{"title":"The Association between Maternal Age and Gravidity and the Event of Gravidarum Emesis in Kupang, East Nusa Tenggara","authors":"Dina Henukh, S. Asyah, J. Ahmad","doi":"10.26911/the7thicph-FP.03.34","DOIUrl":"https://doi.org/10.26911/the7thicph-FP.03.34","url":null,"abstract":"Background: Emesis gravidarum or better known as morning sickness is a symptom of nausea which is usually accompanied by vomiting which generally occurs in early pregnancy, usually in the first trimester. This condition is generally experienced by more than half of pregnant women due to hormonal changes. This study aimed to analyze the association between maternal age and gravidity and the event of gravidarum emesis in Kupang, East Nusa Tenggara. Subjects and Method: This was a cross-sectional study conducted at the Tenau Auxiliary Community Health Center, Kupang City, East Nusa Tenggara, from February to June 2019. Total of 60 pregnant women were enrolled in this study. The independent variables were maternal age and gravidity. The dependent variable was emesis gravidarum. The data were collected using a questionnaire and analyzed using the Chi-Square. Results: Total of 68.3% of pregnant women were experienced emesis. 92.7% aged 20-35 years and 7.3% aged <20 years. 84.2% of pregnant women did not experience emesis aged 20-35 years and aged> 35 years were 15.8%. Most of the pregnant women who experienced emesis were primigravida (51.2%) and multigravidas (48.8%). 84.2% of mothers did not experience multigravida emesis and did not experience primigravidas emesis (15.8%), and they were statistically significant. Conclusion: Maternal age and gravidity are positively relate to the incidence of emesis gravidarum among pregnant women. Keywords: age, gravidity, emesis gravidarum Correspondence: Dina Melanieka Sintikhe Henukh. Study Program of Midwifery, Universitas Citra Bangsa, Kupang, East Nusa Tenggara. Jl. Bhakti Warga 34, East Nusa Tenggara. Email: Dinnahenukh@gmail.com. Mobile +6285238629495 DOI: https://doi.org/10.26911/the7thicph.03.01","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128436884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Influence of Husband's Support on Health-Seeking Behavior in Madurese Mothers with Postpartum Blues","authors":"A. Ristanti, Elly Dwi Masita","doi":"10.26911/the7thicph-FP.03.13","DOIUrl":"https://doi.org/10.26911/the7thicph-FP.03.13","url":null,"abstract":"ABSTARCT Background: Postpartum blues or baby blues is a transient state of increased emotional reactivity experienced by some postpartum mothers within 14 days after delivery. Family support, especially the husband’s role, is important to overcome the postpartum blues experience of mothers. This study aimed to determine the influence of husband’s support on health-seeking behavior in Madurese mothers with postpartum blues. Subjects and Method: This was a cross-sectional study conducted at Maron Community Health Center, Probolinggo, East Java, from April to June 2020. A total of 40 Madurese mothers with postpartum blues was selected for this study. Postpartum blues was measured by the Edinburgh Postnatal Depression Scale (EPDS). The dependent variable was health-seeking behavior. The independent variable was husband’s support. The data were collected using questionnaire. Correlation between health-seeking behavior and husband’s support was analyzed by Spearman rank correlation. Results: Health-seeking behavior was positively correlated with husband’s support (r= 0.95; p <0.001). Conclusion: Health-seeking behavior is positively correlated with husband’s support among women with postpartum blues. Keywords: postpartum blues, mothers, health-seeking behavior, husband’s support Correspondence: Adenia Dwi Ristanti. Faculty of Nursing and Midwifery, Universitas Nahdlatul Ulama Surabaya. Jl. Raya Jemursari No.57, Jemur Wonosari, Wonocolo, Surabaya, East Java, 60237. Email: adeniadr@unusa.ac.id. Mobile: +6285748160002. DOI: https://doi.org/10.26911/the7thicph.03.62","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"150 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115892279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ni Luh Putri Srinadi, Theresia Puspitawati, Nonik Ayu Wantini
