Socioeconomic inequality in exclusive breastfeeding behavior and ideation factors for social behavioral change in three north-western Nigerian states: a cross-sectional study

Abstract Background Socioeconomic inequalities could mitigate the impact of social and behavior change (SBC) interventions aimed at improving positive ideation towards the practice of exclusive breastfeeding. This study explores the empirical evidence of inequalities in the practice of exclusive breastfeeding (EBF) and associated ideational dimensions and domains of the theory of Strategic Communication and Behavior Change in three north-western Nigeria states. Methods We used cross-sectional data from 3007 randomly selected women with under-two-year-old children; the convenient regression method was applied to estimate the concentration indexes (CIxs) of exclusive breastfeeding behavior, ranked by household wealth index. Inequality was decomposed to associated ideational factors and sociodemographic determinants. Avoidable inequalities and the proportion of linear redistribution to achieve zero inequality were estimated. Results Women from wealthier households were more likely to practice exclusive breastfeeding CIx = 0.1236, p-value = 0.00). Attendance of at least four antenatal clinic visits (ANC 4+) was the most significant contributor to the inequality, contributing CIx = 0.0307 (p-value = 0.00) to the estimated inequality in exclusive breastfeeding practice. The elasticity of exclusive breastfeeding behavior with respect to partners influencing decision to breastfeed and ANC4+, were 0.1484 (p-value = 0.00) and 0.0825 (p-value = 0.00) respectively. Inequality in the regular attendance at community meetings (CIx = 0.1887, p-value =0.00); ANC 4+) (CIx = 0.3722, p-value = 0.00); and maternal age (CIx = 0.0161, p-value = 0.00) were pro-rich. A 10.7% redistribution of exclusive breastfeeding behavior from the wealthier half to the poorer half of the population could eliminate the inequality (line of zero inequality). Inequalities were mainly in the cognitive and social norms dimension and were all pro-poor. Conclusion Socioeconomic inequalities exist in exclusive breastfeeding behaviors and in associated ideation factors in the three states but are mostly avoidable. A 10.7% redistribution from wealthier to the poorer half of the population will achieve elimination. Messaging for SBC communication interventions to improve breastfeeding practices could be more effective by targeting the mitigation of these inequalities.

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Socioeconomic Inequality in Exclusive Breastfeeding Behavior and Ideation Factors for Social Behavioral Change in Three North-western Nigerian States: a Cross-sectional Study.

10.21203/rs.3.rs-287956/v1 ◽

2021 ◽

Author(s):

Dele Abegunde ◽

Paul Hutchinson ◽

Udochisom Anaba ◽

Foyeke Oyedokun Adebagbo ◽

Emily White Johansson ◽

...

Keyword(s):

Behavior Change ◽

Exclusive Breastfeeding ◽

Strategic Communication ◽

Household Wealth ◽

Socioeconomic Inequalities ◽

P Value ◽

Cross Sectional ◽

And Behavior ◽

The Impact ◽

North Western

Abstract BackgroundSocioeconomic inequalities could mitigate the impact of social and behavior change (SBC) interventions aimed at improving positive ideation towards the practice of exclusive breastfeeding. This study explores the empirical evidence of inequalities in the practice of exclusive breastfeeding (EBF) and associated ideational domains of the theory of Strategic Communication and Behavior Change in three north-western Nigeria states. MethodsWe used cross‐sectional data from 3,007 randomly selected women with under-two-year-old children; the convenient regression method was applied to estimate the concentration indexes of exclusive breastfeeding behavior, ranked by household wealth index. Inequality was decomposed to associated ideational factors and sociodemographic determinants. Avoidable inequalities and the proportion of linear redistribution to achieve zero inequality were estimated. ResultsWomen from wealthier households were more likely to practice exclusive breastfeeding (CIx = 0.1236, p-value = 0.00). Attendance of at least four antenatal clinic visits (ANC 4+) was the most significant contributor to the inequality, contributing CIx = 0.0307 (p-value = 0.00) to the estimated inequality in exclusive breastfeeding practice. The elasticity of exclusive breastfeeding behavior with respect to partners influencing decision to breastfeed and ANC4+, were 0.1484 (p-value = 0.00) and 0.0825 (p-value = 0.00) respectively. Inequality in the regular attendance at community meetings (CIx = 0.1887, p-value =0.00); ANC 4+) (CIx = 0.3722, p-value = 0.00); and maternal age (CIx = 0.0161, p-value = 0.00) were pro-rich. A 10.7% redistribution of exclusive breastfeeding behavior from the wealthier half to the poorer half of the population could eliminate the inequality (line of zero inequality). Inequalities were mainly in the cognitive and social norms domain and were all pro-poor.ConclusionSocioeconomic inequalities exist in exclusive breastfeeding behaviour: the associated ideations in the study states but are mostly avoidable. A 10.7% redistribution from wealthier to the poorer half of the population will achieve elimination. Messaging for SBC communication interventions to improve breastfeeding practices could be more effective by targeting the mitigation of these inequalities.

