Subjects -> MEDICAL SCIENCES (Total: 8690 journals)
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MEDICAL SCIENCES (2415 journals)            First | 3 4 5 6 7 8 9 10 | Last

Showing 1201 - 1400 of 3562 Journals sorted alphabetically
Journal of Evaluation In Clinical Practice     Hybrid Journal   (Followers: 6)
Journal of Evidence-Based Healthcare     Open Access   (Followers: 1)
Journal of Evidence-Based Integrative Medicine     Open Access   (Followers: 18)
Journal of Evidence-Based Medicine     Partially Free   (Followers: 4)
Journal of Exercise Science & Fitness     Open Access   (Followers: 29)
Journal of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
Journal of Family and Community Medicine     Open Access   (Followers: 3)
Journal of Family Medicine and Primary Care     Open Access   (Followers: 11)
Journal of Foot and Ankle Research     Open Access   (Followers: 6)
Journal of Forensic Science and Research     Open Access   (Followers: 2)
Journal of Gandaki Medical College-Nepal     Open Access  
Journal of Generic Medicines     Hybrid Journal   (Followers: 2)
Journal of Geographical Sciences     Hybrid Journal   (Followers: 1)
Journal of Global Antimicrobial Resistance     Hybrid Journal   (Followers: 3)
Journal of Hand Therapy     Hybrid Journal   (Followers: 19)
Journal of Head & Neck Physicians and Surgeons     Open Access   (Followers: 2)
Journal of Health & Medical Informatics     Open Access   (Followers: 62)
Journal of Health and Biological Sciences     Open Access   (Followers: 1)
Journal of Health Design     Open Access   (Followers: 1)
Journal of Health Economics and Outcomes Research     Open Access   (Followers: 1)
Journal of Health Promotion and Behavior     Open Access  
Journal of Health Research and Reviews     Open Access  
Journal of Health Science and Medical Research     Open Access  
Journal of Health Science Research     Open Access  
Journal of Health Sciences     Open Access   (Followers: 1)
Journal of health sciences     Open Access  
Journal of Health Sciences / Sağlık Bilimleri Dergisi     Open Access  
Journal of Health Sciences and Medicine     Open Access  
Journal of Health Sciences and Medicine     Open Access   (Followers: 6)
Journal of Health Sciences and Surveillance System     Open Access  
Journal of Health Sciences Scholarship     Open Access  
Journal of Health Specialties     Open Access  
Journal of Health Studies     Open Access  
Journal of Healthcare Informatics Research     Hybrid Journal   (Followers: 1)
Journal of Heavy Metal Toxicity and Diseases     Open Access  
Journal of Helminthology     Hybrid Journal   (Followers: 2)
Journal of Herbs Spices & Medicinal Plants     Hybrid Journal  
Journal of HIV for Clinical and Scientific Research     Open Access   (Followers: 2)
Journal of Hospital Medicine     Hybrid Journal   (Followers: 11)
Journal of Huazhong University of Science and Technology [Medical Sciences]     Hybrid Journal  
Journal of Human Hypertension     Hybrid Journal   (Followers: 3)
Journal of Human Rhythm     Open Access  
Journal of Human Transcriptome     Open Access  
Journal of Ideas in Health     Open Access  
Journal of Inflammation     Open Access   (Followers: 2)
Journal of Inflammation Research     Open Access  
Journal of Injury and Violence Research     Open Access   (Followers: 6)
Journal of Innovation in Health Informatics     Open Access   (Followers: 17)
Journal of Institute of Medicine     Open Access  
Journal of Insulin Resistance     Open Access   (Followers: 1)
Journal of Interactional Research in Communication Disorders     Hybrid Journal   (Followers: 5)
Journal of Interferon & Cytokine Research     Hybrid Journal   (Followers: 3)
Journal of International Medical Research     Open Access   (Followers: 3)
Journal of Interventional Medicine     Open Access   (Followers: 1)
Journal of Investigative Medicine     Hybrid Journal   (Followers: 3)
Journal of Islamabad Medical & Dental College     Open Access   (Followers: 2)
Journal of Istanbul Faculty of Medicine     Open Access  
Journal of Karnali Academy of Health Sciences     Open Access   (Followers: 1)
Journal of Kathmandu Medical College     Open Access   (Followers: 1)
Journal of King Abdulaziz University : Medical Sciences     Open Access   (Followers: 2)
Journal of Laboratory Medicine     Hybrid Journal   (Followers: 27)
Journal of Laryngology and Voice     Open Access   (Followers: 11)
Journal of Lasers in Medical Sciences     Open Access  
Journal of Law, Medicine & Ethics     Hybrid Journal   (Followers: 28)
Journal of Legal Medicine     Hybrid Journal   (Followers: 7)
Journal of Limb Lengthening & Reconstruction     Open Access  
Journal of Lumbini Medical College     Open Access   (Followers: 1)
Journal of Mahatma Gandhi Institute of Medical Sciences     Open Access  
Journal of Manipulative and Physiological Therapeutics     Hybrid Journal   (Followers: 6)
Journal of Manmohan Memorial Institute of Health Sciences     Open Access   (Followers: 1)
Journal of Marine Medical Society     Open Access  
Journal of Materials Science : Materials in Medicine     Hybrid Journal   (Followers: 4)
Journal of Maternal and Child Health     Open Access  
Journal of Mechanics in Medicine and Biology     Hybrid Journal  
Journal of Medical and Biological Engineering     Hybrid Journal   (Followers: 4)
Journal of Medical and Biomedical Sciences     Open Access   (Followers: 2)
Journal of Medical Case Reports     Open Access   (Followers: 1)
Journal of Medical Cases     Open Access   (Followers: 6)
Journal of Medical Colleges of PLA     Full-text available via subscription  
Journal of Medical Disorders     Open Access  
Journal of Medical Economics     Hybrid Journal   (Followers: 8)
Journal of Medical Education and Curricular Development     Open Access   (Followers: 6)
Journal of Medical Ethics     Partially Free   (Followers: 27)
Journal of Medical Ethics and History of Medicine     Open Access   (Followers: 19)
Journal of Medical Humanities     Hybrid Journal   (Followers: 21)
Journal of Medical Hypotheses and Ideas     Open Access  
Journal of Medical Imaging and Health Informatics     Full-text available via subscription   (Followers: 1)
Journal of Medical Investigation and Practice     Open Access  
Journal of Medical Laboratory and Diagnosis     Open Access  
Journal of Medical Law and Ethics     Full-text available via subscription   (Followers: 17)
Journal of Medical Microbiology     Full-text available via subscription   (Followers: 6)
Journal of Medical Sciences     Open Access  
Journal of Medical Sciences     Open Access  
Journal of Medical Screening     Hybrid Journal   (Followers: 6)
Journal of Medical Signals and Sensors     Open Access   (Followers: 3)
Journal of Medical Society     Open Access  
Journal of Medical Systems     Hybrid Journal  
Journal of Medical Toxicology     Hybrid Journal   (Followers: 6)
Journal of Medical Ultrasound     Open Access   (Followers: 2)
Journal of Medicinal Botany     Open Access  
Journal of Medicinal Chemistry     Hybrid Journal   (Followers: 207)
