Determinants of Health Visit among Mothers with Toddlers at the Integrated Health Post, Nganjuk District, East Java

Author(s):  
Ambar Dwi Retnoningrum ◽  
◽  
Ike Nurrochmawati ◽  
Dewi Indriani ◽  
◽  
...  

ABSTRACT Background: Regular visit to the integrated health post is essential to monitor health and nutritional status of children under five years of age. However, the frequency of visits remained low in Nganjuk District, East Java. This study aimed to determine the factors affecting health visit of children under five at the integrated health post in Nganjuk District, East Java. Subjects and Method: This was a cross-sectional study conducted at Ngetos Integrated Health Post, Nganjuk, East Java, in April 2019. A sample of 100 children under five was selected for this study. The dependent variable was visit to the integrated health post. The independent variables were child age, maternal education, maternal work status, and motivation. The data were collected using questionnaires. The data were analyzed by multiple logistic regression. Results: Visit of children under five years of age to the integrated health post increased with child age (OR= 1.60; 95% CI= 0.90 to 12.20; p= 0.071), higher maternal education (OR= 4.66; 95% CI= 2.13 to 28.14; p= 0.002), working mothers (OR= 2.90; 95% CI= 1.57 to 26.45; p= 0.010), and higher motivation (OR= 2.45; 95% CI= 1.35 to 19.05; p= 0.016). Conclusion: Visit of children under five years of age to the integrated health post increases with child age, higher maternal education, working mothers, and higher motivation. Keywords: children under five years of age, mothers, integrated health post Correspondence: Ike Nurrochmawati. School of Health Sciences Satria Bhakti, Nganjuk. Jl. Panglima Sudirman VI Nganjuk, East Java. Email: [email protected]. Mobile: +6282141578108. DOI: https://doi.org/10.26911/the7thicph.03.71

2020 ◽  
Vol 27 (10) ◽  
pp. 2122-2128
Author(s):  
Hassan Ali ◽  
Saadia Khan ◽  
Ibad Ali ◽  
Asad Abbas ◽  
Reema Arshad ◽  
...  

Objectives: Pakistan is facing double burden of malnutrition. The purpose of current study was to access the nutritional status by different anthropometric methods and common barriers that affect the nutritional status of children. Study Design: Cross Sectional study. Setting: Children Hospital & Institute of Child Health Multan, Pakistan. Period: From 1st March 2019 to 1ST January 2020. Material & Methods: The study contained of 405 children with 216 boys and 187 girls. The data was collected by trained nutritionist in OPD of Children Hospital & Institute of Child Health and data was analyzed by using SPSS version 21.0. Results: The study showed that malnutrition is caused by poor socioeconomic status and low education level of care giver. The data showed that 318 (78.51%) participants involved in this study were malnourished. Nutritional status mostly affected during first birthday (36.79%). In this study 50.12% participants belonged to poor nutritional status and 47.65% mother were uneducated. Conclusion: The mother education and good socioeconomic status can prevent children from malnutrition. Feeding practices and weaning starting time also play role in defining nutritional status of children. Children under five year of age are at very sensitive of age and more prone to diseases so well balance diet and mother feeding upto-2 years of age can prevent children from chronic diseases and improve nutritional status.


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Rona Firmana Putri ◽  
Delmi Sulastri ◽  
Yuniar Lestari

