scholarly journals The relationship between early initiation of breastfeeding, exclusive breastfeeding with stunting and wasting in toddlers in Bolaang regency of east Mongondow

Author(s):  
Maureen I. Punuh ◽  
Rahayu H. Akili ◽  
Adriansa Tucunan

Background: The forms of malnutrition in toddlers include stunting and wasting. Stunting and wasting that occurs in the first 1,000 days of life is at risk for stunted physical and cognitive growth and toddlers are susceptible to disease. One of the factors causing stunting and wasting is exclusive breastfeeding, which is preceded by successful initiation of early breastfeeding. The purpose of this study was to find out the relationship between early initiation of breastfeeding, exclusive breastfeeding with stunting and wasting in toddlers.Methods: This study was a quantitative research with an analytical survey method using a cross sectional design and it was undertaken in the working area of Tutuyan Health Center and Nuangan Health Center, Bolaang Mongondow Timur Regency. Samples were taken as many as 147 respondents using purposive sampling data collection techniques and met the inclusion and exclusion criteria. The data were analysed by univariate and bivariate using chi square statistical test.Results: The percentage of children under five with stunting was 27.9%, not stunting was 72.1%. Toddlers who experienced wasting by 22.4% and normal by 77.6%. Toddlers who received early initiation of breastfeeding were 42.9% while those who did not gain early initiation of breastfeeding were 57.1%. Toddlers who gained exclusive breastfeeding were 66.7% and those who were not exclusively breastfed were 33.3%.Conclusions: There was a relationship between early initiation of breastfeeding (p=0.000), exclusive breastfeeding (p=0.013) and stunting. There was a relationship between early initiation of breastfeeding (p=0.001), exclusive breastfeeding (p=0.001) and wasting in children under five in Bolaang Regency of East Mongondow. It is necessary to optimize stunting and wasting prevention programs and also cross-sectoral handling for stunting and wasting prevention in toddlers.

Author(s):  
Vira Dwi Nisrina ◽  
Sundari Indah Wiyasihati ◽  
Widati Fatmaningrum ◽  
Sulistiawati Sulistiawati

Introduction: In Indonesia, there has been a 10% increase in the span of five years for exclusive breastfeeding, however this is still far from the national target. One of the factors that can cause low rates of national exclusive breastfeeding is that not all babies have received an early initiation of breastfeeding. The purpose of this study was to determine the relationship between early initiation of breastfeeding and exclusive breastfeeding for babies aged 7-12 months in the work area of Wiyung Public Health Center, Surabaya. Methods: This study was a quantitative research with a cross-sectional approach. The study used a questionnaire as the research instrument given to 30 respondents, namely mothers who had 7-12 month old babies in the work area of Wiyung Public Health Center, Surabaya. Results: The percentage of early initiation of breastfeeding in babies aged 7-12 months was 53.33% meanwhile the percentage of exclusive was 73.33%. Using Chi Square Fisher Exact Test, it was found that there is no relationship between early initiation of breastfeeding and exclusive breastfeeding for babies aged 7-12 months in the working area of the Wiyung Public Health Center in Surabaya. (The value of p = 0.574 with a value of α = 0.05, p>α). Conclusion: The early initiation of breastfeeding is not the only factor influencing exclusive breastfeeding for babies aged 7-12 months in the work area of the Wiyung Public Health Center in Surabaya. Further research is needed on other factors that can relate to and influence exclusive breastfeeding.


2021 ◽  
Vol 5 (11) ◽  
pp. 1236-1243
Author(s):  
Barirah Madeni ◽  
Hasritawati

