scholarly journals Hubungan Keaktifan Kader dan Partisipasi Ibu pada Kegiatan Posyandu dengan Cakupan ASI Eksklusif di Wilayah Kerja Puskesmas Waru Sidoarjo

2019 ◽  
Vol 3 (2) ◽  
pp. 94
Author(s):  
Nisa Agestazhar Rhapsodia ◽  
Sri Andari ◽  
Sri Sumarmi

Background: Exclusive breastfeeding program is important because breastfeeding is an important stage for baby's growth. However, exclusive breastfeeding coverage is still low. The role of posyandu cadres is important to increase the coverage of exclusive breastfeeding by giving education to posyandu participants about exclusive breastfeeding.Objective: To study the relationship between cadre activeness and mother’s participation with the coverage of exclusive breastfeeding at the posyandu located in the work area of Waru Public Health Center, Sidoarjo.Methods: Analytic research with cross sectional design was carried out in July-September 2018. The sample size of 51 posyandu was randomly selected using the stratified random sampling method. The research variables were exclusive breastfeeding coverage, the implementation of posyandu activities, the level of activity of cadres and the participation of mother of children under five were obtained from secondary data posyandu. The location was in the Waru region. To strengthen the results, FGD (Focus Group Discussion) was conducted with mothers of children under five in 5 randomly selected posyandu. Analysis used the Spearmen test.Results:Out of 51 posyandu there was no exclusive breastfeeding coverage that meets the target of 80%. The target D / S coverage was 87%, 44 posyandu (86.27%) did not meet the target while 7 posyandu (13.73%) had met the target. All cadres belong to the category of active cadres. Posyandu activities that run routinely were 83.31% while 15.69% were not routine. No relationship was found between mother’s participation in infants (p = 0.077) and cadre activeness (p = 0.691) with exclusive breastfeeding coverage at posyandu activities. There was a relationship between Posyandu activities and exclusive breastfeeding coverage (p = 0.004). From the FGD, the results that affect the coverage of exclusive breastfeeding were knowledge, formula feeding and working mothers.Conclusion: Mother’s participation and activeness of posyandu cadres are not related to exclusive breastfeeding coverage, but posyandu activities are connected with exclusive breastfeeding coverage. From the FGD results, it is found that the factors that influenced the exclusive breastfeeding coverage are knowledge, formula feeding and working mothers. It needs to increase the implementation of posyandu activities and socialization for posyandu participants.ABSTRAKLatar Belakang: Program ASI eksklusif penting dikarenakan pemberian ASI merupakan tahap penting bagi tumbuh kembang bayi, akan tetapi cakupan ASI eksklusif masih rendah. Peran kader posyandu penting untuk meningkatkan cakupan ASI eksklusif dengan memberikan edukasi kepada peserta posyandu mengenai ASI eksklusif.Tujuan: Mempelajari hubungan antara keaktifan kader dan partisipasi ibu dengan cakupan ASI eksklusif pada posyandu yang berada pada wilayah kerja puskesmas Waru Sidoarjo.Metode: Jenis penelitian analitik dengan desain cross sectional dilaksanakan pada bulan Juli-September 2018. Besar sampel 51 posyandu dipilih secara acak dengan metode stratified random sampling. Variabel penelitian adalah cakupan ASI eksklusif, pelaksanaan kegiatan posyandu, tingkat keaktifan kader dan partisipasi ibu balita diperoleh dari data sekunder posyandu yang berada di wilayah Waru. Untuk memperkuat hasil dilakukan FGD (Focus Group Discussion) dengan ibu balita di 5 posyandu yang dipilih secara acak. Analisis menggunakan Spearmen test.Hasil: Dari 51 posyandu tidak ada cakupan ASI eksklusif yang memenuhi target sebesar 80%. Target cakupan D/S adalah 87%, sebesar 44 posyandu (86,27%) tidak memenuhi target sedangkan 7 posyandu (13,73%) telah memenuhi target.  Semua kader termasuk kategori kader aktif. Kegiatan posyandu yang berjalan secara rutin sebesar 83,31% sedangkan sebesar 15,69% tidak rutin. Tidak ditemukan hubungan antara partisipasi ibu balita (p=0,077) dan keaktifan kader (p=0,691) dengan cakupan ASI eksklusif pada kegiatan posyandu. Ada hubungan kegiatan posyandu dengan cakupan ASI eksklusif (p= 0,004). Dari FGD didapatkan hasil yang mempengaruhi cakupan ASI eksklusif adalah pengetahuan, pemberian susu formula dan ibu yang bekerja.Kesimpulan: Partisipasi ibu dan keaktifan kader posyandu tidak berhubungan dengan cakupan ASI eksklusif, namun kegiatan posyandu berhubungan dengan cakupan ASI eksklusif. Hasil FGD didapatkan faktor-faktor yang mempengaruhi cakupan ASI eksklusif adalah pengetahuan, pemberian susu formula dan ibu yang bekerja. Perlu ditingkatkan pelaksanaan kegiatan posyandu dan sosialisasi pada peserta posyandu.