AbstrakStatus gizi anak balita salah satunya dipengaruhi oleh faktor kondisi sosial ekonomi, antara lain pendidikan ibu, pekerjaan ibu, jumlah anak, pengetahuan dan pola asuh ibu serta kondisi ekonomi orang tua secara keseluruhan. Penelitian ini dilakukan untuk mengetahui apakah ada hubungan kondisi sosial ekonomi keluarga terhadap status gizi anak balita. Penelitian ini adalah survei analitik menggunakan desain cross sectional study dengan jumlah sampel 227 orang yang terdiri dari anak balita dan ibu balita di Wilayah Kerja Puskesmas Nanggalo Padang. Data dikumpulkan melalui kuesioner yang telah diisi oleh ibu balita yang kemudian di analisis secara bivariat dan multivariat. Berdasarkan analisis bivariat didapatkan pendidikan ibu (p=0,022), pekerjaan ibu (p=0,000), pendapatan keluarga (p=0,012), jumlah anak (p=0,008) dan pola asuh ibu (p=0,000). Sementara dari analisis multivariat didapatkan pendidikan ibu (p=0,004; OR=2,594; CI95%=1,356-4,963), pekerjaan ibu (p=0,000; OR=74,769; CI95%=24,141-231,577), pendapatan keluarga (p=0,013; OR=3,058; CI95%=1,246-7,4) dan pola asuh ibu (p=0,000; OR=15,862; CI95%=5,973-42,128). Analisis bivariat menunjukan bahwa terdapat hubungan antara pendidikan ibu, pekerjaan ibu, pendapatan keluarga, jumlah anak dan pola asuh ibu dengan status gizi anak balita. Berdasarkan hasil analisis multivariat faktor pekerjaan ibu merupakan faktor yang paling berhubungan dengan status gizi anak balita.Kata kunci: status gizi, anak balita, faktor sosial ekonomiAbstractNutritional status of children under five years has affected by a political and socio-economic condition factors, among others, maternal education, maternal occupation, number of children, maternal knowledge and parenting also parents' economic conditions as a whole. This research is conduct to determine whether there is a relationship between the socio-economic conditions of families on the nutritional status of children under five.This research is a analytic survey using a cross sectional study design with the number of samples are 227 people consisting of children under five and the mothers in the working areas Puskesmas Nanggalo Padang. Data were collected through questionnaires which is completed by mothers whose later been analyzed in bivariate and multivariateBased on bivariate analysis we can get the maternal education (p = 0.022), maternal occupation (p = 0.000), household income (p = 0.012), number of children (p = 0.008) and maternal parenting (p = 0.000). While the multivariate analysis obtained from the maternal education (p = 0.004; OR = 2.594; CI95% = 1.356 to 4.963), maternal occupation (p = 0.000; OR = 74.769; CI95% = 24.141 to 231.577), household income (p = 0.013; OR = 3.058; CI95% = 1.246 to 7.4) and maternal parenting (p = 0.000; OR = 15.862; CI95% = 5.973 to 42.128).Bivariate analysis showed that there is a relationship between maternal education, maternal occupation, family income, number of children and parenting mothers with a nutritional status of children under five. Based on the results of the multivariate analysis, maternal occupation is the most associated factor with nutritional status of children under five.Keywords: Nutritional Status, Children Under Five, Socio-economic Factor


2018 ◽  
pp. 233-242
Author(s):  
Kristiawan Prasetyo Agung Nugroho ◽  
Bagus P. S. Adi ◽  
Ria Angelina