Background: Data from the World Health Organization (WHO) shows that there are 170 million children worldwide experiencing malnutrition, 3 million of whom leave each year due to malnutrition. Therefore, WHO recommends, all infants need to receive colostrum (first and second day milk) to fight infection and exclusively breastfed for 6 months to ensure adequate nutrition for infants. This study aims to determine the factors that influence the knowledge of midwives about early initiation of breastfeeding in the working area of the Lut Tawar City Health Center, Central Aceh Regency in 2020. Methods: The research method used is an analytical survey method with a cross sectional approach. The population in this study were all midwives in the area. The city health center serves as many as 59 people. The sampling method uses a total sampling technique that uses all members of the population as a sample. Data collection was carried out on November 15-19, 2020. Results: The results showed that respondents aged > 40 years had good knowledge, namely 64.3%, respondents with DIII education had less knowledge, namely 56.8%, respondents who had never attended breastfeeding initiation training 69.6% respondents who did not often do early initiation of breastfeeding have good knowledge that is 63.9%, respondents who do not get information about early initiation of breastfeeding mostly lack of knowledge that is 58.1%. Conclusion: Factors that influence the knowledge of midwives on early initiation of breastfeeding are education and experience participating in training related to early initiation of breastfeeding.


2020 ◽  
Vol 5 (2) ◽  
pp. 571-582
Author(s):  
Nurani Nurani ◽  
Lilis Banowati

Inisiasi Menyusu Dini (IMD) dapat mengurangi angka kematian bayi baru lahir. Kabupaten Cirebon belum ada data laporan mengenai IMD, namun cakupan ASI Eksklusifnya 40,57%, survey awal 40% bidan yang melakukan IMD, masih jauh dari target 80%, IMD merupakan tolak ukur keberhasilan ASI Eksklusif. Penelitian ini bertujuan untuk mengetahui Faktor-Faktor yang Berhubungan dengan Praktek Pelaksanaan Inisiasi Menyusu Dini oleh Bidan Di Puskesmas PONED Kabupaten Cirebon 2014. Jenis penelitian adalah kuantitatif dengan desain cross sectional. Populasi dalam penelitian ini adalah seluruh bidan di Puskesmas PONED Kabupaten Cirebon berjumlah 533 orang. Jumlah sampel dalam penelitian ini berjumlah 80 orang bidan  yang diambil secara proportional random sampling. Instrument yang digunakan adalah kuesioner, metode pengumpulan data dengan teknik wawancara. Data dianalisis secara statistic menggunakan uji chi square dan uji T Independent.Hasil penelitian univariat menunjukkan bidan yang melakukan IMD sebesar 72,5%, umur termuda bidan 22 tahun dan tertua 49 tahun, bidan yang  berpendidikan D3 sebesar 95%, bidan berpengetahuan baik sebesar 82,5%, lama bidan bekerja yang terbaru 1 tahun dan terlama adalah 28 tahun, berstatus kawin sebesar 66,3%, bersikap positiksklusif Kf sebesar 93,8%, bidan yang pernah mengikuti pelatihan sebesar 96,3%  dan bidan yang melakukan supervisi sebesar 42,5%. Hasil analisis bivariat menunjukkan umur responden (ρ value = 0,000) , lama bekerja (ρ value =0,000 ) dan supervisi (ρ value = 0,024) ada hubungan yang bermakna dengan praktek pelaksanaan IMD oleh bidan di Puskesmas PONED Kabupaten Cirebon tahun 2014.Kata kunci : Inisiasi Menyusu Dini (IMD), Bidan. ABSTRACTEarly Initiation of Breastfeeding ( IMD ) can reduce the mortality rate of newborns. Cirebon has been no report data on IMD, however coverage 40.57 % exclusive breastfeeding , early survey 40 % of midwives who perform the IMD , still far from the target of 80 % , the IMD is a measure of the success of exclusive breastfeeding .  This study aims to determine the Factors Associated with Early Initiation of Breastfeeding Practices Implementation by the midwife at the health center Cirebon 2014. This type of research is quantitative cross-sectional design. The population in this study were all midwives in health centers Cirebon numbered 533 people. The sample in this study amounted to 80 people midwives who were taken by proportional random sampling. Instrument used was a questionnaire , the method of data collection by interview . Data were analyzed statistically using the chi square test and Independent t test .Results of univariate study showed respondents midwife who did the IMD of 72.5 %, a midwife 22 years of age the youngest and oldest 49 years old, educated midwives D3 by 95 % , good knowledge of 82.5 %, the old midwife latest work 1 years and the longest was 28 years, 66.3 % are married by, being positive at 93.8 %, attended training by 96.3 % and midwives supervised by 42.5 %. The results of the bivariate analysis showed age midwife ( ρ value = 0.000 ) , longer working ( ρ value = 0.000 ) and supervision (ρvalue = 0.024 ) there was a significant association with the practice of execution by the midwife at the health center IMD Cirebon 2014.Keywords : Early Initiation of Breastfeeding ( IMD ), Midwives .