Journal of Medicine     Open Access   (Followers: 1)
Journal of Medicine and Biomedical Research     Open Access   (Followers: 1)
Journal of Medicine and Philosophy     Hybrid Journal   (Followers: 9)
Journal of Medicine and the Person     Hybrid Journal  
Journal of Medicine in Scientific Research     Open Access  
Journal of Medicine in the Tropics     Open Access  
Journal of Medicine Research and Development     Open Access   (Followers: 3)
Journal of Medicine, Physiology and Biophysics     Open Access   (Followers: 5)
Journal of Medicines Development Sciences     Open Access   (Followers: 1)
Journal of Metabolomics & Systems Biology     Open Access   (Followers: 2)
Journal of Mind and Medical Sciences     Open Access   (Followers: 1)
Journal of Molecular Medicine     Hybrid Journal   (Followers: 11)
Journal of Movement Disorders     Open Access   (Followers: 2)
Journal of Multidisciplinary Research in Healthcare     Open Access   (Followers: 2)
Journal of Muscle Research and Cell Motility     Hybrid Journal   (Followers: 1)
Journal of Nanotechnology in Engineering and Medicine     Full-text available via subscription   (Followers: 6)
Journal of Nanotheranostics     Open Access   (Followers: 1)
Journal of Natural Medicines     Hybrid Journal  
Journal of Natural Science, Biology and Medicine     Open Access   (Followers: 3)
Journal of Nature and Science of Medicine     Open Access   (Followers: 4)
Journal of Negative and No Positive Results     Open Access  
Journal of Nepalgunj Medical College     Open Access  
Journal of Neurocritical Care     Open Access  
Journal of Neurodegenerative Diseases     Open Access   (Followers: 2)
Journal of Neurorestoratology     Open Access  
Journal of Neuroscience and Neurological Disorders     Open Access  
Journal of Nobel Medical College     Open Access  
Journal of Obesity and Bariatrics     Open Access   (Followers: 2)
Journal of Occupational Health     Open Access  
Journal of Occupational Therapy Education     Open Access   (Followers: 12)
Journal of Ocular Biology, Diseases, and Informatics     Hybrid Journal  
Journal of Oral Biology and Craniofacial Research     Full-text available via subscription  
Journal of Oral Health and Craniofacial Science     Open Access  
Journal of Orofacial Sciences     Open Access  
Journal of Otorhinolaryngology, Hearing and Balance Medicine     Open Access   (Followers: 1)
Journal of Ovarian Research     Open Access  
Journal of Ozone Therapy     Open Access  
Journal of Palliative Medicine     Hybrid Journal   (Followers: 47)
Journal of Paramedical Sciences & Rehabilitation     Open Access  
Journal of Parkinsonism and Restless Legs Syndrome     Open Access   (Followers: 2)
Journal of Parkinson’s Disease and Alzheimer’s Disease     Open Access   (Followers: 1)
Journal of Participatory Medicine     Open Access  
Journal of Patan Academy of Health Sciences     Open Access  
Journal of Pathogens     Open Access   (Followers: 1)
Journal of Patient Experience     Open Access  
Journal of Patient Safety and Risk Management     Hybrid Journal   (Followers: 2)
Journal of Patient-Centered Research and Reviews     Open Access  
Journal of Patient-Reported Outcomes     Open Access  
Journal of Periodontal Research     Hybrid Journal  
Journal of Personalized Medicine     Open Access   (Followers: 3)
Journal of Pest Science     Hybrid Journal   (Followers: 1)
Journal of Pharmaceutical Policy and Practice     Open Access   (Followers: 4)
Journal of Physiobiochemical Metabolism     Hybrid Journal   (Followers: 2)
Journal of Physiology-Paris     Hybrid Journal   (Followers: 2)
Journal of Pioneering Medical Sciences     Open Access  
Journal of Postgraduate Medicine     Open Access  
Journal of Pregnancy     Open Access   (Followers: 4)
Journal of Prevention & Intervention Community     Hybrid Journal   (Followers: 7)
Journal of Preventive Medicine and Public Health     Open Access  
Journal of Primary Prevention     Hybrid Journal   (Followers: 7)
Journal of Prosthodontic Research     Full-text available via subscription   (Followers: 1)
Journal of Prosthodontics     Hybrid Journal   (Followers: 2)
Journal of Receptor, Ligand and Channel Research     Open Access   (Followers: 1)
Journal of Regenerative Medicine     Partially Free   (Followers: 4)
Journal of Research in Medical Sciences     Open Access   (Followers: 2)
Journal of Science and Applications : Biomedicine     Open Access   (Followers: 1)
Journal of Science and Technology (Ghana)     Open Access   (Followers: 3)
Journal of Scientific Innovation in Medicine     Open Access  
Journal of Scientific Perspectives     Open Access   (Followers: 1)
Journal of Sensory Studies     Hybrid Journal   (Followers: 4)
Journal of Shaheed Suhrawardy Medical College     Open Access  
Journal of Shoulder and Elbow Arthroplasty     Open Access  
Journal of Sleep Disorders : Treatment & Care     Hybrid Journal   (Followers: 10)
Journal of South American Earth Sciences     Hybrid Journal   (Followers: 5)
Journal of Spinal Cord Medicine     Hybrid Journal   (Followers: 5)
Journal of Spinal Disorders & Techniques     Hybrid Journal   (Followers: 2)
Journal of Sports Medicine and Allied Health Sciences : Official Journal of the Ohio Athletic Trainers Association     Open Access   (Followers: 1)
Journal of Stem Cell Therapy and Transplantation     Open Access   (Followers: 1)
Journal of Stomal Therapy Australia     Full-text available via subscription   (Followers: 1)
Journal of Strength and Conditioning Research     Hybrid Journal   (Followers: 77)
Journal of Substance Use     Hybrid Journal   (Followers: 15)
Journal of Surgical Academia     Open Access   (Followers: 1)
Journal of Surgical and Clinical Research     Open Access  
Journal of Surgical Case Reports     Open Access  
Journal of Surgical Education     Full-text available via subscription   (Followers: 3)
Journal of Surgical Technique and Case Report     Open Access  
Journal of Systemic Therapies     Full-text available via subscription   (Followers: 3)
Journal of Taibah University Medical Sciences     Open Access  
Journal of Telemedicine and Telecare     Hybrid Journal   (Followers: 12)
Journal of The Academy of Clinical Microbiologists     Open Access  
Journal of the American Association for Laboratory Animal Science     Full-text available via subscription   (Followers: 9)
Journal of the American College of Certified Wound Specialists     Hybrid Journal   (Followers: 2)
Journal of the American College of Clinical Wound Specialists     Hybrid Journal   (Followers: 2)
Journal of the American Medical Directors Association     Hybrid Journal   (Followers: 5)
Journal of the American Medical Informatics Association : JAMIA     Hybrid Journal   (Followers: 36)
Journal of the American Podiatric Medical Association     Full-text available via subscription   (Followers: 7)
Journal of the Anatomical Society of India     Full-text available via subscription  
Journal of the Anus, Rectum and Colon     Open Access  
Journal of The Arab Society for Medical Research     Open Access  