ABSTRAK Kelompok usia yang sangat rentan terhadap masalah status gizi adalah kelompok anak usia 1–5 tahun. Status gizi pada balita berkaitan langsung dengan pola konsumsi dan penyakit infeksi. Penyakit infeksi terkait lingkungan dapat meliputi diare, Infeksi Saluran Pernapasan Atas (ISPA),dan pneumonia. Rendahnya status gizibalita dapat meningkatkan kejadian sakit pada balita. Tujuan penelitian ini adalah untuk mengetahui hubungan gizi terhadap kejadian penyakit pada balita usia 12-60 bulan Metode yang digunakan adalah pendekatan deskriptif dengan rancangan cross sectional study. Populasi penelitian yaitu seluruh balita di Desa Batur, Kecamatan Getasan, Kabupaten Semarang yang mengikuti penimbangan Posyandu Balita yang tersebar di 19 dusun. Teknik pengambilan sampel secara random sampling dengan responden penelitian adalah ibu yang memiliki balita berusia 12 – 60 bulan dengan status gizi kurang. Data didapat dari sumber sampel sebanyak 35 balita dengan status gizi kurang. Faktor-faktor yang mempengaruhi status gizi diantaranya umur ibu, pendidikan, pekerjaan, kebiasaan makan balita, dan lingkungan fisik rumah. Permasalahan Gizi kurang erat kaitannya dengan kejadian penyakit pada balita, namun kondisi badan panas (demam), batuk, dan pilek kerap dialami oleh balita yang menandai gejala ISPA. Kasus status gizi kurang pada balita di Desa Batur dikategorikan masih tinggi dilihat dari hasil penimbangan bulan september 2017 sebesar 10,29%.   Kata kunci: cross sectional study, random sampling, status gizi, ISPA, pneumonia     ABSTRACT The age groups that are particularly vulnerable to nutritional status are groups of children aged 1 - 5 years. The nutritional status of children under five is directly related to consumption pattern and infectious diseases. Illnesses related to environmental condition may include diarrhea, upper respiratory tract infections (ISPA), and pneumonia. The low nutritional status of children under five can increase the incidence of illness in toddlers. The purpose of this study was to determine the relationship of nutrition to disease incidence in children aged 12 - 60 months. The method used is descriptive approach with cross sectional study design. The research population is all children under five in Batur Village, Getasan Subdistrict, Semarang Regency which follow Balita Posyandu weighing spread in 19 hamlets.Sampling was done by random sampling with the respondents of the researchwere mothers who have children aged 12 - 60 months with less nutritional status. Data obtained from the sample source as many as 35 children under-five with less nutritional status. Factors that affect nutritional status include maternal age, education, occupation, toddler eating habits, and the physical environment of the house. Problems Nutrition is less closely related to the incidence of disease in toddlers, but the condition of fever, coughs, and colds are often experienced by toddlers that indicate symptoms of upper respiratory tract infections. Cases of underweight status of children under five in Batur village are still considered high in terms of weighing in September 2017 of 10.29%.   Keywords: cross sectional study, random sampling, nutritional status, ISPA,pneumonia


2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Ni Putu Eny Sulistyadewi ◽  
Dylla Hanggaeni Dyah Puspaningrum

<p>ABSTRAK<br />Pengaturan pola makan pada anak balita sangat bergantung dengan tingkat pengetahuan ibu dalam memilih, mengolah serta mengatur makanan yang dibutuhkan oleh balita. Hal ini menunjukkan bahwa pengetahuan yang dimiliki ibu tentang gizi balita akan mendasari pemberian makan pada anak, sehingga akan menentukan pola makan anak dan selanjutnya akan menentukan status gizi anak tersebut. Tujuan dari penelitian ini adalah untuk mengetahui tingkat pengetahuan terhadap pola makan dan status gizi anak balita di taman kanak – kanak Denpasar Selatan. Penelitian ini termasuk jenis penelitian observasional analitik dengan rancangan penelitian cross-sectional. Hasil penelitian dari 31 orang responden mempunyai status gizi baik dan pola makan sesuai dengan tingkat pengetahuan ibu yang kurang. Hal ini menunjukkan bahwa tidak ada hubungan tingkat pengetahuan ibu terhadap pola makan dan status gizi anak balita taman kanak – kanak Denpasar Selatan yang ditunjukkan dengan nilai p&gt;0,05.<br />Kata Kunci : Pola makan, Status Gizi, Tingkat Pengetahuan Ibu, Balita<br />ABSTRACT<br />Dietary adjustments in children under five is very dependent on the level of knowledge of mothers in selecting, processing and arranging food needed by toddlers. This suggests that knowledge of mothers about infant nutritional would constitute feeding the child, so that will determine the child's diet and will determine the nutritional status of the child. The purpose of this study was to determine the level of knowledge of diet and nutritional status of children under five in kindergarten - childhood South of Denpasar. This research is observational analytic study with cross-sectional study design. The results of the 31 respondents have good nutritional status and diet according to the mother's level of knowledge is lacking. This shows that there is no relationship between the level of knowledge of the mother's diet and nutritional status of children under five kindergarten - childhood South of Denpasar indicated by the value of p&gt; 0.05.<br />Keyword : Diet, Nutritional Status, Knowledge Level Mother, Toddler</p>


