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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 521 Documents
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Analysis of Factors Associated with Anemia in Pregnant Women at Prambanan Community Health Center, Sleman, Yogyakarta Prahesti, Ratna; Indarto, Dono; Akhyar, Muhammad
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: Maternal anemia has serious impact on maternal and fetal health outcome. Pregnant women are at high risk of anemia. This study aimed to investigate the factors associated with the incidence of anemia among pregnant women.Subjects and Method: This was an analytic and observational study with cross-sectional design. This study was conducted at Prambanan Community Health Center, Sleman, Yogyakarta. A total of 120 trimester II and III pregnant mothers, was selected for this study. The dependent variable was incidence of anemia. The independent variables were gestational age and maternal education. The data were collected by a questionnaire and analyzed by multiple logistic regression.Result: Trimester II pregnant women had lower risk of anemia than trimester III (OR = 0.35; 95% CI = 0.15 to 0.80; p = 0.013). Pregnant women completed high school had lower risk of anemia than lower education (OR = 0.33; 95% CI 1.29 to = 6.81; p = 0.010).Conclusion: Gestational age and maternal education are associated with the risk of anemia in pregnant women.Keywords: anemia, pregnant women, trimester II and III, maternal educationCorrespondence: Ratna Prahesti. Masters Program in Public Health, Sebelas Maret University, Surakarta.Journal Maternal and Child Health, 2016; 1(2): 131-137    https://doi.org/10.26911/thejmch.2016.01.02.08
Path Analysis on the Effect of Birthweight, Maternal Education, Stimulation, Exclusive Breastfeeding, and Nutritional Status on Motoric Development in Children Aged 6-24 Months in Banyumas District, Central Java Kusuma, Inggar Ratna; Salimo, Harsono; Sulaeman, Endang Sutisna
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: The first two years of a child life is a critical period for his growth and development. Motor skill is one of the elements of children development. Having good control of motor skill helps children in exploring their surrounding also helps in improving development. The study aimed to explain the effect of birth weight, maternal education, provision of stimulation, and nutritional status toward the development of children under two years old.Subjects and Method: The method of the study was analytic observational, with retrospective cohort approach. The study was conducted in 4 sub-districts of Banyumas Regency included: Kembaran, Somagede, Cilongok and Sumpiuh. Cluster sampling was used as subject selection techniques and were classified based on low birth weight and non low birth weight (fixed exposure sampling). There were a total of 120 children whom 40 of them were born with Low Birth Weight and 80 of them with normal birth weight. Exogenous variables among others were birth weight, exclusive breastfeeding, maternal education, stimulation provision. Endogeneous variables were nutritional status, and motor development. Data collection was conducted by using Early Detection Intervention Stimulation for Growth and Development (SDIDTK). Path analysis was used as the analysis technique.Result: Motor development was affected by nutritional status (b=0.12; SE= 0.04; p=0.006), frequency of stimulation (b=0.04; SE= 0.01; p=0.005), birth weight (b=0.33; SE=0.06; p<0.001), and maternal education (b=0.02; SE=0.07; p=0.719). Nutritional status was affected by exclusive breastfeeding (b =0.10, SE=0.15; p=0.507), maternal education (b=0.23; SE=0.13; p=0.078) and birth weight (b=0.38; SE=0.12; p=0.002).Conclusion: Motor development was affected by nutritional status, frequency of stimulation, birth weight, and maternal education. Nutritional status was affected by exclusive breastfeeding, maternal education and birth weight.Key words: birth weight, exclusive breastfeeding, stimulation, maternal education, nutritional status, motor development.Correspondence: Inggar Ratna Kusuma. Fakultas Health Science of Muhammadiyah University Purwokerto Email : inggarratna@gmail.com. Mobile: 08562553967.Journal of Maternal and Child Health (2017), 2(1): 64-75https://doi.org/10.26911/thejmch.2017.02.01.07
Low Birth, Prematurity, and Pre-Eclampsia as Risk Factors of Neonatal Asphyxia Kusumaningrum, Remita Yuli; Murti, Bhisma; Prasetya, Hanung
