scholarly journals Maternal Factors in Stunting Among Vulnerable Children

2021 ◽  
Vol 24 (2) ◽  
pp. 82-89
Author(s):  
Stefanus Mendes Kiik ◽  
Muhammad Saleh Nuwa

Children with stunting in Indonesia and other low-middle countries remains a serious problem. This study aimed to identify the association between maternal education, maternal age, maternal height, preceding birth interval, and ANC clinic visits and stunting among vulnerable children in Kupang Regency, Indonesia. A cross-sectional study was conducted of two villages in Kupang Regency. The study sample comprised female ex-refugees from Timor Leste who had children aged 24–59 months. The subjects were chosen using consecutive sampling, with a total number of 154. Data were collected from both primary and secondary sources. There was a significant relationship between maternal education (p = 0.014), maternal height (p = 0.003), preceding birth interval (p = 0.001), ANC clinic visits (p = 0.009) and stunting. In contrast, maternal age showed no significant association (p = 0.611). Further studies are needed to help eradicate stunting by intervening in the reduction of risk factors.Abstrak Faktor-faktor Ibu terkait Stunting pada Anak-Anak yang Rentan. Anak-anak yang mengalami stunting di Indonesia dan negara-negara berpenghasilan rendah masih menjadi masalah serius. Tujuan penelitian ini adalah mengidentifikasi hubungan antara pendidikan ibu, usia ibu, tinggi badan ibu, jarak melahirkan dan kunjungan antenatal care (ANC) dengan stunting pada anak rentan usia 24–59 bulan di Kabupaten Kupang, Indonesia. Metode penelitian yang digunakan adalah cross-sectional yang dilakukan di dua desa di Kabupaten Kupang. Sampel dalam penelitian ini adalah para ibu mantan pengungsi Timor Leste yang memiliki anak usia 24–59 bulan. Teknik sampling yang digunakan adalah consecutive sampling, sebanyak 154 responden. Data diperoleh dari sumber primer dan sekunder. Terdapat hubungan yang signifikan antara pendidikan ibu (p = 0,014), tinggi ibu (p = 0,003), jarak kelahiran (p = 0,001), kunjungan ANC (p = 0,009) dengan stunting. Namun tidak ada hubungan antara usia ibu dengan stunting (p = 0,611). Penelitian selanjutnya  dibutuhkan untuk memberantas stunting melalui intervensi untuk menurunkan faktor risiko. Kata Kunci: anak, antenatal care, ibu, Indonesia, pengungsi, stunting, usia ibu

Author(s):  
Livia Calorina ◽  
◽  
Hanung Prasetya ◽  
◽  

ABSTRACT Background: Children nowadays use gadgets intensively, which can lead to addiction. The frequency or intensity of the children in using gadgets may affect their development. This study aimed to examine the use of gadgets on child development in children aged 3-5 years. Subjects and Method: A cross sectional study was conducted in Melawi, East Kalimantan, Indonesia, from August to September 2019. A sample of 200 children 3-5 years old was selected by fixed exposure sampling. The dependent variable was child development. The independent variables were gadget use, maternal age, maternal education, maternal employment, family income, number of children, and type of family. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Children development aged 3-5 years increased with maternal age ≥20 years old (b= 0.73; 95% CI= 0.11 to 1.35; p= 0.020), maternal education ≥Senior high school (b= 0.71; 95% CI= 0.34 to 1.08; p<0.001), family income ≥Rp 2,288,000 (b= 0.85; 95% CI= 0.42 to 1.28; p<0.001), and nuclear family type (b= 0.57; 95% CI= 0.25 to 0.89; p= 0.001). Children development aged 3-5 years decreased with gadget use (b= -0.69; 95% CI= -0.98 to -0.40; p<0.001), employed mother (b= -0.75; 95% CI= -1.05 to -0.45; p <0.001), and number of children >2 (b= -1.13; 95% CI= -1.46 to -0.80; p<0.001). Conclusion: Perkembangan anak usia 3-5 tahun meningkat dipengaruhi oleh usia ibu, pendidikan ibu, pendapatan keluarga, dan tipe keluarga inti. Perkembangan anak usia 3-5 tahun menurun pada anak yang menggunakan gadget, pekerjaan ibu, dan jumlah anak. Keywords: gadget use, children aged 3-5 years Correspondence: Livia Calorina. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: 081346595497 DOI: https://doi.org/10.26911/the7thicph.03.87