2022 ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Yudi Chadirin

Abstract Background: Composite Index of Anthropometric Failure (CIAF) can assess anthropometric failure by combining the three conventional index measurements of weight-for-age, length/height-for-age, and weight-for-length/height to determine the nutritional status of children under five years. This study aims to assess undernutrition using the CIAF and its determinants on children under five years in the rural area of ​​Bogor District, in Indonesia.Methods: A cross-sectional study was conducted during February-May 2019 among 330 pairs of mother-children (under five years). Sample selected by systematic random sampling from four villages as undernutrition pockets in the rural area of ​​Bogor District, Indonesia. The nutritional status of children was assessed by measuring weight and length/height. Then, Z-score was calculated using WHO Anthro software and categorized based on conventional indices that included weight-for-age (WAZ), length/height-for-age (HAZ), weight-for-length/height (WHZ). CIAF is measured based on a combination of conventional index measurements. In addition, the characteristics of mother’s and child, and clean living behavior measured by structured questionnaires. Meanwhile, environmental sanitation is assessed by the environment meter. Binary logistic regression analysis with SPSS version 22.0 was used to analyze the dominant factors associated with undernutrition.Results: The prevalence underweight, stunted, and wasted was 27.8%, 29.7%, and 10.6% respectively. Children who are undernutrition are 42.1% according to the CIAF of which about a quarter (17.8%) of undernutrition children experience a single anthropometric failure, about half (22.2%) had dual failure, and 2.1% had multiple failures. The most dominant factor associated with underweight, stunted, and wasted is family income [p-value=0.018; AOR=5.44; 95% CI: 1.34-22.11], mother's height [p-value=<0.001; AOR=3.29; 95% CI:1.83-5.91], and child's age [p-value=0.013; AOR=2.59; 95% CI: 1.22-5.47] respectively. Mother's height is the most dominant factor associated with anthropometric failure (CIAF) [p-value=0.008; AOR=1.95; 95% CI: 2.19-3.19].Conclusion: CIAF is worthwhile in preventing undernutrition in children under five years. The CIAF can identify more malnourished children than the conventional index. CIAF can use more widely in various regions in Indonesia and other developing countries. Furthermore, improvements in improving nutrition for mother’s in the child since the First 1000 days of life period are needed to determine optimal nutritional status as an indicator of growth success.


2019 ◽  
Vol 1 (1) ◽  
pp. 16-22
Author(s):  
Falerius Jago

Aesesa Sub-district is one of the Subdistricts in Nagekeo District that has high nutritional problems and occurs every year.Nutrition problems that occur are influenced by several factors, namely mother's knowledge of nutrition, diet of children under five, and family income.This study aims to determine what factors are related to the nutritional status of children under five years in the working area of Puskesmas Danga, Aesesa Sub-district, Nagekeo Regency in 2016.This research was conducted in the working area of Puskesmas Danga, Aesesa Sub District, Nagekeo District.The study period starts from December 2016 to August 2017.This research method is analytic survey by using cross sectional study design.Sample in this research is mother who have toddler which amounted 93 people. Sampling method using systematic random sampling technique.Instrument of data collecting by using questioner and analyzed by univariat and bivariat.The results showed that there was a correlation between mother's knowledge (ρ = 0,003), diet (ρ = 0,000), and family income (ρ = 0,029) with nutritional status in toddler in working area of Puskesmas Danga Aesesa Sub-district of Nagekeo Regency 2016.Based on the results of this study, it can be concluded that there is a relationship between mother's knowledge about nutrition, eating pattern of children under five, and income of family with nutritional status at under five years in working area of Puskesmas Danga Aesesa District of Nagekeo Regency.