{"title":"Relationship of Family Economic Status with Chronic Energy Deficiency in Pregnant Women in Jetis Community Health Center, Yogyakarta","authors":"Ni Luh Putri Srinadi, Theresia Puspitawati, Nonik Ayu Wantini","doi":"10.26911/THE7THICPH-FP.03.03","DOIUrl":"https://doi.org/10.26911/THE7THICPH-FP.03.03","url":null,"abstract":"ABSTRACT Background: Four nutritional problems are still major health problem in Indonesia, namely Chronic Energy Deficiency (KEK), Iron Nutritional Anemia (AGB), Disorders Due to Iodine Deficiency (IDD), and Vitamin A Deficiency (KVA). This study aimed to determine the relationship of family economic status with chronic energy deficiency in pregnant women in Jetis community health center, Yogyakarta. Subjects and Method: This was a cross sectional study conducted at Jetis community health center, Yogyakarta. A sample of 73 was selected by Accidental Sampling. The data were collected by questionnaire and analyzed by Chi Square. Results: The incidence of chronic energy deficiency with low-income families (71.2%), and in the middle economic status the incidence of chronic energy deficiency in pregnant women (92.6%). It was statistically significant (p< 0.001) Conclusion: There is a relationship between families’ economic status and the incidence of chronic energy deficiency (CED) among pregnant women visiting Community Health Center of Jetis, Yogyakarta. Keywords: economic status, incidence of chronic energy deficiency (CED), pregnant women. Correspondence: Theresia Puspitawati. Study program of Public Health, Faculty of Health Sciences, Universitas Respati Yogyakarta. E-mail: thpuspitawati@gmail.com. Mobile: +628122719110. DOI: https://doi.org/10.26911/the7thicph.03.47","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114462761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EFFECT OF AFFIRMATION FLASHCARDS ON LEVEL OF ANXIETY IN SECOND STAGE OF LABOR AT MIDWIFERY CLINIC, EAST JAVA","authors":"Esty Puji Rahayu, Lailatul Khusnul Rizki","doi":"10.26911/the7thicph-FP.03.04","DOIUrl":"https://doi.org/10.26911/the7thicph-FP.03.04","url":null,"abstract":"ABSTRACT Background: The Indonesia Demographic and Health Survey (IDHS) 2017 reported a high maternal mortality rate (MMR) in Indonesia. Safe and effective management of the second stage of labor presents a clinical challenge for laboring women and practitioners of obstetric care. This study aimed to examine effect of affirmation flashcards on level of anxiety in second stage of labor at midwifery clinic, East Java. Subjects and Method: This was a quasi-experiment with pre and post-test design was conducted at Mei Kurniawati, Amd.Keb midwifery clinic, Surabaya from July to September 2020. A sample of 30 pregnant women who planned to give birth normally at Mei Kurniawati, Amd.Keb midwifery clinic was selected by simple random sampling. The dependent variable was anxiety in second stage of labor. The independent was flashcard affirmation treatment. The data were analyzed by Paired T test. Results: Effect of Flashcard Affirmation treatment on anxiety, control variable (Mean=-3.70; SD= 1.48; p< 0.001) was higher than treatment variable (Mean= -2.15; SD= 1.44; p< 0.001). Effect of flashcard affirmation on the duration of second stage of labor, control variable was higher (Mean= -8.88; SD= 3.81; p< 0.001) than treatment variable (Mean=-1.02; SD= 1.17; p< 0.001). Conclusion: Maintaining the mother’s psychological condition can be done by giving positive affirmations to the mother, besides that the support of husband and family is also an important point, for that research that may be carried out to develop this research is the role of husband support in the smooth delivery of labor. Keywords: flashcard affirmation, second stage of labor, anxiety Correspondence: Esty Puji Rahayu. Universitas Nahdlatul Ulama Surabaya. Jl. SMEA no.57, Surabaya. Email: esty@unusa.ac.id Mobile: 085755196600. DOI: https://doi.org/10.26911/the7thicph.03.49","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127244779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Relationship between Basic Feeding Rule Applied by Parents and Eating Difficulties of Children Under Five Years of Age in Kediri, East Java","authors":"Halimatus Saidah, Rahma Dewi","doi":"10.26911/the7thicph-FP.03.23","DOIUrl":"https://doi.org/10.26911/the7thicph-FP.03.23","url":null,"abstract":"ABSTRACT Background: Difficulty eating in children is a problem faced by parents. However, adequate nutritional intake is required for the growth and development of children. Basic feeding rules can be used as guidelines for parents to overcome the feeding problems