Budihastuti, Uki Retno
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Published : 66 Documents
Articles

Use of Vaginal Hygiene Product, Physical Activity, Age at Marriage, Body Mass Index, and Female Infertility Arifin, Ayu Kusuma Puspasari; Murti, Bhisma; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Various products are common in the market for vaginal hygiene purpose, such as povidone iodine vaginal douche, extract of betel leaf, and other herbal internal vaginal hygiene products. However, it is hypothesized that these hygiene products may hamper female fertility. This study aimed to examine the effect of vaginal hygiene product use on female fertility, while controlling for the level of physical activity, age at marriage, and body mass index.Subjects and Method: This study was analytical-observational with case control design, conducted at Dr. Moewardi Hospital, Surakarta, Indonesia. The study population were women aged 15-49 years old. A total of 55 infertile women and 55 pregnant or post-partum women were selected as cases and controls, respectively, by using fixed diseases sampling. The dependent variable was infertility. The independent variables were external and internal use of vaginal hygiene product, level of physical activity, age at marriage, and body mass index (BMI). The data were analyzed using multiple logistic regression.Results: External use of vaginal hygiene product decreased the risk of infertility, but it was statistically non-significant (OR=0.62; 95%CI= 0.22 to 1.74; p=0.366). Internal use of vaginal hygiene product (OR=14.97; 95%CI= 1.66 to 135.16; p=0.016), heavy physical activity (OR=7.95; 95%CI= 1.54 to 41.08; p=0.013), age at marriage>29 years (OR=3.66; 95%CI= 0.68 to 19.76; p=0.131), BMI<18,5kg/m2(OR=1.62; 95%CI= 0.31 to 8.56; p=0.572), and BMI ≥ 25kg/m2(OR=23.17; 95%CI= 4.05 to 132.40; p<0.001) increased the risk of infertility.Conclusion: Internal use of vaginal hygiene product, heavy physical activity, age at marriage>29 years, underweight, and overweight, are risk factors of infertility in women. Women who use vaginal hygiene product internally should be aware that this practice significantly increased the risk of infertility.Keywords:Female infertility, vaginal hygiene product, physical activities, age at marriage, body mass indexCorrespondence: Ayu Kusuma Puspasari Arifin. Masters Program in Public Health, Sebelas Maret University. Email: puspasari.arifin@yahoo.comJournal of Maternal and Child Health (2016), 1(1): 41-52https://doi.org/10.26911/thejmch.2016.01.01.07
Phenomenology Study: Factors Associated with the Choice of Unskilled Traditional Birth Attendants in Brebes, Central Java Prastiwi, Ratih Sakti; Budihastuti, Uki Retno; Wijaya, Mahendra
Journal of Maternal and Child Health Vol 1, No 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The number of birth delivery attended by unskilled traditional birth attendant in Brebes District, Central Java, was still high. From January to April 2016, 67 birth deliveries were attended by unskilled traditional birth attendant. This study aimed to delve information in how social and cultural factors influence the decision to choose traditional birth attendants in Brebes, Central Java.Subjects and Method: This was a qualitative study with phenomenology approach. This study was carried out in Brebes, Central Java. The key informants of this study were midwives, who by snowball sampling technique suggested on the traditional birth attendants and their clients (i.e. laboring mothers) to be interviewed. The data were collected by in-depth interview, focus group discussion, observation, and document review. The researcher did data reduction, data display, and made decision. The data were verified by triangulation of sources technique.Results: Some skilled traditional birth attendants actively collaborated with midwives. Today rarely traditional birth attendants attend birth delivery, although there was a considerable number of community members who sought their help for birth attendant. Community members regard these traditional birth attendants as to have charisma and some supernatural power. Usually traditional birth attendants get involved in cultural ceremonies. Sometimes community members seek traditional birth attendants as a source of advice. In an extended family the decision to choose birth attendant was made by the mother or grandmother of the laboring woman. In a smaller family the decision to choose birth attendant was made by the laboring woman.Conclusion: The decision to choose unskilled birth attendants is made by the family members of the laboring woman, and this choice was influenced by traditional birth attendant’s charisma.Keywords: birth delivery, traditional birth attendant, social and cultural factorsCorrespondence: Ratih Sakti Prastiwi. Diploma III Program of Midwifery, Health Polytechnics Harapan Bersama, Tegal. Email: ratih.sakti@ymail.com.Journal of Maternal and Child Health (2016), 1(4): 242-249https://doi.org/10.26911/thejmch.2016.01.04.05 
