Effect of Family Hope Program on Maternal Health Behavior and Children Under Five Nutritional Status in Poor Families, Jombang, East Java

Background: Family Hope Program, or internationally referred to as Conditional Cash Transfer (CCT), is a government poverty allevation initiative by provision of conditional cash money that induces healthy behavior so as to achieve strong generation. This study sought to examine the effect of Family Hope Program on maternal health behavior and children under five nutritional status in poor families, Jombang, East Java.Subjects and Method: This was an analytic observational study with retrospective cohort design. This study was conducted in Jombang District, East Java, from November to December 2017. A total sample of 210 mothers and their children under five were selected for this study by fixed exposure sampling. The dependent variables were maternal health behavior and child nutritional status. The independent variables were birthweight, history of illness, maternal education, family income, family support, government Family Hope Program,  and access to health service. The data were collected by maternal and child book record and questionnaire. The data were analyzed by path analysis.Results: The likelihood of good nutritional status of children under five increased with good nutritional intake (b= 1.9; 95% CI= 1.1 to 2.8; p <0.001), normal birthweight (b= 2.5;  95% CI= 0.9 to 4.1; p= 0.002), rare frequency of illness (b= 1.3; 95% CI= 0.5 to 2.1; p= 0.001), and strong family support (b= 1.5; 95% CI= 0.6 to 2.3; p<0.001). The likelihood of maternal healthy behavior increased with Family Hope Program (b= 4.1; 95% CI= 3.1 to 5.0; p <0.001) and higher maternal education (b= 1.9; 95% CI= 0.9 to 2.8; p<0.001). Good nutritional intake increased with maternal healthy behavior (b= 0.4; 95% CI= - 0.04 to 0.85; p = 0.074) and strong family support (b= 0.6; 95% CI = 0.2 to 1.1; p= 0.004).Conclusion: The likelihood of good nutritional status of children under five increases with good nutritional intake, normal birthweight, no history of illness over the past three months, and strong family support. Family Hope Program induces maternal health behavior, increases child nutritional intake, and eventually improves child nutritional status.Keywords: child nutritional status, maternal health behavior, Family Hope ProgramCorrespondence: Sintya Rosalina. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java. Email: [email protected]. Mobile 085732761747.Journal of Maternal and Child Health (2018), 3(1): 33-43https://doi.org/10.26911/thejmch.2018.03.01.0

Path Analysis on the Effectiveness of the Family Hope Program in Improving the Nutritional Status of Children Under Five in Jombang, East Java

Background: Conditional cash transfers (CCT) are one of the most prevalent social assistance programs in low and middle-income countries with the goal of improving for poor families through interventions in health, nutrition and education. Previous study showed that these programs might have helped reduce poverty among program participants. Little is known about the effectiveness of a CCT in Indonesia named Family Hope Program. This study aimed to examine the effect of Family Hope Program on maternal health behavior and children under five nutritional status in poor families, Jombang, East Java. Subjects and Method: This was a retrospective cohort study conducted in Jombang District, East Java, from November to December 2017. A total sample of 210 mothers and their children under five were selected for this study by fixed exposure sampling. The dependent variables were maternal health behavior and child nutritional status. The independent variables were birthweight, history of illness, maternal education, family income, family support, government Family Hope Program, and access to health service. The data were collected by maternal and child book record and questionnaire. The data were analyzed by path analysis. Results: The likelihood of good nutritional status of children under five increased with good nutritional intake (b= 1.9; 95% CI= 1.1 to 2.8; p<0.001), normal birthweight (b= 2.5; 95% CI= 0.9 to 4.1; p= 0.002), rare frequency of illness (b= 1.3; 95% CI= 0.5 to 2.1; p= 0.001), and strong family support (b= 1.5; 95% CI= 0.6 to 2.3; p<0.001). The Family Health Program showed a positive indirect effect on nutritional status of children through improving maternal health behavior. Conclusion: The likelihood of good nutritional status of children under five increases with good nutritional intake, normal birthweight, no history of illness over the past three months, and strong family support. The Family Hope Program is effective in improving child nutritional status by enhancing maternal health behavior and increasing child nutritional intake. Keywords: child nutritional status, maternal health behavior, Family Hope Progra