in children. This study aimed to examine the relationship between basic feeding rule applied by parents and eating difficulties of children under five years of age in Kediri, East Java. Subjects and Method: A cross sectional study was conducted at Semampir, Kediri, East Java. A sample of 32 children under five years of age was selected by purposive sampling. The dependent variable was eating difficulty of children. The independent variable was basic feeding rule applied by parents. The data were collected by questionnaire. The data were analyzed by Spearman rho. Results: Basic feeding rule applied by parents showed positive correlation with eating difficulties in children under five years of age (r= 0.51, p= 0.003). Conclusion: Basic feeding rule applied by parents shows positive correlation with eating difficulties in children under five years of age. Keywords: basic feeding rule, difficulties, children under five years of age, Correspondence: Halimatus Saidah. Faculty of Health Sciences, Universitas Kadiri. Jln Selomangleng No 01, Kediri, East Java. Email: halimatus.saidah@unik-kediri.ac.id. Mobile: +6281321784182. DOI: https://doi.org/10.26911/the7thicph.03.81","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127780366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H. Julianti, D. Adespin, Trilaksana Nugroho, Nur Laelatul Rasyidin
{"title":"NUTRITIONAL, PHYSICAL, PSYCHOSOCIAL, AND COMMORBID DISEASE AFFECTING QUALITY OF LIFE IN KNEE OSTEOARTRITIS PATIENTS AT WILLIAM BOOTH HOSPITAL, SEMARANG","authors":"H. Julianti, D. Adespin, Trilaksana Nugroho, Nur Laelatul Rasyidin","doi":"10.26911/the7thicph-FP.05.14","DOIUrl":"https://doi.org/10.26911/the7thicph-FP.05.14","url":null,"abstract":"ABSTRACT Background: Osteoarthritis (OA), especially knee OA, is the fourth cause of disability in the world. OA affected the daily physical activity and quality of life of the patients. This study aimed to analyze the various factors that affect nutritional, physical, psychosocial, and comorbid disease affecting quality of life in knee osteoarthritis patients at William Booth hospital, Semarang, Central Java. Subjects and Method: This was a cross-sectional study conducted at William Booth Hospital, Semarang, Central Java. A sample of 79 patients with knee osteoarthritis was selected by simple random sampling. The dependent variable was the quality of life. The independent variables were age, nutritional status, pain intensity, radiological features, family function, length of illness, unilateral/ bilateral OA knee, hypertension, and diabetes mellitus. The data were analyzed by chi-square. Results: Osteoarthritis in elderlies was significantly associated with age (p <0.001), nutritional status (p <0.001), pain intensity (p <0.001), radiological features (p= 0.020), and family function (p <0.001). Osteoarthritis in elderlies was insignificantly associated with length of illness (p= 0.445), unilateral/ bilateral OA knee (p= 0.153), hypertension (p= 0.272), and diabetes mellitus (p= 0.617). Conclusion: Osteoarthritis in elderlies is significantly associated with age, nutritional status, pain intensity, radiological features, and family function, but insignificantly associated with length of illness, unilateral/ bilateral OA knee, hypertension, and diabetes mellitus. Keywords: elderly, osteoarthritis, quality of life Correspondence: Hari Peni Julianti. Faculty of Medicine, Universitas Diponegoro. Jl. Prof Sudarto SH, Tembalang, Semarang, Central Java. Email: hari_peni@yahoo.com. Mobile: +62813263-81347. DOI: https://doi.org/10.26911/the7thicph.05.36","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125018947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I. P. Windasari, Jojor Kakanda Purba, D. Eridani, Risma Septiana, M. Mahachandra
