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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 506 Documents
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Factors Related to Depressive Symptoms among Individuals with Positive Syphilis Screening Results Arkha Rosyaria Badrus; Miftahul Khairoh; Yustisia Amalia; Sasi Widuri; Cityta Putri Kwarta; Ainun Ganisia; Novi Anggraeni; Fitrania Maghfiroh
Journal of Maternal and Child Health Vol. 11 No. 2 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.02.05

Abstract

Background: Syphilis, a sexually transmitted infection caused by Treponema pallidum, is not only associated with physical manifestations but also an increased risk of depressive symptoms. This study aimed to examine factors associated with depressive symptoms among syphilis-positive blood donors in Surabaya, with particular attention to family involvement and blood donation frequency. Subjects and Method: A cross-sectional study was conducted among 186 prospective blood donors with reactive syphilis screening results in Surabaya, Indonesia. Depressive symptoms were assessed using the Patient Health Questionnaire-9 (PHQ-9), and family involvement was measured using the Family Support Scale (FSS). Blood donation frequency was categorized as regular (≥ 6 donations) or non-regular (< 6 donations) prior to the diagnosis of syphilis. Data were tested using multivariable binary logistic regression. Results: Higher levels of depressive symptoms were significantly associated with older age, being unmarried, lower family involvement, and non-regular blood donation in the bivariate analysis. Non-regular blood donation was significantly associated with depressive symptoms (p = 0.023). In the multivariable logistic regression analysis, male sex (OR= 0.320, p= 0.002) and early adulthood (OR= 6.215, p= 0.002) emerged as independent predictors of depressive symptoms. Conclusion: Depressive symptoms among individuals with positive syphilis screening results are significantly associated with demographic and psychosocial variables. Although family involvement and donation frequency were not independent predictors in the multivariable model, they remain relevant considerations for public health interventions aimed at improving mental health outcomes in this population.
Neonatal Mortality and Associated Factors among Neonates in Kiryandongo Refugee Settlement, Western Uganda Henry Irumba; Abudulmujeeb Babatunde Aremu; Swaibu Zziwa; Naziru Rashid; Adinani Andama; James Nguza; Amina Byobona; Muhammad Alhassan Usman Tanimu; Ziada Nankinga; Sumayah Nakitende; Kharim Mwebaza Muluya
Journal of Maternal and Child Health Vol. 11 No. 4 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.04.01

Abstract

Background: Death of a live-born baby within the first 28 days of life remains a critical global public health concern, particularly in low- and middle-income countries such as in sub-Saharan African, where refugee settlements often show higher varying neonatal mortality rates. This study aimed at assessing neonatal mortality rate and associated factors among neonates in Kiryandongo Refugee Settlement, Western Uganda. Subjects and Method: The study used a facility based retrospective cross-sectional design involving all neonates (0-28days) admitted over a 5-year study period at Panyadoli Hospital.  A total of 510 records of neonatal admissions selected using systematic sampling. Logistic regression analysis was used to determine the factors associated with neonatal mortality and odds ratio was used as a measure of association. All statistical tests were two-tailed and p-value less than 0.05 were considered significant. Results: The neonatal death rate was 43 per 1,000 admissions. Neonatal mortality was significantly higher among mothers aged 25–34 years (aOR= 3.85; 95% CI= 1.74 to 8.90; p= 0.038) and ≥35 years (aOR= 7.88; 95% CI= 1.01 to 15.29; p= 0.049). It was also significant to those mothers delivering at home or in the community (aOR= 7.72; 95% CI= 2.04 to 31.45; p= 0.011), and those with pregnancy complications (aOR= 3.6; 95% CI= 1.93 to 8.14; p <0.001). Conversely, skilled birth attendance (aOR= 0.49; 95% CI= 0.21 to 0.69; p= 0.047) and an Apgar score of 4–6 at 1 minute (aOR= 0.12; 95% CI= 0.03 to 0.44; p= 0.002) were identified as protective factors. Conclusion: This study found a high neonatal mortality rate of 43 deaths per 1,000 admissions, highlighting the urgent need to strengthen antenatal, intrapartum, and postnatal/postpartum maternal and neonatal care to improve neonatal survival.
Multilevel Analysis of Individual and Contextual Determinants of Compliance with Complete Postnatal Care Visits in Sragen Regency, Indonesia Emmy Damayanti; Eti Poncorini Pamungkasari; Ika Sumiyarsi Sukamto; Revi Gama Hatta Novika; Anik Lestari
Journal of Maternal and Child Health Vol. 11 No. 4 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.04.02