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: Asphyxia neonatorum is the condition of an infant who does not breathe spontaneously and regularly immediately after birth. This condition is accompanied by hypoxia, hypercapnia, and ends with acidosis. Long-standing asphyxia can cause brain damage and death. This study aimed to investigate risk factors of asphyxia in Nganjuk Hospital, East Java.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted in Nganjuk Hospital, East Java, in July 2018. A total sample of 150 neonates was selected by fixed disease sampling, consisting of 50 neonates with asphyxia and 1oo neonates without asphyxia. The dependent variable was asphyxia. The independent variables were low birth weight, preterm birth, and pre eclampsia. The data were obtained from medical record and analyzed by a multiple logistic regression.Results: The risk of asphyxia increased with low birth weight (OR= 2.58; 95% CI = 3.80 to 46.15; p<0.001), premature birth (OR= 1.27; 95% CI= 1.23 to 10.25; p= 0.019), and pre-eclampsia (OR= 3.74; 95% CI= 12.54 to 141.05; p <0.001).Conclusions: The risk of asphyxia increases with low birth weight, premature birth, and pre-eclampsia.Keywords: asphyxia, neonates, low birth weight, premature, preeclampsiaCorrespondence:Remita Yuli Kusumaningrum. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: renita.yuli@gmail.com. Mobile: +6281231871222.Journal of Maternal and Child Health (2019), 4(1): 49-54https://doi.org/10.26911/thejmch.2019.04.01.07
Use of Vaginal Hygiene Product, Physical Activity, Age at Marriage, Body Mass Index, and Female Infertility Arifin, Ayu Kusuma Puspasari; Murti, Bhisma; Budihastuti, Uki Retno
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: Various products are common in the market for vaginal hygiene purpose, such as povidone iodine vaginal douche, extract of betel leaf, and other herbal internal vaginal hygiene products. However, it is hypothesized that these hygiene products may hamper female fertility. This study aimed to examine the effect of vaginal hygiene product use on female fertility, while controlling for the level of physical activity, age at marriage, and body mass index.Subjects and Method: This study was analytical-observational with case control design, conducted at Dr. Moewardi Hospital, Surakarta, Indonesia. The study population were women aged 15-49 years old. A total of 55 infertile women and 55 pregnant or post-partum women were selected as cases and controls, respectively, by using fixed diseases sampling. The dependent variable was infertility. The independent variables were external and internal use of vaginal hygiene product, level of physical activity, age at marriage, and body mass index (BMI). The data were analyzed using multiple logistic regression.Results: External use of vaginal hygiene product decreased the risk of infertility, but it was statistically non-significant (OR=0.62; 95%CI= 0.22 to 1.74; p=0.366). Internal use of vaginal hygiene product (OR=14.97; 95%CI= 1.66 to 135.16; p=0.016), heavy physical activity (OR=7.95; 95%CI= 1.54 to 41.08; p=0.013), age at marriage>29 years (OR=3.66; 95%CI= 0.68 to 19.76; p=0.131), BMI<18,5kg/m2(OR=1.62; 95%CI= 0.31 to 8.56; p=0.572), and BMI ≥ 25kg/m2(OR=23.17; 95%CI= 4.05 to 132.40; p<0.001) increased the risk of infertility.Conclusion: Internal use of vaginal hygiene product, heavy physical activity, age at marriage>29 years, underweight, and overweight, are risk factors of infertility in women. Women who use vaginal hygiene product internally should be aware that this practice significantly increased the risk of infertility.Keywords:Female infertility, vaginal hygiene product, physical activities, age at marriage, body mass indexCorrespondence: Ayu Kusuma Puspasari Arifin. Masters Program in Public Health, Sebelas Maret University. Email: puspasari.arifin@yahoo.comJournal of Maternal and Child Health (2016), 1(1): 41-52https://doi.org/10.26911/thejmch.2016.01.01.07
Determinants of Stunting and Child Development in Jombang District Rahmawati, Vivin Eka; Pamungkasari, Eti Poncorini; Murti, Bhisma
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: Stunting is a very short body state in children that goes beyond the 2 SD deficit below the child population height. Worldwide stunting affects about 162 million children under five. Indonesia is included in 17 countries that have three nutritional problems in children under five: stunting, wasting, and overweight. This study aimed to investigate the determinants of stunting and child development in children under five.Subjects and Method: This was a retrospective cohort study conducted at Mayangan and Jarak Kulon Community Health Centers, Jombang, East Java, in Januari 2018. A total sample of 58 children were selected for this study by fixed exposure sampling. The dependent variables were stunting and child development. The independent variables were birth-length, maternal age, maternal height, maternal education, and family income. The data were collected by questionnaire. Data on birth length was taken from maternal and child record at community health center. The data were analyzed by path analysis model.Results: The likelihood of good child development increased