scholarly journals Exclusive breastfeeding practice and sources of support during COVID-19 pandemic in Indonesia

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>

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.


2019 ◽  
Vol 19 (2) ◽  
pp. 116-125 ◽  
Author(s):  
Aldrin Musiun ◽  
Khamisah Awang Lukman ◽  
Mohammad Saffree Jeffree ◽  
Fredie Robinson ◽  
Mohd Rohaizat Hassan ◽  
...  

Stress is accepted as the accumulation of unpleasant state of physical, mental and emotion on a person. Medical education has been known as one of the most stressful academic curriculum.  Hence, medical students may subjected to multiple psychological changes and challenges throughout the years of medical education.  The aim of this study was to determine the prevalence of stress and its associated factors among medical students. This cross sectional study was conducted from April to May 2018 in medical school in Sabah. It involved 396 medical students through universal sampling.  Self-administered questionnaires were used as an instrument for data collection. The questionnaires included were Sociodemographic Questionnaire, Depression, Anxiety and Stress Scales 21 (DASS-21) and Medical Student Stressors Questionnaire (MSSQ). Bivariate analysis (Chi Square test, Fisher’s Exact Test, Independent T test and Man-Whitney U test) were used to analyse the association. The response rate was 90.2%. The prevalence of stress among medical students were 33.3%.  Significant associated factors include financial support inadequacy (p=0.010) and all categories of medical student stressors. The mean score of the academic related stressors was found to be at 2.117 (±0.758) which was the highest mean score among medical student stressors assessed by MSSQ. The result of this study can be used as a basis for implementation of preventive measures such as provision of comprehensive, integrated and responsive mental health care services in university-based settings.


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.


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.


2021 ◽  
Vol 3 (3) ◽  
pp. 119-128
Author(s):  
Monika Eksadela ◽  
Muhammad Syukri ◽  
Adelina Fitri

Background: The coverage of exclusive breastfeeding in Hiang Health Center Working Area in 2019 was 49.1%. Purpose: This study aimed to determine the relationship between family and health worker support with exclusive breastfeeding at the Hiang Health Center, Kerinci Regency Methods: This study used a cross-sectional design with a sample of 165 people. Samples were taken using proportional random sampling technique. The samples taken were mothers who had children aged 6-23 months with the mother's condition physically healthy, able to read, write and speak Indonesian, did not suffer from serious diseases that harm the baby when breastfeeding, such as HIV, Active TB, and Hepatitis. Data collection was carried out from April to May 2021 with the interview method using a structured questionnaire. Data processing was carried out univariate and bivariate using chi-square test. Results: The proportion of children who did not get exclusive breastfeeding was 45.5%. Bivariate analysis showed that family support (p=0.004 OR= 1.68 95%CI 1.2-2.3), and support from health workers (p=0.000 OR=2.42 95% CI 1.73 - 3.37) were associated with exclusive breastfeeding. Conclusion: Family and the health workers support were associated with exclusive breastfeeding.


2018 ◽  
Vol 1 (1) ◽  
pp. 36
Author(s):  
Dwi Aprilianti ◽  
Jonni Syah R. Purba

The importance of knowing the nutritional status of mothers before pregnancy can improve nutrition problems that will be sustainable in infants will be born. The risk of SEZ in women of childbearing age (WUS) has an impact on infants with LBW so that it will increase the number of malnutrition in Indonesia. This study aims to determine the relationship of knowledge, attitudes, energy and protein intake to the risk of chronic lack of energy (SEZ) in women of childbearing age (WUS) in Hibun Village, Sanggau District. This type of research is an observational study with a cross-sectional study design with a purposive sampling technique, the number of research samples is 70 respondents with criteria aged 18-35 years both those who have given birth and have not and are not pregnant. Data analysis included univariate and bivariate analysis using the chi-square test with a confidence level of 90% (α = 0.10). The results showed that there was a relationship between energy intake (p = 0.009) and SEZ risk in women of childbearing age and there was no relationship between knowledge (p = 0.196), attitudes (p = 0.226) and protein intake (p = 0.483) with SEZ risk in women of childbearing age in Hibun Village, Sanggau District. There is a relationship between energy intake and the risk of SEZ in women after fertility. There is no relationship between knowledge, attitudes and protein intake against the risk of SEZ in women after fertility. The need for counseling on SEZs for WUS to increase knowledge carried out at posyandu is carried out by health workers and cadres carried out periodically and continuously


2016 ◽  
Vol 7 (01) ◽  
pp. 49-56
Author(s):  
Zulmeliza Rasyid ◽  
Astria Megawati

