Visit to the Disability Integrating Health Post and Its Effect on the Quality of Life of Children with Cerebral Palsy: A Multivariate Evidence from Sukoharjo, Central Java

Retno Dwi Rohaniyati, Harsono Salimo, Eti Poncorini Pamungkasari


Background:  An assessment of the quality of life of children with cerebral palsy is important to be carried out, as part of the indicators of achiev­ing health service delivery goals. To faci­litate access to health services for children with dis­­abilities, the government of Sukoharjo Dis­trict esta­b­lished an integrated health post (pos­yandu) for children with disabilities called in­clu­sion cen­ters.  This study aimed to deter­mine the quality of life of children with cerebral palsy who receive ser­­­vi­ces at the inclusion center.

Subjects and Method: his was a cross sec­tional study conducted in 12 inclusion centers in Suko­harjo, Central Java. A sample of 100 child­­ren with cerebral palsy (CP) aged 4-18 years old was selected by fixed disease samp­ling. The depen­dent variable was the quality of life of CP child­ren. The independent variables were the level of gross motor function capa­bility, parental cop­ing, quality service, and freq­uency of pos­yandu visits. Gross motor func­t­ion capability was mea­sured by Gross Motor Funt­ion Classifi­cation Sys­tem (GMFCS). Qua­lity of life was measured by the Cerebral Palsy Qua­lity of Life (CP-QOL) ver­sion of the parent proxy. Data collection used ques­tion­­naire and analyzed by a multiple linear reg­ression run on Stata 13.

Results: Better quality of life of children with cereb­ral palsy was influenced by lower GMFCS levels (b= -128.72; 95% CI= -220.34 to -37.10; p= 0.006), good parental coping (b= 18.87; 95% CI= 10.85 to 26.89; p<0.001), good service quality (b= 20.79; 95% CI= 9.99 to 31.59;  p<0.001), and more frequent visits to posyandu (b= 214.86; 95% CI= 56.66 to 373.15; p= 0.008).

Conclusion: Quality of life of children with cerebral palsy is influenced by lower GMFCS levels, good parental coping, good service qua­lity, and more frequent visits to posyandu.

Keywords: quality of life, disability, cerebral palsy, integrating health post (posyandu)

Correspondence: Retno Dwi Rohaniyati, Masters Program in Pub­­lic Health, Universitas Sebelas Maret, Jl. Ir. Su­­tami 36A, Surakarta, Central Java, Indo­ne­sia. Email: Mobile: 08­15­4626 8418.

Journal of Maternal and Child Health (2020), 5(2): 193-199

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