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Similar Journals
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Journal of Maternal and Child Health
Number of Followers: 0  

  This is an Open Access Journal Open Access journal
ISSN (Online) 2549-0257
Published by Universitas Sebelas Maret Homepage  [32 journals]
  • The Contextual Effect of Social Norm on Early Marriage Among Young Women
           in Lampung: A Multilevel Analysis Evidence

    • Authors: Nurhayati Agtikasari, RB. Soemanto, Bhisma Murti
      Pages: 1 - 8
      Abstract: Background: Early marriage is driven by poverty and has many effects on girls' health: increased risk for sexually transmitted diseases, cervical cancer, malaria, death during childbirth, and obstetric fistulas. Girls' offspring are at increased risk for premature birth and death as neonates, infants, or children. This study aimed to investigate the contextual effect of social norm on early marriage among young women in Lampung, using multilevel analysis.Subjects and Method: This was a case control study conducted in Metro, East Lampung, Indonesia, from May to June 2018. A sample of 200 women was selected by random sampling, comprising 50 women who got married at under 21 years of age and 150 women who got married at ≥21 years of age. The dependent variable was early marriage. The dependent variables were self efficacy, family income, family support, informational access at level 1 in multilevel analysis. Social norm were placed at level 2 in multilevel analysis. The data were collected by questionnaire and analyzed by multilevel analysis.Results: Marital age was postpone by self-efficacy (b= -1.93; 95% CI= -2.81 to -1.05 ; p<0.001), high family income (b= -1.20; 95% CI= -2.07 to -0.33; p=0.007), strong family support (b= -1.27; 95% CI= -2.35 to -0.19; p= 0.021), and access to positive information (b= -1.06; 95% CI= -2.08 to -0.04; p=0.042). Social norm had a contextual effect on marital age postponement with ICC= 14.56%.Conclusion:Marital age is reduced by strong self-efficacy, high family income, strong family support, and access to positive information. Social norm has a contextual effect on marital age postponement.Keywords: marital age postponement, self-efficacy, family income, family support, access to positive information, social normCorrespondence: Nurhayati Agtikasari. Masters Program in Public Heath, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: agtikasari2@gmail.com. Mobile: +6282185965148.Journal of Maternal and Child Health (2019), 4(1): 1-8
      https://doi.org/10.26911/thejmch.2019.04.01.01
      PubDate: 2019-01-01
      Issue No: Vol. 4, No. 1 (2019)
       
  • Multilevel Analysis: The Effect of Socioeconomic, Birth Weight, and
           Nutrition Intake with Wasting in Boyolali, Central Java

    • Authors: Nur Fika Roobiati, Eti Poncorini, Bhisma Murti
      Pages: 9 - 16
      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: Nur Fika Roobiati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: nur_fika@ymail.com. Mobile: +6285799504324.Journal of Maternal and Child Health (2019), 4(1): 9-16
      https://doi.org/10.26911/thejmch.2019.04.01.02
      PubDate: 2019-01-01
      Issue No: Vol. 4, No. 1 (2019)
       
  • A Path Analysis on the Factors Associated with Birth Preparedness:
           Evidence from Wonogiri, Central Java

    • Authors: Hafari Fajria Nuril Ummah, Eti Poncorini Pamungkasari, Rita Benya Adriani
      Pages: 17 - 24
      Abstract: Background: Birth preparedness and complication readiness is a strategy that encourages pregnant women, their families, and communities to effectively plan for births and deal with emergencies, if they occur. It is a key component of globally accepted safe motherhood programs. This study aimed to determine factors associated with birth preparedness in Wonogiri, Central Java.Subjects and Method: This was a cross-sectional study carried out in Wonogiri, Central Java, from April to May 2018. A sample of 200 pregnant women was selected by cluster sampling. The dependent variable was birth preparedness. The independent variables were gestational age, parity, maternal education, maternal knowledge on birth sign, husband support, and health personnel role. The data were collected by questionnaire and analyzed by path analysis, run on Stata 13.Results: Birth preparedness was positively affected by good maternal knowledge on birth sign (b=2.97; 95% CI=0.10 to 5.84; p=0.043), husband support (b=5.06; 95% CI=2.62 to 7.51; p<0.001), and health personnel role (b=5.53; 95% CI=2.95 to 8.11; p<0.001). Birth preparedness was indirectly affected by gestational age, maternal education, and parity.Conclusion: Birth preparedness is positively affected by good maternal knowledge on birth sign, husband support, and health personnel role. Birth preparedness is indirectly affected by gestational age, maternal education, and parity.Keywords: birth preparedness, gestational age, education, knowledge, husband support, health personnel roleCorrespondence: Hafari Fajria Nuril Ummah. Masters Program on Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36A, Surakarta 57126, Central Java. Email: mbakfari93@gmail.com. Mobile:+6285712211401. Journal of Maternal and Child Health (2019), 4(1): 17-24
      https://doi.org/10.26911/thejmch.2019.04.01.03
      PubDate: 2019-01-01
      Issue No: Vol. 4, No. 1 (2019)
       
  • Path Analysis on the Life-Course Biopsychosocial Determinants of Stunting
           in Children Under Five Years of Age in Karawang, West Java

