scholarly journals Factors Related to Stunting among Children Age 6-59 Months in Babakan Madang Sub-District, West Java, Indonesia

Author(s):  
Sri Yuliastini ◽  
Trini Sudiarti ◽  
Ratu Ayu Dewi Sartika

Stunting is a category of malnutrition that can cause death for children. In 2018, 30.8% of children under five in Indonesia experienced stunting. This study aimed to determine the factors that are related to stunting in Babakan Madang sub district, West Java, Indonesia. A cross sectional study was carried out among 612 children aged 6–59 months on May–August 2019. Z-scores were calculated using WHO Anthro. The characteristics of the under-fives (sex, age, history of infectious diseases), maternal characteristics (education level, mother’s occupation, income per month, age during pregnancy, parity), and infant feeding practices (colostrum feeding, early initiation of breastfeeding, exclusive breastfeeding, pre-lacteal feeding, timely complementary feeding) were analysed. The results of univariate and bivariate analysis using Chi-square showed that for age over 24 months, nonexclusive breastfeeding and untimely complementary feeding were related to stunting. It is recommended that local governments conduct counselling and make positive approaches to the community emphasizing the importance of exclusive breastfeeding and timely complementary feeding.

2021 ◽  
Vol 1 (1) ◽  
pp. 7
Author(s):  
Vivienne Tjung ◽  
Husnia Auliyatul Umma ◽  
Jarot Subandono

<p class="16"><strong><em>Introduction</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>Exclusive breast milk is breastfeeding for six months to babies, without providing other foods and drinks. Breastfeeding for up to 6 months is recommended by various health organizations, including the Ministry of Health. In Indonesia, exclusive breastfeeding is still low, even though the benefits of breastfeeding are numerous. Various studies that have been conducted have shown </em><em>different</em><em> results regarding the relationship between the number and sequence of children with breastfeeding practices. This stud</em><em>y </em><em>aimed</em><em> </em><em>to determine the relationship between the number of children and the order of the children with the practice of exclusive breastfeeding in Surakarta</em><em></em></p><p class="16"><strong><em>Methods</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>This study </em><em>was</em><em> an analytic observational study with a cross-sectional study design. The research sample was determined by random sampling of mothers registered at the Penumping Health Center. The research sample consisted of 50 people who have children aged 1-5 years. Assessment of completeness of breastfeeding was measured using a questionnaire. Data were analyzed using bivariate analysis techniques using chi-square and multivariate logistic regression</em><em>.</em><em></em></p><p class="16"><strong><em>Result</em></strong><strong><em>s and discussions: </em></strong><em>From</em><em> 47</em><em> </em><em>subjects studied with the bivariate analysis technique using the chi square between the number of children and the order of children with exclusive breastfeeding practice, the results were less significant, p = 0.724 and p = 0.401</em><em>.</em><em></em></p><p class="16"><strong><em>Conclusion</em></strong><strong><em>: </em></strong><em>There </em><em>was</em><em> no significant relationship between the number of children and the order of children with the practice of exclusive breastfeeding in Surakarta.</em><em></em></p><p class="18"><strong><em>Keywords</em></strong><strong><em>: </em></strong><strong><em>E</em></strong><strong><em>xc</em></strong><strong><em>lusive breastfeeding, number of children, </em></strong><strong><em>order </em></strong><strong><em>of children</em></strong><strong><em>.</em></strong><strong><em></em></strong></p>


2019 ◽  
Vol 1 (1) ◽  
pp. 45-50
Author(s):  
Evanata Lina Sinaga ◽  
Rismahara Lubis ◽  
Yusniar Siregar ◽  
Evi Irianti

Stunting is a condition of failure to thrive in children under five due to chronic malnutrition. One cause of stunting is poor parenting patterns such as feeding in the first 2 years after birth. Exclusive breastfeeding is the best nutrition a baby receives in the first 6 months of life. The purpose of this study was to determine the relationship of exclusive breastfeeding with the decrease of stunting in children aged 6-23 months in Sosor Lontung Village, Siempat Nempu District, Dairi Regency.  This study used a cross-sectional study design. The sample of this research was children aged 6-23 months as many as 39 people. Data collection was carried out by interview and measurement of children's length / height. Univariate and bivariate data analysis used Chi Square test with ƿ-value <0.05. Based on the bivariate analysis showed that there was a significant relationship between exclusive breastfeeding and the incidence of stunting with ƿ-value 0.037. The results showed the percentage of stunting in children aged 6-23 months was greater in children who were not given exclusive breastfeeding (50%) than those who received exclusive breastfeeding (17.65%). The results of bivariate analysis showed that there was a significant relationship between exclusive breastfeeding and the incidence of stunting with a value-value of 0.037. That is, exclusive breastfeeding can reduce the risk of stunting is getting smaller. It is hoped that all babies will receive exclusive breastfeeding so that the baby can grow optimally.


