychosocial factors. This study aimed to the effect of contraceptive use, parity, and social economic factors on age at menopause.Subjects and Method: This study was an analytic observatioanal study using case control design. The study was conducted in Bendo Village, Bendo Village, Sumberbendo Village, Pelem Village, Darungan Village, and Sambirejo Village in Community Health Center Bendo, Kediri, East Java, from 8-31 March 2017. A sample of 120 menopausal women was selected for this study by fixed disease sampling. The dependent variable was age at menopause. The independent variables were hormonal contraceptive use, duration of contraceptive use, parity, education level, and family income. The data were collected by questionnaire, and analyzed by path analysis.Results: Menopausal age was affected by duration of hormonal contraceptive use (b= 0.29; SE= 0.12; p= 0.014), parity (b= 1.98; SE= 0.49; p= 0.001), and family income (b= 2.29; SE= 0.88; p= 0.009). Duration of hormonal contraceptive use was affected by hormonal contraceptive use (b= 5.23; SE= 0.57; p= 0.001) and parity (b= 1.22; SE= 0.27; p= 0.001). Family income was affected by parity (b= 0.14; SE= 0.05; p= 0.002) and education level (b= 0.10; SE= 0.11; p= 0.361).Conclusion: Menopausal age is directly affected by duration of hormonal contraceptive use, parity, and family income. Menopausal age is indirectly affected by hormonal contraceptive use, parity, and education level.Keywords: menopausal age, hormonal contraceptive, parity, social economic factors, path analysisCorrespondence:
Path Analysis: Effects of Psychological and Socio-Economic Exposures During Gestational Period on the Risk of Under Nutrition in Children Under Five Yespy Anna Wahyu Nurindahsari; Bhisma Murti; Eti Poncorini Pamungkasari
Journal of Maternal and Child Health Vol. 1 No. 2 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: In Indonesia the prevalence of under nutrition in children under five in 2013 was estimated to be 12.2%. It is estimated that there are still 4.5 million children underfive with under or poor nutrition have not been detected. Poor nutrition in children under five may have serious impact on their health outcome and
Path Analysis Risk Factors that Influence Maternal Mortality in District of Brebes Masturoh -; Supriyadi Hari Respatih; Bhisma Murti
Journal of Maternal and Child Health Vol. 2 No. 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background:
Multilevel Analysis: The Effect of Socioeconomic, Birth Weight, and Nutrition Intake with Wasting in Boyolali, Central Java Nur Fika Roobiati; Eti Poncorini; Bhisma Murti
Journal of Maternal and Child Health Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Wasting is a major health problem. Globally, wasting accounts for 4.7% of all deaths of children aged under 5 years. Severely wasted children are, on average, 11 times more likely to die than their healthy counterparts. This study aimed to investigate the effect of socioeconomic, birth weight, and nutrition intake with wasting in Boyolali, Central Java, using multilevel analysis.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted in Boyolali, Central Java, from April to May 2018. Twenty five posyandus (integrated health posts) were selected and positioned at level 2 in the multilevel model (MLM) analysis. A sample of 200 children under five was selected for this study by fixed disease sampling and positioned at level 1 in the MLM. The dependent variable was wasting. The independent variables were birth weight, nutrition intake, maternal education, family income, and family size. Data on wasting was measured by microtoise and weight scale. Nutrition intake was measured by food recall. The other variables were collected by questionnaire. Data were analyzed by a MLM analysis.Results: The risk of wasting decreased with high family income (b= -1.92; 95% CI= -3.77 to -0.08; p= 0.041), high maternal education (b= -2.68; 95% CI= -4.97 to -0.38; p= 0.022), small family size (b= -2.01; 95% CI= -3.67 to -0.35; p= 0.018), normal birth weight (b= -2.55; 95% CI= -4.89 to -0.21; p= 0.033), good nutritional intake (b= -2.18; 95% CI= -3.95 to -0.41; p= 0.016). Posyandu had a contextual effect on wasting with ICC= 21.45%.Conclusion: The risk of wasting decreases with high family income, high maternal education, small family size, normal birth weight, good nutritional intake. Posyandu has a contextual effect on wasting.Keywords: wasting, socioeconomic, birth weight, nutrition intake, children under fiveCorrespondence:
Multilevel Analysis on the Factors Associated with Low Birth Weight in Temanggung, Central Java Yulia Nur Khayati; Adi Prayitno; Eti Poncorini
Journal of Maternal and Child Health Vol. 1 No. 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Infants with low birth weight or LBW is one of the risk factors for infant mortality. Complications LBW actually can be prevented and dealt with, but is constrained by access to health care, socio-economic circumstances, a referral system that has not gone well, delays in early detection and awareness of parents to seek medical help. By looking at the number of deaths caused by LBW remains high, and research on the causes of LBW widely used partial analysis, and have not been analyzed in stages, the researchers conducted this research with multilevel analysis.Subjects and Method: This was an observational studt with case control design. A total sample of 120 infants were selected by fixed disease sampling with a ratio of 1: 2 between cases and controls. Data were analyzed using multiple logistic regression.Results: There are three variables at the individual level were significantly associated with LBW and was statistically significant can among others, mother
Prevalence and Determinants of Postpartum Depression in Sukoharjo District, Central Java Ryanawati Putriarsih; Uki Retno Budihastuti; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: After delivery of psychological disorder otherwise appropriately and immediately handled may lead to postpartum depression (PPD). PPD has a serious impact on mothers that manifests as lower quality of life and inability to care of themselves, their partner, and infants. There is a lack of studies on PPD in Indonesia. Its prevalence and determinants are not well-understood. This study sought to estimate the prevalence and the determinants of PPD in Sukoharjo, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at community health centers in Sukoharjo District, Central Java, from November to December 2017. A total sample of 200 postpartum mothers was selected for this study using cluster random sampling, with a community health center as the cluster. The dependent variable was PPD. The independent variables were maternal age, parity, labor complication, maternal education, self-efficacy, family income, coping strategy, unwanted pregnancy, and family support. The data were collected by questionnaire and analyzed by path analysis.Results: PPD prevalence in Sukoharjo, Central Java, was 18.5%. The risk of PPD increased with labor complication (b= 3.14, SE= 0.45, p<0.001), unwanted pregnancy (b= 1.54, SE= 0.45, p<0.001), and low family income (b= -0.05, SE= 0.01, p<0.001). The risk of PPD decreased with age (b= -0.07, SE= 0.03, p= 0.028), stronger self-efficacy (b= -0.55, SE= 0.09, p<0.001), and improved coping strategy (b= -0.56, SE= 0.03, p= 0.064). PPD was indirectly affected by younger age, parity, weaker family support, lower family income, coping strategy, and maternal education.Conclusion: PPD prevalence is 18.5% in Sukoharjo, Central Java. The risk of PPD increases with labor complication, unwanted pregnancy, and low family income, but decreases with age, stronger self-efficacy, and improved coping strategy.Keyword: prevalence, postpartum depression, determinant, path analysisCorrespondence:

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