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The Role of Maternal Ideations on Breastfeeding Practices in Northwestern Nigeria: a Cross-sectional Analysis

10.21203/rs.3.rs-296965/v1 ◽

2021 ◽

Author(s):

Udochisom Anaba ◽

Emily White Johansson ◽

Dele Abegunde ◽

Gloria Adoyi ◽

Olayinka Umar-Farouk ◽

...

Keyword(s):

Behavior Change ◽

Child Survival ◽

Strategic Communication ◽

Household Wealth ◽

Population Based ◽

Cross Sectional ◽

Logistic Regression Models ◽

Social And Emotional ◽

Breastfeeding Practices ◽

And Behavior

Abstract Background Early initiation of breastfeeding (EIBF) within the first hour of birth and exclusive breastfeeding (EBF) for the first six months of life are beneficial for child survival and long-term health. Yet breastfeeding rates remain sub-optimal in Northwestern Nigeria, and such practices are often influenced by complex psychosocial factors at cognitive, social and emotional levels. To understand these influences, we developed a set of breastfeeding-related ideational factors and quantitatively examined their relationship with EIBF and EBF practices. Methods A cross‐sectional population‐based survey was conducted in Kebbi, Sokoto, and Zamfara states from September through October 2019. A random sample of over 3000 women with at least one child under 2 years was obtained. Respondents were asked about their health behaviors including breastfeeding practices for their youngest child under 2 years. Breastfeeding-related ideations were developed using the Ideation Model of Strategic Communication and Behavior Change. Mixed-effects logistic regression models were used to derive predicted probabilities for EIBF and EBF while adjusting for ideations and socio-demographic variables. Results Among 3039 women with a child under 2 years of age, 42.1% (95% CI: 35.1% - 49.4%) practiced EIBF, while 37.5% (95% CI: 29.8% - 46.0%) out of 721 infants aged 0-5 months were exclusively breastfed. Women who knew that EIBF was protective on the health of the newborn had 7.9 and 7.0 percentage points (pp) higher likelihood of EIBF and EBF practices respectively. Women who believed colostrum was harmful both had 8.4 pp lower likelihood of EIBF and EBF practices. We found a higher likelihood of practicing EIBF (5.1 pp) and EBF (13.3 pp) among women who knew at least one benefit of breastfeeding. Knowledge of the appropriate time to introduce complementary feeding and having self-efficacy to practice EBF were positively associated with 11.2 pp and 13.1 pp increased likelihood of practicing EBF alone. Household wealth, maternal occupation and attending ANC4+ times were associated with EIBF, while health provider’s influence was associated with EBF. Conclusion Social and Behavior Change (SBC) programs should focus on improving women’s knowledge about breastfeeding and its benefits, dispelling myths around colostrum as bad milk, building women’s confidence to exclusively breastfeed, and improving antenatal care uptake to support breastfeeding promotion.

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Mental and Emotional Self-Help Technology Apps: Cross-Sectional Study of Theory, Technology, and Mental Health Behaviors

JMIR Mental Health ◽

10.2196/mental.7262 ◽

2017 ◽

Vol 4 (4) ◽

pp. e45 ◽

Cited By ~ 8

Author(s):

Benjamin T Crookston ◽

Joshua H West ◽

P Cougar Hall ◽

Kaitana Martinez Dahle ◽

Thomas L Heaton ◽

...

