Background: After delivery psychological disorder otherwise appropriately and immediately handled may lead to postpartum depression (PPD). PPD has serious impact on mothers that manifests as lower quality of life and inability to care of themselves, their partner, and infants. There is a lack of studies on PPD in Indonesia. Its prevalence and determinants are not wellunderstood. This study seek to estimate the prevalence and the determinants of PPD in Sukoharjo, Central Java. Subjects and Method: This was an analytic observational study with cross-sectional design. The study was conducted at community health centers in Sukoharjo District, Central Java, from November to December, 2017. A total sample of 200 postpartum mothers was selected for this study using cluster random sampling, with community health center as the cluster. The dependent variable was PPD. The independent variables were maternal age, parity, labor complication, maternal education, self-efficacy, family income, coping strategy, unwanted pregnancy, and family support. The data were collected by questionnaire and analyzed by path analysis. Results: PPD prevalence in Sukoharjo, Central Java, was 18.5%. The risk of PPD increased with labor complication (b= 3.14, SE= 0.45, p<0.001), unwanted pregnancy (b= 1.54, SE= 0.45, p<0.001), and low family income (b= -0.05, SE= 0.01, p<0.001). The risk of PPD decreased with age (b= -0.07, SE= 0.03, p= 0.028), stronger self-efficacy (b= -0.55, SE= 0.09, p<0.001), and improved coping strategy (b= -0.56, SE= 0.03, p= 0.064). Unwanted pregnancy increased with younger age (b= -0.02, SE= 0.01, p= <0.001), parity (b= 0.27, SE= 0.04, p<0.001), weaker family support (b= -0.05, SE= 0.02, p= 0.044), and lower family income (b= -0.01, SE= <0.01, p= 0.003). The risk of labor complication decreased with increasing age (b= -0.03, SE= 0.01, p<0.001) and higher family income (b= -0.01, SE= <0.01, p<0.001), but increased with parity (b= 0.27, SE= 0.05, p<0.001). Coping strategy improved with increasing age (b= 0.17, SE= 0.07, p= 0.015) and higher maternal education (b= 1.94, SE= 0.48, p<0.001). Self-efficacy increased with higher family income (b= 0.04, SE= 0.01, p<0.001) and stronger family support (b= 0.03, SE= 0.12, p= 0.016). Conclusion: PPD prevalence is 18.5% in Sukoharjo, Central Java. The risk of PPD increases with labor complication, unwanted pregnancy, and low family income, but decreases with age, stronger self-efficacy, and improved coping strategy.

Background: Cervical cancer is a deadly disease with high incidence rates in the world and in Indonesia. In Kediri, East Java, there were 33 women who had cervical cancer in 2016, 3 of them died. Cervical cancer is caused by type 16 and type 18 Human Papilloma Viruses (HPV). This disease can be prevented by the application of HPV vaccine. This study aimed to examine factors associated with the use of HPV vaccine for the prevention of cervical cancer among women in Kediri, East Java, using health belief model (HBM). Subjects and Method: This study was an analytic observational with case control design. It was conducted in Kediri, East Java, from February 10 to March 10, 2017. A sample of 120 women consisting of 40 women who had used HPV vaccine and 80 women who had not used HPV vaccine, were selected for this study by fixed disease sampling. The dependent variable was use of HPV vaccine. The independent variables included perceived susceptibility, perceived severity, perceived benefit, perceived threat, perceived barrier, and cues to action. The data were collected by a set of pre-tested questionnaire. Logistic regression was employed for data analysis. Results: The use of HPV vaccine was associated with perceived susceptibility (OR= 0.79; 95% CI= 0.23 to 2.70; p= 0.710), perceived severity (OR= 5.19; 95% CI= 1.30 to 20.66; p= 0.019), perceived threat (OR= 1.04; 95% CI= 0.32 to 3.35; p= 0.942), perceived benefit (OR= 1.33; 95% CI= 0.40 to 4.38; p= 0.638), perceived barrier (OR= 0.42; 95% CI= 0.14 to 1.27; p= 0.126), and cues to action (OR= 5.90; 95% CI= 1.30 to 26.74; p = 0.021). Conclusion:The use of HPV vaccine is associated with perceived susceptibility, perceived severity, perceived threat, perceived benefit, perceived barrier, and cues to action. Constructs in health belief model can be used to predict the use of HPV vaccine.

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Background: Cervical cancer was a serious health problem for women and VIA screening provided many benefits to women, which was to detect early cervical cancer. This study aimed to determine the determinants that influence the use of VIA with the theory of Health Belief Model on women of reproductive age. Subjects and Method: This was an analytic observational study with a case-control approach, conducted in the working area of Wongsorejo Public Health Center, Banyuwangi, East Java from March to April 2019. The sampling technique used was Fixed Disease Sampling, with a ratio of 1:3. Samples from 150 women reproductive age who had not used VIA screening and 50 women who had conducted VIA screening. Independent variables were perceived susceptibility, perceived severity, perceived benefits, cues to action, self-efficacy, knowledge, attitudes, access to services and husband's support. The dependent variable was the use of VIA. Data were collected by questionnaire and analyzed by path analysis. Results: The use of VIA screening was directly affected and has a positive effect on perceived vulnerability (b= 1.45; CI 95%= 0.50 to 2.40; p= 0.003), perceived severity (b= 0.86; CI 95%= -0.16 to 1.88; p= 0.099), perceived benefit (b= 1.61; CI 95%= 0.52 to 2.68; p= 0.003), cues to action (b= 1.21; CI 95%= 0.05 to 2.37; p= 0.040), high efficacy (b= 1.26; CI 95%= 0.27 to 2.26; p= 0.012), attitude (b= 1.83; CI 95%= 0.81 up to 2.85) and husband support (b= 1.59; CI 95%= 0.63 to 2.55). The use of VIA screening was indirectly influenced by access to health services and knowledge. Conclusion:The use of VIA screening was directly influenced by perceived vulnerability, perceived severity, perceived benefits, perceived barriers, cues to act, self-efficacy, attitude and husband support. And it was indirectly influenced by access to services and knowledge.

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