Exclusive Breastfeeding Determinants of Non-working Mothers

2020 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Katarina Maria Tjung ◽  
Intje Picauly ◽  
Rut Rosina Riwu

The nutritional status in the first 1000 days of life is very important. WHO and UNICEF recommend that newborn babies should only be breastfed for at least six months, so that babies can grow and develop optimally. The recommendation has been applied, but the failure of exclusive breastfeeding still occurs. This study aimed to analyze the determinants of exclusive breastfeeding of not working mothers in the work area of Oesapa Public Health Center, Kelapa Lima subdistrict in 2019. This is a quantitative study with cross-sectional study design. This research was conducted in the work area of Oesapa Public Health Center with a sample of 61 babies. Data analysis used the Chi-Square test and multiple logistic regression tests. The results showed that the variables of mother’s knowledge (ρ= 0,001), mother’s trust (ρ= 0,024), family’s support (ρ= 0,000), and health care provider’s support (ρ= 0,028) are related to exclusive breastfeeding, but mothers’ age (ρ= 0.257) and information exposure (ρ= 1,000) are not related to exclusive breastfeeding. The factor of family’s support (ρ= 0,001) and mother’s knowledge (ρ= 0,005) had the highest correlation with exclusive breastfeeding. The mothers' level of knowledge also had a major contribution to the success of exclusive breastfeeding. To achieve exclusive breastfeeding success, mothers need support from the family (especially husband) and complete information from health workers so the mothers’ knowledge can be improved. The health centers need to utilize various health promotion media to increase the coverage of exclusive breastfeeding.

Author(s):  
Najah Syamiyah ◽  
Helda Helda

Abstrak Cakupan ASI eksklusif di wilayah Puskesmas Kecamatan Mampang Prapatan masih rendah, sementara pendidikan tentang ASI eksklusif kepada masyarakat harus terus dilakukan karena dapat memberikan informasi penting untuk calon ibu dan keluarga. Penelitian dilakukan untuk mengetahui dukungan tenaga kesehatan terhadap perilaku pemberian ASI eksklusif pada Ibu bayi usia 0-5 bulan 29 hari di Posyandu Wilayah Puskesmas Kecamatan Mampang Prapatan. Penelitian dengan disain cross sectional ini dilakukan terhadap 250 ibu bayi yang terdaftar di Posyandu yang diwawancara menggunakan kuesioner terstruktur pada bulan November–Desember 2017. Berdasarkan hasil analisis multiple cox regression didapatkan bahwa peluang kelompok ibu yang mendapatkan dukungan tenaga kesehatan dengan baik untuk memberikan ASI eksklusif adalah 1,6 (CI 95% 1,02-2,34) kali dibandingkan dengan kelompok ibu yang kurang mendapatkan dukungan dari tenaga kesehatan. Disimpulkan bahwa Ibu yang mendapatkan 4 atau lebih dari 5 perlakuan diantaranya konseling ASI saat ANC, dilakukan IMD, dirawat gabung bersama bayi, bayinya tidak diberikan makanan dan minuman selain ASI selama masa perawatan, serta ibu pernah mendapatkan penyuluhan, maka peluangnya untuk memberikan ASI eksklusif lebih besar dibandingkan dengan ibu yang hanya mendapatkan 0-3 perlakuan tersebut. Diharapkan kepada penyedia layanan kesehatan Ibu dan anak dapat menetapkan kebijakan terkait pelayanan manajemen laktasi. Kata kunci: Dukungan Tenaga Kesehatan, ASI Eksklusif, Posyandu Abstract The coverage of exclusive breastfeeding in Mampang Prapatan Public Health Center was still low. Meanwhile, education about exclusive breastfeeding to the community should continue to be done because it can provide important information for prospective mothers and families. Then conducted a study to determine the support of health workers to exclusive breastfeeding on the mother of the baby aged 0-5 months 29 days in Posyandu Mampang Prapatan Public Health Center. This cross sectional study was conducted on 250 infant mothers enrolled at Posyandu who were interviewed using structured questionnaire in November-December 2017. Based on data analysis with multiple cox regression, it was found that the opportunity of maternal group that get good health support to give exclusive breastfeeding is 1,547 (95% CI 1.023-2,339) times bigger than those group of mothers who get less support from health worker. It can be concluded that if the mothers get 4 or more of 5 treatments such as breastfeeding counseling during ANC, early breastfeeding initiation, treated together with baby, the baby is not given any food and drink other than breastmilk during the treatment period, and the mother has got counseling, the possibility to give exclusive breastfeeding greater than mothers who only get 0-3 of these treatments. It was expected that health providers can establish policies related to lactation management services. Keywords: Health Workers Support, Exclusive Breastfeeding , Posyandu