{"title":"Application Development of Inspection of Fire Protection Equipment, First Aid Kit and Incident Reporting Case Study","authors":"I. P. Windasari, Jojor Kakanda Purba, D. Eridani, Risma Septiana, M. Mahachandra","doi":"10.26911/THE7THICPH.02.25","DOIUrl":"https://doi.org/10.26911/THE7THICPH.02.25","url":null,"abstract":"Background: Occupational Safety and Health (OSH) is an important part of the work environment. Both workers and employers are responsible for maintaining a safe environment in the workplace. However, by comparing and mapping the general situation of occupational safety and health legislation in some countries, we found that the current occupational safety and health standards in the retail industry are seriously insufficient or even absent. This study aimed to examine design an application development of inspection of fire protection equipment, first aid kit and incident reporting case study in the Faculty of Engineering, Diponegoro University. Subjects and Method: Use the Scrum method to develop Android-based occupational safety and health inspection applications. The user of this application is the P2K3 team from each department at the Faculty of Engineering, Diponegoro University. The study phases used in this research are as follows: meeting with customers, creating user stories and product backlogs, application development. Results: The result of this research is a mobile application to record the condition of the fire extinguisher and first aid kit. Conclusion: The application made has been able to handle the records of K3 inspection tools, namely fire extinguishers and first aid kits and can be used to report incidents. Keywords: Information Systems, APAR, First Aid Correspondence: Ike Pertiwi Windasari. Universitas Diponegoro, Semarang, Central Java. Email: ike@ce.undip.ac.id. Mobile: 0856400826 52 DOI: https://doi.org/10.26911/the7thicph.02.25","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131324403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multilevel Analysis of Factors Associated with Performance of Midwives in Integrated Antenatal Care Service in Pati, Central Java","authors":"S. Marfuah, Irfana Tri Wijayanti, Ana Rofika","doi":"10.26911/the7thicph-FP.01.10","DOIUrl":"https://doi.org/10.26911/the7thicph-FP.01.10","url":null,"abstract":"ABSTRACT Background: In 2017, nearly 295,000 women died during and after pregnancy and childbirth. In low-resource situations, the vast majority of maternal death (94%) occurred, and most could have been avoided. This study aimed to analyze the factors associated with the performance of midwives in integrated antenatal care service in Pati, Central Java. Subjects and Method: This was a cross-sectional study carried out at 26 integrated health posts (posbindu) in Pati, Central Java. A sample of 130 midwives randomly was selected for this study. The dependent variable was work performance of midwives. The independent variables at level 1 were age, employment status, workload, working time, leadership perception, and healthcare facility. The independent variable at level 2 was posbindu. The data were collected using questionnaire. The data were analyzed by a multilevel linear regression. Results: Work performance of midwives increased with working time (OR= 0.19; 95% CI= 0.04 to 0.33; p= 0.012) and healthcare facility (OR= 0.26; 95% CI= -0.77 to 1.31; p = 0.610). Work performance of midwives decreased with age (b= -0.07; 95% CI= -0.05 to 0.13; p= 0.100), employment status (b= -0.87; 95% CI= -1.89 to 0.15; p= 0.096), workload (b= -0.22; 95% CI= -0.45 to 0.01; p= 0.058), leadership perception (b= -0.002; 95% CI= -0.08 to 0.07; p= 0.949). Posbindu had strong contextual effect on work performance of midwives with ICC= 8.60%. Conclusion: Work performance of midwives increases with working time and decreases with employment status and workload. The work performance associated with age, healthcare facility, and leadership perception, but it is statistically non-significant. Posbindu has strong contextual effect on integrated antenatal care (ANC) performance of midwives. Keywords: performance of midwives, contextual effect, antenatal care Correspondence: Siti Marfu’ah. School of Health Sciences Bakti Utama, Pati, Central Java. Email: marfuah@stikesbup.ac.id. Mobile: +6285729885380. DOI: https://doi.org/10.26911/the7thicph.01.30","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"29 9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133165239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternal and Child Health Handbook as Health Promotion Tool for Postpartum and Breastfeeding Mothers: A Systematic Review","authors":"Rizki Amalia, Yuni Windarti","doi":"10.26911/THE7THICPH-FP.03.15","DOIUrl":"https://doi.org/10.26911/THE7THICPH-FP.03.15","url":null,"abstract":"ABSTRACT Background: The maternal and child health handbook is a tool used by all postpartum and breastfeeding mothers up to the child aged five years. In Indonesia, the maternal and child health services recorded separately in sheets/ cards with a high probability of being