Abstract

Background: Compliance with complete postnatal care (PNC) visits is essential for the early detection of postpartum complications and the prevention of maternal morbidity and mortality. However, the coverage of complete postnatal care visits in several areas of Sragen Regency remains below the national target. This study aimed to examine the individual- and contextual-level determinants of compliance with complete PNC visits in Sragen Regency, Indonesia. Subjects and Method: This analytic observational study employed a cross-sectional design and was conducted in six primary healthcare centers in Sragen Regency, comprising three urban and three rural facilities. A total of 162 postpartum women were selected using purposive sampling. The dependent variable was compliance with complete postnatal care (PNC) visits. Individual-level independent variables included maternal age, educational level, employment status, parity, pregnancy risk status, mode of delivery, and knowledge of postnatal care, while the contextual-level variable was the category of the primary healthcare centers (urban or rural). Data were collected using a structured questionnaire and the Maternal and Child Health (MCH) handbook and were analyzed using multilevel logistic regression in STATA version 17. Results: Compliance with complete PNC visits was significantly higher among women of optimal reproductive age (aOR=6.75; p=0.027), those with higher education (aOR=5.20; p=0.015), unemployed women (aOR=3.06; p=0.026), primiparous women (aOR=4.41; p=0.002), women with high-risk pregnancies (aOR=4.34; p=0.004), women who had operative deliveries (aOR= 6.76; p=0.002), and women with good knowledge of postnatal care (aOR=16.98; p<0.001). There was a contextual effect of the primary healthcare service, with ICC= 9.70%. Conclusion: Compliance with complete postnatal care visits was influenced by both individual characteristics and the contextual characteristics of primary healthcare centers. Strengthening maternal knowledge and implementing context-specific postnatal care strategies are needed to improve the coverage of complete postnatal care visits.
Association of Nutritional Status and Glycemic Control with Lipid Profile and Metabolic Syndrome in Adolescents with Type 2 Diabetes Mellitus at Dr. Moewardi Regional Hospital, Indonesia Hanum Ferdian; Annang Giri Moelyo
Journal of Maternal and Child Health Vol. 11 No. 3 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.03.06

Abstract

Background: Adolescent type 2 diabetes mellitus (T2DM) is becoming more common worldwide, a trend tied to obesity, metabolic syndrome, and dyslipidemia that raise cardiovascular risk from a young age. In Indonesia, evidence describing adolescents with this condition is still scarce. The present study sought to examine how nutritional status and glycemic control relate to lipid profile and metabolic syndrome among adolescents with T2DM treated at Dr. Moewardi Regional Hospital.  Subjects and Method: A cross-sectional analytic observational design was applied to 51 patients with T2DM, aged 12–18 years, at Dr. Moewardi Regional Hospital. The variables assessed comprised age, sex, body mass index (BMI), presence of metabolic syndrome, HbA1c, and a fasting lipid panel (total cholesterol, LDL, HDL, triglycerides). For bivariate testing, the Chi-Square/ Fisher’s Exact Test and the Mann-Whitney U test were applied, whereas the link between HbA1c and the lipid panel was examined through Spearman correlation. Independent predictors were then explored using binary logistic regression. Results: Among the 51 patients, females predominated (92.2%), the 12–14 year bracket was most frequent (49.0%), and the mean HbA1c at diagnosis reached 12.66 ± 2.88%. Obesity was present in 52.9% and metabolic syndrome in 51.0%. Levels of total cholesterol, triglycerides, and LDL were markedly elevated among those with metabolic syndrome (all p<0.001). HbA1c correlated strongly and positively with triglycerides (rs=0.752; p<0.001) and LDL (rs=0.674; p<0.001). On multivariate testing, obesity emerged as an independent predictor of metabolic syndrome (OR=166.12; CI95% 9.88 to 2792.23; p<0.001). Conclusion: Obesity, metabolic syndrome, and dyslipidemia were highly prevalent in these adolescents with T2DM. Because both obesity and inadequate glycemic control were significantly associated with the metabolic disease burden, early screening together with comprehensive management of cardiometabolic comorbidities is warranted.
Maternal Knowledge as an Independent Determinant of Stunting in a Suburban Setting: A Case-Control Study in South Tangerang City, Indonesia Sofwatul Hanim; Jihannisa Aurellia Suharno
Journal of Maternal and Child Health Vol. 11 No. 4 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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