Keyword(s):

Mental Health ◽

Behavior Change ◽

Health Behaviors ◽

Emotional Health ◽

Actual Behavior ◽

Cross Sectional ◽

Health Apps ◽

Self Help ◽

And Behavior ◽

The Impact

Background Mental and emotional self-help apps have emerged as potential mental illness prevention and treatment tools. The health behavior theory mechanisms by which these apps influence mental health–related behavior change have not been thoroughly examined. Objective The objective of this study was to examine the association between theoretical behavior change mechanisms and use of mental and emotional self-help apps and whether the use of such apps is associated with mental health behaviors. Methods This study utilized a cross-sectional survey of 150 users of mental or emotional health apps in the past 6 months. Survey questions included theory-based items, app engagement and likeability items, and behavior change items. Stata version 14 was used to calculate all statistics. Descriptive statistics were calculated for each of the demographic, theory, engagement, and behavior variables. Multiple regression analysis was used to identify factors associated with reported changes in theory and separately for reported changes in actual behavior after controlling for potentially confounding variables. Results Participants reported that app use increased their motivation, desire to set goals, confidence, control, and intentions to be mentally and emotionally healthy. Engagement (P<.001) was positively associated with the reported changes in theory items, whereas perceived behavior change was positively associated with theory (P<.001), engagement (P=.004), frequency of use of apps (P=.01), and income (P=.049). Conclusions Participants reported that app use increased their motivation, desire to set goals, confidence, control, and intentions to be mentally and emotionally healthy. This increase in perceptions, beliefs, and attitudes surrounding their mental and emotional health was considerably associated with perceived change in behavior. There was a positive association between the level of engagement with the app and the impact on theory items. Future efforts should consider the value of impacting key theoretical constructs when designing mental and emotional health apps. As apps are evaluated and additional theory-based apps are created, cost-effective self-help apps may become common preventative and treatment tools in the mental health field.

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The Effectiveness of Health Counseling in Improving Knowledge, Attitudes and Behavior of Waste Management in Pejambuan Village

Addaiyan Journal of Arts, Humanities and Social Sciences - Volume-1: Issue-10 (December, 2019) ◽

10.36099/ajahss.3.11.15 ◽

2021 ◽

pp. 118-123

Author(s):

Zuhrufa Wanna Yolanda

Keyword(s):

Waste Management ◽

Solid Waste ◽

World Bank ◽

Wilcoxon Test ◽

P Value ◽

Cross Sectional ◽

Analytical Technique ◽

And Behavior ◽

Attitudes And Behavior ◽

The Impact

The waste problem in Indonesia is a problem that has not been resolved until now. Garbage is very dangerous for human health and the environment. The impact if the waste is not managed properly is that it can become a source of disease and the environment becomes dirty. Based on World Bank data, the amount of solid waste in the world will continue to increase by 70% from 2018 to 2025, from 1,3 billion tons/year to 2,2 billion tons/year. The majority of the increase occurred in developing countries. In Indonesia, World Bank data shows that the national solid waste production reaches 151,921 tons/day. According to data from the National Waste Management Information System for 2017-2018, the amount of waste in Banjar Regency, South Kalimantan Province that was piled up in the TPA was 113,90 tons/day and the amount of unmanaged waste was 45,16 tons/day. Interventions are needed to improve the knowledge, attitudes, and behavior of the community regarding good waste management. Aim: To determine the effectiveness of health education on the knowledge, attitudes, and behavior of the community regarding waste management in Pejambuan Village. Method: This research is quantitative research with an approach cross-sectional. The number of samples is 30 people. The analytical technique used in this research is the Wilcoxon test. Result: The results of the Wilcoxon statistical test on knowledge obtained p-value (0,000), on attitude obtained p-value (0,000), and on behavior obtained p-value (0,000). Conclusion: There is a difference between the knowledge, attitudes, and behavior of the community before and after the waste management counseling activity.

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HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN KEJADIAN STUNTING PADA BALITA USIA 1-5 TAHUN DIPUSKESMAS SUKAHENING KECAMATAN SUKAHENING KABUPATEN TASIKMALAYA

Jurnal Ilmu Kesehatan Immanuel ◽

10.36051/jiki.v13i2.102 ◽

2020 ◽

Vol 13 (2) ◽

pp. 109

Author(s):

Yuyun Sarinengsih

Keyword(s):

