Multilevel Analysis on the Contextual Effect of Posyandu on Healthy Prenatal Behavior Among Pregnant Women in Bengkayang, West Kalimantan
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), commu
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
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
Cetin I, Berti C, Calabrese S (2010). Role of micronutrients in the periconceptional period. Human Reproduction Update. 16 (1):80
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
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
Luyckx VA, Brenner BM (2015). Birth weight, malnutrition and kidney associated outcomes a global concern. Nature Reviews Nephrology. 11(3): 135
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
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
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
