Mothers and child health (MCH) are one of the main issues in family medicine. Related to this practice, Indonesian government issued mother and child health (MCH) handbook for monitoring child development due to various child developmental problems in Indonesia. However, there are reports of improper MCH handbook utilization. This study aimed to analyze factors related to the utilization of MCH handbook by mothers in Indonesia. Cross sectional observational study was conducted from March to May 2018. This study involved mothers with children aged 3 to 72 months old in Surabaya, East Java, Indonesia. Specific population of mothers who had children attending Early Childhood Education and Development (ECED) and Integrated Health Post (IHP) (Indonesia: Pos Pelayanan Terpadu-Posyandu) were included as inclusion criteria. Maternal characteristics, child health status, employment status, and utilization of MCH handbook were recorded through questionnaire. Association between variables then analyzed statistically using Spearman correlation test. As many as 288 participants were enrolled in this study. We found that mothers’ participation of Posyandu was positively correlated with MCH handbook utilization (p<0.05). Meanwhile, mother’s occupation (p>0.05), mothers’ education (p>0.05), and maternal age (p>0.05) were found to be unrelated to the utilization of MCH handbook. Mothers’ age, education, and employment were found to be uncorrelated with utilization of MCH handbook. Whereas, mothers’ participation in Posyandu was a determinant factor correlated with utilization of MCH handbook.

Background: Mothers who were married too young have a higher risk of to experience psychological and emotional problems influencing parenting style, which may have an impact on child development. However, prevalence of parenting style in early marriage mothers in Indonesia is still unknown. This study aimed to determine the prevalence of adopted parenting style on early marriage mothers. Subjects and Method: A cross-sectional study was conducted in Martapura, Banjar Regency, South Kalimantan, Indonesia, from April 1 to May 30, 2018. Mothers who were married in early age (<21 years old) were enrolled using simple random sampling. The dependent variable was parenting style. The independent variables were education, family income, and number of children. Parenting style was measured by short version of parenting style and dimension questionnaire (PSDQ). The data were analyzed by Spearman test. Result: Authoritative parenting style is the most common parenting style (54.6%), followed by authoritarian (32.7%), and permissive (12.7%) parenting style. Education level (r= -0.07; p= 0.325) decreased parental parenting style, but it was statistically non-significant. Family income (r= 0.72; p= 0.302) and number of children (r= 0.27; p= 0.700) increased parental parenting style, but it was statistically non-significant. Conclusions: Education level decreases parental parenting style, but it is statistically nonsignificant. Family income and number of children increase parental parenting style, but it was statistically non-significant.

Docosahexaenoic acid is a fatty acid found naturally in plants oil, fish oil, fish meat, seafood flaxseed, algae, and egg yolk. It is one of the long-chain unsaturated fatty acids that are important for human biochemistry. As an important component of grey matter, docosahexaenoic acid is subject to intense research in the field of neurodevelopmental study. It is needed mainly in the third trimester of pregnancy for optimal foetal brain growth and mother’s docosahexaenoic acid intake is known to be important in supplying the foetal needs. However, arguments still exist on whether docosahexaenoic acid status is essential or non-essential for infants, especially in the preterm infant population. In the past, strong arguments coming from translational studies showed the benefits of supplementation of docosahexaenoic acid in developing foetuses and infants. Hence, docosahexaenoic acid supplementation has long existed as commercially available docosahexaenoic acid-fortified formula milk. However, the benefit of this supplementation remains controversial after follow-up in human-based studies and clinical trials. The discovery of the fatty acid desaturase gene and its significance in regulating human docosahexaenoic acid and polyunsaturated fatty acids levels also seemed to give new evidence basis for docosahexaenoic acid supplementation in infants. This literature review attempts to explain the current understanding of clinical benefit of docosahexaenoic acid-fortified milk for infants, starting from the translational study level to clinical trials.

Highlight: The stroke risk of the urban population in Mojo sub-district, Surabaya, was high (more than 10% risk for 36.3% of the population) . The risk factor for stroke is highly prevalent in Indonesia's urban communities, such as Surabaya. The Indonesian version of the Cardiovascular Disease Risk Index chart aids in determining stroke risk factors. The development of a stroke-spesific index chart has been done before but requires validation for the Indonesian population   ABSTRACT Introduction: Stroke is still a major cardiovascular disease in Indonesia. Locally published data regarding stroke risk factors is still rarely reported. This condition complicates the regulation, policy-making, and community empowerment efforts to reduce modifiable stroke risk factors. Thus, a study is necessary to provide an overview of stroke risk factors and risks in cities in Indonesia, such as Surabaya. Objective: This study aimed to describe stroke risk factors in an urban Indonesian community, such as the Mojo sub-district in Surabaya. Methods: This was a descriptive study to describe stroke risk factors like age, gender, history of comorbidities, and history of cardiovascular disease, as well as patient clinical data like neurological symptoms, cardiovascular symptoms, anthropometry, vital signs, simple laboratory values, and cardiovascular risk categorization in the next ten years based on the Cardiovascular Disease Risk Index chart, Indonesian version. Results: In this study, 33 participants were included. Risk factors showed that many participants had histories of active smoking (18.2%), hypertension (45.5%), and diabetes (24.2%). One-third of the participants had a history of dyslipidemia. Based on the risk chart for cardiovascular disease, 36.3% of participants were at >10% risk of developing cardiovascular disease in the next ten years. Conclusion: The risk index of cardiovascular disease in the Mojo sub-district, Surabaya, was still high. A combination of government policies, public awareness improvement, and community empowerment are urgently required to manage these risk factors epidemiologically.