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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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Path Analysis: Effect of Gestational Factors, Psychosocial Factors, and Antenatal Class Program on Toddler Growth Gita Ayu Indria; Bhisma Murti; Yulia Lanti Retno Dewi
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: According to David Barker
Implementation of Basic Obstetric and Neonatal Emergency Service Program (PONED) at Health Centers, Tegal Sri Tanjung Rejeki; Muhammad Akhyar; Supriyadi Hari R
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 reached 33 cases in Tegal in 2015. Some measures had been taken to reduce maternal mortality rate and infant mortality rate, among others was basic obstetric and neonatal emergency service program (PONED). The PONED program was operated by health centers with inpatients services 24 hours a day and 7 days a week. This study evaluated the Implementation of Basic Obstetric and Neonatal Emergency Service Program (PONED) at Health Centers, Tegal.Subjects and Method: This was an evaluation study with qualitative approach and CIPP (context, input, process, product) framework. This study was conducted in Tegal, Central Java. A total of 10 key informants, including Head of Family Health and Nutrition Division at the District Health Office Tegal, Head of Health Centers, Midwife responsible for operating PONED, mothers with post heavy pre-eclampsia, were selected for this study. The data were collected by in-depth interview, observation, and document review.
Prenatal Factors Associated with the Risk of Stunting: A Multilevel Analysis Evidence from Nganjuk, East Java Dewi Indriani; Lanti Retno Dewi; Bhisma Murti; Isna Qadrijati
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: Globally, one in four children under the age of five suffers from stunting. Stunting is associated with an underdeveloped brain, with long-lasting harmful consequences, including diminished mental ability and learning capacity, poor school performance in childhood, reduced earnings and increased risks of nutrition-related chronic diseases, such as diabetes, hypertension, and obesity in future. This study aimed to analyze prenatal factors associated with the risk of stunting in Nganjuk, East Java, using a multilevel analysis.Subjects and Method: This was an analytic observational study with a case control design. The study was conducted at 25 posyandus (integrated health posts) in Nganjuk, East Java, from June 03 to July 07, 2018. Posyandu was selected by stratified random sampling. A sample of 225 children under five was selected by fixed disease sampling, consisting of 75 stunted children and 150 normal children. The dependent variable was stunting. The independent variables were birth length, maternal height, and family size. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.Results: The risk of stunting increased with maternal height <150 cm (b= 2.59; 95% CI= -0.75 to 4.42; p= 0.006), birth length <48 cm (b=4.17; 95% CI= 2.19 to 6.15; p<0.001), and large family size (b= 2.31; 95% CI= 0.34 to 4.29; p= 0.022). Posyandu had a contextual effect on stunting with ICC= 63.39%.Conclusion: The risk of stunting increases with maternal height <150 cm, birth length <48 cm, and large family size. Posyandu has a sizeable contextual effect on stunting.Keywords: stunting, birth length, maternal height, family size, posyandu, multilevelCorrespondence:
Multilevel Analysis on the Biosocial and Economic Determinants of Exclusive Breastfeeding Prabawati Sinta; Harsono Salimo; Eti Poncorini Pamungkasari
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: Exclusive breastfeeding is provided to infants from birth to 6 months of age without supplementary or substitution food and drink. Breastmilk contains nutrients and protective factors that can reduce morbidity and mortality risks of children. This study aimed to determine the effect of maternal nutritional status, parity, employment status, family income, health personnel support, subjective norm, and stratification status of community health center (posyandu), on exclusive breastfeeding in Banjarsari Sub-District, Surakarta.Subjects and Method: This was an analytic observational study with cross sectional design. The study was conducted in Banjarsari sub-district, Surakarta, Central Java, from October 17 to November 7, 2017. Twenty five posyandus were selected by stratified random sampling. Of the posyandus