with maternal education (b= 1.08; 95% CI= 0.41 to 1.75; p= 0.001) and decreased with stunting (b= -0.78; 95% CI= -1.46 to -0.10; p=0.025). The risk of stunting decreased with birth-length (b= -0.90; 95% CI= -1.60 to -0.21; p=0.011) and maternal height (b=-0.92; 95% CI= -1.69 to -0.16; p=0.018). The risk of stunting increased with maternal age <20 y.0. or ≥35 y.o. at pregnancy (b= 0.73; 95% CI= -0.03 to 1.46; p=0.051). The likelihood of maternal age <20 y.0. or ≥35 y.o. at pregnancy decreased with higher education (b=-0.75; 95% CI= -1.44 to -0.06; p=0.033). Birth-length  increased with maternal height (b= 1.07; 95% CI= 0.28 to 1.86; p= 0.008) and higher family income (b=0.93; 95% CI = 0.29 to 1.57; p=0.004). Birth-length decreased with maternal age <20 y.0. or ≥35 y.o. at pregnancy (b=-0.74; 95% CI= -1.48 to -0.01; p=0.047).Conclusion: The likelihood of good child development increases with maternal education and decreases with stunting. The risk of stunting decreases with birth-length and maternal height, and increases with maternal age <20 y.0. or ≥35 y.o. at pregnancy.Keywords: child development, stunting, birth-length, maternal age at pregnancy, maternal education, and family incomeCorrespondence: Vivin Eka Rahmawati. Masters Program in Public Health, Univesitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: vivineka74@gmail.com.Journal of Maternal and Child Health (2018), 3(1): 68-80https://doi.org/10.26911/thejmch.2018.03.01.07
Factors Associated with Newborn Asphyxia at Dr. Harjono Hospital, Ponorogo, East Java Purwaningsih, Yustina; Dewi, Yulia Lanti Retno; Indarto, Dono; Murti, Bhisma
Journal of Maternal and Child Health Vol 3, No 4 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Asphyxia, or perinatal asphyxia, refers to oxygen deprivation during labor or delivery long enough to cause physical harm, and particularly brain damage. When birth asphyxia is severe, it can injure brain cells and cause potentially fatal conditions, including Hypoxic-Ischemic Encephalopathy (HIE), brain injuries, seizures, and cerebral palsy. This study aimed to investigate factors associated with newborn asphyxia at Dr. Harjono Hospital, Ponorogo, East Java. Subjects and Method: This was a case-control study conducted at perinatology ward, Dr. Harjono Hospital, Ponorogo, East Java, in July 2018. A sample data of 360 newly born infants between January 2017 and December 2017 was selected for this study by fixed disease sampling, comprising 180 newborns with asphyxia and 180 newborns without asphyxia. The dependent variable was birth asphyxia. The independent variables were low birthweight, prematurity, and post date. The secondary data were obtained from the medical record and analyzed by a multiple logistic regression.Results: The risk of asphyxia increased with low birthweight (OR= 4.45; 95% CI= 2.17 to 9.10; p<0.001), prematurity (OR= 4.83; 95% CI= 2.41 to 9.67; p<0.001), and post date (OR= 2.52; 95% CI= 1.31 to 4.81; p= 0.005).Conclusion: The risk of asphyxia increases with low birthweight, prematurity, and post date.Keywords: asphyxia, neonate, low birthweight, prematurity, post dateCorrespondence:Yustina Purwaningsihi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: yustinapurwaningsih202@gmail.comJournal of Maternal and Child Health (2018), 3(4): 287-293https://doi.org/10.26911/thejmch.2018.03.04.06
Empowerment of Occupational Therapists in Aquatic Program for Improving the Development of Children with Neurodevelopment Disorder Saloko, Erayanti; Murti, Bhisma; Adriani, Rita Benya
Journal of Maternal and Child Health Vol 2, No 4 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Aquatic program is an occupational therapy for children with neurodevelopment disorder that has been recognized as one of the technological innovations in medical rehabilitation. This study aimed to analyze the effectiveness of occupational therapist empowerment training in aquatic program on the knowledge, attitude, and competence of occupational therapists, and the effectiveness aquatic therapy on improving the development of children with neurodevelopment disorder.Subjects and Method: This was a quasi experiment study with pre and post test design with no comparison design. A sample of 88 occupational therapist were selected for this experiment. Knowledge, attitude, and competence of the therapists before and after empowerment training were measured and compared. Likewise, 78 children with neurodevelopmental disorder in Central Java who were under treatment by the occupational therapists were measured and compared before and after the occupational therapist empowerment training, in terms of motoric and sensoric development. The effects of empowerment training on knowledge, attitude, and competence of the occupational therapists as well as motoric and sensoric development of children with neurodevelopment disorder were