2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Febriniwati Rifdi

<p><em>Lactation Amenorrhoea Method (L</em><em>AM</em><em>) is one of the contraceptive methods recommended for breastfeeding mothers &lt;6 months. The low coverage of the use of </em><em>LAM </em><em> is one of the challenges for health workers, including in the work area of the Rasimah Ahmad Health Center. This study aims to determine the factors related to the application of the Lactation Amenorrhoea Method (L</em><em>AM</em><em>)</em><em> </em><em> in breastfeeding mothers in the working area of Rasimah Ahmad Public Health Center in Bukittinggi in 2018. This type of research is descriptive analytic with a cross sectional study approach. This research was carried out in the work area of Rasimah Ahmad Public Health Center in July - August 2018 with a population of 169 people. Sampling using purposive sampling technique with a sample size of 63 people. Data collection used a research questionnaire, data analysis included univariate analysis and bivariate analysis using chi-square test. The results showed that 55.6% of respondents had low knowledge, 61.9% did not work, 52.4% had poor husband support, 50.8% were active officers, 58.7% were not </em><em>LAM</em><em>. There is a relationship between knowledge (p = 0.009 and OR = 4.889), employment status (p = 0.02, OR = 4.433), husband's support (p = 0.009, OR = 4.688) and the role of health workers (p = 0.028, OR = 3,696) with the application of </em><em>LAM</em><em>. It can be concluded that knowledge, employment status, husband's support and the role of health workers with the application of </em><em>LAM</em><em>. It is expected that all parties, especially the health workers, should always improve the socialization efforts to improve the knowledge of breastfeeding mothers about </em><em>LAM </em><em>so that they can apply the </em><em>LAM </em><em>method in a special family planning program for nursing mothers.</em></p>


2021 ◽  
Vol 9 (E) ◽  
pp. 566-573
Author(s):  
Muhammad Rizki Ashari ◽  
Nur Asri Zuhria ◽  
Bambang Dwicahya

BACKGROUND: Breastfeeding has an important role in maintaining the health and survival of babies because when they are exclusively breastfed, they will have a good immune system compared to babies who are not exclusively breastfed. Exclusive breastfeeding in Indonesia is regulated in Government Regulation Number 33 of 2012 concerning Exclusive Breastfeeding which explains that breast milk is given to babies from birth for 6 months, without being added or replaced with other foods/drinks. This is emphasized in Article 6 of Government Regulation Number 33 of 2012 concerning Exclusive Breastfeeding, that every mother who gives birth is obliged to provide Exclusive Breastfeeding for her baby unless there is a medical indication that makes it impossible for a mother to breastfeed, or the mother is separate from the baby. Data from the Palu City Health Office shows that the lowest amount of exclusive breastfeeding is in the Bulili Community Health Center with a proportion of 37.17%. AIM: The aim of this study is to find out the Determinants of Exclusive Breastfeeding in the work area of Bulili Public Health Center. MATERIALS AND METHODS: This research used a quantitative method with cross-sectional study approach, and simple random sampling method. The population in this study was all mothers who had babies aged 0–6 months with a total sample of 103 respondents. Data collection was carried out using a questionnaire using a Likert scale for the variables of exclusive breastfeeding and the Guttman scale for the variables of maternal employment status, family support, health workers support, and policy. RESULTS: Data were analyzed using univariate and bivariate analysis. Chi-square test results summarizes the following: maternal work (p = 0.434), formula milk promotion (p = 0.029), family support (p = 0.019), health workers support (p = 0.572), and policy (p = 0.001). Mothers who have babies aged 0–6 months are obliged to fulfill the children’s rights, which is to provide exclusive breastfeeding for 6 months without providing any other foods/drinks such as water, bananas, honey, or formula milk. CONCLUSION: Mother’s occupation and formula milk promotion are not related to exclusive breastfeeding, while variables such as supports from families, health workers, and policy are related to exclusive breastfeeding.


