scholarly journals Faktor – faktor riwayat ibu yang menyebabkan terjadinya stunting pada balita usia 6-59 bulan di Lampung Tengah

2020 ◽  
Vol 13 (4) ◽  
pp. 301-305
Author(s):  
Yesi Nurmalasari ◽  
Festy Ladyani Mustofa ◽  
Wulandari Wulandari

Factors associated with stunting among children of age 6 to 59 months in Central Lampung, IndonesiaBackground: Stunting is a chronic condition that describes the inhibition of growth for the long-term malnutrition, causing stunting is two directly and indirectly. Indirect causes are factors of education, history of the antenatal care (ANC), granting exclusive breastfeeding, maternal nutritional status, consumption of iron (Fe), occupational factors, and economic status.Purpose: To determine the Factors associated with stunting among children of age 6 to 59 months in Central Lampung, IndonesiaMethods: Its quantitative descriptive cross-sectional design with total sampling. The sample is toddlers aged 5-59 months of 106 toddlers. The location was conducted in the village of Mataram Ilir, Seputih District, Surabaya, Central Lampung in 2019. Research instruments in the form of questionnaires, scales, Microtois/Staturmeter and midline. This research has passed research ethics with ethics number no. 62 / EC / KEP-UNMAL / 2019.Results: There are of 54,2% of women not  breastfeeding, 74.0%  never pay attention for antenatal care during pregnancy, 71,9% of mothers suffer from chronic energy deficiency (CED), 52,1% of mothers never consume iron (Fe) during pregnant, and there were of 50.0% has a poor knowledge due to less education.Conclusion: Factors of maternal of an indirect cause stunting is exclusive breastfeeding, consumption of iron (Fe), maternal nutritional status, history of the antenatal care and maternal education level can cause stunting to the children of age 6 to 59 Months.Keywords: Socio-Economic; Maternal Nutritional Status; Stunting; Children of age 6 to 59 MonthsPendahuluan: Stunting merupakan kondisi kronis yang menggambarkan terhambatnya pertumbuhan karena malnutrisi jangka panjang, penyebab stunting terbagi dua yaitu secara langsung dan tidak langsung. penyebab tidak langsungnya adalah faktor pendidikan,riwayat ANC,Pemberian asi eksklusif , status gizi ibu,konsumsi zat besi (fe), faktor pekerjaan, dan status ekonomi keluargaTujuan: Untuk mengetahui faktor-faktor riwayat ibu yang menyebabkan terjadinya stunting pada balita 6 – 59  bulan di desa  mataram  ilir kecamatan seputih surabaya  lampung tengah tahun 2019.Metode: Penelitian deskriptif kuantitatif dengan rancangan cross sectional dengan menggunakan total sampling. Sampel penelitian adalah balita usia 5-59 bulan berjumlah 106 balita. Tempat penelitian dilakukan di desa Mataram Ilir , Kecamatan Seputih Surabaya, Lampung Tengah tahun 2019.  Instrumen penelitian berupa kuesioner, timbangan, mikrotois dan midline. Penelitian ini sudah lulus etik penelitian dengan nomor etik no.62/EC/KEP-UNMAL/2019.Hasil: Didapatkan 54,2% ibu yang tidak memberikan ASI Eksklusif,  74,0%  ibu tidak melakukan perawatan ANC Saat hamil, 71,9 % ibu menderita KEK,  52,1% ibu tidak mengkonsumsi zat besi (Fe)  saat hamil, dan terdapat 50,0 % ibu berpendidikan rendah.Simpulan: Faktor-faktor riwayat ibu secara tidak langsung yang menyebabkan stunting yaitu pemberian ASI Eksklusif , riwayat konsumsi zat besi (Fe), status gizi ibu ,riwayat ANC dan tingkat pendidikan ibu dapat menyebabkan terjadinya stunting pada balita usia 6-59.

Author(s):  
Endah Kusuma Wardani ◽  
◽  
Nurul Eko Widiyastuti ◽  
Lutvia Dwi Rofika ◽  
Wahyu Adri Wirawati ◽  
...  