Abstract

Background: In Indonesia, malnutrition during the first 1,000 days of life is the primary cause of stunting, a serious public health issue. Between 2019 and 2021, the prevalence of stunting in South Tangerang City increased from 15.4% to 19.4%. However, specific data on stunting risk factors in suburban settings like South Tangerang City remain limited, as most existing studies were conducted in rural areas. This study aimed to identify independent risk factors for stunting among children under five in South Tangerang City using a case-control design. Subjects and Method: There were 53 cases and 53 controls in a 1:1 case-control design using consecutive sampling technique. A structured questionnaire was used for in-person interviews, and an infantometer or microtoise was used for direct anthropometric measurements. Independent variables were exclusive breastfeeding history, early initiation of breastfeeding history, complementary feeding history, low birth weight history, diarrhea history, maternal age, maternal occupation, maternal height, maternal education level, maternal knowledge level, and family income level. The analysis applied multiple logistic regression. Results: Low maternal knowledge level was an independent determinant of stunting (aOR 3.19; 95% CI: 1.37 to 7.45; p=0,007). Recurrent diarrhea history (aOR 2.72; 95% CI: 0.97 to 7.65; p=0,057) and low family income (aOR 2.34; 95% CI: 0.97 to 5.62; p=0,058) were associated with increased odds of stunting, although statistical significance was not achieved. Conclusion: Low maternal knowledge level was an independent determinant of stunting in children under five. Nutrition education interventions targeting mothers, parti­cularly in low-income suburban households, are recommended as a priority strategy for stunting prevention.
Associations Between Maternal Age, Age at First Marriage, Marital Duration, and Long-Acting Contraceptive Method Choice Syah Rini Wisdayanti; Betsyeba Panjaitan
Journal of Maternal and Child Health Vol. 11 No. 4 (2026)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2026.11.04.04

Abstract

Background: Indonesia is currently facing a significant trend of early marriage, ranking 10th globally in child marriage rates. Long-acting and permanent contraceptive methods (LAPMs), including intrauterine devices (IUDs), implants, and female sterilization/tubectomy, are important options for spacing or limiting pregnancy. However, evidence from primary healthcare remains limited. Subjects and Method: A cross-sectional study was conducted involving 60 participants at primary care facilities in Surakarta, Indonesia, from September to October 2025. Respondents were recruited using non-probability, namely total sampling, over two months. Minimal sample size count using central limit theorem (CLT). The outcome variable was LAPM type (tubectomy, IUD, or implant). The independent variables were current maternal age, age at first marriage, and marital duration. Statistical analysis included univariate, bivariate (Chi-square and Fisher-Freeman-Halton exact tests), and multinomial logistic regression. Results: Most respondents were aged ≥35 years (50.0%), first married between 20 and 24 years of age (48.3%), had been married for ≥10 years (66.7%), and used an IUD (68.3%). Bivariate analysis showed no statistically significant association between LAPM type and maternal age (p=0.526), age at first marriage (exact p=0.123), or marital duration (p=0.460). In the multivariate model, age at first marriage was significantly associated with LAPM choice after adjustment for maternal age and marital duration (p=0.030), but for category-specific comparisons, none of the age-at-first-marriage categories showed a statistically significant association with tubectomy or implant use compared with IUD use. Maternal age and marital duration were not significant variables. Conclusion: Age at first marriage showed a statistically significant contribution to the overall multinomial model after adjustment. However, because none of the category-specific adjusted estimates were statistically significant and the sample size was limited, these findings should be interpreted cautiously.

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