selected, 200 lactating mothers were selected by simple random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal nutritional status, parity, employment status, family income, subjective norm, and health personnel support. The data were collected using a set of questionnaire and analyzed by multilevel logistic regression in Stata 13.Results: The likelihood of exclusive breastfeeding increased with better maternal nutritional status (b= 1.65; 95% CI= 0.14 to 3.17; p= 0.032), multi parity (b= 1.72; 95% CI= 0.57 to 2.86; p= 0.003), working outside the house (b= -2.94; 95% CI= -3.99 to -1.88; p= 0.001), higher family income (b= -1.94; 95% CI= -3.13 to -0.76; p= 0.001), strong health personnel support (b= 1.13; 95% CI= 0.02 to 2.25; p= 0.046), and positive subjective norm (b= 1.20; 95% CI= 0.14 to 2.25; p= 0.025). Posyandu showed strong contextual effect on exclusive breastfeeding with intra-class correlation (ICC)= 28.87%.Conclusion: The likelihood of exclusive breastfeeding increases with better maternal nutritional status, multi parity, working outside the house, higher family income, strong health personnel support, and positive subjective norm.Keyword: exclusive breastfeeding, multilevel analysis, maternal nutritional status, parity, employment status, family income, health personnel support, subjective norm, and posyanduCorrespondence:
The Relationship Between Child Nurturing Pattern, Family Support, and Language Competence in Children Aged 5-6 Years with Auditory Disorder Dewi Tirtawati; Nunuk Suryani; Rita Benya Adriani
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: Hearing is one of the important senses for human that functions as a communication tool and education. Lack of hearing ability in children may hinder development and lead to problem in language and speaking ability. In turn it may affect academic achievement. Hearing disorder therefore needs to be detected early. This study aimed to determine the relationship between child nurturing pattern, family support, and language competence in children aged 5-6 years with auditory disorder.Subjects and Method: This was an analytic and observational study with cross sectional design. It was carried out at
Path Analysis on the Determinants of Unwanted Pregnancy Among Adolescents in Madiun, East Java Bunga Mutiara; Uki Retno Budihastuti; Eti Poncorini Pamungkasari
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: Unintended pregnancy is a worldwide problem that affects women, their families, and society. Unintended pregnancy can result from early marriage, contraceptive failure, non-use of contraceptive services, and, less commonly, rape. Consequences of unintended pregnancy include
Association between Socio-demographic, Nutrition Intake, Cultural Belief, and Incidence of Anemia in Pregnant Women In Karanganyar, Central Java Indah Permatasari Sinawangwulan; Yulia Lanti Retno Dewi; 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: Anemia in pregnancy remains a major public health issue in developing countries. Studies in Indonesia examining the effects of socio-demographic factors, dietary pattern, and cultural belief on the risk of anemia in pregnancy are lacking. This study aimed to examine the effects of socio-demographic factors, dietary pattern, and cultural belief on the risk of anemia in pregnancy.Subjects and Method: An analytic cross-sectional study was conducted in 5 community health centers in Karanganyar, Central Java, from February to March 2018.A total of 200 trimesters I, II, and III pregnant mothers was selected for this study by fixed disease sampling, consisting of 50 mothers with anemia and 150 mothers without anemia. The dependent variable was anemia during pregnancy. The independent variables were nutrition intake, dietary pattern, consumption of iron tablet, family income, parity, family size, antenatal care visit, and cultural belief. The data were collected by questionnaire. The anemia status was obtained from the medical record. The data were analyzed by path analysis performed on Stata 13.Results: The risk of anemia during pregnancy directly decreased with better nutrition intake (b= -1.02; 95% CI= -1.73 to -0.31; p= 0.005) and regular consumption of iron tablet (b= -0.79; 95% CI= 1.48 to -0.10; p= 0.024). The risk of anemia during pregnancy was indirectly affected by better dietary pattern, higher family income, larger family size, cultural belief, parity, higher education, and antenatal care visit.Conclusion: Good nutrition intake and regular consumption of iron tablet decreased the risk of anemia during pregnancy. Dietary pattern, family income, family size, cultural belief, parity, and maternal education have indirect effects on the risk of anemia during pregnancy.Keywords: anemia, pregnancy, nutrition intake, iron tablet, dietary patternCorrespondence:
Analysis of Life-Course Factors Influencing Growth and Development in Children under 3 Years Old of Early Marriage Women in Kediri Umianita Risca Wulandari; Uki Retno Budihastuti; Eti Poncorini Pamungkasari
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: Children is the future pillar of our nation. As such, children need is important to be fulfilled. Physical, mental, and emotional conditions of mothers during gestation period play an important role in growth and development of children. This study aimed to determine life-course factors influencing growth and development in children under 3 years old of early marriage women.Subjects dan Method: This was an analytic observational study with retrospective cohort design. This study was conducted at Sukorame and Campurejo Health Center, Kediri, East Java, on March, 2017. A sample of 120 children under 3 years old were selected for this study by fixed exposure sampling. The dependent variable was child growth (weight for age) and development. The independent variables were marital age, maternal mid upper arm circumference (MUAC) during pregnancy, gestational age of birth delivery, family stimulation, maternal education, and family income. The data of child weight were measured by scales and recorded in maternal and child health book. The data of other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Child growth (weight for age) was affected by birthweight (b= 0.07; SE= 0.02; p< 0.001) and family income (b= 0.04; SE= 0.02; p= 0.07). Birthweight was affected by maternal education (b= 2.11; SE= 1.83; p= 0.248), gestational age of birth (b= 0.67; SE= 0.22; p= 0.002), maternal MUAC (b= 1.46; SE= 0.24; p= 0.002), and family income (b= 0.22; SE= 0.09, p= 0.012). Family income was affected by marital age (b= 0.68; SE= 0.073; p<0.001). Maternal MUAC during pregnancy was affected by marital age (b= 0.12, SE= 0.03, p<0.001). Maternal education was affected by marital age (b=0.01; SE=0.001; p= 0.002). Family stimulation was affected by family income (b= 0.75, SE= 0.26, p= 0.003). Child development was affected by marital age (b= 0.07, SE= 0.02, p= 0.001), family stimulation (b= 0.02; SE= 0.01; p<0.001), and birthweight (b<0.001; SE<0.001; p= 0.373).Conclusion: Child growth of under 3 years old (weight for age) is directly affected by birthweight and family income, and indirectly affected by some other factors. Child development is directly affected by marital age, family stimulation, and birthweight, and indirectly affected by some other factors.Keywords: life-course, growth, development, children under 3 years oldCorrespondence:
Effect of Breast Care and Oxytocin Massage on Breast Milk Production: A study in Sukoharjo Provincial Hospital Tutik Rahayuningsih; Ambar Mudigdo; Bhisma Murti
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: The prevalence of exclusive breast feeding was 39.05% in Sukoharjo in 2015, which is far bellow the national target of 80%. A study has shown that massage oxytocin increases oxytocin (OT) hormone release, and eventually decreases adrenocorticotropin hormone (ACTH), nitric oxide (NO), and beta-endorphin (BE). This OT hormone release will increase milk ejection, which facilitate milk production. This study aimed to investigate the effect of breast care and oxytocin massages on breast milk production in post
Path Analysis on Gestational Socio-economic Determinants of Nutritional Status in Children Under Five in Purworejo Regency, Central Java Ika Yuli Ayuningrum; Harsono Salimo; Yulia Lanti Retno Dewi
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: Undernutrition by height-for-age standard starts during pregnancy and continues to the first two years of life. Linear growth disorders among children under five years are associated with morbidity, mortality, loss of physical growth potential, reduced neurological development, reduced cognitive functions, and increased risks of adulthood chronic diseases. In 2015, the number of undernourished children under five (height-for-age) reached 156 million globally. Purworejo regency was an area with the second highest under

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