1970 ◽  
Vol 7 (02) ◽  
pp. 99-107
Author(s):  
Widya Juliarti ◽  
Atifa Merlin

Exclusive breastfeeding is the only breast milk given to infants without additional other liquids without solid food for six additional 6 months. Breastfed babies have a greater chance of early success exclusive breastfeeding. Based on preliminary studies in December 2015 in BPM Khairani Asnita, in the know of 20 people who gave birth to entirely successfully perform IMD but only 3-5 people who exclusively breastfed rest melanjutlan with formula. The purpose of this study to determine the factors associated with exclusive breastfeeding in mothers who carry BPM Khairani Asnita IMD in Riau Province in 2015. This type of research is analytic survey with cross sectional study design. The population is mothers delivered in BPM Khairani Asnita and do IMD with babies aged 16-12 months amounted to 60 m people. The sampling technique used is total sampling. Bivariate data analysis with test of chi-square test. Based on the results of the univariate analysis showed that the majority of mothers breastfeed as much as 56.7% exclusive. The results of the bivariate analysis pvalue values obtained for each variable with α 0.05 is for attitude p = 0.000, husband support the value of p = 0.004, p = success IMD 0,007, maternal age the value of p = 0.031. The conclusion of this study that the attitude of the mother, husband support, the success of IMD and the mother's age is a factor that affects exclusively breastfeeding mothers do IMD in BPM Khairani Asnita Year 2015. It is expected the next BPM Khairani Asnita able to reassure patients who visit or maternity there for can give only breast milk until the child is 6 months old, as well as explaining the benefits of exclusive breastfeeding for babies and mothers.


2020 ◽  
Author(s):  
Josilene Maria Ferreira Pinheiro ◽  
Taiana Brito Menêzes Flor ◽  
Vanessa Cristina da Costa Pires ◽  
Amanda Michelly Braga da Mata ◽  
Luana Isabelly Carneiro de Oliveira ◽  
...  

Abstract Background: Although exclusive breastfeeding is recommended in the first hours of life, it is common to offer infant formula to the newborn, resulting in a negative effect on breastfeeding. This study has the objective of identifying the prevalence of the offer of food complements, its characteristics and the determining factors. Methods: Cross-sectional study, linked to a cohort study that assessed the newborn care in four public maternity wards in Natal. The sample was composed of 415 mothers and full-term newborns, with appropriate weight for gestational age and Apgar scores in 1st and 5th minutes ≥ 7. In order to analyze the association between the socioeconomic, biological and welfare characteristics and the offer of the complement for the newborn, we used Pearson’s Chi-Square, Student’s t-test, and Poisson’s regression.Results: Of the 415 newborns, 51.3% received complements (57.6% in the first hour of life), of which 92% with infant formula. Of these, only 50.7% were prescribed by the doctor. Colostrum deficiency was the main reason for indication (33.8%). The maternal age ≤ 20 years (PR=0.64; 95% CI=0.47-0.86) and between 20-30 years (PR=0.70; 95% CI=0.57-0.87) were shown as protective factors, while being primiparous (PR=1.37; 95% CI=1.11-1.60) and had undergone cesarean section (PR=1.2; 95% CI=1.00-1.45) as predictive factors. Conclusion: We observed that maternal characteristics are determinants for the offer of complement to the newborn in the first hours of life. The high prevalence shows the need for interventions that minimize the inadequate offer of infant formula and promote exclusive breastfeeding before hospital discharge.


PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0259442
Author(s):  
Prince Kubi Appiah ◽  
Hubert Amu ◽  
Eric Osei ◽  
Kennedy Diema Konlan ◽  
Iddris Hadiru Mumuni ◽  
...  

