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Multilevel Analysis on the Contextual Effect of Posyandu on Healthy Prenatal Behavior Among Pregnant Women in Bengkayang, West Kalimantan

Dayang Fitri Murdikawati, Uki Retno Budihastuti, Yulia Lanti Retno Dewi

Abstract

Background: Evidence suggests that prenatal care, healthy behaviors such as exercise and nutrition, general stress level, and routine blood pressure examination, are associated with fetal and maternal health. However, there is a lack of studies on factors affecting these healthy prenatal behaviors in Indonesia. This study aimed to determine the contextual effect of posyandu on healthy prenatal behavior among pregnant women in Bengkayang, West Kalimantan

Subjects and Method: A cross-sectional study was conducted at 25 integrated health posts (posyandu) in Bengkayang, West Kalimantan, from November to December 2018. A sample of 200 pregnant women was selected by simple random sampling. The dependent variable was healthy prenatal behavior. The independent variables were maternal education, family income, knowledge, health personnel support, family support, community leader support, and distance to posyandu. The data were collected by questionnaire and analyzed by multilevel logistic regression.

Results: Healthy prenatal behavior was affected by maternal education (b= 4.64; 95% CI= 2.05 to 7.23; p<0.001), family income (b= 3.26; 95% CI= 1.15 to 5.37; p= 0.002), knowledge (b= 2.83; 95% CI= 0.90 to 4.47; p= 0.004), family support (b= 2.69; 95% CI= 0.70 to 4.69; p= 0.008), commu­nity leader support (b= 3.01; 95% CI= 1.05 to 4.96; p= 0.003), health personnel support (b=3.74; 95% CI= 1.44 to 6.04; p= 0.001), and distance to posyandu (b= -3.51; 95% CI= -5.50 to -1.52; p= 0.001). Posyandu had strong contextual effect on healthy prenatal behavior with ICC= 74%.Conclusion: Healthy prenatal behavior is affected by maternal education, family income, knowledge, family support, community leader support, health personnel support, and distance to posyandu. Posyandu has strong contextual effect on healthy prenatal behavior. 

Keywords: healthy prenatal behavior, prenatal, path analysis

Correspondence: Dayang Fitri Murdikawati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: DayangFM@gmail.com. Mobile: 08999988880.

Journal of Maternal and Child Health, 2019, 4(4); 242-249
https://doi.org/10.26911/thejmch.2019.04.04.03

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References


Agustina, Nora (2018). Perkembangan Peserta Didik. Yogyakarta: Deepublish.


Alomar MJ (2014). Factors affecting the development of adverse drug reactions (Review article). Saudi Pharmaceutical Journal, 22(2), 83–94. doi: 10.1016/j.jsps.2013.02.003  Crossref  PubMed  Google Scholar 


Catalano PM, Shankar K (2017). Obesity and pregnancy: Mechanism of short term and long term adverse consequences for mother and child. BMJ. doi: 10.1136/bmj.j1  Crossref  PubMed  Google Scholar 


Cetin I, Alvino G (2009). Intrauterine growth restriction: Implications for placental metabolism and transport. A Review. Placenta. 30:77–82. doi: 10.1016/j.placenta.2008.12.006  Crossref  PubMed  Google Scholar 


Cetin I, Berti C, Calabrese S (2010). Role of micronutrients in the periconceptional period. Human Reproduction Update. 16 (1):80–95. doi: 10.1093/humupd/dmp025  Crossref  PubMed  Google Scholar 


Cohen BE, Durstenfeld A, Roehm PC (2014). Viral causes of hearing loss: A review for hearing health professionals. Trends in Hearing. 18:1-17. doi: 10.1177/2331216514541361  Crossref  PubMed  Google Scholar 


Desmita (2013). Psikologi Perkembangan. Bandung: PT Remaja Rosdakarya.


Ehrenstein V, Pedersen L, Grijota M, Nielsen GL, Rothman KJ, Sorensen HT (2009). Association of apgar score at five minutes with long term neurologic disability and cognitive function in a prevalence study of Danish Conscripts. BMC Pregnancy and Child-birth, 9(1). doi: no doi  Crossref  PubMed  Google Scholar 


Ehrenstein V, Pedersen L, Grijota M, Nielsen GL, Rothman KJ, Sorensen HT (2009). Association of apgar score at five minutes with long term neurologic disability and cognitive function in a prevalence study of Danish Conscripts. BMC Pregnancy and Child-birth. 9(1):1-7. doi: 10.1186/1471-2393-9-14  Crossref  PubMed  Google Scholar 


Han Z, Mulla S, Beyene J, Liao G, Mc-Donald SD (2011). Maternal under weight and the risk of preterm birth and low birth weight: A systematic review and meta analyses. International Journal of Epidemiology. 40(1): 65–101. doi: 10.1093/ije/dyq195  Crossref  PubMed  Google Scholar 


Hurlock, Elizabeth B (2013). Perkembangan Anak, Edisi keenam. Jakarta: Erlangga.