2019 ◽  
Vol 3 (1) ◽  
pp. 13
Author(s):  
Armina Analinta

Background: Diarrhea is an endemic disease in Indonesia and often cause death. In 2015 there were eighteen times the outbreak of diarrhea spread in eleven provinces, eighteen districts / cities, with the number one patient. 213 people and 30 deaths (CFR 2.47%). According to Surabaya City Health Office, there were 65.447 cases of diarrhea in 2015, in other words there were 23 cases of diarrhea in 1000 population. Objectives: This study aimed to analyze the relationship between exclusive breastfeeding and diarrhea  in RW XIII and RW XIV Kelurahan Ampel, Subdistrict Semampir, City of Surabaya in  2017. Methods: This was observational analytics study with cross sectional design. The population in this research were all the children under five in the area in RW XIII and RW XIV in Kelurahan Ampel. Sampling technique used was  simple random sampling involving 39 respondents. Primary data were collected by interview with questionnaire, Focus Group Discussion (FGD). Data were analyzed statistically using Fisher’s Exact Test. Results: The result of this this study, there was relationship between exclusive breastfeeding and diarrhea (p=0.000). Conclusion: There was a significant relationship between exclusive breastfeeding and diarrhea.ABSTRAKLatar Belakang: Diare adalah penyakit endemis di Indonesia dan sering menyebabkan kematian. Pada tahun 2015 terjadi delapan belas kali kejadian luar biasa diare yang  tersebar di sebelas provinsi, delapan belas kabupaten/kota, dengan jumlah penderita satu. 213 orang dan kematian 30 orang (CFR 2,47%). Menurut Dinas Kesehatan Kota Surabaya, pada tahun 2015 terdapat 65.447 kasus diare, dengan kata lain terdapat 23 kasus diare pada 1000 penduduk. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan asi eksklusif dengan diare pada balita di RW XIII dan RW XIV Kelurahan Ampel, Kecamatan Semampir,  Kota Surabaya  2017.Metode: Jenis penelitian adalah analitik observasional dengan desain cross sectional. Populasi pada penelitian ini yaitu seluruh balita yang berada di wilayah di RW XIII dan RW XIV di Kelurahan Ampel. Teknik pengambilan data menggunakan simple random sampling didapatkan 39 responden. Data Primer dikumpulkan dengan wawancara dengan kuesioner, Focus Group Discussion (FGD). Analisis data menggunakan uji statistik Fisher’s Exact.Hasil: Hasil penelitian menunjukkan pemberian ASI eksklusif  memiliki hubungan dengan kejadian diare (p=0,000).Kesimpulan: Terdapat hubungan yang bermakna antara pemberian ASI Eksklusif dengan kejadian diare.