analyzed by linear regression analysis model.Results: Empowerment training significantly increased knowledge (b=3.95; 95% CI=  3.55 to 4.34; p<0.001), attitude (b=3.49; 95% CI=  2.84 to 4.14; p<0.001), and  competence (b=2.73; 95% CI= 1.93 to 3.53; p<0.001) of the occupational therapists. Aquatic therapy resulting from empowerment training significantly increased motoric (b=1.39; 95% CI= 1.04 to 1.74; p <0.001) and sensoric (b=2.79; 95% CI= 2.13 to 3.45; p<0.001) development of children with neurodevelopment disorder.Conclusion: Empowerment training effectively increases knowledge, attitude, and competence of occupational therapists. In turn, aquatic therapy conducted by the occupational therapists effectively increases motoric and sensoric development of children with neurodevelopment disorder.Keyword: Occupational therapist, aquatic program, empowerment training, competence, motoric development, sensoric development, neurodevelopment disorder, childrenCorrespondence: Erayanti Saloko. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: erayantisaloko@gmail.com.Journal of Maternal and Child Health (2017), 2(4): 345-355https://doi.org/10.26911/thejmch.2017.02.04.05  
Effectiveness of the Expanded Maternal and Neonatal Survival Program in the Reduction of Maternal Mortality in Tegal, Central Java Karina Cibro, Adeyle Datna; Demartoto, Argyo; Sulaeman, Endang Sutisna
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: Maternal mortality rate is one of the sensitive indicators of population health in a country. Various measures have been implemented to reduce maternal mortality rate, including the Expanding Maternal And Neonatal Survival (EMAS) program. This study aimed to evaluate the effectiveness of the Expanded Maternal and Neonatal Survival program in the reduction of maternal mortality in Tegal, Central Java.Subjects and Method: This was a qualitative evaluative study using context, input, process, product (CIPP) framework. This study was conducted in Tegal, Central Java. The data were collected by in-depth interview, observation, and document review. The primary key informants of this study consisted of 10 subjects, including EMAS team, Head of the District Health Office Tegal, Head of Pagerbarang Health Center, Head of Dukuhwaru Health Center, their coordinating midwife, and community as the program beneficiary.Results: EMAS program was implemented in Tegal because of high maternal mortality rate and lack of community awareness on the importance of visiting health care facility. During the program implementation the district government synergized various stakeholders to realize good governance. Stakeholders work together according to each other task and function. EMAS program has resulted in improved skill of the doctors, midwives, and nurses in tackling emergency cases, so that the emergency cases can be tackled faster, and community awareness use health facilities. The barrier factor was the insufficient number of mentoring health personel.Conclusion: The EMAS program in Tegal district, which aims to reduce maternal mortality rate has been implemented effectively. The emergency referral system is well implemented. Working groups had performed tasks and functions well with adequate responsibility.Keywords: evaluation, EMAS program, maternal mortality rateCorrespondence: Adeyle Datna Karina Cibro. Masters Program in Public Health, Sebelas Maret University, Surakarta. Mobile: 085642596407.Journal of Maternal and Child Health (2016), 1(4): 250-256https://doi.org/10.26911/thejmch.2016.01.04.06
Influence of Psycho-Socio-Economic Factors, Parenting Style, and Sibling Rivalry, on Mental and Emotional Development of Preschool Children in Sidoarjo District Fauziyah, Rahma; Salimo, Harsono; Murti, Bhisma
Journal of Maternal and Child Health Vol 2, No 3 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Preschool development is an influential basic stage for further development. Parents and siblings have an important role for a child's development. Parenting may be the best tool for the development of complete and integrated childhood personality. This study aimed to examine the influence of psycho-socio-economic factors, parenting style, and sibling rivalry, on mental and emotional development of preschool children.Subjects and Method: This was an analytic observational study using cross sectional design. The study was conducted at 4 Community Health Centers, Sidoarjo District, East Java, from March to May 2017. A sample of 120 preschool children were selected for this study by multistage random sampling. The dependent variable was mental and emotional development. The independent variables were maternal education, family income, number of children, belief of child value, parenting style, and sibling rivalry. The data were collected by a set of questionnaire. Path analysis was employed for data