    • Authors: Rona Luthfi Fauziyyah, Yulia Lanti Retno Dewi, CSP Wekadigunawan, Rita Benya Adriani
      Pages: 25 - 35
      Abstract: Background: Studies have shown that stunted children are more likely to start school later, perform more poorly on cognitive functioning tests, and are more likely to drop out of school. In future, adults who are stunted as children earn 20% less than comparable adults who were not stunted and are 30% more likely to live in poverty and less likely to work in skilled labor. This study aimed to examine the life-course biopsychosocial determinantsof stunting in children under five years of agein Karawang, West Java, using a path analysis model.Subjects and Method: This was a case control study carried out inTunggakjati, Rengasdengklok, Kutawaluya, Pedes, and Medangasem community health centers, Karawang, West Java, from April to May 2018. A sample of 225 children under five was selected for this study by fixed disease sampling, consisting of 75 stunted children and 150 normal children. The dependent variable was stunting. The independent variables were maternal height, maternal middle upper arm circumference (MUAC), low birthweight (LBW), history of infection illness, maternal education, exclusive breastfeeding, complementary feeding, and family support. Child height was measured by infantometer or microtoice. The other variables were measured by questionnaire. The data were analyzed by path analysis run on Stata 13.Results: Stunting increased with LBW (b=1.64; 95% CI=0.69 to 2.59; p=0.001) and history of infection illness (b=1.80; 95% CI=0.94 to 2.67; p<0.001). Stunting decreased with maternal height ≥150 cm (b=-1.57; 95% CI=-2.43 to -0.71; p<0.001) and appropriate complementary feeding (b=-1.80; 95% CI=-2.53 to -1.08; p<0.001). Stunting was indirectly affected by maternal MUAC, maternal education, exclusive breastfeeding, and family support.Conclusion: Stunting increases with LBW and history of infection illness, but decreases with maternal height ≥150 cm and appropriate complementary feeding. Stunting is indirectly affected by maternal MUAC, maternal education, exclusive breastfeeding, and family support.Keywords: stunting, life-course, biopsychosocial, children under fiveCorrespondence: Rona Luthfi Fauziyyah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: rona.luthfi@gmail.com. Mobile: +6281316970696.Journal of Maternal and Child Health (2019), 4(1): 25-35
      https://doi.org/10.26911/thejmch.2019.04.01.04 
      PubDate: 2019-01-01
      Issue No: Vol. 4, No. 1 (2019)
       
  • Participation in Pregnant Mother Class and Implementation of Exclusive
           Breastfeeding in Betungan Community Health Center, Bengkulu

    • Authors: Ismiati Ismiati, Yuliana Lubis, Susmini Susmini
      Pages: 36 - 39
      Abstract: Background: Exclusive breastfeeding can be seen from the role of the world in which in 2006, WHO (World Health Organization) issued a Child Growth Standard which is then applied throughout the world. The content is to emphasize the importance of breastfeeding only to infants from birth to 6 months of age. After that, the baby begins to be given complementary foods beside ASI. Data from the Health Profile of Bengkulu Province in 2014 showed that only 20.67% of infants aged 0-6 months get exclusive breastfeeding from the total number of infants aged 0-6 months ie 12.508 (Health Office, 2014). The purpose of this study is to obtain in-depth information about the implementation of prenatal class on exclusive breastfeeding at community health center.Subjects and Method: The qualitative research design used was Rapid Assessment Procedures, which is a qualitative approach or study. The population of mothers who have 0-6 months old baby sample was 16 people while the others were 4 heads of community health center, midwife, and cadre. Then the information received was processed and analyzed its theme (data reduction, data presentation, conclusion / verification) and then was tested for its validity with triangulation.Results: The lack of role of pregnant mother class in increasing exclusive breast feeding is caused by various factors. The practice of exclusive breastfeeding successfully performed by larger informants is due to the policies of maternity providers and post-maternal conditions for both mother and infant. For the maternal and child health program program, it is expected to be able to conduct periodic evaluation of the prenatal class.Keywords: exclusive breastfeeding, intention and classes of pregnant womenCorespondence: Ismiati. School of Health Polytechnics Bengkulu, North Sumatera, Jl. Indragiri No. 3 Padang Harapan Bengkulu. Email: ismiatidzaky@gmail.com. Mobile: 085290534545Journal of Maternal and Child Health (2019), 4(1): 36-39
      https://doi.org/10.26911/thejmch.2019.04.01.05
      PubDate: 2019-01-01
      Issue No: Vol. 4, No. 1 (2019)
       
  • Factors Associated with Development in Children Under Five

    • Authors: Nikmah Ayu Ramadhani Amir, Uki Retno Budihastuti, Bhisma Murti
      Pages: 40 - 48
      Abstract: Background: The first five years of a child’s life are critical for development. The experiences children have in these years help shape the adults they will become. Parent relationship with their children plays a big part in the way children learn and develop. This study aimed to examine factors associated with development in children under five years of age.Subjects and Method: This was a cross sectional study conducted at 20 posyandus (integrated health posts), Ngemplak, Boyolali, Central Java, from May 5 to June 10, 2018. A total sample of 203 children under five years of age was selected by simple random sampling. The dependent variable was child development. The independent variables were maternal age at pregnancy, prolonged labor, birthweight, birth asphyxia, and family income. Data on child development were measured by pre-screening questionnaire. The other variables were measured by questionnaire. The data were analyzed by a multilevel logistic regressionrun on Stata 13.Results: Child development was positively affected by maternal age at pregnancy (b= 0.33; 95% CI= 0.03 to 0.64; p= 0.032) and absence of birth asphyxia (b= 0.60; 95% CI= 0.16 to 1.05; p= 0.007), birthweight (b= 0.01; 95% CI= -0.01 to 0.01; p= 0.111), and family income (b= 0.27; 95% CI= -0.04 to 0.58; p= 0.087). Children development was negatively affected by prolonged labor (b= -0.30; 95% CI= -0.57 to -0.03; p= 0.029). Posyandu had a strong contextual effect on child development with ICC= 16.16%.Conclusion: Child development is positively affected by maternal age at pregnancy and absence of birth asphyxia, birthweight, and family income. Children development is negatively affected by prolonged labor. Posyandu has a strong contextual effect on child development.Keywords: child development, maternal age at pregnant, prolonged labor, birth asphyxia, birthweight, family incomeCorrespondence: Nikmah Ayu Ramadhani Amir. Masters Program of Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: ad1892nr@gmail.com. Mobile: +6282323957575Journal of Maternal and Child Health (2019), 4(1): 40-48
      https://doi.org/10.26911/thejmch.2019.04.01.06
      PubDate: 2019-01-01
      Issue No: Vol. 4, No. 1 (2019)
       