Author(s):  
Asweros Umbu Zogara ◽  
Hamam Hadi ◽  
Tony Arjuna

<p>ABSTRACT</p><p>Background: Stunting is a chronic nutrition problem that reflects failure in growth accumulated before and after birth. Many factors affect the incidence of stunting, among others are exclusive breastfeeding and early introduction of complementary food. The result of a survey carried out by FAO, WFP, and UNICEF in 2010 showed the prevalence of stunting in children under five years old at Timor Tengah Selatan District was 61%.</p><p>Objectives: To find out whether history of exclusive breastfeeding and early introduction of complementary food were predictors of stunting in children under two years old at Timor Tengah Selatan District.</p><p>Methods: This was observational study by cross sectional design used quantitative and qualitative methods. Qualitative data obtained from focus group discussion. Subject of the study consisted of 408 children 6 to 24 months from 14 villages at Amanuban Barat and Kie Subdistrict selected through simple random sampling technique. Retrieval of data used a structured questionnaire. Stunting in children under two years old measured by indicators of body length by age. Data were analysed by chi square and logistic regression tests with 95% confident interval.</p><p>Results: The proportion of stunting in children under two years old at Amanuban Barat and Kie Subdistrict was 49%. The proportion of exclusive breastfeeding was 61%, and early introduction of complementary food was 36,8%. Exclusive breastfeeding and early introduction of complementary food were not factors affecting the incidence of stunting in children under two years old. Factors more strongly affecting the incidence of stunting in children under two years old were energy intake and characteristics of parents that comprised education and occupation.</p><p>Conclusions: Exclusive breastfeeding and early introduction of complementary food were not predictors of stunting in children under two years old at Amanuban Barat and Kie Subdistrict.</p><p>KEYWORDS: stunting, exlusive breastfeeding, early introduction of complementary food, children under two years old</p><p>ABSTRAK</p><p>Latar belakang: Stunting merupakan masalah gizi kronis yang dapat memberikan gambaran kegagalan pertumbuhan yang terakumulasi sejak sebelum dan sesudah kelahiran. Faktor-faktor yang turut mempengaruhi kejadian stunting diantaranya pemberian ASI eksklusif dan pengenalan MPASI dini. Hasil survei yang dilakukan FAO, WFP, dan UNICEF tahun 2010 menunjukkan prevalensi stunting pada balita di Kabupaten Timor Tengah Selatan mencapai 61%.</p><p>Tujuan: Untuk mengetahui apakah riwayat pemberian ASI eksklusif dan MPASI dini merupakan prediktor terjadinya stunting pada anak di bawah dua tahun (baduta) di Kabupaten Timor Tengah Selatan.</p><p>Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional yang menggunakan metode kuantitatif dan kualitatif. Data kualitatif yang diperoleh melalui focus group discussion. Sampel penelitian sebanyak 408 anak berusia 6-24 bulan yang berasal dari 14 desa di Kecamatan Amanuban Barat dan Kie yang dipilih menggunakan teknik simple random sampling. Pengambilan data menggunakan kuesioner terstruktur. Stunting pada baduta diukur menggunakan indikator panjang badan menurut umur (WHO 2005). Analisis data menggunakan uji chi square dan regresi logistik dengan 95% confident interval.</p><p>Hasil: Proporsi baduta yang mengalami stunting sebesar 49%. Proporsi pemberian ASI eksklusif pada baduta sebesar 61% dan proporsi pemberian MPASI dini sebesar 36,8%. Pemberian ASI eksklusif dan MPASI dini bukan merupakan faktor yang mempengaruhi terjadinya stunting pada baduta. Faktor-faktor yang lebih kuat pengaruhnya terhadap terjadinya stunting pada baduta adalah asupan energi dan karakteristik orang tua yang meliputi pendidikan dan pekerjaan orang tua.</p><p>Kesimpulan: Pemberian ASI eksklusif dan MPASI dini bukan merupakan prediktor terjadinya stunting pada baduta di Kecamatan Amanuban Barat dan Kie.</p><p>KATA KUNCI: stunting, ASI eksklusif, MPASI dini, baduta</p>


Sari Pediatri ◽  
2016 ◽  
Vol 10 (2) ◽  
pp. 117
Author(s):  
Yenny Purnama ◽  
Eddy Fadlyana ◽  
Nanan Sekarwana

Latar belakang. Peran serta dan penerimaan ibu mengenai imunisasi ulangan difteria-tetanus diperlukan untuk menunjang upaya pencegahan penyakit tersebut.Tujuan. Mengetahui pengaruh pengetahuan terhadap sikap ibu murid SD kelas I mengenai imunisasi ulangan difteria-tetanus.Metode. Subjek penelitian adalah ibu murid SD kelas I di Kotamadya Bandung, menggunakan penelitian kuantitatif dan kualitatif. Rancangan penelitian kuantitatif berupa survei cross-sectional dimulai bulan November sampai Desember 2007. Sampel diambil secara cluster random sampling. Analisis statistik dilakukan untuk melihat pengaruh pengetahuan ibu murid SD kelas 1 terhadap sikap imunisasi ulangan difteria-tetanus dengan menggunakan analisis jalur. Pengetahuan adalah informasi yang dimiliki oleh ibu mengenai penyebab, gejala, pengobatan, penularan, dan pencegahan tentang penyakit difteria-tetanus. Sikap adalah respons ibu terhadap penyakit difteria-tetanus mengenai penyebab, gejala, pengobatan, penularan, dan pencegahannya. Rancangan penelitian kualitatif berupa focus group discussion dengan analisis deskriptif, untuk menilai pengetahuan dan sikap ibu mengenai imunisasi ulangan difteria-tetanus yang tidak tergali dengan penelitian kuantitatif. Sampel diambil sebanyak 5-10 orang dari ibu yang telah ikut dalam penelitian kuantitatif.Hasil. Didapatkan 226 ibu dengan rata-rata usia 35 tahun. Hasil analisis jalur, didapatkan pengetahuan secara signifikan dipengaruhi oleh pendidikan ibu dan jumlah anak. Sikap signifikan dipengaruhi oleh pendidikan ibu dan pengetahuan (95%CI: -t<+1,96>t). Hasil analisis jalur didapatkan pengaruh total pendidikan ibu dan pengetahuan terhadap sikap adalah cukup. Pengaruh total pendidikan ibu dan jumlah anak terhadap pengetahuan adalah kurang. Analisis focus group discussion tergambarkan bahwa ibu yang mempunyai pengetahuan tinggi lebih bersikap mandiri terhadap pelaksanaan imunisasi ulangan difteria-tetanus.Kesimpulan. Pengetahuan ibu berpengaruh positif terhadap sikap ibu mengenai imunisasi ulangan difteria-tetanus