2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Tamara Lubis ◽  
Dwi Rita Anggraini

Diarrhea is a symptom of infection in the intestinal tract with the second death rate in the world in children under five years of age. Risk factors for the incidence of diarrhea in children under five are host factors that increase susceptibility to diarrhea, not giving exclusive breastfeeding (ASI), not giving breastfeeding for 2 years, malnutrition, measles and immunodeficiency. Breastfeeding (ASI) contains the best nutrients that match the needs of the baby and exclusive breastfeeding is carried out from birth to the first six months without any additional food or drink. Several studies have shown that the immunity content of breastfeeding is able to coat the gastrointestinal mucosa and protect the digestive tract from incoming pathogens. The aim of this study is to find out the relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 6-24 months at Puskesmas Aek Parombunan, Sibolga Selatan in 2019. The research design used was observational analytic cross-sectional with the criteria for the research sample of toddlers aged 6-24 months. The sampling technique in this study used total sampling. The research instrument was a medical record and data analysis used the chi-square test. Based on the results of the study, there was a relation between exclusive breastfeeding and the incidence of diarrhea.


2021 ◽  
Vol 3 (1) ◽  
pp. 33-45
Author(s):  
Winarni Hamzah ◽  
Haniarti Haniarti ◽  
Rini Anggraeny

Stunting is one of the nutritional problems experienced by toddlers in the world today. In 2017, 22.2% of children under five in the world were stunted. Indonesia is included in the third country with the highest prevalence in the Southeast Asia region, the prevalence of children under five with stunting in Indonesia in 2005-2017 was 36.4%. Aims to determine the risk factors for stunting in children under five in the working area of ​​the Baraka Community Health Center, Enrekang Regency. This study used the analytical survey method with the Cross Sectional Study approach using the simple random sampling technique, which means that the sample taken is where each element or member of the population has the same opportunity to be selected as the sample. The sample size in this study was taken using the Slovin formula. The location was carried out in the working area of ​​the Baraka Community Health Center, Enrekang Regency. The research time was 1 month. The sample in this study amounted to 94 people with the process of data collection and data collection was carried out by interview techniques. The results showed that exclusive breastfeeding (p = 0.002), complementary breastfeeding (p = 0.002) had a relationship with the incidence of stunting, while there was no relationship between LBW (p = 0.106), gestational age (p = 0.303), and maternal nutritional status ( KEK) (p = 0.229) with the incidence of stunting.


Jurnal GIZIDO ◽  
2019 ◽  
Vol 11 (01) ◽  
pp. 17-22
Author(s):  
Grace K.L. Langi ◽  
I Made Djendra ◽  
Rudolf B. Purba ◽  
Ryan S.P. Todanggene

Nutrition is an important part of growth and development, because there is a connection and is related to health and intelligence, malnutrition. Stunting is a linear growth disorder that can affect the increased risk of illness, death, and impaired late motor development, and stunted mental growth. The type of this research is analytic observational with cross sectional study approach. The population in this study were all children under five in the work area of Kawangkoan Health Center in Minahasa Regency. Children under five 2-5 years. The respondent is mother. The number of samples of this study amounted to 41 people with a sampling technique that is using simple random sampling technique. The results of research on the level of maternal knowledge of 41 respondents were 39.0% who lacked knowledge, and 41.5% had sufficient knowledge, while 19.5% had good knowledge. the rate of exclusive breastfeeding is 41.5% which is less than exclusive breastfeeding, while 39.0% is good, 19.5% is enough to provide exclusive breastfeeding. Toddler respondents who have normal height category are 46%, and category is very short, 31.7%, while the short category is 22.0%. kawangkoan health center.