2019 ◽  
Vol 1 (1) ◽  
pp. 21-30
Author(s):  
Felisbela A. O. Oliveira

Antenatal Care (ANC) visit is a visit by pregnant women to health professional in order to receive ANC services. ANC visits are very important for a pregnant woman, to ensure the quality of ANCservices, there needs to be an indicator stating the visit of pregnant women with coverage of K1 and K4, where K1 is the first contact of pregnant women with health workers and K4 is the fourth contact of pregnant women or more with health workers. The purpose of this study was to determine the factors influencing maternal behavior to conduct ANC (K4) visits at Centro Saúde Comunitaria Letefoho. This research method was observational analytic with cross-sectional approach. The sample in this study consisted of 136 mothers and determined by using systematic random sampling techniques. Data were collected by using questionnaires and were analyzed by applying descriptive and bivariate using SPSS version 21. The results showed suggested that maternal education (p = 0.956), mother's knowledge (p = 0.420), mother's attitude (p = 0.817) and social culture (p = 0.618) had no association with ANC visit while the husband support (p = 0.032) and distance to health services (p = 0,000) were found to be correlated to ANC visits.


2021 ◽  
Vol 49 (1) ◽  
Author(s):  
Rupa Singh ◽  
Sandeep Mahat ◽  
Sonam Singh ◽  
Carolyn K. Nyamasege ◽  
Yukiko Wagatsuma

Abstract Background Pelvic organ prolapse (POP) is one of the main contributors to reproductive health problems that affect women’s quality of life. Previous studies have reported the risk factors and prevalence of POP. The aim of this study is to examine the association between POP and short birth intervals in a rural area of Nepal. Methods A cross-sectional study was conducted in Panchapuri municipality, located in Surkhet District of Karnali Province in Nepal. A questionnaire was used to collect information on POP, birth intervals, and other known confounding factors, such as age and parity. Multiple logistic regression analysis was used to examine the association between minimum birth intervals and POP. Results The study recruited 131 women. The prevalence of POP was 29.8%. The mean (SD) of maternal age was 32.3 (0.7) years. The median parity was 2, with a range of 2–6 children. More than half (64.9%) of the women reported a minimum birth interval of less than 2 years. Maternal age at birth, minimum birth interval, parity, and latest birth interval were significantly associated with POP in univariate analyses. After adjusting for the potential confounding factors such as age and occupation, the minimum birth interval was significantly associated with POP [AOR = 3.08, 95% CI 1.04–9.19]. Conclusion The prevalence of POP was high in this rural area of Nepal. Age, parity, occupation, and minimum birth interval were significantly associated with POP.


2020 ◽  
Vol 5 (1) ◽  
pp. 15-23
Author(s):  
Reni

Pelayanan antenatal merupakan pelayanan kesehatan yang diberikan oleh tenaga kesehatan yang profesional untuk meningkatkan derajat kesehatan ibu hamil beserta janin yang dikandungnya. salah satu aspek yang mendukung keberhasilan konsep pelayanan antenatal terpadu dan komprehensif adalah pengetahuan ibu  TUJUAN: Penelitian ini bertujuan untuk mengetahui hubungan antara umur, pendidikan, pekerjaan , paritas terhadap pengetahuan ibu mengenai ANC. METODOLOGI: Penelitian ini merupakan penelitian deskriptif korelatif dan dengan menggunakan pendekatan cross sectional. Penelitian ini dilakukan di BPM Bidan Wulan Majalaya Kabupaten Bandung tahun 2019, dengan jumlah sampel dalam penelitian terdiri dari 20 responden dari bulan Oktober – November 2019, Pengambilan sampel dengan menggunakan teknik consecutive sampling. Pengumpulan data diperoleh dari lembar kuesioner. Analisa data dilakukan dengan menggunakan analisis Chi Square. HASIL: Hasil penelitian menunjukkan bahwa Terdapat hubungan yang signifikan antara pendidikan ibu hamil dengan pengetahuan dengan nilai ρ =0,029, Tidak terdapat hubungan yang signifikan antara paritas dengan pengetahuan dengan nilai ρ = 0.418, Tidak terdapat hubungan yang signifikan antara umur ibu hamil dengan pengetahuan ρ = 0.455, Tidak terdapat hubungan yang signifikan antara pekerjaan dengan pengetahuan dengan nilai ρ =0.826 KESIMPULAN: Berdasarkan hasil penelitian, dapat disimpulkan bahwa pendidikan mempunyai hubungan yang signifikan dengan pengetahuan Ibu hamil sedangkan umur, paritas dan pekerjaan tidak mempunyai hubungan yang signifikan dengan tingkat pengetahuan Ibu Hamil mengenai ANC di BPM Bidan Wulan. SARAN: maka perlu diadakan program pendidikan kesehatan untuk memotivasi sehingga diharapkan dapat meningkatkan pengetahuan responden mengenai Ante Natal Care sebagai deteksi dini kasus pathologis.