Effectiveness of Health Promotion by Indonesian Breastfeeding Association in Increasing Exclusive Breastfeeding Coverage in Surabaya City, East Java Handajani, Diani Octaviyanti; Pamungkasari, Eti Poncorini; Budihastuti, Uki Retno
Journal of Health Promotion and Behavior Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Breastfeeding is essential for health, development, and child survival by preventing child illness. However, exclusive breastfeeding has not reached the desired target. Health promotion by Indonesian Breastfeeding Association (AIMI) participation is one way to increase exclusive breastfeeding coverage. There are several causative factors that influence exclusive breastfeeding, which can be explained by the PRECEDE-PROCEED model. This study aimed to determine the effectiveness of health promotion through the Association of Indonesian Breastfeeding Mothers (AIMI) in increasing coverage of exclusive breastfeeding in Surabaya, East Java.Subjects and Method: This was an analytic observational study with a cohort retrospective design. The study was conducted at AIMI Surabaya branch office and 6 community health centers in Surabaya, East Java, from December 2017 and January 2018. A total sample of 120 lactating mothers was selected for this study by simple random sampling. The dependent variable was breastfeeding. The independent variables were AIMI participation, maternal knowledge, maternal education, maternal attitude, family support, and peer support. The data were collected by questionnaire and analyzed by path analysis.Results: Exclusive breastfeeding increased with AIMI participation (b= 1.02; 95% CI= -0.19 to 2.24; p=0.101), better maternal knowledge (b= 1.48; 95% CI= 0.15 to 2.79; p=0.029), positive maternal attitude (b= 2.22; 95% CI= 1.03 to 3.38; p<0.001), and stronger family support (b= 2.69; 95% CI= 1.25 to 4.11; p<0.001). Maternal attitude increased with AIMI participation (b= 0.69; 95% CI= -0.18 to 1.57; p=0.116), better maternal knowledge (b= 1.56; 95% CI= 0.72 to 2.39; p<0.001), and higher maternal education (b= 0.71; 95% CI= -0.11 to 1.52; p=0.089). AIMI participation increased with higher education (b= 1.07; 95% CI= 0.26 to 1.87; p=0.009). Family support increased with stronger peer support (b= 2.24; 95% CI= 0.73 to 3.75; p=0.004).Conclusion: Exclusive breastfeeding increases with AIMI participation, better maternal knowledge, positive maternal attitude, and stronger family support.Keywords: exclusive breastfeeding, PRECEDE-PROCEED model, Indonesian Breastfeeding Association (AIMI)Correspondence: Diani Octaviyanti Handajani. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: diani.octaviyanti@gmail.com. Mobile: +628563328666Journal of Health Promotion and Behavior (2018), 3(1): 1-15https://doi.org/10.26911/thejhpb.2018.03.01.01 
Efficacy of Yoga Exercise to Reduce Anxiety in Pregnancy: A Meta-Analysis using Randomized Controlled Trials Ningrum, Sintia Ayu; Budihastuti, Uki Retno; Prasetya, Hanung
Journal of Maternal and Child Health Vol 4, No 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Anxiety can have a negative impact on mothers and infants. Anxiety can cause prematurity, impaired motor development, mental and emotional development of children. This study aimed to examine efficacy of yoga on reducing anxiety in pregnant women.Subjects and Method: This was a meta-analysis. As many as 6 randomized control trials (RCT) were extracted from Pubmed, Science Direct, Springer, Proquest, and Cochrane databases. A sample of 426 pregnant women who took yoga exercises for 4-12 weeks was selected for this study. The data were analyzed in RevMan 5.3.Results: Yoga exercise reduce anxiety in pregnant women (SMD= -0.48; 95% CI= -0.92 to -0.03; p= 0.030).Conclusion: Yoga is effective to reduce anxiety in pregnant women.Keywords: Yoga exercise, anxiety, pregnant women, randomized control trials, meta-analysisCorrespondence: Sintia Ayu Ningrum. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami No. 36 A, Surakarta, Central Java. Email: tiayu.ningrum@gmail.com. Mobile: +6283866810777.Journal of Maternal and Child Health (2019), 4(2): 118-125https://doi.org/10.26911/thejmch.2019.04.02.07