Background Children need good nutrition to develop proper immune mechanisms and psychosocial maturity, but malnutrition can affect their ability to realize this. Apart from the national demographic and health survey, which is carried out every 5 years, there have not been enough documented studies on child breastfeeding and weaning practices of caregivers in the Volta Region. We, therefore, examined child breastfeeding and weaning practices of mothers in the Volta Region of Ghana. Methods A sub-national survey method was adopted and a semi-structured questionnaire was used to collect data from 396 mothers and their children. Descriptive and inferential statistics comprising frequency, percentage, chi-square, and logistic regression were employed in analysing the data. We defined exclusive breastfeeding as given only breast milk to an infant from a mother or a wet nurse for six months of life except drops or syrups consisting of vitamins, minerals, supplements, or medicines on medical advice, and prolonged breastfeeding as breastfeeding up to 24 months of age. Results The prevalence of exclusive breastfeeding (EBF) was 43.7%. Mothers constituting 61.1% started breastfeeding within an hour of giving birth. In addition to breast milk, 5.1% gave fluids to their children on the first day of birth. About 66.4% started complementary feeding at 6 months, 22.0% breastfed for 24 months or beyond, while 40.4% fed their children on-demand. Child’s age (AOR: 0.23, 95% CI:0.12–0.43, p<0.0001), prolonged breastfeeding (AOR: 0.41, 95%CI: 0.12–0.87, p = 0.001), mother’s religion (AOR: 3.92, 95%CI: 1.23–12.61, p = 0.021), feeding practices counselled on (AOR: 1.72, 95%CI: 1.96–3.09, p = 0.023), mother ever heard about EBF (AOR: 0.43, 95%CI: 1.45–2.41, p = 0.039), child being fed from the bottle with a nipple (AOR: 1.53, 95%CI: 1.94–2.48, p = 0.003), and age at which complementary feeding was started (AOR: 17.43, 95%CI: 3.47–87.55, p = 0.008) were statistically associated with EBF. Conclusion Breastfeeding education has been ongoing for decades, yet there are still gaps in the breastfeeding practices of mothers. To accelerate progress towards attainment of the sustainable development goal 3 of ensuring healthy lives and promoting well-being for all at all ages by the year 2030, we recommend innovative policies that include extensive public education to improve upon the breastfeeding and weaning practices of mothers.


2018 ◽  
Vol 2 (2) ◽  
Author(s):  
Ni Ketut Ayu Kartini ◽  
Ni Ketut Martini ◽  
I Made Suwitra

ABSTRAK<br />ASI merupakan nutrisi terbaik bagi bayi selama 6 bulan pertama kehidupan mereka. Meskipun demikian<br />praktik pemberian ASI eksklusif masih rendah. Keberhasilan dalam memberikan ASI pada bayi dipengaruhi<br />oleh pentingnya dukungan sosial orang terdekat, terutama dari suami. Pengetahuan mengenai masalahmasalah<br />yang berkaitan dengan menyusui merupakan hal pertama yang harus dimiliki ayah agar dapat<br />memberi pengaruh pada praktik pemberian ASI. Penelitian ini bertujuan untuk mengetahui hubungan antara<br />pengetahuan ayah dan breastfeeding father terhadap pemberian ASI eksklusif di wilayah kerja Puskesmas<br />Mengwi III. Penelitian ini dilakukan di wilayah kerja Puskesmas Mengwi III pada bulan Maret sampai<br />dengan April 2018 terhadap 59 bapak/suami yang memiliki anak umur 6-12 bulan. Penelitian ini<br />menggunakan metode kuantitatif dengan pendekatan studi Cross Sectional, dianalisa secara deskriptif dan<br />bivariat. Analisis bivariat menggunakan uji chi square (α=0,05). Hasil penelitian menunjukkan ada<br />hubungan yang signifikan antara pengetahuan ayah dan breastfeeding father terhadap pemberian ASI<br />eksklusif di wilayah kerja Puskesmas Mengwi III. Dimana hasil uji statistik tentang pengetahuan<br />menunjukkan nilai prevelensi rasio sebesar 5,868 dengan nilai p value =0,015 dan hasil uji statistik tentang<br />breastfeeding father menunjukkan nilai prevalensi rasio sebesar 4,069 dengan nilai p value =0,044.<br />Kata kunci: ASI Ekslusif, Pengetahuan, Breastfeeding Father<br />ABSTRACT<br />Breastmilk is the best nutrition for the babies during their first 6 months, despite knowing the clear benefit of<br />exclusive breastfeeding, the practice exclusive breastfeeding is still low. The Success in providing<br />breastmilk for babies influenced by the importance of social support, especially from husband. The<br />knowledge of breastfeeding issues is a matter for father to have in order to influence the practice of<br />breastfeeding. The aim of the study was to determine the relationship between knowledge and father’s role in<br />exclusive breastfeeding practice in Puskesmas Mengwi III. This study was conducted at Mengwi III Public<br />Health Center on Maret until April 2018 of 59 father/husband who had children aged 6-12 months. This<br />research used quantitative method with Cross Sectional study approach, the descriptive and bivariate<br />analysis. Bivariate analysis using chi square test (α = 0,05).The results showed significant association<br />between knowledge and father’s role as breastfeeding father in exclusive breastfeeding practice in<br />Puskesmas Mengwi III. The results of knowledge show the prevalence ratio 5,868 and p value=0,015. The<br />results of father’s role show the prevalence ratio 4,069, p value =0,044.<br />Keywords: Exclusive Breastfeeding, Knowledge, Breastfeeding Father