HUBUNGAN ASUPAN KALORI DAN PROTEIN IBU NIFAS DENGAN LAMA PENYEMBUHAN LUKA PERINEUM DI PUSKESMAS BALOWERTI KOTA KEDIRI INDONESIA

Abstract Injury to the birth is canal into the entry into infectious bacteria. Good nutrition is necessary for the healing process. Calories and protein is a vital component of treatment. The purpose to determine the relationship of calorie and protein intake with the length of the perineal wound healing in Balowerti Puskesmas Kediri. The method used is an analytical survey. The number of samples were 14 respondents, the sampling technique is using simple random sampling. Data collection using 24-hour recall form and using the observation sheets perineal wound healing. The results showed that postpartum women who fullfil calorie and protein intake in the category of deficits have long tended perineal wound healing time (more than 7 days).The conclusion that there is a relationship calorie and protein intake to the length of the perineal wound healing.Keywords: Calories and Protein, Perineum Wound, Postpartu

HUBUNGAN ASUPAN KALORI DAN PROTEIN IBU NIFAS DENGAN LAMA PENYEMBUHAN LUKA PERINEUM DI PUSKESMAS BALOWERTI KOTA KEDIRI INDONESIA

Injury to the birth is canal into the entry into infectious bacteria. Good nutrition is necessary for the healing process. Calories and protein is a vital component of treatment. The purpose to determine the relationship of calorie and protein intake with the length of the perineal wound healing in Balowerti Puskesmas Kediri. The method used is an analytical survey. The number of samples were 14 respondents, the sampling technique is using simple random sampling. Data collection using 24-hour recall form and using the observation sheets perineal wound healing. The results showed that postpartum women who fullfil calorie and protein intake in the category of deficits have long tended perineal wound healing time (more than 7 days).The conclusion that there is a relationship calorie and protein intake to the length of the perineal wound healing. Keywords: Calories and Protein, Perineum Wound, Postpartu

Effect of Family Hope Program on Maternal Health Behavior and Children Under Five Nutritional Status in Poor Families, Jombang, East Java

Background: Family Hope Program, or internationally referred to as Conditional Cash Transfer (CCT), is a government poverty allevation initiative by provision of conditional cash money that induces healthy behavior so as to achieve strong generation. This study sought to examine the effect of Family Hope Program on maternal health behavior and children under five nutritional status in poor families, Jombang, East Java. Subjects and Method: This was an analytic observational study with retrospective cohort design. This study was conducted in Jombang District, East Java, from November to December 2017. A total sample of 210 mothers and their children under five were selected for this study by fixed exposure sampling. The dependent variables were maternal health behavior and child nutritional status. The independent variables were birthweight, history of illness, maternal education, family income, family support, government Family Hope Program, and access to health service. The data were collected by maternal and child book record and questionnaire. The data were analyzed by path analysis. Results: The likelihood of good nutritional status of children under five increased with good nutritional intake (b= 1.9; 95% CI= 1.1 to 2.8; p <0.001), normal birthweight (b= 2.5; 95% CI= 0.9 to 4.1; p= 0.002), rare frequency of illness (b= 1.3; 95% CI= 0.5 to 2.1; p= 0.001), and strong family support (b= 1.5; 95% CI= 0.6 to 2.3; p<0.001). The likelihood of maternal healthy behavior increased with Family Hope Program (b= 4.1; 95% CI= 3.1 to 5.0; p <0.001) and higher maternal education (b= 1.9; 95% CI= 0.9 to 2.8; p<0.001). Good nutritional intake increased with maternal healthy behavior (b= 0.4; 95% CI= - 0.04 to 0.85; p = 0.074) and strong family support (b= 0.6; 95% CI = 0.2 to 1.1; p= 0.004). Conclusion: The likelihood of good nutritional status of children under five increases with good nutritional intake, normal birthweight, no history of illness over the past three months, and strong family support. Family Hope Program induces maternal health behavior, increases child nutritional intake, and eventually improves child nutritional status