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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 531 Documents
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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.
The Influence of Environmental Sanitation on Incidence of Stunting: A Systematic Review Cahyawati, Sunik; Riana, Eka
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.2025.10.03.03

Abstract

Background: Stunting is a chronic health problem that has long-term impacts on child growth and development, especially in developing countries. Poor environmental sanitation is believed to be one of the main risk factors; however, this needs to be further examined based on empirical study findings. This study aims to analyze this issue systematically. Subjects and Method: This is a systematic review using the PRISMA Flow Diagram. The PICO framework includes: Population (P): Children under five years of age; Intervention (I): Poor environmental sanitation; Comparison (C): Adequate environmental sanitation; Outcome (O): Stunting. Articles were retrieved from databases including PubMed, Scopus, ScienceDirect, and Google Scholar. Keywords used were “hygiene AND sanitation AND stunting AND under five AND cross-sectional.” The quality of the studies was assessed using the Joanna Briggs Institute (JBI) Critical Appraisal tool. Results: A total of 9 articles from four studies were conducted in Asia, all of which from Indonesia, and five studies were conducted in Africa, all of which from the Ethiopia, indicated that access to proper sanitation, clean water, as well as appropriate feces disposal and handwashing practices, are strongly associated with a reduction in stunting incidence. The risk of stunting increases among children living in environments with unimproved latrines, untreated drinking water, and poor hygiene practices. Additional factors such as the child’s age, mother’s education level, and socioeconomic status also influence stunting outcomes. Conclusion: Inadequate environmental sanitation plays a significant role in the occurrence of stunting. Preventive interventions should prioritize improving sanitation access, promoting hygiene behavior education, and implementing cross-sectoral approaches to sustainably reduce stunting prevalence.
Association Between Antenatal Visit and Stunting in Children Aged 0-59 Months in Margadadi Health Center, Indramayu, West Java, Indonesia Zahirah, Najma; Nugrohowati, Nunuk; Pramono, Andri Pramesyanti; Razi, Fachri
Journal of Maternal and Child Health Vol. 10 No. 4 (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.2025.10.04.02

Abstract

Background: Stunting is a condition where a child's height does not match their age caused by persistent nutritional disorders. The incidence of stunting in the  Indramayu area is quite high, namely 29.19% in 2019 which exceeds the WHO target of 20%.  Antenatal visits indirectly induce stunting since stunting factors can be seen prenatally.  Antenatal visits are a series of comprehensive examinations for pregnant women. The Indonesian Ministry of Health's 2021 recommendations divide antenatal visits into the first (K1), fourth (K4), and sixth (K6) visits. This study aimed to discover the relationship quantity of antenatal visits and the incidence of stunting in toddlers in the Margadadi Puskesmas Working Area, Indramayu Regency. Subjects and Method: A case-control study conducted at the Margadadi Community Health Center, Indramayu, West Java, Indonesia. A total of 60 moms of toddlers selected in this study use the consecutive sampling, with 30 subjects each as a case and control group. The dependent variable was stunting. The independent variables were ANC visit follow are K1, K4, and K6. Data collected by questionairre. Data were analyzed by Chi-Square test. Results: Pregnant women who had complete K6 antenatal visits had lower risk to have stunted children (OR= 0.20; 95% CI= 0.04 to 1.02; p= 0.038). Conclusion: K6 shows a protective relationship on stunting.
Syphilis in Pregnancy: Education to Increase Knowledge in Reproductive Couples Sulistyowati, Sri; Bachnas, Muhammad Adrianes; Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Respati, Supriyadi Hari; Nurinasari, Hafi; Ridwan, Robert; Astetri, Lini; Nuur, Aliffudin; Pradana, Muhammad Denny Gagah; Khoeronisa, Siti; Rahmawati, Oktantia Dyah
Journal of Maternal and Child Health Vol. 10 No. 4 (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.2025.10.04.01