ABSTRACT Background: Stunting, chronic malnutrition, results from the exposure of the fetus and young child to nutritional deficiency and infectious disease. In Indonesia, 30.8% of children were stunted, in which 26.2% was in East Java and 8.1% Banyuwangi Regency. This study aimed to investigate the factors affecting stunting among children under five years of age in Banyuwangi, East Java. Subjects and Method: This was a cross-sectional study conducted at Klatak and Wonosobo Community Health Centers, Central Java. a sample of 60 children under five years of age was selected for this study. The study variables were child’s gender, maternal age at pregnancy, maternal education, maternal work status, iron intake, history of chronic energy deficiency, exclusive breastfeeding, supplementary feeding, and history of infectious disease. The frequency distribution data were reported descriptively. Results: The majority of stunted children under study were male (53.3%). Most of the women were at age 20 to 34 years during pregnancy (58.3%). As many as 73.3% mothers were low educated. Most of the mothers were housewives (85%). 78.3% of women took iron supplement during pregnancy. Most of the children did not have the history of chronic energy deficiency (60%). Most of the children received exclusive breastfeeding (61.7%) and supplementary feeding (65%). Only a few children had the history of infectious disease (6.7%). Conclusion: The characteristics of subjects under study vary with maternal age at pregnancy, maternal education, maternal work status, iron intake, history of chronic energy deficiency, exclusive breastfeeding, supplementary feeding, and history of infectious disease. Keywords: stunting, children under five years of age, factors Correspondence: Endah Kusuma Wardani. Midwifery Program, School of Health Sciences Banyuwangi. Jl. Letkol Istiqlah No. 109, Banyuwangi, East Java, 68422. Email: [email protected]. Mobile: +6282257193736. DOI: https://doi.org/10.26911/the7thicph.03.80


2021 ◽  
Author(s):  
Esthi Endah Tri Maulina ◽  
Lucky Radita Alma ◽  
Siti Nurrochmah

n 2018, the average prevalence of stunting in Indonesia ranked sixth in the Asian region, at 36.4%. In the Java region, East Java ranked first with a stunting proportion of 32.81%. Malang is a district that has continued to experience an increase in the proportion of short nutritional status over the past three years: 22.9% in 2016, 28.3% in 2017 and 31.7% in 2018. Factors that affect stunting include income, education, economic status, number of family members, knowledge, exclusive breastfeeding, sanitation, clean water, health services, nutritional status of pregnant women, infections and birthweight. The purpose of this study was to determine the relationship of maternal nutritional status, birthweight and exclusive breastfeeding with the rate of stunting in Kedungrejo Village, Pakis District, Malang. This analytical observational study used a case–control design. The sample size of the case and control groups were 31 and 62 toddlers, respectively, selected using a purposive sampling technique. Data were analysed by Chi-square test. No significant relationship was seen between the maternal nutritional status and the rate of stunting (X2 value 0.151 < X 2 table 3.841), and the birthweight and the rate of stunting (X2 value 0.427 < X 2 table 3.841), however, there was a significant relationship between exclusive breastfeeding and the rate of stunting (X2 value 10.747 > X 2 table 3.841). Keywords: the birthweight of babies, exclusive breastfeeding, mother’s nutritional status, stunting


2020 ◽  
Author(s):  
Desta Samuel Umuro ◽  
Yared Lasebew Asres ◽  
Gezahegn Mamo Muluneh