Public Health ◽

Health Center ◽

Exclusive Breastfeeding ◽

Growth Failure ◽

Sampling Technique ◽

Not Given ◽

Chi Square ◽

Cross Sectional ◽

Public Health Center ◽

The Impact

ABSTRAKStunting yaitu keadaan gagal tumbuh akibat dari kekurangan gizi kronis. Prevalensi stunting di Kabupaten Tasikmalaya menempati urutan keempat, dimana kecamatan Sukahening menempati urutan pertama tertinggi dengan jumlah 155 balita mengalami stunting. Faktor yang dapat mempengaruhi kejadian stunting yaitu pengasuhan anak yang kurang baik dimana tidak diberikannya ASI secara Ekslusif. Pencegahan stunting yaitu pada 1000 hari kehidupan dimana salah satunya pemberian ASI secara Ekslusif.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Jenis Penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross-sectional. Populasi total sampling sebanyak 95 responden menggunakan teknik purposive sampling.Hasil Penelitian diperoleh lebih dari setengah responden 51,6% tidak diberikan ASI secara Ekslusif, dan sebagian besar 65,3% balita mengalami stunting. Hasil perhitungan chi-square diperoleh ρ.value (0,000<0,05) maka H0 ditolak sehingga terdapat hubungan antara Pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Hasil penelitian ini diharapkan dapat memberi informasi yang bermanfaat dan perlu dilakukan pendidikan kesehatan ulang yang terjadwal terkait nutrisi yang terjangkau dan sehat sehingga dapat meningkatkan cakupan ASI Ekslusif dan dapat menurunkan angka stunting.Kata Kunci : ASI Ekslusif, StuntingDaftar Pustaka : 25 buku (2010-2018)9 jurnal (2013-2019)2 Website (2010-2017) ABSTRACTStunting is a condition of growth failure due to chronic malnutrition. The stunting prevalence in Tasikmalaya Regency was at the fourth place where Sukahening sub-district was at the highest with 155 stunting. Factor that can influence the occurrence of stunting is a poor parenting where exclusive breastfeeding is not given. The best prevention of stunting is on 1000 days of life where exclusive breastfeeding is given. The impact, if the baby is not given exclusive breastfeeding, they will lack of nutrition and also will have an impact on the growth or inappropriate height. This aims of the research is to determine the relationship between exclusive breastfeeding and the incidence of stunting on toddler under 5 years of at Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. The type of research used is descriptive correlation with a cross-sectional approach. The total samplings were 95 respondents which used purposive sampling technique. The results of the research were obtained more than half of the respondents 51.6% were given exclusive breastfeeding, and most 65.3% of children under five had stunting. The chi-square calculation results obtained that ρ.value (0,000 <0,05) then H0 is rejected so that there is a relationship between exclusive breastfeeding and the incidence of stunting on toddlers under 5 years in Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. Performed the health education related to affordable and healthy nutrition so that it can increase the coverage of exclusive breastfeeding and can reduce stunting rates. Keywords : Exclusive breastfeeding, Stunting Bibliography : 25 books (2010-2018) 9 journals (2013-2019) 2 Websites (2010-2017)

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CORRELATION BETWEEN SMOKE-FREE AREAS AND SMOKING BEHAVIOR IN INDONESIA

Jurnal Berkala Epidemiologi ◽

10.20473/jbe.v8i22020.117-124 ◽

2020 ◽

Vol 8 (2) ◽

pp. 117

Author(s):

Mohamad Anis Fahmi

Keyword(s):

Public Awareness ◽

Smoking Behavior ◽

Secondary Data ◽

Computer Application ◽

P Value ◽

Cross Sectional ◽

Positive Correlation ◽

The Government ◽

Cross Sectional Design ◽

The Impact

Background: Low public awareness of the impact of smoking makes the implementation of smoke-free areas (KTR) difficult. Smoke-free areas aim to protect the public from the direct and indirect effects of smoking. Purpose: This study aimed to analyze the correlation between the application of smoke-free areas and the prevalence of active and ex-smokers in Indonesia. Method: This study implemented a cross-sectional design, using secondary data from the Riskesdas 2018 on active and ex-smokers. KTR application data were obtained from the Profile of Non-Communicable Diseases in 2016. A Pearson product-moment test was conducted by a computer application to determine the correlation coefficient (r). This coefficient was used to describe the level of correlation between the two variables; significance was determined as a p value of 5%. Results: This study showed that the average application of KTR throughout Indonesia was 50.83%, active smokers comprised 23.49% of the population, and ex-smokers comprised 4.94%. Most active smokers were in Java and Sumatra, while the majority of ex-smokers were in Java and Sulawesi and the majority of KTR was in Java. This study shows that there is a positive correlation between KTR application and the percentage of ex-smokers (r = 0.46; p value = 0.01). Conclusion: There is a positive correlation between the application of KTR and an increase in ex-smokers. The government needs to increase the application of KTR policies.