Author(s):  
Haripin Togap Sinaga

Background. Pandemic of Covid-19 has claimed millions of human lives and affected all aspects of human life including the implementation of early initiation of breastfeeding (EBF) and exclusive breastfeeding (EBF) due to prolonged lockdown. Around two-thirds of infant death happened in neonatal age as the result of low practices the early initiation of breastfeeding and not exclusively breastfeed. Public health center has tasks to run health community program to reach the coverage of 50% EIBF and EBF. This study aimed to analyze the trend of prevalence of EIBF and EBF coverage from 2017 to 2020. Method. The study was a cross-sectional study using secondary data taken from  Parongil Public Health Center, Dairi District.  Data on the number of neonatal and babies aged 0-6 months and coverage EIBF and EBF were taken from the monthly report. Prior to processing the data, validation was conducted. Data was presented in the univariate table in frequency distribution and proportion. Trends of EIBF and EBF coverage were presented inline graphics.  Results. The trend of prevalence of EIBF had been increasing from year 2017 to 2020 that was from 77.4% to 81.6% while EBF tended to decreasing from 45% to 40.0%. Pandemic Covid-19 might not have affected the coverage of EIBF and EBF. Factors of low education level worked as farmers, low income, low husband support, and no breastfeeding counselors were the main causes of low gaining of EBF.  


2021 ◽  
Vol 2 (1) ◽  
pp. 23-27
Author(s):  
Susilowati Susilowati ◽  
Damon Wicaksi

Introduction: Mothers who do not provide exclusive and customary breastfeeding to their babies are influenced by several factors such as insufficient breast milk so that the babies often fuss and cry. Exclusive breastfeeding constraints are also due to the provision of food and drinks to the baby before breastfeeding, such as honey and formula milk, and the distrust of mothers in breastfeeding the baby. Method: The research method used is observational analytic with cross sectional approach to see the effect of independent variables on the dependent variable. Result: The results of this study were 69 respondents who did Early Initiation of Breastfeeding (IMD), 23 respondents (33.3%) succeeded in giving exclusive breastfeeding, and 18 respondents (26.1%) were unable to provide exclusive breastfeeding. Mothers who did not perform IMD and were able to provide exclusive breastfeeding were 6 respondents (8.7%) and 22 respondents (31.9%) were unable to exclusively breastfeed. This shows that IMD can increase exclusive breastfeeding, while mothers who do not do IMD are at risk of not being able to provide exclusive breastfeeding. Conclusion: From the results of this study, it is necessary to increase health education about improving the quality of mothers in carrying out IMD and exclusive breastfeeding.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Dipen V. Patel ◽  
Satvik C. Bansal ◽  
Archana S. Nimbalkar ◽  
Ajay G. Phatak ◽  
Somashekhar M. Nimbalkar ◽  
...  

Appropriate feeding practices are the key contributor to reducing morbidities and mortalities in under-five children. A cross-sectional questionnaire based survey of mothers of children aged less than 5years was conducted in 781 mothers. More than half of mothers (57.5%) started feeding within an hour of birth, 55.9% gave exclusive breastfeeding for six months, 89.1% of the mothers stopped breastfeeding before two years of age, 18.2% of the mothers bottle-fed the babies, and 15.6% had problems during breastfeeding in first 6 months. Early initiation of breastfeeding within one hour of birth promoted exclusive breastfeeding, and breastfeeding for longer duration. Exclusive breastfeeding increased frequency of feeds. Multivariable logistic regression showed that initiation of breastfeeding after an hour of birth (p= 0.035), not providing exclusive breastfeeding for 6 months (p< 0.0001), unemployed mothers (p= 0.035), having two or more kids (p= 0.001), and complementary feeds given by person other than mother (p= 0.007) increased hospitalization. Starting breastfeeding after an hour of birth (p= 0.045), severe malnutrition (p= 0.018), and breastfeeding for < two years (p= 0.026) increased rates of diarrhea. Breastfeeding practices were not optimum and interventions to improve these practices need to be strengthened.


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