lost and scattered were integrated into a home-based record handbook in 1994. This study aimed to investigate the evidence of maternal and child health handbook as health promotion tool for postpartum and breastfeeding mothers. Subjects and Method: A systematic review was conducted by searching from PubMed, Google Scholar, and Ichushi-Web. The keywords were maternal and child health handbook and health promotion. The related articles published between 1990 to 2020 were collected for this review. Twenty-eight articles were eligible for this review. The data were reported systematically. Results: A total of 28 articles, consisting 3 review articles, 17 primary studies, 2 reports, 2 letters, 1 research note, and 3 proceedings, discussed the benefits of maternal and child health handbooks as a health promotion tool for postpartum and breastfeeding mothers. Conclusion: Maternal and child health handbook is a good health promotion tool for postpartum and breastfeeding mothers. Keywords: maternal and child health handbook, health promotion, postpartum, breastfeeding, mothers Correspondence: Rizki Amalia. Universitas Nahdlatul Ulama Surabaya. Jl. SMEA No 57 Wonokromo, Surabaya, East Java. Email: amalia24@unusa.ac.id. Mobile: +6285655581002. DOI: https://doi.org/10.26911/the7thicph.03.70","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134145752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"PERFORMANCE ANALYSIS OF CHILDREN'S HEALTH PROGRAM IN INDONESIA: A MULTILEVEL ANALYSIS","authors":"Tri Setianingsih","doi":"10.26911/the7thicph-FP.03.26","DOIUrl":"https://doi.org/10.26911/the7thicph-FP.03.26","url":null,"abstract":"ABSTRACT Background: Most of the neonatal deaths that occur after 6-48 hours postpartum can be prevented with appropriate newborn care and initiated immediately after delivery through adequate and standardized first neonatal visit. In Indonesia, it is still not in accordance with the expected target. This study aimed to analyze the factors that influence the first neonatal visit from various levels through a multilevel analysis approach. Subjects and Method: This was a cross sectional study with samples of individual level (level 1) was 1014 mother babies, village Level (level 2) as many as 95 village managers, public health center (level 3) was 51 manager of child health programs, and district level (level 4) was 13 managers of health programs in eight provinces Indonesia. The dependent variable was first neonatal visits. The independent variables were birth attendant and pregnancy counselling (level 1), number of village midwives and community control in development (level 2), partnership and resources (level 3), and policy strategy (level 4). Data analysis was performed through univariate, bivariate, multivariate analysis with logistic regression and multilevel modeling using multilevel regression logistic random intercept analysis run on Stata 14.0. Results: At level 1, birth attendants increased first neonatal visits (OR = 3.21; 95% CI 95% = 1,984 to 5,182; p <0.001), pregnancy counselling (OR = 1,705; 95% CI 95% = 1,162 to 2,503; p = 0.007) significantly. At level 2 modelling, the number of village midwives increased the risk of the first neonatal visit (OR = 1,815; 95% CI = 0.950 to 3,467; p = 0.049), community control (OR = 2,659; 95% CI = 1.396 to 5.066; p = 0.009) significantly. At level 3 modelling, partnerships and resources significantly increased the first neonatal visit (OR = 2,131; 95% CI = 1,114 to 4,078; p = 0.012) significantly. At level 4 modelling, birth attendants significantly increased the first neonatal visits (OR = 3.056; 95% CI = 1.901 to 4,914; p = 0.029) significantly. Conclusion: Birth attendants, pregnancy counselling, the number of village midwives, community control, partnerships and resources, birth attendants increase the risk of first neonatal visit. Contextual village areas, public health center, and district health offices have contextual effects on the first neonatal visit. Keywords: first neonatal visit, multilevel analysis Correspondence: Triseu Setianingsih. Drg. Suherman Medical Institut. Jl. Industri Pasirgombong Jababeka Cikarang, Bekasi, West Java. Email: triseu.pantyarso@imds.ac.id. Mobile: +6281299192199. DOI: https://doi.org/10.26911/the7thicph.03.85","PeriodicalId":130555,"journal":{"name":"Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124158724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}