  • Low Birth, Prematurity, and Pre-Eclampsia as Risk Factors of Neonatal
           Asphyxia

    • Authors: Remita Yuli Kusumaningrum, Bhisma Murti, Hanung Prasetya
      Pages: 49 - 54
      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): 49-54
      https://doi.org/10.26911/thejmch.2019.04.01.07
      PubDate: 2019-01-01
      Issue No: Vol. 4, No. 1 (2019)
       
  • Factors Affecting Maternal Birth Preparedness: Evidence from Salatiga,
           Cental Java

    • Authors: Ana Yuliana, Bhisma Murti, Hanung Prasetya
      Pages: 55 - 61
      Abstract: Background: Maternal unpreparedness in facing childbirth is one of the factors causing the high maternal mortality rate (AKI). To support efforts to accelerate the reduction of MMR, preparation of childbirth is an important matter that must be improved. Pregnant women class is an activity to prepare the mother physically and psychologically in facing the delivery. The purpose of this study was to determine the factors that influence preparation for childbirth in pregnant women, including: the role of midwives, motivation of pregnant women and utilization of pregnant classes.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in 6 community health centers in Salatiga, from June to July 2018. A sample of 120 mothers was selected by total sampling. The dependent variable was birth preparation. The independent variables were motivation, midwife role, and utilization of pregnant class. The data were collected by questionnaire and analyzed by a multiple linear regression.Results: Birth preparedness was increased with strong midwife role (b= 2.82; 95% CI= -0.45 to 5.68; p= o.054), strong motivation (b= 4.12; 95% CI= 0.97 to 7.27; p= 0.011), and utilization of pregnant class (b= 3.90; 95% CI= 0.66 to 7.13; p= 0.019).Conclusions: Birth preparedness is increased with strong midwife role, strong motivation, and utilization of pregnant class.Keywords: birth preparedness, motivation, midwife role, pregnancy class, pregnant womenCorrespondence: Ana Yuliana. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: aishabilqisnugroho@gmail.com. Mobile: +62139321543.Journal of Maternal and Child Health (2019), 4(1): 55-61
      https://doi.org/10.26911/thejmch.2019.04.01.08
      PubDate: 2019-01-01
      Issue No: Vol. 4, No. 1 (2019)
       
  • Biopsychosocial Factors Associated with Postpartum Haemorrhage in
           Surakarta, Central Java

    • Authors: Rizqa Kartika Dewi, Uki Retno Budihastuti, Eti Poncorini Pamungkasari
      Pages: 207 - 215
      Abstract: Background: Postpartum haemorrhage is the primary cause of maternal mortality worldwide. However, studies in Indonesia examining factors associated with postpartum haemorrhage are sparse. The purpose of this study was to examine factors associated with postpartum haemorrhage.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Dr. Moewardi hospital, Surakarta, Central Java, from May 2017 to May 2018. A total sample of 200 postpartum mothers was selected by fixed disease sampling. The dependent variable was postpartum haemorrhage. The independent variables were age, parity, birth space, anaemia, antenatal care, obstetrics history, education, and self-efficacy. The data were collected by questionnaire and analyzed by path analysis on Stata 13.Results:Postpartum haemorrhagewas positively and diretlyassociated with poor obstetric history(b=0.87; 95%CI=-0.03 to 1.79; p=0.059), older age (b=1.86; 95%CI=0.81 to 2.92; p= 0.001), multiparity(b= 1.62; 95%CI=0.08 to 3.15; p=0.038), anemia (b=1.74; 95%CI= 0.83 to 2.66; p<0.001), and narrow birth space (b=-2.51; 95%CI=-3.56 to -1.47; p<0.001). Postpartum haemorrhage was indirectly associated with antenatal care, education, and self-efficacy.Conclusion: Postpartum haemorrhageis positively associated with poor obstetric history, older age, multiparity, anemia, and narrow birth space. Postpartum haemorrhage is indirectly associated with antenatal care, education, and self-efficacyKeywords: postpartum haemorrhage, determinant, path analysisCorrespondence: Rizqa Kartika Dewi. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: rizqakartika@gmail.com.Journal of Maternal and Child Health (2018), 3(3): 207-215
      https://doi.org/10.26911/thejmch.2018.03.03.05 
      PubDate: 2018-08-01
      Issue No: Vol. 4, No. 1 (2018)
       
  • Path Analysis on the Determinants of Unwanted Pregnancy Among Adolescents
           in Madiun, East Java

    • Authors: Bunga Mutiara, Uki Retno Budihastuti, Eti Poncorini Pamungkasari
      Pages: 216 - 224
      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 abortion with its long-term negative health effects including infertility and maternal death. This study aimed to examine the determinants of unwanted pregnancy among adolescents in Madiun, East Java, using path analysis model.Subjects and Method: This was a case control study conducted in Madiun, East Java, from April 4 to May 14, 2018. A sample of 150 adolescents was selected by fixed disease sampling, comprising 30 adolescents with and 120 adolescents without unwanted pregnancy. The dependent variable was unwanted pregnancy. The independent variables were knowledge, attitude, religiosity, sexual behavior, media exposure, parental role, and peer role. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Unwanted pregnancy was directly determined by negative sexual behavior (b= 4.14; 95% CI= 2.83 to 5.45; p<0.001). It was indirectly determined by negative peer role, negative media exposure, negative attitude, parental role, better knowledge, and religiosity.Conclusion: Unwanted pregnancy is directly determined by negative sexual behavior. It is indirectly determined by negative peer role, negative media exposure, negative attitude, parental role, better knowledge, and religiosityKeywords: unwanted pregnancy, determinants, adolescents, path analysisCorrespondence: Bunga Mutiara, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: theo03theo@gmail.comJournal of Maternal and Child Health (2018), 3(3): 216-224
      https://doi.org/10.26911/thejmch.2018.03.03.06
      PubDate: 2018-08-01
      Issue No: Vol. 4, No. 1 (2018)
       
  • Associations of Self-efficacy, Family Support, Peer Support, and Posyandu
           Facility, with Mother’s Visit to Posyandu in Karanganyar, Central Java