Abstract Background This study aimed to assess magnitude and factors associated with anemia among pregnant women attending antenatal clinic at St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia. Methods Institution based cross sectional study design was conducted from December 1–30, 2018 on 405 pregnant women attending antenatal clinic. All pregnant women visiting the Antenatal care clinic during the study period and who fulfilled the eligibility criteria were included in the study. Secondary data was collected from clients register and personal files on hemoglobin, HIV, stool, and other variables. Descriptive statistics was used to analysis some variables by using SPSS. Logistic regression was carried out to identify factors associated with anemia in pregnancy. Adjusted odds ratio with their 95% of confidence interval and p < 0.05 are consider to have significant association. Results The magnitude of Anemia in pregnant women in this study was 19.8%, (95% CI 16.00-23.70). HIV infection (AOR = 6.12(95% CI 2.19, 17.08) parasitic infestation (AOR = 11.88 (95% CI 5.60, 25.20) and history of not taking fruit after meal during pregnancy (AOR = 3.12(95% CI 1.72, 5.67) were the major determinants of anemia. Conclusion This study showed that the magnitude of anemia among pregnant women was high especially at third trimester. Living with HIV /AIDS, parasitic infestation and no history of taking fruits after meal were the main factors.


2018 ◽  
Vol 1 (3) ◽  
Author(s):  
Okta Vianis

<p>Based on monitoring reports nutritional status of children in Lubuk Kilangan Puskesmas Padang in 2014, from 291 infants who weighed by BB / U, known malnutrition by 10 people (3.44%), malnutrition as many as 54 people (18.56%), and good nutrition as much as 222 (76.3%). The purpose of this study to see if Factors Associated with the Nutritional Status In Toddlers in Sub Bandar Buat Padang District of Lubuk Kilangan 2016.</p><p>Types and methods of this research is analytic survey with cross sectional design. The research was conducted in the village of Lubuk Kilangan Bandar Buat District of Padang in May 2016. The population is all the mothers who have children amounted to 755 people. Samples taken as many as 88 people with cluster random sampling techniques and sample used for the randomization Simple Random Sampling technique. Data collected by using a questionnaire. Processing of data by univariate and bivariate data analysis performed using Chi-Square test.</p><p>The results were obtained over the majority 51.1% children have malnutrition. Mothers who are knowledgeable low of 3.6%, which the family income &lt;1.615 million as much as 47.7%. Mothers who do not give exclusive breastfeeding much as 52.3%. Of test statistics in get a significant relationship between the nutritional status of children with a mother knowledge (p value 0.000), there was a significant relationship between the nutritional status of children with family incomes (p value 0.000), and no significant correlation between the nutritional status of children with exclusive breastfeeding ( p value 0.034).</p><p> It was concluded that there is a relationship between the nutritional status of children with the knowledge of the mother, family income and exclusive breastfeeding in Lubuk Kilangan Puskesmas Padang Year 2016. For the Lubuk Kilangan health center in order to do counseling at least 1 time a month on Nutrition in infants in order to improve knowledge of mothers on nutritional status.</p>


2018 ◽  
Vol 5 (1) ◽  
pp. 88-97
Author(s):  
Anak Agung Ayu Sudilestari ◽  
I Gusti Ayu Putu Satya Laksmi ◽  
Ika Setya Purwanti

Pendahuluan: Kekurangan gizi merupakan masalah kesehatan utama di negara yang sedang berkembang, dan melatarbelakangi lebih dari 50% kematian balita. Pemberian ASI paling sedikit 6 bulan direkomendasikan untuk menurunkan kesakitan dan kematian anak akibat gangguan gizi. Metode: Desain penelitian ini menggunakan metode penelitian non eksperimental dengan desain penelitian cross sectional. jumlah sampel pada menelitian ini sebanyak 83 responden dengan Teknik purposive sampling. Hasil: uji analitik menggunakan uji korelasi Rank Spearman didapatkan nilai signifikan p = 0,002 (p < 0,05) dan r = -0,333, sehingga dapat disimpulkan ada hubungan antara riwayat pemberian ASI eksklusif dengan status gizi balita usia 7-24 bulan. Diskusi: Pemberian ASI secara eksklusif sampai bayi berumur 6 bulan sangat penting untuk menunjang status gizi balita sehingga pertumbuhan dan perkembangannya menjadi optimal.   Kata Kunci: ASI eksklusif, gizi, balita   ABSTARCT Introduction: Malnutrition is a major health problem in developing countries, and underlies more than 50% of under-five mortality. Breast feeding of at least 6 months is recommended to reduce morbidity and mortality of children due to nutritional disorders. Method: This research design using non experimental research method with cross sectional research design. the number of samples in this research as many as 83 respondents with purposive sampling technique. Result: analytic test using Rank Spearman correlation test got significant value p = 0,002 (p <0,05) and r = -0,333, so it can be concluded there is correlation between history of exclusive breastfeeding with nutritional status of children aged 7-24 months. Discussion: Breastfeeding exclusively until 6 months old baby is very important to support the nutritional status of toddlers so that growth and development become optimal.   Keywords: Exclusive breastfeeding, nutrition, toddlers