2021 ◽  
Author(s):  
Gundo Nepfumbada ◽  
Tafadzwa Dzunamarira ◽  
Tivani Phosa Mashamba-Thompson

Abstract Background: The use of indigenous food (IF) such as green leafy vegetables and fruits in rural communities has been the main source of food despite being replaced by food high in sugar and fats. Early Childhood Development (ECD) centres are uniquely positioned for positive influence to healthy eating of children. The aim of this study was for ECD stakeholders to co-create an IF diet for children under five in ECD centres.Method: A sequential explanatory mixed method design was employed. We conducted focus group discussion with stakeholders employing the community-based participatory research (CBPR) approach and the nominal group technique ranking method to co-create to an acceptable indigenous food diet for children. Data was analyzed using both qualitative and quantitative methods. A thematic approach to qualitative data analysis with a coding framework guided by Consolidated Framework for Implementation Research (intervention characteristics, inner setting, outer setting, characteristics of individuals involved in implementation and the implementation process) was employed to analyse focus group discussion data. Statistical analysis was employed to analyze quantitative data collected through surveys.Results: Study participants included ECD stakeholders (ECD managers, social workers and dieticians) aged 34-52. Participants identified Ditokomane, Oranges, Mabele soft porridge, Dithotse and Dinawa as components of an IF that are suitable and acceptable for children under five years in ECD centres. Conclusion: ECD stakeholders co-created an IF diet to be implemented in ECD centres for children under five. Stakeholders are of the view that IF diet will have more health benefits on children than the current menu that is being used.


2020 ◽  
Vol 6 (2) ◽  
pp. 148-156
Author(s):  
Diyah Arini ◽  
Christina Yuliastuti ◽  
Ike Faradilah

Infectious diseases (ARI/Acute Respiratory Infection) that repeatedly cause children's health to increase in the pattern of children's appetite which can lead to less nutritional status of children. This study was to analyze the relationship between the incidence of stunting and the frequency and duration of ARI in children under  five in the Kenjeran Health Center Surabaya Working Area. Analytical research design with cross sectional design in 4 villages between Kenjeran Village, Bulak Village, Kedung Cowek Village, and Sukolilo Village. Data retrieval is done by questionnaire sheet and observation using microtoise, sample technique uses Sampling Probability by using Stratified Random Sampling as many as 152 children. The results of research on children under five who experience the incidence of stunting with the frequency and duration of ARI indicate children who experience stunting and longer frequency. The Rho Spearmen Test showed differences in the incidence of stunting with the frequency of ARI frequency p = 0.001 (p<? = 0, 05), the duration of ARI p = 0.001 (p<? = 0.05). The implication of this study is that stunting is related to the frequency and duration of ARI, so that posyandu activities can add counseling about children's health that requires the treatment of ARI in children under five in the Kenjeran Health Center Surabaya. Keywords: Stunting incidence, frequency, duration, ARI/Acute Respiratory Infection ABSTRAK Penyakit infeksi (ISPA) yang berulang menyebabkan kondisi kesehatan anak menurun sehingga berdampak pada pola nafsu makan anak yang dapat menyebabkan status gizi anak kurang. Penelitian ini bertujuan untuk menganalisis hubungan kejadian stunting dengan frekuensi dan durasi penyakit diare dan ISPA pada anak usia toddler di Wilayah Kerja Puskesmas Kenjeran Surabaya. Desain penelitian analitik korelasi dengan pendekatan cross sectional pada 4 Kelurahan antara lain Kelurahan Kenjeran, Kelurahan Bulak, Kelurahan Kedung Cowek, dan Kelurahan Sukolilo. Pengambilan data dilakukan dengan lembar kuisioner dan observasi menggunakan microtoise, teknik sampel menggunakan Probability Sampling dengan menggunakan Stratified Random Sampling sebanyak 152 anak. Hasil penelitian bahwa anak toddler yang mengalami kejadian stunting dengan frekuensi dan durasi penyakit ISPA menunjukkan anak yang stunting memiliki frekuensi dan durasi lebih lama. Uji Spearmen Rho menunjukkan adanya hubungan kejadian stunting dengan frekuensi ISPA p=0.001 (?=0.05), durasi ISPA p=0.001 (?=0.05). Implikasi penelitian ini adalah kejadian stunting berhubungan dengan frekuensi dan durasi penyakit ISPA, sehingga kegiatan posyandu dapat menambahkan penyuluhan tentang kesehatan anak terutama penanganan pertama  penyakit ISPA pada anak toddler di Wilayah Kerja Puskesmas Kenjeran Surabaya. Kata kunci:          Kejadian Stunting, Frekuensi, Durasi, Penyakit ISPA