    • Authors: Ernawati Ernawati, Endang Sutisna Sulaeman, Dono Indarto
      Pages: 233 - 241
      Abstract: Background: Integrated service delivery has been defined as “the organization and management of health services so that people get the care they need, when they need it, in ways that are user-friendly, achieve the desired results and provide value for money”. In Indonesia, the integrated service delivery at the village level is called as posyandu (integrated health post) with the support of community health workers working together with formal primary health care workers. This study aimed to examine the associations of self-efficacy, family support, peer support, and posyandu facility, with mother’s visit to posyandu in Karanganyar, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 25 posyandus in Karanganyar, Central Java, from April 16 to May 15, 2018. A sample of 200 mothers was selected by simple random sampling. The dependent variable was mother’s visit to posyandu. The independent variables were self-efficacy, family support, peer support, and posyandu facility. The data were collected by questionnaire and analyzed by a multilevel logistic regression using Stata 13 program.Results: Mother’s visit to posyandu was positively associated with self-efficacy (b= 1.90; 95 CI= 0.43 to 3.36; p= 0.011), family support (b= 2.24; 95% CI= 0.81 to 3.67; p= 0.002), peer support (b= 1.98; 95% CI= 0.63 to 3.34; p= 0.004), and posyandu facility (b= 3.86; 95% CI= 1.93 to 5.80; p<0.001). Posyandu had a contextual effect on mother’s visit to posyandu with ICC 24.79%.Conclusion: Mother’s visit to posyandu is positively associated with self-efficacy, family support, peer support, and posyandu facility. Posyandu has a considerable contextual effect on mother’s visit to posyandu.Keywords: integrated health post, mother’s visit, self-efficacy, family support, multilevel analysisCorrespondence: Ernawati. Vocational High School of Empat Lima Surakarta, Nursing Academy Insan Husada Surakarta. Email: 3rn4wati.ew@gmail.comJournal of Maternal and Child Health 2018, 3(3): 233-241
      https://doi.org/10.26911/thejmch.2018.03.03.08
      PubDate: 2018-08-03
      Issue No: Vol. 4, No. 1 (2018)
       
  • Life Course Epidemiology on the Determinants of Stunting in Children Under
           Five in East Lombok, West Nusa Tenggara

    • Authors: Husniyati Sajalia, Yulia Lanti Retno Dewi, Bhisma Murti
      Pages: 242 - 251
      Abstract: Background: Stunting remains a challenging global health issue. It is estimated by Global Nutrition Report that 155 million children were stunted in 2017. 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 examine the determinants of stunting in children under five in East Lombok, West Nusa Tenggara.Subjects and Method: This was an analytic observational study with a case control design. The study was carried out in 31 posyandus (integrated family health posts) in East Lombok, West Nusa Tenggara, from April to May 2018.A sample of 186 children was selected by fixed disease sampling. The dependent variable was stunting. The independent variables were low birthweight (LBW), birth length, exclusive breastfeeding, history of infection disease, maternal age at pregnancy, maternal middle upper arm circumference (MUAC), and family income. The data were collected by questionnaire and analyzed by a multilevel logistic regression run in Stata 13.Results: The risk of stunting increased with LBW (b= 3.51; 95% CI= -0.28 to 7.31; p= 0.069), maternal age at pregnancy <20 or ≥35 years (b= 2.73; 95% CI= 0.38 to 5.42; p=0.047), andhistory of infectious disease (b= 3.70; 95% CI= 0.84 to 6.56; p=0.011). The risk of stunting reduced with high family income (b= -2.15; 95% CI= -4.37 to 0.61; p=0.057), birth length (b= -4.17; 95% CI= -7.42 to -0.91; p=0.012), exclusive breastfeeding (b= -3.24; 95% CI= -5.63to -0.85; p=0.008), and maternal MUAC ≥23.5cm (b= -4.53; 95% CI= -8.09to -0.97; p=0.013). Posyandu had a contextual effect on the incidence of child stunting with ICC= 15.00%.Conclusion: The risk of stunting increases with LBW, maternal age at pregnancy <20 or ≥35 years, and history of infectious disease. The risk of stunting reduces with high family income, birth length, exclusive breastfeeding, and maternal MUAC. Posyandu has a contextual effect on the incidence of child stunting.Keywords: Stunting, low birthweight, birth length, exclusive breastfeedingCorrespondence: Husniyati Sajalia. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: sajalia@gmail.com. Mobile: +6281997987081Journal of Maternal and Child Health (2018), 3(4): 242-251
      https://doi.org/10.26911/thejmch.2018.03.04.01
      PubDate: 2018-08-04
      Issue No: Vol. 4, No. 1 (2018)
       
  • Factors Associated with Use of Intra-Uterine Device in Women of
           Reproductive Age in Boyolali, Central Java

    • Authors: Bekti Susilowati, CSP. Wekadigunawan, Bhisma Murti
      Pages: 252 - 260
      Abstract: Background: Family planning is a key strategy for reduction of maternal mortality. Family planning aims to control birth in order to control population growth. Long-acting reversible contraceptives (LARCs), which include intra-uterine device (IUD), are the most effective methods of birth control. Studies into factors affecting the uptake of IUD was lacking in Indonesia. This study aimed to investigate factors associated with use of IUD in women of reproductive age in Boyolali, Central Java, using multilevel analysis model and Theory of Planned Behavior.Subjects and Method: This was a case control study carried out in 25 posyandus (integrated community health posts) in Boyolali, Central Java, from April to June 2018. A sample of 200 women was selected by simple random sampling. The dependent variable was IUD use. The independent variables were education, family income, intention, attitude, subjective norm, perceived behaviour control, and husband support. The data were collected by questionnaire and analyzed by a multilevel logistic regression on Stata 13.Results: IUD use among women reproductive age increased with higher maternal education (b= 4.06; 95% CI= 0.68 to 7.44; p=0.019), higher family income (b= 3.90; 95% CI= 1.67to 7.64; p=0.041), positive attitude (b= 4.54; 95% CI= 0.52 to 8.55; p=0.027), positive subjective norm (b= 3.06; 95% CI= 0.01to 6.10; p= 0.049), strong perceived behaviour control (b= 3.40; 95% CI= -0.04to 6.85; p=0.053), strong intention (b= 3.18; 95% CI= -0.06to 6.41; p= 0.054), and strong husband support (b= 4.28; 95% CI= 0.01to 7.44; p= 0.050). Posyandu had a contextual effect on IUD use with ICC= 32.10%.Conclusion: IUD use among women reproductive age increases with higher maternal education, higher family income, positive attitude, positive subjective norm, strong perceived behaviour control, strong intention, and strong husband support. Posyandu has sizeable contextual effect on IUD use.Keywords: intra-uterine device, utilization, determinants, multilevel analysisCorrespondence: Bekti Susilowati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: susila.nawa16@gmail.com. Mobile: +6281226808595.Journal of Maternal and Child Health (2018), 3(4): 252-260
      https://doi.org/10.26911/thejmch.2018.03.04.02
      PubDate: 2018-08-04
      Issue No: Vol. 4, No. 1 (2018)
       