analysis.Results: Mental and emotional development was directly affected by authoritative parenting style (b=4.81; 95% CI= 3.05 to 6.56; p=<0.001) and sibling rivalry (b=2.45; 95% CI= 0.92 to 3.99; p=0.002). Authoritative parenting style was positively affected by maternal education ≥senior high school (b=2.14; 95% CI= 0.03 to 4.24; p=0.046), family income ≥ minimum regional wage (b=1.41; 95% CI= 0.07 to 2.75; p=0.038), and positive belief of child value (b=1.34; 95% CI= 0.01 to 2.68; p=0.049). Family income was affected by maternal education ≥senior high school (b=2.84; 95% CI= 1.85 to 3.83; p<0.001). Sibling rivalry was affected by number of children ≥2 (b=1.85; 95% CI= 1.06 to 2.65; p<0.001). Number of children ≥2 was affected by positive belief of child value (b= 3.77; 95% CI= 2.27 to 5.27; p<0.001).Conclusion: Mental and emotional development is directly affected by parenting style and sibling rivalry. It is indirectly affected by maternal education, family income, belief of child value, and number of children.Keywords: parenting style, sibling rivalry, mental development, emotional development, pre­s­c­ho­ol­­ children Correspondence: Rahma Fauziyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A Surakarta 57126, Central Java, Indonesia. Email: rahma2niez@yahoo.com. Mobile: +6281230­7­0­1­5­­91Journal of Maternal and Child Health (2017), 2(3): 233-244https://doi.org/10.26911/thejmch.2017.02.03.05
Employment Status, Family Income, Contraceptive Availability, and their Effects on the Use of Long Term Contraceptives in Sukoharjo, Central Java Ningrum, Sri Setiyo; Indarto, Dono; Wijaya, Mahendra
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: Rapid population growth cause population burden on earth and imbalance population distribution. This situation in turn make cause public health and social problems. One of the methods that can be used to control population growth is long term contraceptive use. The Indonesian Demographic and Health Survey (SDKI) showed that employed mothers were more likely to use long term contraceptive than unemployed mothers. Contraceptives are available for free at Family Planning Clinic (KKB). This study aimed to analyze the effect of employment status, family income, and contraceptive availability, on the use of long term contraceptive among women and men of reproductive age in Sukoharjo, Central Java.Subjects and Method: This was a qualitative analytic and descriptive study with phenomenology approach. This study was conducted in Weru, Kartasura, Polokarto, and Tawangsari subdistricts, Sukoharjo, Central Java. The key informants included acceptors of implant, Intra Uterine Device (IUD), Female Surgical Method (MOW), and Male Surgical Method (MOP). The data were collected by in-depth interview, Focus Group Discussion (FGD), observation, document review. The data were alayze by interactive analysis. The data were verified by triangulation of data sources.Results: Two informants reported they chose IUD because they had to work outside the house, undesirable side effects of using oral contraceptive, injection contraceptive, and contraceptive use by their mothers and grandmothers. Some other informants have used implant because of undesirable side effect of using injection contraceptive, such as irregular menstruation and increased body weight. Two other informants have used female surgical method (MOW) because they already have three children and do not want to be pregnant again. One male informant reported that he has used male surgical method (MOP) because already has four children, and he followed the methods his father has used. Most of the long term contaceptive users work outside the house and their incomes were lower than the minimum regional standard wage. Most of the long term contraceptive users receive free contraceptive and additional reward (e.g. free rice). The remaining long term contraceptive users buy contraceptives at the health center and hospital. The contraceptives were supplied by the National Coordinating Board of Population and Family Planning (Badan Kependudukan dan Keluarga Berencana Nasional, BKKBN) at province level. Village midwives did not receive free contraceptive because their practices have not been classified as Family Planning Clinics (KKB).Conclusion: Availability of contraceptive is a necessary condition for long term contraceptive use. Working outside the house is an additional factor for most women to realize long term contraceptive use.Keywords: Employment status, family income, availability, long term contraceptive Correspondence: Sri Setiyo Ningrum. Diploma III Program in Midwifery, Poltekkes Bhakti Mulia, Sukoharjo, Central Java. Email: srisetiyoningrum@ymail.com.Journal of Maternal and Child Health (2016), 1(3): 179-187https://doi.org/10.26911/thejmch.2016.01.03.05

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