Journal of Maternal and Child Health (2020), Vol. 5, No. 3
Do the Integrated Health Posts Have Contextual Effect on Birth Weight? A Multilevel Evidence from Situbondo, East Java
Eti Kuswandari1) , Harsono Salimo2) , Yulia Lanti Retno Dewi3)
1)Masters Program in Public Health, Universitas Sebelas Maret 2)Department of Pediatrics, Dr. Moewardi Hospital 3)Faculty of Medicine, Universitas Sebelas Maret
ABSTRACT
Background: Low birth weight babies (LBW) are sensitive indicators of socioeconomic conditions and indirectly become a benchmark for maternal and child health. This study aimed to analyze contextual effect of integrated health post and socioeconomic determinants on LBW in Situbondo.
Subjects and Method: This was an observational analytic study with a case control design. The study was conducted at the integrated health posts in the Asembagus Health Center. The study population was all infants aged 0-1 years. A sample of 150 infants with normal birthweight and 50 LBW was selected by simple random sampling. The dependent variable was LBW. The independents variables were maternal age, maternal education, maternal occupation, maternal knowledge, family income, exposure to cigarette smoke, and integrated health post strata. Data were analyzed using multilevel multiple logistic regression analysis using STATA 13.
Results: The risk of LBW increased with maternal age <20 years or ≥35 years (b= 1.78; 95% CI= 0.83 to 2.73; p<0.001), low maternal education (b= 0.93; 95% CI <0.01 to 1.86; p= 0.049), mother working outside the home (b= 1.24; 95% CI= 0.26 to 2.22; p= 0.013), low family income (b= 1.33; 95% CI= 0.42 to 2.24; p= 0.004), low maternal knowledge (b= 1.17; 95% CI= 0.13 to 2.21; p= 0.026), and high cigarette smoke exposure (b= 1.11; 95% CI= 0.08 to 2.13; p= 0.035). Integrated health post has not contextual effect on LBW with ICC= 0.01%.
Conclusion: The risk of LBW increases with maternal age <20 years or ≥35 years, low maternal education, low maternal education, mother working outside the home, low family income, low maternal knowledge, and high cigarette smoke exposure. Integrated health post has not contextual effect on LBW.
Keywords: low birthweight, socio-economic determinants, integrated health post
Correspondence: Eti Kuswandari. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: etikuswandari.ek@gmail.com. Mobile : +6282132- 770153.