2020 ◽  
Vol 13 (2) ◽  
pp. 109
Author(s):  
Yuyun Sarinengsih

ABSTRAKStunting yaitu keadaan gagal tumbuh akibat dari kekurangan gizi kronis. Prevalensi stunting di Kabupaten Tasikmalaya menempati urutan keempat, dimana kecamatan Sukahening menempati urutan pertama tertinggi dengan jumlah 155 balita mengalami stunting. Faktor yang dapat mempengaruhi kejadian stunting yaitu pengasuhan anak yang kurang baik dimana tidak diberikannya ASI secara Ekslusif. Pencegahan stunting yaitu pada 1000 hari kehidupan dimana salah satunya pemberian ASI secara Ekslusif.Penelitian ini bertujuan untuk mengetahui hubungan antara pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Jenis Penelitian yang digunakan adalah deskriptif korelasional dengan pendekatan cross-sectional. Populasi total sampling sebanyak 95 responden menggunakan teknik purposive sampling.Hasil Penelitian diperoleh lebih dari setengah responden 51,6% tidak diberikan ASI secara Ekslusif, dan sebagian besar 65,3% balita mengalami stunting. Hasil perhitungan chi-square diperoleh ρ.value (0,000<0,05) maka H0 ditolak sehingga terdapat hubungan antara Pemberian ASI Ekslusif dengan kejadian stunting pada balita 1-5 tahun di Puskesmas Sukahening Kecamatan Sukahening Kabupaten Tasikmalaya.Hasil penelitian ini diharapkan dapat memberi informasi yang bermanfaat dan perlu dilakukan pendidikan kesehatan ulang yang terjadwal terkait nutrisi yang terjangkau dan sehat sehingga dapat meningkatkan cakupan ASI Ekslusif dan dapat menurunkan angka stunting.Kata Kunci : ASI Ekslusif, StuntingDaftar Pustaka : 25 buku (2010-2018)9 jurnal (2013-2019)2 Website (2010-2017) ABSTRACTStunting is a condition of growth failure due to chronic malnutrition. The stunting prevalence in Tasikmalaya Regency was at the fourth place where Sukahening sub-district was at the highest with 155 stunting. Factor that can influence the occurrence of stunting is a poor parenting where exclusive breastfeeding is not given. The best prevention of stunting is on 1000 days of life where exclusive breastfeeding is given. The impact, if the baby is not given exclusive breastfeeding, they will lack of nutrition and also will have an impact on the growth or inappropriate height. This aims of the research is to determine the relationship between exclusive breastfeeding and the incidence of stunting on toddler under 5 years of at Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. The type of research used is descriptive correlation with a cross-sectional approach. The total samplings were 95 respondents which used purposive sampling technique. The results of the research were obtained more than half of the respondents 51.6% were given exclusive breastfeeding, and most 65.3% of children under five had stunting. The chi-square calculation results obtained that ρ.value (0,000 <0,05) then H0 is rejected so that there is a relationship between exclusive breastfeeding and the incidence of stunting on toddlers under 5 years in Sukahening Public Health Center, Sukahening Sub district, Tasikmalaya Regency. Performed the health education related to affordable and healthy nutrition so that it can increase the coverage of exclusive breastfeeding and can reduce stunting rates. Keywords : Exclusive breastfeeding, Stunting Bibliography : 25 books (2010-2018) 9 journals (2013-2019) 2 Websites (2010-2017) 