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HUBUNGAN TINGKAT PENGETAHUAN IBU DAN DUKUNGAN SUAMI TERHADAP KEBERHASILAN PEMBERIAN ASI EKSKLUSIF

JURNAL KESEHATAN MERCUSUAR ◽

10.36984/jkm.v2i1.23 ◽

2019 ◽

Vol 2 (1) ◽

pp. 5

Author(s):

Eka Putri Primasari

Keyword(s):

Breast Milk ◽

Exclusive Breastfeeding ◽

Statistical Test ◽

P Value ◽

Test Results ◽

Cross Sectional ◽

Level Of Knowledge ◽

Cross Sectional Design ◽

The Relationship ◽

Low Rate

Abstract: Breast milk is the best food for babies, especially in the first month of life. Breast milk contains all nutrients to build and provide the energy needed by the baby. The low rate of breastfeeding is a threat to child development. Several factors related to the success of exclusive breastfeeding are the level of knowledge of the mother and husband's support. The purpose of this study was to determine the relationship between the level of knowledge of mothers and husband's support towards the success of exclusive breastfeeding in Lubuk Kilangan Puskesmas in 2017. This study was analytical with a cross sectional design. The population in this study amounted to 153 respondents. A sample of 31 respondents obtained by simple ramdom sampling. Data were analyzed bivariate. The statistical test results obtained p-value = 0,000. It can be concluded that there is a relationship between the knowledge of mothers about exclusive breastfeeding and husband's support for the success of exclusive breastfeeding.

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Tinnitus: The Sound of Stress?

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017901814010264 ◽

2018 ◽

Vol 14 (1) ◽

pp. 264-269 ◽

Cited By ~ 2

Author(s):

Patricia Ciminelli ◽

Sergio Machado ◽

Manoela Palmeira ◽

Mauro Giovanni Carta ◽

Sarah Cristina Beirith ◽

...

Keyword(s):

Quality Of Life ◽

Progressive Increase ◽

Cross Sectional Study ◽

P Value ◽

Cross Sectional ◽

Mean Values ◽

Subjective Tinnitus ◽

Stress Symptoms ◽

The Impact

Background: Emotional stress is frequently associated with otologic symptoms as tinnitus and dizziness. Stress can contribute to the beginning or worsening of tinnitus. Objective: The objective of the study is to evaluate the presence of stress symptoms in patients with chronic, subjective tinnitus, and correlate its presence to annoyance associated with tinnitus. Methods: This is a cross-sectional study. One hundred and eighty patients with chronic, subjective tinnitus were included. Patients answered the Tinnitus Handicap Inventory (THI) to evaluate the impact of tinnitus in the quality of life and answered the Lipp's inventory symptoms of stress for adults (ISSL). The data obtained was organized using Excel® 2010, mean values, linear regression and p-value were calculated. Results: Of the 180 patients included in the study, 117 (65%) had stress symptoms, 52 of the 117 (44%) were in the resistance phase and 23 of the 117 (20%) in the exhaustion phase, the remaining was in the alert phase. There was a clear progressive increase in stress as THI raised, with more impact of tinnitus in quality of life. Conclusion: The presence of stress symptoms, measured by ISSL was observed in most of our patients with chronic subjective tinnitus, specially in the resistance and exhaustion phases and it is directly associated with tinnitus annoyance.

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The Impact of Legalization of Access to Recreational Cannabis on Canadian Medical Users with Cancer.

10.21203/rs.3.rs-15703/v4 ◽

2020 ◽

Author(s):

Philippa Helen Hawley ◽

Monica Gobbo ◽

Narsis Afghari

Keyword(s):