2020 ◽  
Vol 43 (1) ◽  
pp. 11
Author(s):  
Cindy Fariski ◽  
Fillah Fithra Dieny ◽  
Hartanti Sandi Wijayanti

The health status during the preconception period was important to prepare pregnancy. Living patterns that can affect diet quality and nutritional status. This study aimed to analyze the differences in diet quality, nutritional status, and anemia between preconception women in rural and urban areas. This study was conducted using a cross-sectional design that consisted of 68 brides aged 16-35 years selected by consecutive sampling. Diet quality was obtained by diet quality index international (DQI-I) form. Nutritional status based on body mass index (BMI) and mid-upper arm circumference (MUAC). Hemoglobin levels were measured by the cyanmethemoglobin method. Data were analyzed by Independent T-test and Mann Whitney. Subjects in rural and urban areas had low diet quality. The score of variation in the type of protein intake, total fat, and saturated fat was higher in rural areas than urban areas (p=0,001; p=0,013; p=0,002). The mean BMI and MUAC were higher in urban subjects than rural subjects but the hemoglobin levels of rural subjects were higher than urban subjects. The subjects of anemia in urban was 23,5 percent were higher than rural was 14,7 percent but the risk of chronic energy deficiency in rural was 55,9% were higher than urban was 11,8 percent. There were no differences in diet quality and hemoglobin levels between preconception women in rural and urban areas (p=0,990; p=0,116). There were a differences in BMI and MUAC (p=0,026; p=<0,001). There were differences in nutritional status based on BMI and MUAC in both areas. There were no differences in diet quality and hemoglobin levels in rural and urban areas