2020 ◽  
Vol 2020 ◽  
Author(s):  
Agussalim

Hypertension is a disease that usually occurs in the circulatory system which can cause an increase in blood pressure above the normal value, which exceeds 140/90 mmHg. The intention of this study aims to understand the relationship between lifestyle and the incidence of hypertension in Antang Makassar Public Health Center in 2018. This research method uses quantitative analytic motives using a cross sectional approach with a population of 46 people and a sample of 36 respondents. This research was conducted on July 14-16 June. The method used is simple random sampling and the tool used to obtain data is a questionnaire. The scale used is Liker and Guttmann scale with univariate, bivariate analysis and chi-square test with significant a = 0, 05. The results of this study indicate there is a relationship between lifestyle and the incidence of hypertension in the Makassar Antang Health Center with P = 0, 01 smaller than the value of a = 0.05. Suggestions are for hypertensive patients, namely the need to check their health routinely to health workers in order to know the development of blood pressure and obtain information from health workers.


NSC Nursing ◽  
2021 ◽  
pp. 20-33
Author(s):  
Lia Artika Sari ◽  
Yuli Suryanti ◽  
Enny Susilawati

Introduction: The low number of deliveries assisted by midwives or health workers is an indicator of the low utilization of health facilities by mothers in labor. This study analyzes the factors related to the utilization of childbirth in health facilities in the Sungai Lokan Community Health Center Work Area, Tanjung Jabung Timur Regency. Materials and Methods: This research is an analytic observational using a cross-sectional approach involving 74 participants. The research was conducted from January to July 2019 in the Sungai Lokan Health Center Work Area, Tanjung Jabung Timur Regency. Results: The results showed that the factor of the utilization of childbirth in health facilities was related to family culture (p = 0.0001) and family support (p = 0.003), while the service access factor was not related (p = 0.364). Conclusion: The role of health workers in socializing the importance of utilizing health facilities as a place of delivery is significant in reducing maternal mortality Keywords: Health Facilities; Family Culture; Family Support; Access To Services


2021 ◽  
Vol 4 (4) ◽  
pp. 345-354
Author(s):  
Linda Purnamawati Suherman ◽  
Pudjiastuti Kartidjo ◽  
Iis Rukmawati ◽  
Vina Septiani ◽  
Fazrin Azzura

Dyspepsia is a condition of pain in the epigastrium and a burning sensation that radiates to the chest. Dyspepsia occupies the 10th position in the 20 largest non-communicable diseases in a Public Health Center in Bandung. The heterogeneous symptoms and the absence of specific treatments can lead to irrational treatment. The research objective is to determine the pattern of drug use in patients with dyspepsia, including the right indication, the proper drug selection, the correct dose, and the proper interval of administration in a Public Health Center in Batununggal District Bandung. This study was an observational study using a cross-sectional study design that was descriptive in nature. The sampling technique employed the purposive sampling method retrospectively. The research was conducted on 104 patients diagnosed with dyspepsia with comorbidities and receiving drugs at an Outpatient Clinic in a Public Health Center in Batununggal District Bandung from January-March 2020. There were 38 male patients (36.538%) and 66 female patients (63.462%). The majority of patients were aged 56-65 years (28.846%). The most used drug class was antacids (60.448%), and the dosage form that was mostly used was tablets (40.299%). The most used single drug was antacids (51.923%), while the most used drug combination was antacids and omeprazole (23.077%). The accuracy of drug selection and the accuracy of indications were 100% correct, the accuracy of the dosage was 59.62% correct, the accuracy of the time interval for drug administration was 71% correct, and the accuracy of the duration of drug administration was 9.62% correct.