2021 ◽  
Vol 8 (2) ◽  
pp. 195
Author(s):  
Cahya Ayu Agustin ◽  
Judhiastuty Februhartanty ◽  
Saptawati Bardosono

<p>In 2018, the national coverage of exclusive breastfeeding among infants aged 0-5 months in Indonesia was still low. The COVID-19 pandemic can be a challenge to increase the coverage of exclusive breastfeeding. This study investigated the association between sources of breastfeeding supports and exclusive breastfeeding practices among mothers with infants aged under 6 months during the COVID-19 pandemic in Indonesia. This study used a cross-sectional study design through an online survey from November 2, 2020, to February 8, 2021. A total of 248 subjects were obtained through convenience sampling. Data analysis was done by bivariate analysis using Chi-square or Fisher’s exact test. Most of the subjects were aged 18-34 years old (90.7%), had higher education level (86.7%), had household income range Rp.3,000,000 – Rp.7,199,999 (39.2%), lived in Java Island (83.1%), had an infant aged ≤ 4 months (76.2%), and had a baby boy (51.2%). The proportion of exclusive breastfeeding was 79.0%. The most common sources of breastfeeding support were obtained from husband (91.1%) and health workers (65.7%), followed by family (62.9%). No significant association was found among all support sources on breastfeeding with exclusive breastfeeding. However, the proportion of exclusive breastfeeding among mothers who received husband support (80.1%) was higher than those who did not (68.2%). The most convenient and feasible breastfeeding supports that mother could obtain during pandemics were home-based supports. Mothers, their husbands, and families should be the priority target for health professionals to provide preventive and promotive breastfeeding intervention.</p>


2020 ◽  
Vol 6 (3) ◽  
pp. 103
Author(s):  
Nur Hudayah ◽  
Ni’ma Meilani ◽  
Wa Ona

ABSTRAKLebih dari sekitar 132 juta bayi lahir setiap tahunnya di dunia, hanya 51 juta yang mendapatkan ASI Ekslusif dan 81 juta lainnya tidak mendapatkan ASI eksklusif. Menurut data laporan Dinas Kesehatan Kota Baubau diketahui bahwa pada tahun 2017 cakupan ASI eksklusif di Puskesmas Katobengke menempati urutan keempat dengan persentase mencapai 52,6%. Penelitian ini bertujuan untuk mengetahui determinan pemberian ASI eksklusif yang meliputi karakteristik ibu (umur saat melahirkan, pendidikan, pekerjaan, pengetahuan) dan promosi susu formula. Jenis penelitian ini adalah penelitian kuantitatif dengan desain penelitian cross sectional. Jumlah populasi dalam penelitian ini berjumlah 96 orang yang mempunyai bayi 0-6 bulan yang terdaftar dalam catatan KIA Puskesmas Katobengke. Penentuan sampel dalam penelitian ini menggunakan teknik total sampling sehingga seluruh populasi dalam penelitian ini adalah sampel. Data dalam penelitian ini diperoleh dari hasil wawancara dan observasi dengan instrumen berupa kuesioner. Analisis data dalam penelitian ini adalah analisis bivariat menggunakan uji chi-square dengan tingkat kepercayaan 95%. Uji chi square menunjukkan p-value untuk variabel umur adalah sebesar 0,654. Besaran p-value untuk variabel pendidikan adalah 0,497. Besaran p-value untuk variabel pekerjaan dan pengetahuan adalah 0,003. Besaran p-value untuk variabel promosi susu formula adalah 0,019. Sehingga dapat disimpulkan bahwa tidak ada hubungan antara umur ibu dan pendidikan ibu dengan perilaku pemberian ASI ekslusif di wilayah kerja Puskesmas Katobengke. Serta diperoleh hubungan yang bermakna antara pekerjaan ibu, pengetahuan ibu, dan promosi susu formula terhadap perilaku pemberian ASI eksklusif di Puskesmas Katobengke.Kata-kata kunci : Determinan, ASI eksklusif, karakteristik ibu, susu formula ABSTRACTMore than about 132 million babies are born every year in the world, only 51 million get exclusive breastfeeding and another 81 million do not get exclusive breastfeeding. According to the Baubau City Health Office data report it is known that in 2017 exclusive breastfeeding coverage at the Katobengke Health Center ranks fourth with a percentage reaching 52.6%. This study aims to determine the determinants of exclusive breastfeeding which includes maternal characteristics (age at birth, education, occupation, knowledge) and the promotion of formula milk. This type of research is quantitative research with cross sectional research design. The population in this study amounted to 96 people who have babies 0-6 months registered in the MCH records Katobengke Health Center. The determination of the sample in this study uses a total sampling technique so that the entire population in this study is the sample. Data in this study were obtained from interviews and observations with instruments in the form of questionnaires, as well as literature studies from several sources both agencies and other literature. Data analysis in this study included univariate analysis to see or get a picture of the distribution of respondents and bivariate analysis using the Chi-square test with a confidence level of 95%. Chi square test shows the p-value for the age variable is 0.654. The p-value for the education variable is 0.497. The p-value for work and knowledge variables is 0.003. The p-value for the formula milk promotion variable is 0.019. So it can be concluded that there is no relationship between mother's age and mother's education with exclusive breastfeeding behavior in the working area of Katobengke Health Center. And obtained a significant relationship between mother's work, mother's knowledge, and the promotion of formula milk to the behavior of exclusive breastfeeding at Katobengke Health Center.Keywords : Determinants, Exclusive breastfeeding, mother's characteristics, formula milk