Author(s):  
Indriany Indriany ◽  
Siti Helmyati ◽  
Bunga Astria Paramashanti

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: Chronic energy deficiency (CED) has been experienced in almost all countries, especially in developing countries such as Bangladesh, India, Indonesia, Myanmar, Nepal, Srilanka, and Thailand. There are several cause factors of CED, one of them is socioeconomic level such as education, employment, knowledge, and family income.</em></p><p><em><strong>Objectives</strong>: To analyze the relationship between socioeconomic level and CED in Sedayu Subdistrict, Bantul,Yogyakarta.</em></p><p><em><strong>Methods</strong>: This was an observational study with cross sectional design. Population were all pregnant women in Sedayu Subdistrict. Samples were selected by using total sampling methods with total sample 201 pregnant women. Data were analyzed by using univariate analysis (descriptive), bivariat (chi-square), and multivariat (multiple logistic regression).</em></p><p><em><strong>Results</strong>: There were no significant relationship between maternal education (p=0.167, RP=1.55, 95% CI:0.84-2.87), maternal employment (p=0.360, RP=1.33, 95% CI:0.72-2.44), maternal knowledge (p=0.892, RP=0.96, 95% CI:0.49-1.85) and CED in pregnant women at Sedayu Subdistrict. However, there was significant relationship between family income with CED in pregnant woman (p=0.004, RP=2.73, 95% CI:1.31-5.68). Multivariat analysis showed that there was significant relationship between family income with CED in pregnant women (R2=0.08, OR=3.22, 95% CI:1.28-8.11). Low family income had a 3.22 times higher chance to incidence of CED in pregnant women.</em></p><p><em><strong>Conclusions</strong>: Sosioeconomic status such as education, employment, knowledge did not associate with CED in pregnant women. However, there was significant association in family income of pregnant women with CED and non CED.</em></p><p><strong>KEYWORDS</strong>:<em> chronic energy deficiency, maternal education, employment, maternal knowledge, family income</em></p><p> </p><p><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang</strong>: Kurang energi kronis (KEK) dialami oleh hampir semua negara khususnya di negara-negara berkembang seperti Bangladesh, India, Indonesia, Myanmar, Nepal, Srilanka, dan Thailand. Salah satu faktor yang dapat mempengaruhi KEK pada ibu hamil adalah tingkat sosial ekonomi seperti pendidikan ibu, pengetahuan ibu, pekerjaan ibu, dan pendapatan keluarga.</em></p><p><em><strong>Tujuan</strong>: Untuk mengetahui hubungan antara tingkat sosial ekonomi dengan kejadian KEK pada ibu hamil di Kecamatan Sedayu, Bantul, Yogyakarta.</em></p><p><em><strong>Metode</strong>: Jenis penelitian ini adalah observasional dengan desain cross sectional. Populasi penelitian adalah seluruh ibu hamil yang ada di Kecamatan Sedayu. Pemilihan sampel menggunakan total sampling dengan jumlah sampel 201 ibu hamil. Data dianalisis dengan menggunakan analisis univariat (deskriptif), bivariat (chi-square), dan multivariat (regresi logistik).</em></p><p><em><strong>Hasil</strong>: Hasil analisis menunjukkan tidak ada hubungan antara pendidikan ibu (p=0,17, RP=1,55, 95% CI:0,84-2,87), pekerjaan ibu (p=0,36, RP=1,33, 95% CI:0,72-2,44), dan pengetahuan ibu (p=0,83, RP=0,96, 95% CI:0,49-1,85) dengan kejadian KEK pada Ibu hamil. Namun demikian, terdapat hubungan yang signifikan antara pendapatan keluarga dengan KEK ibu hamil (p=0,004, RP=2,73, 95% CI:1,31-5,68). Analisis multivariat menunjukkan bahwa pendapatan keluarga mempunyai hubungan dengan kejadian KEK pada ibu hamil (R2=0,08, OR=3,22, 95% CI:1,28-8,11), pendapatan keluarga yang rendah memiliki peluang 3,22 kali untuk mengalami kejadian KEK pada ibu hamil.</em></p><p><em><strong>Kesimpulan</strong>: Tingkat sosial ekonomi seperti pendidikan, pekerjaan, pengetahuan ibu tidak berhubungan dengan KEK pada ibu hamil, namun pendapatan keluarga memiliki hubungan yang bermakna secara signifikan antara ibu hamil KEK dan tidak KEK.</em></p><p><strong>KATA KUNCI</strong><em>: kurang energi kronis, pendidikan, pekerjaan, pengetahuan, pendapatan keluarga</em></p>


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Mewuba Shamil Saliya ◽  
Telake Azale ◽  
Atinkut Alamirew ◽  
Dawit Jember Tesfaye

Ethiopia is among the countries most affected by malnutrition and nutrition-related complications remain a challenging issue for Human Immunodeficiency Virus (HIV)- infected patients and those involved in their care. The aim of this study was to assess nutritional status among HIV positive adults in South Ethiopia and assess risk factors for malnutrition in this population. Institution based cross sectional study was conducted among 428 HIV positive adults who are taking ART at 12 health centers, Silte zone, Ethiopia. Convenience sampling technique was used to select the study participants. Structured questionnaire and anthropometric measurements were used to collect data. Data were analyzed using SPSS version 20.0 software. Bivariate and multivariate analyses were used to identify predictors of malnutrition. P-value less than 0.05 were used as cut of point to declare statistical significance. Prevalence of chronic energy deficiency was 24.1%. Food insecurity [AOR= 0.35, 95% CI (0.21, 0.62)], feeding ≤ 2 meals/day [AOR= 0.29, 95% CI (0.29, 0.13)], ambulatory functional status [AOR= 3.4, 95% CI (1.67, 6.98)] and absence of dietary counseling [AOR= 1.7, 95% CI (1.05, 2.78)] were found to be independent predictors of chronic energy deficiency among HIV positive adults. Prevalence of malnutrition is high among HIV infected adults who are on ART in the study area. Regular nutritional assessment of the patients and dietary counseling should be integrated with routine care for HIV/AIDS patients. HIV/AIDS prevention and control programs need to involve nutritionists or trained health care provider to integrate nutritional care services.