Biopsychosocial Factors Associated with Postpartum Haemorrhage in Surakarta, Central Java Dewi, Rizqa Kartika; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 3, No 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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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): 207-215https://doi.org/10.26911/thejmch.2018.03.03.05
The Effect of Combined Oral Contraceptives on Sexual Function among Women of Reproductive Age in Jombang District, East Java Fatmawati, Zeny; Budihastuti, Uki Retno; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Sexuality is an important and inseparable part of a womans life. Mood and sexual related side-effects are frequently expressed problems by women of reproductive age who use hormonal contraceptives. This study aimed to analyze the effect of combined oral contraceptives on sexual function among women of reproductive age in Jombang District, East Java.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at 5 community health centers (Mojoagung, Mojowarno, Jogoloyo, Jelak Ombo and Perak), Jombang District, East Java, from February to March 2017. A sample 120 women of reproductive age who use combined oral contraceptives was selected for this study. The dependent variable was female sexual function. The independent variables were combined oral  contraceptives use, age, parity, menstrual cycle, depression, and body mass index. The data on depression was measured by Hamilton Depression Rating Scale. Body mass index was measured by anthropometry. Female sexual function was measured by female sexual function index. The data were analyzed by path analysis.Results: Female sexual function was negatively influenced by age (b=-0.21; SE = 0.05; p<0.001), depression (b= -0.44; SE=0.12; p<0.001), body mass index (b=-0.16; SE= 0.09; p=0.063), and duration of oral contraceptive use (b=-0.20; SE=0.13; p=0.121). Depression was influenced by body mass index (b=0.14; SE=0.07; p=0.037), duration of oral contraceptive use (b=0.30; SE= 0.10; p=0.003), and age (b=0.09; SE=0.04; p=0.018). Body mass index was influenced by age (b= 0.10; SE=0.05; p=0.036), and duration of oral contraceptive use (b= 0.48, SE = 0.13; p<0.001). Menstrual cycle was influenced by duration of oral contraceptive use (b =-0.05, SE=0.13, p=0.007), age (b=-0.02; SE=0.01; p=0.002), and body mass index (b=-0.05; SE=0.11; p<0.001).Conclusion: Female sexual function is negatively influenced by age, depression, body mass index, and duration of oral contraceptive use.Keywords: bio-psychology factor, oral contraceptive, female sexual functionCorrespondence: Zeny Fatmawati. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: searcheng09@gmail.com. Mobile: +082230313559.Journal of Maternal and Child Health (2017), 2(2): 100-112https://doi.org/10.26911/thejmch.2017.02.02.02
Optimizing the Combination of Oxytocin Massage and Hypnobreastfeeding for Breast Milk Production among Post-Partum Mothers Sari, Lutfiana Puspita; Salimo, Harsono; Budihastuti, Uki Retno
Journal of Maternal and Child Health Vol 2, No 1 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: The incidence of post-partum blues both in Indonesia and abroad has been quite high; the stress that post-partum mothers experience will inhibit breast milk production and, as a result, breastfeeding process should be stopped earlier. Hypnobreastfeeding relaxation and oxytocin massage have been a combination of therapy that might decrease the rate of Adenocorticotropic Hormon (ACTH) and that might assist hormone and prolactin secrection in order that breast milk production becomes fluent. This study then aimed at analyzing the optimization of the combination of oxytocin massage and hypnobreastfeeding in order to decrease anxiety and to improve breast milk production among post-partum mothers.Subjects and Method: This was an analytic experimental study with Randomized Control Trial (RCT) design. This study was conducted at Dr. Suradji Tirtonegoro Central General Hospital, Klaten, from January 25th, 2017 until March 9th, 2017. The population in this study was 200 post-partum mothers. A sample of 60 post-partum mothers was selected for this study and allocated into the intervention group (n1= 30) and the control group (n2= 30). The intervention group would be treated by the combination of oxytocin massage and hypno­breastfeeding. The dependent variables were anxiety and breast milk production. The independent variables were oxytocin massage and hypnobreastfeeding. The anxiety was measured by STAI scale. The