Author(s):  
Aswathy S. ◽  
Lakshmi M. K.

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.


2018 ◽  
Vol 3 (3) ◽  
pp. 440
Author(s):  
Sri Handayani ◽  
Puteri Fannya ◽  
Putri Nazofah

<p><em>Based on data from the Indonesia Ministry of Health in 2015, In Indonesia, new professional nurses were just 2% of the total nurses. This figure was much lower than the Philippines which has reached 40% with bachelor and master level as their education. The purpose of this study was to determine the relationship between age, and leadership with the performance of health personnel</em><em>. </em><em>The design of this research was analytical research with Cross Sectional Study. The population in this study was all nurses and doctors who served in the internal room, children, surgery and midwifery</em><em>. </em><em>Sampling using total sampling</em><em> </em><em>by questionnaires. The data was processed by univariate and bivariate analysis using Chi-square test</em><em>. </em><em>The result showed that 57,8% nurses had poor performance, 56,3% doctors had poor performance, 64,4% nurses had average age 26-35 years, 56,2% doctors had average age  36-45 years, 64.4% nurses have poor leadership, </em><em>and </em><em>50.0% of doctors have less good leadership</em><em>.</em><em> There is a relationship between age</em><em> and </em><em>leadership with the performance of health personnel.</em><em></em></p><p><strong><em> </em></strong></p><p>Berdasarkan data kemenkes RI tahun 2015 jumlah tenaga kesehatan terbanyak yaitu perawat sebanyak 147.264 orang (45,65%). Di Indonesia, perawat profesional baru mencapai 2% dari total perawat yang ada. Angka ini jauh lebih rendah dibandingkan dengan Filipina yang sudah mencapai 40% dengan pendidikan strata satu dan dua. Tujuan penelitian ini untuk mengetahui hubungan antara umur, kepemimpinan dengan kinerja tenaga kesehatan. Jenis penelitian yang digunakan adalah desain penelitian analitik dengan Cross Sectional Study. Populasi pada penelitian ini adalah semua perawat dan dokter. Pengambilan sampel dengan menggunakan Total Sampling. Pengambilan data menggunakan kuesioner. Data diolah dengan analisis univariat menggunakan statistik deskriptif dan analisis bivariat menggunakan uji Chi-square. Hasil penelitian didapatkan 57,8% perawat memiliki kinerja kurang baik, 56,3% dokter memiliki kinerja kurang baik, 64,4% perawat memiliki umur rata-rata 26-35 tahun 64,4%, 56,2% dokter memiliki umur rata-rata 36-45 tahun, 64,4% perawat memiliki kepemimpinan kurang baik, 50,0% dokter memiliki kepemimpinan kurang baik. Terdapat hubungan antara umur dan kepemimpinan dengan kinerja tenaga kesehatan.</p>


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