2020 ◽  
Author(s):  
Gundo Nepfumbada ◽  
Tafadzwa Dzinamarira ◽  
Tivani Phosa Mashamba-Thompson

Abstract Background: The use of indigenous food (IF) such as green leafy vegetables and fruits in rural communities has been the main source of food despite being replaced by food high in sugar and fats. Early Childhood Development (ECD) centres are uniquely positioned for positive influence to healthy eating of children. The aim of this study was for ECD stakeholders to co-create an IF diet for children under five in ECD centres.Method: A sequential explanatory mixed method design was employed. We conducted focus group discussion with stakeholders employing the community-based participatory research (CBPR) approach and the nominal group technique ranking method to co-create to an acceptable indigenous food diet for children. Data was analyzed using both qualitative and quantitative methods. A thematic approach to qualitative data analysis with a coding framework guided by Consolidated Framework for Implementation Research (intervention characteristics, inner setting, outer setting, characteristics of individuals involved in implementation and the implementation process) was employed to analyse focus group discussion data. Statistical analysis was employed to analyze quantitative data collected through surveys.Results: Study participants included ECD stakeholders (ECD managers, social workers and dieticians) aged 34-52. Participants identified Ditokomane, Oranges, Mabele soft porridge, Dithotse and Dinawa as components of an IF that are suitable and acceptable for children under five years in ECD centres. Conclusion: ECD stakeholders co-created an IF diet to be implemented in ECD centres for children under five. Stakeholders are of the view that IF diet will have more health benefits on children than the current menu that is being used.


2020 ◽  
Author(s):  
Gundo Nepfumbada ◽  
Tafadzwa Dzinamarira ◽  
Tivani Phosa Mashamba-Thompson

Abstract Background: The use of indigenous food (IF) such as green leafy vegetables and fruits in rural communities has been the main source of food despite being replaced by food high in sugar and fats. Early Childhood Development (ECD) centres are uniquely positioned for positive influence to healthy eating of children. The aim of this study was for ECD stakeholders to co-create an IF diet for children under five in ECD centres.Method: A sequential explanatory mixed method design was employed. We conducted focus group discussion with stakeholders employing the community-based participatory research (CBPR) approach and the nominal group technique ranking method to co-create to an acceptable indigenous food diet for children. Data was analyzed using both qualitative and quantitative methods. A thematic approach to qualitative data analysis with a coding framework guided by Consolidated Framework for Implementation Research (intervention characteristics, inner setting, outer setting, characteristics of individuals involved in implementation and the implementation process) was employed to analyse focus group discussion data. Statistical analysis was employed to analyze quantitative data collected through surveys.Results: Study participants included ECD stakeholders (ECD managers, social workers and dieticians) aged 34-52. Participants identified Ditokomane, Oranges, Mabele soft porridge, Dithotse and Dinawa as components of an IF that are suitable and acceptable for children under five years in ECD centres. Conclusion: ECD stakeholders co-created an IF diet to be implemented in ECD centres for children under five. Stakeholders are of the view that IF diet will have more health benefits on children than the current menu that is being used.