Abstract

Background: Syphilis is believed to be one of the oldest diseases, first discovered in the late 15th century. Indonesian Ministry of Health reported a total of 76,923 new cases in 2020. WHO has set an ambitious target to reduce the incidence by 90% before 2030, in spite of slow global  response.  This number is lower than the number obtained in 2019, which was 4,169 people. Syphilis can be transmitted through sexual contact, blood transfusion, and vertical mother-to-child transmission (MTCT). It is estimated that the risk of transplacental infection ranges from 20-80%, depending on various factors, such as the stage of infection in the mother. This study aimed to assess the effect of counseling in increasing patient knowledge of syphilis cases in pregnancy. Subjects and Method: This was a quasi experiment conducted at obstetrics and gynecology department in Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia, in June 2025. A sample of 84 pregnant women was selected for this study. The independent variable was counselling. The dependent variable was knowledge about Syphilis in pregnancy. Knowledge was tested before and after counselling. The data were examined using independent t test.             Results: The knowledge score of pregnant women about syphilis after the intervention (Mean= 77.14; SD= 13.85) was higher than before (Mean= 56.43; SD= 15.88), and it was statistically significant (p <0.001). Conclusion: The results of this study indicate that this recovery is effective in improving understanding of syphilis cases in pregnancy in obgyn polyclinic patients at Dr. Moewardi Hospital.
Relationship Between Stress Levels and Functional Constipation Incidence in Adolescents in Surakarta Putri, Amanda Rizma Devyka; Rokhayati, Evi; Aditya, Aisya Fikritama; Wulandari, Agustina
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.2025.10.03.06

Abstract

Background: Adolescence is a time when physical and mental changes occur. They experience various mental pressures and can affect digestive health. One of the common digestive problems in adolescents is constipation. Constipation is a condition of bowel movement disorders characterized by infrequent or less than three times a week defecation or painful defecation due to hard or large-caliber feces. The purpose of this study was to determine the relationship between stress levels and functional constipation incidence among 10th grade adolescents at SMA Negeri 1 Surakarta.              Subjects and Method: This was a cross-sectional study conducted at SMA Negeri 1 Surakarta. A total of 308 students of Class X selected with the conseutive sampling method. The dependent variable was constipation. The independent variables was stress levels. Te data were collected by questionairre. The sample results of the study were analyzed using SPSS software using univariate tests and chi-square bivariate tests. Results: The incidence of stress level did not have a significant relationship to the incidence of functional constipation in adolescents (OR= 0.77; 95% CI = 0.25 to 2.37; p = 0.551). Conclusion: There is no relationship between stress levels and functional constipation incidence in adolescents in Surakarta.
Infant Massage and Its Effects on Maternal-Infant Bonding, Sleep Quality, and Jaundice Reduction: A Meta-Analysis Setiyarini, Dwi Wahyu; Pamungkasari, Eti Poncorini; Murti, Bhisma
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.2025.10.03.05

Abstract

Background: Baby massage is defined as the oldest tactile therapy practiced for hundreds of years and can affect a baby's development. Baby massage is essential for the emotional bonding process of mother and child. In terms of sleep quality, massaged babies will have better sleep quality. Baby massage is also effective in lowering blood bilirubin levels in babies with jaundice. This study aims to estimate the effect size based on the results of previous similar primary studies. Subjects and Method: A meta-analysis was conducted on a number of primary studies with a Randomized Controlled Trial (RCT) design. The research questions were conducted in the PICO format. Population: infants aged 0-3 years, Intervention: infant massage, Comparison: no infant massage, Outcome: emotional relationship between mother and child, sleep quality, blood bilirubin level. The article search was conducted using a database of journals including PubMed, Sains direct, Google Scholar, Publish or Perish and SpringerLink Articles for the 2012-2023 period with the keywords "baby massage" or "infant massage" and "sleep quality" or "baby sleep quality" and "attachment" or " bonding" and "jaundice" or "hyperbilirubinemia" and "randomized control trial". Data analysis in this study was carried out using the Review Manager application (RevMan 5.4). Results: This meta-analysis was conducted on 20 primary studies of Randomized Controlled Trials (RCTs), originating from Indonesia, Taiwan, Iran, Turkey, and Iceland. The total sample size is 2,043 children. The results of the meta-analysis discovered that infant massage lowered bilirubin levels (SMD = -2.07; 95% CI = -2.71 to -1.43, p<0.001). Infant massage improved sleep quality (SMD = 0.90; 95% CI = 0.44 to 1.36, p<0.001) and maternal and child emotional bonding (SMD = 9.92; 95% CI= 7.72 to 12.12, p<0.001). Conclusion: Baby massage lowers bilirubin levels. Baby massage improves the quality of sleep and the emotional relationship of mother and child.

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