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

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


2020 ◽  
pp. 22-30
Author(s):  
Andi Sani ◽  
Sartika Sartika ◽  
Inka Anugrah

Kasus diare terus meningkat di Kota Makassar sebanyak 23.334 kasus ditahun 2016. Balita menjadi kelompok yang rentan terhadap diare. Penelitian ini bertujuan mengetahui kontaminasi bakteri Escherichia coli pada botol susu dengan kejadian diare pada balita di wilayah kerja Puskesmas Kaluku Bodoa Kota Makassar Tahun 2018. Jenis penelitian yang digunakan adalah observasional dengan desain cross sectional study. Populasi adalah seluruh balita yang berada di wilayah kerja Puskesmas Kaluku Bodoa. Sampel adalah balita yang memakai botol susu yang dipilih menggunakan teknik proportional random sampling, sebanyak 72 anak balita. Hasil penelitian menunjukkan bahwa tidak dapat melihat hubungan Escherichia coli pada botol dikarenakan seluruh sampe terdapat Escherichia coli dan tidak memenuhi  syarat,  sedangkan pada proses  pencucian (p=0.007), penyimpanan botol (p=0.041), menyiapkan botol (p=0.100), penyediaan air bersih (p=0.904), kebiasaan cuci tangan pakai sabun (p=0.229). Kesimpulan dari penelitian bahwa tidak dapat melihat perbandingan Escherichia coli pada botol susu dikarenakan seluruh sample terdapat bakteri E.coli. Terdapat hubungan yang signifikan antara pencucian dan  menyiapkan botol susu dengan kejadian diare pada balita di wilayah kerja Puskesmas Kaluku Bodoa Kota Makassar Tahun 2018. Penelitian ini menyarankan agar para ibu atau wali anak lebih memperhatikan cara pencucian botol susu dan  penyiapan botol susu. Diarrhea cases continue to increase in Makassar City as many as 23,334 cases in 2016. Toddlers are a group that is vulnerable to diarrhea. This study aims to determine the contamination of Escherichia coli bacteria in milk bottles with the incidence of diarrhea in infants in the working area of ​​Kaluku Bodoa Public Health Center Makassar City in 2018. The type of research used was observational with a cross sectional study design. The population is all children under five in the working area of ​​Kaluku Bodoa Health Center. Samples are toddlers who use milk bottles selected using proportional random sampling technique, as many as 72 children under five. The results showed that there was no relationship between Escherichia coli on the bottle because all Escherichia coli was present and did not meet the requirements, whereas in the washing process (p = 0.007), storage of bottles (p = 0.041), preparing bottles (p = 0.100), provision clean water (p = 0.904), handwashing habits with soap (p = 0.229). The conclusion from the study that can not see the comparison of Escherichia coli in milk bottles because all samples contained E.coli bacteria. There is a significant relationship between washing and preparing milk bottles with the incidence of diarrhea in infants in the working area of ​​the Kaluku Bodoa Public Health Center Makassar City in 2018. This study suggests that mothers or guardians of children pay more attention to how to wash bottles and prepare milk bottles.


Author(s):  
Fitri Nur Ainy ◽  
Tantut Susanto ◽  
Latifa Aini Susumaningrum

Background & Aim: Unhealthy environmental sanitation contributes to stunting among under-five children that correlated several factors, such as the house components, sanitation facilities, and behavior of poor food sanitation hygiene. This study aims to identify the relationship between family and stunting's environmental sanitation among under-five children in the Public Health Center in Indonesia. Methods & Materials: A cross-sectional study was conducted among 393 families with under-five children in the public health center of Panti of Jember district, East Java of Indonesia, using consecutive sampling from December 2019 to January 2020. A selfadministered questionnaire was used to measure participants’ characteristics and environmental sanitation. A Chi-square test was used to analyze the data. Results: Among 67.2% of families were unhealthy environmental sanitation. Meanwhile, children who suffer from stunting were 56.2%. There was a significant correlation between environmental sanitation of family and stunting among under-five children (χ2=38,440; p <0,001), The environmental sanitation of family had 0.254 times for a chance of stunting among under-five children (OR= 0.254; 95% CI= 0.163-0.397). Conclusions: The family’s unhealthy environmental sanitation of family is a relationship with stunting among under-five children. Improving healthy environmental sanitation should be maintained by involving the family to fulfill under-five children’s nutrition requirement based on height for age.


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