Author(s):  
Shireen Bhatti ◽  
Muhammad Asif Shaikh

The goal of this study was to evaluate the competition anxiety and self-esteem among male volleyball players. Cross sectional study design, followed by qualitative investigation, was used in the current study. The participants in this study were 20 male volleyball players from the urban areas of the Province of Sindh Public Boys College. Both volleyball players at college and provincial level participated in the volleyball game. The player was between 16 and 20 years of age. Two questionnaires were used in the current study: (1) the Sports Performance Anxiety Test was used to consider performance anxiety and (2) the self-esteem of Rosenberg was used to describe self-esteem and (3) the focus group discussion. The results of the current study showed fluctuation in self-esteem level and anxiety level among players of different age groups regarding participation in volleyball competition. In Focus group discussion, regarding low self-esteem and higher competition anxiety, participants are of the view that low self-esteem and increase in anxiety undoubtedly have a greater negative effect on the team's psychology. Negative attitudes towards oneself, people's evaluation or opinion, fear of failure, risk of competitive climate, fear of adversary, low level of efforts, nervousness, negative feedback, rejection, criticism, nervousness, coach, team mates and high expectations of the audience are the factors that can contribute to low self-esteem and high anxiety. The study proposed some recommendations for future researchers.


2021 ◽  
Vol 8 (1) ◽  
pp. 24-38
Author(s):  
Muhammad Arif Hendrawan ◽  
Andri Dwi Hernawan ◽  
Ismael Saleh

Berdasarkan data situasi dan analisis gizi di Indonesia pada tahun 2017, status gizi balita diukur dengan indeks tinggi badan per umur (TB/U). Provinsi dengan persentasebalita pendek dan sangat pendek terbesar adalah Kalimantan Barat (32,5%) dan terendah adalah Sumatera Selatan (14,2%). Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi tumbuh kembang anak usia 4-6 tahun di desa kuala 2 wilayah kerja Puskesmas Sungai Durian. Penelitian ini adalah penelitian observasional analitik dengan desain cross sectional. Populasi dalam penelitian ini berjumlah 242 orang. Sampel dalam penelitian ini berjumlah 69 orang anak usia 4-6 tahun, diambil menggunakan random sampling serta menggunakan uji statistik chi-square. Hasil penelitian menunjukan faktor yang berhubungan dengan pertumbuhan anak berdasarkan indikator TB/U, yaitu riwayat ASI eksklusif (p=0,004) berat badan lahir rendah (BBLR) (p=0,003), imunisasi dasar (p=0,000), penyakit infeksi (p=0,000). Sedangkan faktor yang tidak berhubungan dengan pertumbuhan anak berdasarkan indikator TB/U yaitu usia saat hamil (p=0,103). Serta terdapat hubungan yang signifikan antara pertumbuhan anak berdasarkan indikator TB/U dengan perkembangan anak (p=0,000).Saran kepada Puskesmas Sungai Durian untuk melakukan kegiatan sosialisasi di masyarakat serta membuat program khususnya tentang pentingnya deteksi dini gangguan tumbuh kembang anak, sehingga diharapkan dapat mengatasi gangguan tumbuh kembang anak di wilayah kerja puskesmas.   According to the Indonesian ministry of health, 2017 the nutritional status of children under five as measured by the height per age index, the province with the largest proportion of short and very short children under five is West Kalimantan (32.5% ) and the lowest was South Sumatra (14.2%). The purpose of this study was to determine the factors that influence the growth and development of children aged 4-6 years in Kuala Village 2, the working area of Sungai Durian Health Center. This study was an observational analytic study with a cross sectional design. The population in this study was probably 242 people. The sample in this study may be 69 children aged 4-6 years, taken using random sampling and using chi-square test statistics. The results showed the factors associated with growth based on the indicator of height / age, namely a history of exclusive breastfeeding (p = 0.004), low birth weight (LBW) (p=0.003), basic immunization (p=0.000), infectious diseases (p = 0.000). Meanwhile, the factor that was not related to children's growth based on the indicator of height / age was the age at pregnancy (p = 0.103). As well as the significant relationship variable between children's growth based on the indicator of height / age with child development (p=0.000) It is suggested to Sungai Durian Public Health Center to carry out socialization activities in the community and create a program specifically on the importance of early detection of child developmental disorders, so that it is hoped that it can overcome child development disorders in the working area of the puskesmas.


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.


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