Associations of Self-efficacy, Family Support, Peer Support, and Posyandu Facility, with Mothers Visit to Posyandu in Karanganyar, Central Java

• Main Authors: Ernawati Ernawati, Endang Sutisna Sulaeman, Dono Indarto
• Format: Article
• Language: English
• Published: Masters Program in Public Health, Universitas Sebelas Maret 2018-07-01
• Series: Journal of Maternal and Child Health
• Subjects: integrated health post; mothers visit; self-efficacy; family support; multilevel analysis
• Online Access: http://thejmch.com/index.php?journal=thejmch&page=article&op=view&path%5B%5D=105&path%5B%5D=108

Background: Integrated service delivery has been defined as the organization and management of health services so that people get the care they need, when they need it, in ways that are user-friendly, achieve the desired results and provide value for money. In Indonesia, the integrated service delivery at the village level is called as posyandu (integrated health post) with the support of community health workers working together with formal primary health care workers. This study aimed to examine the associations of self-efficacy, family support, peer support, and posyandu facility, with mothers visit to posyandu in Karanganyar, Central Java. Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at 25 posyandus in Karanganyar, Central Java, from April 16 to May 15, 2018. A sample of 200 mothers was selected by simple random sampling. The dependent variable was mothers visit to posyandu. The independent variables were self-efficacy, family support, peer support, and posyandu facility. The data were collected by questionnaire and analyzed by a multilevel logistic regression using Stata 13 program. Results: Mothers visit to posyandu was positively associated with self-efficacy (b= 1.90; 95 CI= 0.43 to 3.36; p= 0.011), family support (b= 2.24; 95% CI= 0.81 to 3.67; p= 0.002), peer support (b= 1.98; 95% CI= 0.63 to 3.34; p= 0.004), and posyandu facility (b= 3.86; 95% CI= 1.93 to 5.80; p<0.001). Posyandu had a contextual effect on mothers visit to posyandu with ICC 24.79%. Conclusion: Mothers visit to posyandu is positively associated with self-efficacy, family support, peer support, and posyandu facility. Posyandu has a considerable contextual effect on mothers visit to posyandu.