  • Determinants of Women’s Choice of a Long-Acting Reversible Contraceptive
           in Boyolali, Central Java

    • Authors: Desy Eka Ilmiyah, Uki Retno Budihastuti, Ismi Dwi Astuti Nurhaeni, Ambar Mudigdo
      Pages: 255 - 232
      Abstract: Background: Long-acting reversible contraceptives (LARCs) are the most effective methods of birth control. LARCs include the copper IUD, the hormonal (progesterone) IUD, and the hormonal contraceptive implant (effective for 10, 5 and 3 years, respectively). These methods of birth control can prevent unwanted pregnancy up to 20 times better than birth control pills, patches, and vaginal rings. However, the use of LARCs remains low in Boyolali, Central Java, Indonesia. This study aimed to analyze the determinants of women’s choice of a LARC in Boyolali, Central Java.Subjects and Method: This was a case control study conducted in 25 community health centers, Boyolali District, Central Java, from April 24 to May 20, 2018. A sample of 200 women in reproductive age was selected by fixed disease sampling. The dependent variable was choice of a LARC. The independent variables were age, education, parity, knowledge, husband support, and counseling by health worker. The data were collected by questionnaire and analyzed by a logistic regression multilevel using Stata 13 program.Results:Women’s choice of the LARC increased with age ≥35 years (b= 4.54; 95% CI= 1.69 to 12.15; p= 0.003), education ≥senior high school (b= 4.59; 95%CI= 1.80 to 11.70; p= 0.001), parity ≥3 (b = 7.15; 95%CI= 2.63 to 19.44; p<0.001), better knowledge (b= 2.20; 95% CI= 0.88 to 5.50; p= 0.089), counseling by health worker (b= 2.82; 95% CI= 1.11 to 7.11; p= 0.028), and husband support (b= 5.54; 95% CI= 2.15 to 14.28; p<0.001).Conclusion: Women’s choice of LARC increases with age ≥35 years, education ≥senior high school, parity ≥3, better knowledge, counseling by health worker, and husband support.Keywords: long-acting reversible contraceptive, women’s choice, determinants Correspondence: Desy Eka Ilmiyah. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: desyekailmiyah@gmail.comJournal of Maternal and Child Health (2018), 3(3): 225-232
      https://doi.org/10.26911/thejmch.2018.03.03.07 
      PubDate: 2018-08-03
      Issue No: Vol. 4, No. 1 (2018)
       
  • Multilevel Analysis on the Determinants of Overweight among Children Under
           Five in Kediri, East Java

    • Authors: Alfadefi Khalifatunisak, Harsono Salimo, Yulia Lanti Retno Dewi
      Pages: 261 - 268
      Abstract: Background: Child overweight and obesity are an important public health issue worldwide. Overweight and obese children are likely to stay obese into adulthood and more likely to develop non-communicable diseases like diabetes and cardiovascular diseases. This study aimed to determine factors associated with overweight among children under five in Kediri, East Java, using a multilevel analysis model.Subjects and Method: This was a case control study conducted at 25 posyandus (integrated family health posts) in Kediri, East Java, from April to May 2018. A sample of 200 children under five was selected by fixed disease sampling. Posyandu was selected by stratified random sampling. Children were located at level 1 and posyandu at level 2 in the multilevel analysis model. The dependent variable was overweight. The independent variables were maternal body mass index (BMI), exclusive breastfeeding, calorie intake, feeding pattern, and nutritional status monitoring. Overweight status was measured by weight for height z-score. The data were collected by questionnaire and analyzed by a multilevel logistic regression model run in Stata 13.Results: Maternal BMI ≥25 (b= 0.72; 95% CI= -0.98 to 1.54; p= 0.085) and calorie intake exceeding the recommended allowance (b= 1.45; 95% CI= 0.59 to 2.31; p= 0.001) increased the risk of overweight in children under five. Good feeding pattern (b= -1.11; 95% CI= -2.15 to -0.08; p= 0.034), exclusive breastfeeding (b= -0.97; 95% CI= -1.98 to 0.02; p= 0.057), and regular nutritional status monitoring (b= -4.34; 95% CI= -6.42 to -2.21; p<0.001) decreased the risk of overweight. Posyandu showed negligible contextual effect on the incidence of child overweight with ICC= 0.98%.Conclusion: Maternal BMI ≥25 and calorie intake exceeding the recommended allowance increase the risk of overweight in children under five. Good feeding pattern, exclusive breastfeeding, and regular nutritional status monitoring decrease the risk of overweight in children under five. Posyandu has a negligible contextual effect on child overweight.Keywords: overweight, children under five, exclusive breastfeeding, maternal body mass index, multilevel analysisCorrespondence: Alfadefi Khaliatunnisak. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: emailealfadefi999@gmail.com.Journal of Maternal and Child Health (2018), 3(4): 261-268
      https://doi.org/10.26911/thejmch.2018.03.04.03
      PubDate: 2018-08-04
      Issue No: Vol. 4, No. 1 (2018)
       
  • Factors Associated with Decision to Use a Long-Term Intra Uterine Device:
           A Path Analysis Evidence

    • Authors: Rindra Deviasti, Eti Poncorini Pamungkasari, Bhisma Murti
      Pages: 269 - 277
      Abstract: Background: Intra uterine device (IUD) is a highly effective contraceptive method with a 98-99 percent success rate over five years of IUD use. However, its share of modern method mix is pitifully small, at less than 5%, in 63 countries and only 5%–9% in a further 32 countries. Moreover, IUD's share is declining in many countries. The reasons for this are not well understood, particularly in Mojokerto, East Java, Indonesia, apart from growing popularity of injectables. This study aimed to examine factors associated with decision to use a long-term intra uterine device using a path analysis model.Subjects and Method: A case control study was conducted at Puskesmas (community health center) Gondang, Mojokerto, East Java, from April to May 2018. A sample of 225 women was selected for this study by fixed disease sampling, comprising 75 IUD users and 150 non-IUD users. The dependent variable was IUD use. The independent variables were age, education, knowledge, attitude, self-efficacy, cultural belief, husband support, and peer support. Data on IUD use were taken from puskesmas Gondang. The data were collected by questionnaire and analyzed by path analysis.Results: IUD use was directly and positively associated with positive attitude (b= 0.79; 95% CI= 0.19 to 1.40; p= 0.010) and low anxiety (b= 0.76; 95% CI= 0.16 to 1.37; p= 0.014). IUD use was indirectly associated with cultural belief, self efficacy, education, knowledge, husband support, and peer support.Conclusion: IUD use is directly associated with positive attitude and low anxiety, and is indirectly associated with cultural belief, self efficacy, education, knowledge, husband support, and peer support.Keywords: intra-uterine devise use, biopsychosocial factor, cultural belief, anxietyCorrespondence: Rindra Deviasti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta 57126, Central Java. Email: widodarigunung@gmail.com. Mobile: +6281331301065.Journal of Maternal and Child Health (2018), 3(4): 269-277
      https://doi.org/10.26911/thejmch.2018.03.04.04
      PubDate: 2018-08-04
      Issue No: Vol. 4, No. 1 (2018)
       