Exclusive breastfeeding is the only baby only breast-fed for 6 months without any additional fluid, such as formula milk, orange juice, honey, tea, water and without supplementary feeding others, such as banana, milk porridge, biscuits, porridge or rice porridge. Scope of exclusive breastfeeding in Senapelan work area health center in 2015 is 56 %. Scope of exclusive breastfeeding in 2015 decreased from 2014 the amount of coverage is at 57.44 %This research method is analytic quantitative of observational with cross sectional design. This research sample counted 90 respondents. Technique intake of sample is proportional sampling and data collection do with interviewing mothers with babies aged 7-11 months using questionnaires. Analysis the used are analysis univariate, bivariate analysis with Chi - Square test and multivariate and data processing using computerized. Results of research show there are correlation between mother’s knowledge (Pvalue = 0,0001 , value of POR = 10,094 ) , mother’s education (Pvalue = 0,013, value of POR = 3,421 ) , mother's work ( Pvalue = 0,025 , value of POR = 3,058), mother’s habits ( Pvalue = 0,0001, value of POR = 15,600) and the role of health workers ( Pvalue = 0,0001, value of POR = 13,388 ) with exclusive breastfeeding for the baby. Suggested for holders need to improve outreach programs and socialization for mothers, the general public, working mothers, either in health centers, integrated service post and in classes pregnant women about the importance of exclusive breastfeeding in infants. And to the mother who has a baby to be more diligent in bringing babies to integrated service post Health Services as well as searching for information on exclusive breastfeeding.


2019 ◽  
Vol 4 (2) ◽  
pp. 359
Author(s):  
Vina Novela ◽  
Listiani Kartika

<p><em>Malnutrition in pre-school childrenstill found in Guguk Panjang Community Health Center. This data can be found from Bukittinggi Health Office in 2017 which stated that 800 under-fives children had less nutrition. In Guguk Panjang Community Health Centerin 2017, malnutrition cases were found in 162 people. This study aims to find out some factors related to malnutrition in the Guguk Panjang Community Health Center in 2018. The type of this research was descriptive analytic with a cross sectional study design.. </em><em>The population in this reseacrh as many 1.106 population and 92 samples preschool-aged mothers</em><em>. Then, the samples were taken from purposive sampling technique. The data were analyzed by univariate and bivariate by using Chi-Square statistical test. The results of this research showed that 54.3% of them had high level of knowledge. Then, 52.2% of themhad poor parenting. Next, the mothers did not provide exclusive breastfeeding were around 63.0%. Moreover, based on bivariate analysis there was a relationship between knowledge p value 0.008), parenting (p value 0.001) history of exclusive breastfeeding with malnutrition (p value 0.021). In short, it can be concluded that there were some factors related to malnutrition in preschool children. They were knowledge, parenting, and exclusive breastfeeding history. Then, it is expected that the health workers provide more information about nutrition and education about good parenting for children and also provide brochures or leaflets about nutrition.</em></p><p><em><br /></em></p><p><em><em>Kasus gizi kurang pada anak pra sekolah masih ditemukan diwilayah kerja puskemas guguk panjang. Hal ini terlihat data dari dinas kesehatan kota bukittinggi mencatat bahwa pada tahun 2017 balita dengan gizi kurang sebanyak 800 orang. Puskesmas guguk panjang pada tahun 2017 mempunyai gizi kurang sebanyak 162 orang. Tujuan penelitian, untuk mengetahui faktor-faktor yang berhubungan dengan gizi kurang pada anak prasekolah. Jenis penelitian ini adalah deskriptif analitik dengan desain cross sectional study. Populasi dalam penelitian sebanyak 1.106 orang dengan sampel 92 orang ibu anak prasekolah. Teknik pengambilan sampel porposive sampling. Pengolahan data dengan analisisunivariat dan bivariat  menggunakan uji statistik Chi - Square.Hasil penelitian menunjukkan terdapat 54,3% tingkat pengetahuan tinggi. Ibu yang pola asuh kurang baik sebanyak 52,2% . Ibu yang tidak memberikan ASI Ekslusif sebanyak 63,0%. Dari uji statistik didapatkan ada hubungan bermakna antara pengetahuan dengan gizi kurang (p value 0,008). Ada hubungan antara pola asuh dengan gizi kurang (p value 0,001) dan ada hubungan antara riwayat pemberian ASI Eksklusif dengan gizi kurang (p value,021).Disimpulkan bahwa faktor yang berhubungan dengan gizi kurang pada anak prasekolah adalah pengetahuan, pola asuh, dan riwayat pemberian ASI Eksklusif</em></em></p><p><strong> </strong></p>


2021 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
Ni Made Dwi Mahayati ◽  
Ni Gusti Kompiang Sriasih

Introduction: The quality of a child is also determined by the health status of the child, especially in the toddler period. This period is a golden period for child development, so it is very important to ensure that the child's growth runs optimally, including ensuring that the nutritional status of toddlers is in a good category. The problem of short toddlers illustrates the existence of chronic nutritional problems that can be affected by the condition of the mother during pregnancy, the fetus, infants and toddlers, including diseases suffered during toddlers. This study aimed to analyze the relationship between parenting factors and stunting. Methods: Design of this study was analytic observational with cross sectional approach. The sampling technique used was purposive sampling by taking samples from two areas of stunting loci in Ubud District with a sample size of 92 people. The data collected are primary and secondary data. Data analysis used Chi Square and Fisher's Exact test. Results and Discussion: The results showed that most of the children were in nonstunting status with a stunting rate of 25%. The results of the bivariate analysis between the independent variables and stunting showed the following results: exclusive breastfeeding status (p = 0.01), active posyandu visits (p = 0.022) and diarrhea exposure (p = 1.00). Conclusion: There is a relationship between exclusive breastfeeding status and active posyandu visits with stunting in toddler.   Keywords: toddlers, posyandu visits, stunting, exclusive breastfeeding, child infections


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