breast milk production process was measured by checklist questionnaire. The breast milk production amount was measured by milking cups. The breast milk production between the two groups was tested by Mann-Whitney.Results: The anxiety scale in the intervention group was better and lower than that of the control group. The differences in terms of anxiety scale between the intervention group (median= 24.00; SD= 4.45) and the control group (median= 34.00; SD= 6.93) were statistically significant (p<0.001). Then, the differences in terms of breast milk production process between the inter­vention group (median= 9.00; SD= 1.66) and the control group (median= 8.00; SD= 1.56) were nearly significant (p<0.145). Furthermore, the differences in terms of breast milk production amount between the intervention group (median= 10.00; SD= 10.36) and the control group (median= 4.50; SD= 4.21) were statistically significant (p<0.001).Conclusion: Combination of oxytocin massage and hypnobreastfeeding can effectively decreasing anxiety and increasing breast milk production for post-partum mothers.Keywords: oxytocin massage, hypnobreastfeeding, breast milk production, post-partumCorrespondence: Lutfiana Puspita Sari. Masters Program in Public Health, Sebelas Maret University, Surakarta. ­­Email: bidanlutfiana@gmail.com. Mobile: +6282221522374.Journal of Maternal and Child Health (2017), 1(1): 20-29https://doi.org/10.26911/thejmch.2017.02.01.03
Risk Factors of Postpartum Depression at Dr. Moewardi Hospital, Surakarta Ria, Matilda Bupu; Budihastuti, Uki Retno; Sudiyanto, Aris
Journal of Maternal and Child Health Vol 3, No 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Postpartum depression is one of the emotional disturbances that results from failure to postpartum psychological adaptation process. The global prevalence of postpartum depression is 10-15%. This study aimed to analyze the risk factors of pregnancy on the incidence of postpartum depression.Subjects and Method: This was an analytic and observational study with a cross-sectional design. The study was conducted at Dr. Moewardi hospital, from December 2017 to January 2018. A total sample of 150 postpartum mothers was selected for this study by exhaustive sampling. The dependent variable was postpartum depression (PPD). The independent variables were maternal age, stress, parity, unwanted pregnancy, type of labor, family income, family support, and domestic violence. The data were collected by questionnaire and analyzed by path analysis model.Results: Postpartum depression was directly and positively affected by psychological stress (b= 2.15; 95% CI= 1.17 to 3.13; p<0.001), delivery type (b= 1.27; 95% CI= 0.32 to 2.21; p= 0.008), and unwanted pregnancy (b= 1.57; 95% CI= 0.57 to 2.58; p= 0.002). Postpartum depression was directly but negatively affected by family income (b= -1.52; 95% CI= -2.51 to -0.54; p= 0.002), parity (b= -1.24; 95% CI= -2.21 to -0.28; p= 0.011), and family support (b= -1.31; 95% CI= -3.28 to -0.24; p= 0.016). Psychological stress increased with domestic violence (b= 2.68; 95% CI= 0.64 to 4.73; p= 0.010) and decreased with maternal age (b= -0.91; 95% CI= -1.68 to -0.13; p= 0.022). Parity increased with maternal age (b= 1.66; 95% CI= 0.79 to 2.53; p<0.001). Domestic violence decreased with maternal age (b= -1.34; 95% CI= -2.85 to 0.16; p= 0.081).Conslusion: Psychological stress, delivery type, unwanted pregnancy, family income, parity, and family support, are direct risk factors for postpartum depression.Keywords: Postpartum depression, unwanted pregnancy, domestic violence, family supportCorrespondence: Matilda Bupu Ria. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta,  Jl. Ir. Sutami No. 36 A, 57126, Surakarta, Jawa Tengah. E-mail: matildabupuria19@gmail.com. Mobile +6281241254153.Journal of Maternal and Child Health (2018), 3(1): 81-90https://doi.org/10.26911/thejmch.2018.03.01.08