Author(s):  
Manish Jain ◽  
Jagdish Singh Bhati ◽  
Mayank Jain ◽  
Vinod Kumar ◽  
Kapil Garg ◽  
...  

Background: Adequate nutrition is essential in early childhood to ensure healthy growth and development, proper organ functions and a strong immunity. Accurate assessment of nutritional status of children is a requisite in appropriate planning and effective implementation of nutrition interventions. The objective of this study is to assess nutritional status of children under five year of age in rural area and to identify the socio-demographic factors associated with under nutrition.Methods: A cross sectional study was conducted among children aged six months to five years in rural area of Jhalawar, Rajasthan. Nutritional status of the children was assessed by measurement of mid upper arm circumference and information like birth order of children, birth weight and number of siblings was collected using a pre-coded and semi structured questionnaire.Results: Moderate under-nutrition was present in 16.8% children. Under-nutrition was present among 9.9% male and 24.2% female children. 38.1% children with birth weight less than 2.5 kg were under-nourished. Proportion of under-nutrition was 27.7% among children with number of siblings more than 2 while it was only 11.1% among those with 2 or less number of siblings.Conclusions: Gender, number of siblings and birth weight of children were significantly associated with nutrition status of children. 


2020 ◽  
Author(s):  
Diana Raj ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli ◽  
Zalilah Mohd Shariff

BACKGROUND Excessive screen time is detrimental to the child’s health. However, screen time situation among Malaysian children is poorly understood. OBJECTIVE This study aims to identify the prevalence and determinants of screen time among children under five years old using the latest WHO guidelines. METHODS A cross sectional design was used to randomly select 489 children from nine government health clinics. Total screen time and factors were assessed using validated self-administered questionnaires and analyzed using multiple logistic regression. RESULTS Results show an overall prevalence of 91.4% with a median of 3.00 hours (IQR: 1.36-5.04). Majority of children watched television (66%), followed by mobile phones (30%) and computers (4%). The determinants of screen time were Malay ethnicity, (AOR 3.56, 95% CI: 1.65-7.68), parental age of 30 years or more (AOR 3.12, 95% CI: 1.58-6.16), parental screen time exceeding 2 hours a day (AOR 2.42, 95% CI: 1.24-4.73), parent’s moderate self-efficacy to influence child’s physical activity (AOR 2.29, 95% CI: 1.01-5.20) and parent’s positive perception on influence of screen time on child’s cognitive well-being (AOR 1.15, 95% CI:1.01-1.32). CONCLUSIONS Parents played an important role in determining their child’s screen time. Future interventions that focus on the parents may ensure age appropriate screen time for their children.


2017 ◽  
Vol 5 (1) ◽  
pp. 95
Author(s):  
Nikmatur Rohmah ◽  
Fariani Syahrul

Diarrhea is still a public health problem in the world and the mostly occur in children under five years. At the moment the number of diarrhea-caused mortality was 3.8 per 1000 per year by 3.2 episodes per year in children under five years. This research aims to analyze the association between hand-washing habits and toilet use with the incidence of diarrhea in children under five years. This is an observational analytic with cross sectional study. Population of the research was a children's mother took her children to the public health center of Sekardangan Sidoarjo Subdistrict. The number of samples taken as many as 58 mother of children under five years. Data collection was done with interviews to parents of children and the observations of the toilets. Technique of data analysis using chi-square test or Fisher's exact test. On the results of the research there is a significant association the habit of hand washing (p = 0.006) and toilet use(p = 0.014) with the incidenceof diarrhea in children under five years. Conclusions of the research is the habit of hand washing and toilet use had a significant association with the incidenceof diarrhea in children under five years. Advice that can be given to the mother of a children under five years is to wash the hands before and after defecating and before preparing food for children. Keywords: diarrhea, hand washing, toilet use, observational, children under five years


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