Irianto K (2014). Biologi Reproduksi. Ban-dung: Alfabeta.


Ministry of Health (2011). Profil Kesehatan Indonesia 2010. Jakarta: Kementerian Kesehatan Republik Indonesia. Website


Leveno, Kenneth J (2009). Obstetri Williams: Panduan Ringkas. Ed. 21. Ja-karta: EGC.


Littletan LY, Engebretson J (2012). Maternal, neonatal, and women’s health nursing. New York: Delmar Cengage Learning. Page 878.


Luyckx VA, Brenner BM (2015). Birth weight, malnutrition and kidney associated outcomes a global concern. Nature Reviews Nephrology. 11(3): 135–149. doi: 10.1038/nrneph.2014.251  Crossref  PubMed  Google Scholar 


Menezes PR, Lewis G, Rasmussen F, Zam-mit S, Sipos A, Harrison GL, Tynelius P, Gunnel D (2010). Paternal and maternal ages at conception and risk of bipolar affective disorder in their offspring. Psychological Medicine. 40 (3): 477-485. doi: 10.1017/S003329170999064X  Crossref  PubMed  Google Scholar 


Murti B (2013). Desain dan ukuran sampel untuk penelitian kuantitatif dan kualitatif di bidang kesehatan. Yogyakarta: Gadjah Mada University Press.


Papalia DE, Olds SW, Feldman RD (2009). Human Development (Perkembangan Manusia edisi 10 Buku 2). (Penerj. Brian Marwensdy). Jakarta: Salemba Humanika.


Papalia DE, Feldman RD (2014). Menyelami perkembangan manusia; Experience Human Development.Jakarta: Salemba Humanika.


Parsa P, Besharati F, Maghsodi SH, Afshari M, Emdadi S (2018). Factors influencing the behavior of pregnant women towards using prenatal care services in Iranian Healthcare Center. Journal of Midwifery and Reproductive Health. 6 (1): 1141-1148. Google Scholar 


Purwoastuti E, Walyani ES (2015). Perilaku & softskills kesehatan. Yogyakarta: Pustaka Baru Press.

Profil Dinas Kesehatan Kabupaten Bengkayang (2015). Profil Kesehatan Ka-bupaten Bengkayang Tahun 2015. Bengkayang: Profil Dinas Kesehatan Kabupaten Bengkayang.


West Kalimantan Province Health Office (2015). Buku Profil Kesehatan Provinsi Kalimantan Barat Tahun 2015. Pontianak: Profil Kesehatan Provinsi Kalimantan Barat. Website


Proverawati A (2011). Anemia dan Anemia Kehamilan. Yogyakarta: Nuha Medika


Rahman MM, Abe SK, Rahman MS, Kanda, M, Narita S, Bilano V, Ota E, Gilmour S, et al (2016). Maternal anemia and risk of adverse birth and health outcomesin low and middle income countries: Systematic Review and Meta Analysis. American Journal of Clinical Nutrion. 103(2): 495-504. doi: 10.3945/ajcn.115.107896  Crossref  PubMed  Google Scholar 


Sadler TW (2012). Langmans’s Medical Embryology, 12thEd. Philadelphia: Lippincot Williams & Wilkins.


Samsunuwiyati M (2013). Psikologi perkembangan. Bandung: PT Remaja Rosdakarya.


Santrock JW (2011). Masa perkembangan anak. (Terjemahan Verawaty Pakpahan). New York: McGraw-Hill.


Sudargo T, Aristasari T, Afifah A (2018). 1.000 hari pertama kehidupan. Yogyakarta: Gadjah Mada University Press. ISBN: 978-602-386-233-7.


Sudirjo E, Alif MN (2018). Pertumbuhan dan perkembangan motorik. Jawa Barat: UPI Sumedang Press. ISBN: 978-602-643821-8.


Washio Y, Humphreys M (2018). Maternal behavioral health: fertile ground for behavior analysis. Journal of Association for Behavior Analysis International. 41(2): 637–65. Google Scholar 


Wawan (2011). Teori dan pengukuran pengetahuan, sikap dan perilaku manusia. Yogyakarta: Nuha Medika.


Weir Z, Bush J, Robson SC, McParlin C, Rankin J, Bell R (2010). Physical activity in pregnancy: A qualitative study of the beliefs of overweight and obese pregnant women. BMC Pregnancy and Childbirth. 10(1). doi: 10.1186/1471-2393-10-18   Crossref  PubMed  Google Scholar 


WHO NCD Alliance (2011). NCD Alliance Annual Report 2009 - 2011. United Nation: NCD Alliance. Website

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