Author(s):  
Endang Palupi ◽  
◽  
Harsono Salimo ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Rural children face higher mortality rates than their urban counterparts. Although the rural disadvantage in average child survival in developing countries is firmly established, its explanation is less clear. Several studies suggest that household-level factors appear to be important in explaining rural-urban differences in child mortality. This study aimed to examine the contextual effect of village and other determinants on infant mortality in Karanganyar, Central Java. Subjects and Method: A cross-sectional study was conducted in Karanganyar, Central Java, from February to May 2020. A sample of 200 infants aged 1 to 23 months was selected by fixed disease sampling. The dependent variable was infant mortality. The independent variables were exclusive breastfeeding, nutritional intake, immunization status, maternal education, family income, and contextual effect of village. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression run on Stata 13. Results: Infant mortality decreased with exclusive breastfeeding (b= -5.10; 95% CI= -9.60 to -0.59; p= 0.026), high family income (b= -5.96; 95% CI= – 9.91 to -2.02; p= 0.003), high maternal education (b= -4.09; 95% CI= -7.79 to -0.38; p= 0.030), and complete immunization (b= -4.67; 95% CI= -8.69 to -0.67; p= 0.022). Infant mortality increased with poor nutritional status (b= 4.99; 95% CI= 1.79 to 8.19; p= 0.002). Village had contextual effect on infant mortality with ICC= 32%. Conclusion: Infant mortality decreases with exclusive breastfeeding, high family income, high maternal education, and complete immunization. Infant mortality increases with poor nutritional status. Village has contextual effect on infant mortality. Keywords: infant mortality, contextual effect of village Correspondence: Endang Palupi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281331872723. DOI: https://doi.org/10.26911/the7thicph.03.114


2015 ◽  
Vol 6 (1) ◽  
pp. 20-24
Author(s):  
Lutfa Akther ◽  
Muhammad Belal Hossain ◽  
AAM Anisul Awwal ◽  
Ayatun Nesa

Background: Adequate nutritional status of expectant mothers is essential for their health maintenance and good pregnancy outcome. To assess the anthropometric measurements of pregnant women.Methodology: Cross sectional study, 245 pregnant women was included whom attended at antenatal clinic of Dhaka Medical College hospital. Main outcome measures: 38% pregnant women were found with overweight or obese and 20% were found underweight that was related with chronic energy deficiency, vitamin deficiency and Iron deficiency anemia.Result: A total of 245 women were in this study, the highest number (48.16%) was found visited in the second trimester, 32.24% were in third and 19.5% in 1st trimester respectively. The mean age of women attending in this study was 23%. It was surprising that our upcoming mother's did not have good height, around 60% were found less than five feet and 24% women were less than four feet eight inches, which indicated that a significant proportion of women might need to have surgical intervention during delivery. Not only the height, but also the weight of our respondents was found much poor and 16% of total attending women had weight below 40 kilogram.Conclusion: Our study revealed that the majority of the women suffered from chronic energy deficiency which could be the potential factor for delivering malnourished babies. All pregnant women should be motivated to have an antenatal check up throughout the pregnancy, increase birth spacing to hold their proper nutritional status and encourage them to delivery their babies in hospital.Anwer Khan Modern Medical College Journal Vol. 6, No. 1: January 2015, Pages 20-24


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