Analysis of Life-Course Factors Influencing Growth and Development in Children under 3 Years Old of Early Marriage Women in Kediri Wulandari, Umianita Risca; Budihastuti, Uki Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Children is the future pillar of our nation. As such, children need is important to be fulfilled. Physical, mental, and emotional conditions of mothers during gestation period play an important role in growth and development of children. This study aimed to determine life-course factors influencing growth and development in children under 3 years old of early marriage women.Subjects dan Method: This was an analytic observational study with retrospective cohort design. This study was conducted at Sukorame and Campurejo Health Center, Kediri, East Java, on March, 2017. A sample of 120 children under 3 years old were selected for this study by fixed exposure sampling. The dependent variable was child growth (weight for age) and development. The independent variables were marital age, maternal mid upper arm circumference (MUAC) during pregnancy, gestational age of birth delivery, family stimulation, maternal education, and family income. The data of child weight were measured by scales and recorded in maternal and child health book. The data of other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Child growth (weight for age) was affected by birthweight (b= 0.07; SE= 0.02; p< 0.001) and family income (b= 0.04; SE= 0.02; p= 0.07). Birthweight was affected by maternal education (b= 2.11; SE= 1.83; p= 0.248), gestational age of birth (b= 0.67; SE= 0.22; p= 0.002), maternal MUAC (b= 1.46; SE= 0.24; p= 0.002), and family income (b= 0.22; SE= 0.09, p= 0.012). Family income was affected by marital age (b= 0.68; SE= 0.073; p<0.001). Maternal MUAC during pregnancy was affected by marital age (b= 0.12, SE= 0.03, p<0.001). Maternal education was affected by marital age (b=0.01; SE=0.001; p= 0.002). Family stimulation was affected by family income (b= 0.75, SE= 0.26, p= 0.003). Child development was affected by marital age (b= 0.07, SE= 0.02, p= 0.001), family stimulation (b= 0.02; SE= 0.01; p<0.001), and birthweight (b<0.001; SE<0.001; p= 0.373).Conclusion: Child growth of under 3 years old (weight for age) is directly affected by birthweight and family income, and indirectly affected by some other factors. Child development is directly affected by marital age, family stimulation, and birthweight, and indirectly affected by some other factors.Keywords: life-course, growth, development, children under 3 years oldCorrespondence: Umianita Risca Wulandari. Masters Program in Public Heath, Sebelas Maret University, Surakarta. Email: umianita03@gmail.com. Mobile: +6285736404487.Journal of Maternal and Child Health (2017), 2(2): 137-149https://doi.org/10.26911/thejmch.2017.02.02.05
Expanded Maternal and New Born Survival Program on Strengthening Mother and Child Health Referral System in Cilacap, Indonesia Sulistyoningrum, Indah; Budihastuti, Uki Retno; Sutisna, Endang
Journal of Maternal and Child Health Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: In 2012, the maternal mortality rate or MMR and infant mortality rate or IMR in Cilacap, Central Java, tends to increase through the Expanding Maternal and Neonatal Survival or EMAS. This study aimed to determine the implementation expanding maternal and new born survival program in strengthening mother and child health and referral services.Subjects and Method: This was qualitative study. This was conducted in Cilacap.A total of 16 health professional and four societies. The informants were team leader of EMAS, EMAS quality improvement coordinator, civil society coordinator strengthener of EMAS, head of health service in Cilacap, and Chairman of the Civil Society Forum. The data was collected with interviews, observation and document and analyzed using content analysis.Results: The results of this study showed that the standard policy of the implementation of the EMAS clear, precise, clear measurable was indicators of achievement. Objectives of this study could be understood by health professionals and civil society of maternal and child health forum. Health professionals resources in an amount sufficient, with the competence and there was lack equipment and drugs in health centers. Networking system of EMAS utilization was optimal in public health center and hospitals. Communication is effective starting from the initial visit, counseling, socialization, and comparative study. Characteristics of executing agencies indicate good working procedures. Disposition implementer showed a positive attitude and support. The environmental conditions of social, political and economic support. Some of the program started in Cilacap to reduce MMR and IMR and fairly produced significant results.Conclusions: It is suggested to Cilacaphealth service to hold aid and medicine midwife training to improve skills in handling emergency cases of maternal and neonatal.Keywords: Expanding Maternal and New Born Survival, maternal mortality, infant mortalityCorrespondence: Indah Sulistyoningrum. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.Journal of Maternal and Child Health (2016), 2(1): 19-24https://doi.org/10.26911/thejmch.2016.01.01.04