Cancer Patients ◽

Cannabis Use ◽

P Value ◽

Medical Cannabis ◽

Eligibility Criteria ◽

Cross Sectional ◽

Access System ◽

Patterns Of Use ◽

Barriers To Access ◽

The Impact

Abstract Background Canada legalized cannabis use for medical purposes in 1999. Legalization of cannabis for recreational purposes in October 2018 offered the opportunity to assess the impact of recreational legalization on cancer patients’ patterns of use to identify learning points that could be helpful to other countries considering similar legislation.Method Two identical anonymous cross-sectional surveys were administered to cancer patients in British Columbia (2 months before and 3 months following legalization), with the same eligibility criteria. The prevalence of medical cannabis use, the distribution of symptoms leading to use, the most common types of cannabis products and sources, reasons for stopping using cannabis, and barriers to access were assessed.Results The overall response rate was 27%. Both cohorts were similar regarding age (median= 66yrs), gender (53% female), and education (approximately 85% of participants had an education level of high school graduation and higher). Respondents had multiple motives for taking cannabis, including to manage multiple symptoms, to treat cancer, and for recreational reasons. The majority of patients in both surveys did not use the legal medical access system. Comparison of the two cohorts showed that after legalization the prevalence of current cannabis use increased by 26% (23·1% to 29·1%, p-value 0·01), including an increased disclosure of recreational motive for use, from 32% to 40%. However, in the post-legalization cohort more Current Users reported problems getting cannabis (18%) than the pre-legalization cohort (8%), (p-value <0·01). The most common barrier cited was lack of available preferred products, including edibles, as these were only available from illegal dispensaries. Conclusions Results showed that legalization of cannabis for recreational purposes may have an impact on those who use medical cannabis. Impacts include an increase in prevalence of use; problems accessing preferred products legally; higher cost, and difficulties using a legal access system. The desired goal of regulation in reducing harms from use of illegal cannabis products are unlikely to be achieved if the legal process is less attractive to patients than use of illegal sources.

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HUBUNGAN BBLR DAN ASI EKSLUSIF DENGAN KEJADIAN STUNTING DI PUSKESMAS LIMA PULUH PEKANBARU

Jurnal Endurance ◽

10.22216/jen.v3i1.1767 ◽

2018 ◽

Vol 3 (1) ◽

pp. 131

Author(s):

Lidia Fitri

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Exclusive Breastfeeding ◽

Health Centre ◽

Sampling Technique ◽

P Value ◽

Not Given ◽

Cross Sectional ◽

Analysis Study

Stunting is one of the long-term indicators for malnutrition. Stunting prevalence in Indonesia about 37.2%. Babies born with low birth weight is 10.2% and the achievement of exclusive breastfeeding is 30.2%. Survey in Limapuluh Health Centre Pekanbaru, from 18 children who perform measurements, obtained 13 infants suffered stunting. The result of interviews showed that three of them were born with low birth weight (BBLR) and five are not given exclusive breastfeeding. This research is to find-out the correlation between low birth weight (BBLR) and exclusive breastfeeding with stunting in Limapuluh Health Centre Pekanbaru in 2017. This study was a quantitative analysis study used cross sectional strategy. Population consists of 300 people, sample consists of 75 people by accidental sampling technique. Analysis using univariat and bivariate. The result were 25 infant (33,3%) are stunting, 22 infant (29,3%) with low birth weight (BBLR) and not given exclusive breastfeeding are 55 infant (73,3%). There was a significant association between low birth weight (BBLR) with stunting was obtained p value 0.000 and association between exclusive breastfeeding with stunting was obtained p value 0.021 its mean p<0,05. There is a relationship between BBLR and exclusive breastfeeding with stunting events, the Ha accepted. Stunting merupakan salah satu indikasi buruknya status gizi pada anak. Prevalensi stunting di Indonesia sebesar 37,2%. Angka kejadian bayi dengan BBLR sebanyak 10,2% dan pencapaian ASI ekslusif 30,2%. Survey di Puskesmas Lima Puluh kota Pekanbaru Provinsi Riau didapatkan dari 18 orang balita yang di ukur, 13 orang diantaranya mengalami stunting. Hasil wawancara memperlihatkan bahwa 3 orang diantaranya lahir dengan BBLR dan 5 orang tidak diberikan ASI ekslusif. Tujuan penelitian untuk mengetahui hubungan berat badan lahir rendah (BBLR) dan ASI ekslusif dengan kejadian stunting di Puskesmas Lima Puluh Pekanbaru. Jenis penelitian analitik kuantitatif dengan desain cross sectional. Populasi berjumlah 300 orang balita, sampel 75 responden dengan teknik accidental sampling. Analisis data secara univariat dan bivariat. Hasil penelitian diperoleh sebanyak 25 orang (33,3%) balita mengalami stunting, balita dengan BBLR sebanyak 22 orang (29,3%) dan yang tidak diberikan ASI ekslusif sebanyak 55 orang (73,3%). Ada hubungan yang bermakna antara berat badan lahir rendah (BBLR) dengan kejadian stunting dimana p value 0.000 dan terdapat hubungan antara pemberian ASI ekslusif dengan kejadian stunting diperoleh nilai p value 0.021 artinya p<0,05. Dapat disimpulkan terdapat hubungan antara BBLR dan ASI eklusif dengan kejadian stunting, maka Ha diterima.

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