  • Factors Associated with the Risk of Autism in Children Under Five Years of
           Age: A Path Analysis Evidence from Banten

    • Authors: Fitriyani Dwi Astuti, Harsono Salimo, Eti Poncorini Pamungkasari
      Pages: 278 - 286
      Abstract: Background: Autism, now increasingly referred to as autism spectrum disorder (ASD) is a set of clinical phenotypes mirroring an early-onset neurodevelopmental disorder affecting social communication, imagination, and behavior. Children with ASD develop differently from other children. They also have challenges in interacting and communicating with others. These challenges can affect their development and learning. This study aimed to determine factors associated with the risk of autism in children under five.Subjects and Method: This was a case control study carried out at two special schools for children with development problem in Tangerang, Banten, from February to March 2018. A sample of 200 children aged 1-5 years was selected by fixed disease sampling, consisting of 50 children with autism and 150 normal children. The dependent variable was autism. The independent variables were family income, maternal education, maternal age, gestational stress, chemical exposure, nutritional intake, fever at pregnancy, growth and development impairment, and mumps-measles-rubella (MMR) vaccine. Data on immunization status, growth and development were taken from medical record. Data on the other variables were collected by questionnaire.The data were analyzed by path analysis.Results: The risk of autism increased with chemical exposure (b= 2.86; 95%CI= 0.77 to 4.96; p= 0.007), gestational stress (b= 2.45; 95% CI= 0.60 to 4.30; p= 0.010), growth and development impairment (b= 1.69; 95% CI= -0.24 to 3.61; p= 0.086), and maternal age ≥35 years (b= 2.82; 95% CI= 0.73 to 4.92; p= 0.008). Autism decreased with good nutritional intake (b= -2.08; 95%CI= -3.88 to -0.28; p= 0.023). The risk of autism was indirectly affected by fever at pregnancy, chemical exposure, family income, and maternal education. MMR vaccine did not affect the incidence of autism (b= 1.12; 95% CI= -2.11 to 4.36; p= 0.500).Conclusion: The risk of autism increases with chemical exposure, gestational stress, growth and development impairment, maternal age ≥35 years, and decreases with good nutritional intake. MMR vaccine does not affect the incidence of autism in children.Keywords: autism, chemical exposure, growth and development impairment, MMR vaccine, children under fiveCorrespondence: Fitriyani Dwi Astuti. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: fitriyani.dwi.astuti@gmail.com. Mobile: +6281316730755.Journal of Maternal and Child Health (2018), 3(4): 278-286
      https://doi.org/10.26911/thejmch.2018.03.04.05 
      PubDate: 2018-08-04
      Issue No: Vol. 4, No. 1 (2018)
       
  • Factors Associated with Newborn Asphyxia at Dr. Harjono Hospital,
           Ponorogo, East Java

    • Authors: Yustina Purwaningsih, Yulia Lanti Retno Dewi, Dono Indarto, Bhisma Murti
      Pages: 287 - 293
      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): 287-293
      https://doi.org/10.26911/thejmch.2018.03.04.06
      PubDate: 2018-08-08
      Issue No: Vol. 4, No. 1 (2018)
       
  • Prenatal Factors Associated with the Risk of Stunting: A Multilevel
           Analysis Evidence from Nganjuk, East Java

    • Authors: Dewi Indriani, Lanti Retno Dewi, Bhisma Murti, Isna Qadrijati
      Pages: 294 - 300
      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: Dewi Indriani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta, Central Java. Email: dindriani11@gmail.com. Mobile: +6285735830730.Journal of Maternal and Child Health (2018), 3(4): 294-300
      https://doi.org/10.26911/thejmch.2018.03.04.07
      PubDate: 2018-08-09
      Issue No: Vol. 4, No. 1 (2018)
       
  • Path Analysis on the Biopsychosocial Determinants of Quality of Life among
           Children with Cerebral Palsy

    • Authors: Alinda Nur Ramadhani, Rita Benya Adriani, Harsono Salimo
      Pages: 301 - 307
      Abstract:  Background: Cerebral palsy (CP) is group of disorders characterized by long-term disabilities that affect the quality of life (QoL) of both patients and those caring for them. This study aimed to examine biopsychosocial determinants of quality of life among children with cerebral palsy, using path analysis model.Subjects and Method: A cross-sectional study was conducted at Fondation for the Care of Disable Children (YPAC) and Pediatric Neurodevelopmental Therapy Center, Surakarta, Central Java, from April to May 2018. A sample of 110 children with cerebral palsy was selected for this study by simple random sampling. The dependent variable was quality of life. The independent variables were gross motoric skill, parental stress, family support, and social support. Data on quality of life was measured by Cerebral Palsy Quality of Life (CP-QOL) questionnaire. The other data were collected by questionnaire and analyzed by path analysis.Results: Quality of life of children with cerebral palsy increased with better gross motor (b= 2.79; 95% CI= 1.54 to 4.03; p<0.001), strong family support (b=1.25; 95% CI= 0.26 to 2.24; p= 0.013), and strong social support (b= 0.99; 95% CI= 0.014 to 1.97; p= 0.047). Quality of life of children with cerebral palsy indirectly decreased with high parental stress (b= -1.55; 95% CI= -2.38 to -0.72; p<0.001).Conclusion: Quality of life of children with cerebral palsy increases with better gross motor, strong family support, and strong social support, but indirectly decreases with high parental stress.Keywords: cerebral palsy, quality of life, gross motor, family support, parental stress, childrenCorrespondence: Alinda Nur Ramadhani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: aramadhani95@gmail.comJournal of Maternal and Child Health (2018), 3(4): 301-307<br/p>
      https://doi.org/10.26911/thejmch.2018.03.04.08
      PubDate: 2018-08-09
      Issue No: Vol. 4, No. 1 (2018)
       
 
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