2019 ◽  
Vol 1 (2) ◽  
Author(s):  
Kurniati Devi Purnamasari

Customer satisfaction will affect customer loyalty, a loyal customer is definitely a satisfied customer. Things like this that encourage organizations or companies develop techniques to increase customer satisfaction in order to reach loyal customers. This research uses a descriptive approach with a population of 98 people. A cross-sectional descriptive study design, consecutive sampling was conducted in June 2015, using a questionnaire. The results showed that the greatest frequency of loyalty was 28 respondents (58%) stated loyal. This shows that patients in the Midwifery Polyclinic of Ciamis Regional Hospital are loyal to antenatal care. This can be seen from every pregnancy examination the patient always visits the hospital.Keywords: Service Quality, Antenatal, Pregnant Women


2014 ◽  
Vol 2 (1) ◽  
pp. 17
Author(s):  
Honoria DFP Carvalho ◽  
Nyoman Tigeh Suryadhi ◽  
Luh Putu Lila Wulandari

Latar belakang dan tujuan: Standar pelayanan minimal menargetkan kunjungan ANC ibu hamil ke tenaga kesehatan adalah 80%, namun di Kabupaten Ermera hanya sebesar 34,5% sehingga berdampak negatif pada kematian ibu dan bayi. Penelitian ini bertujuan untuk mengetahui hubungan antara pendidikan, pengetahuan, sikap, perilaku dan dukungan keluarga dengan kunjungan ANC pada ibu hamil di Kabupaten Ermera, Timor Leste.Metode: Rancangan penelitian adalah cross-sectional analitik dengan sampel 87 ibu hamil, diambil secara multistage cluster random sampling dari 9886 anggota populasi. Variabel terikat adalah kunjungan ANC, sedangkan variabel bebas adalah pendidikan ibu, pengetahuan, sikap, perilaku dan dukungan keluarga. Data dikumpulkan melalui kuesioner self-administered, namun untuk mereka yang buta huruf, peneliti membantu pengisian kuesioner. Analisis data dilakukan secara univariat, bivariat (chi-squared test) dan multivariat (regresi logistik).Hasil: Hasil analisis bivariat menunjukkan hubungan yang signifikan adalah pengetahuan (p=0,002), sikap (p=0,012), perilaku (p=0,030) dan dukungan keluarga (p=0,015) terhadap kunjungan ANC pada ibu hamil. Analisis multivariat menunjukkan bahwa ada hubungan antara pengetahuan ibu dengan kunjungan ANC. Analisis menunjukkan bahwa pengetahuan ibu adalah satu-satunya variabel yang berhubungan dengan kunjungan ANC (p=0,046). Simpulan: Hanya variabel pengetahuan yang berhubungan dengan kunjungan ANC pada ibu hamil di Kabupaten Ermera, Timor Leste.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 935
Author(s):  
Md. Sabbir Ahmed ◽  
Sumaia Sahrin ◽  
Fakir Md Yunus

Background: Low Birth Weight (LBW) is a global health concern for childhood mortality and morbidity. The objectives of this study were to assess the association between the number of Antenatal Care Visits (ANC) and LBW among Bangladeshi newborns, and to identify the demographic and socio-economic predictors of LBW.   Methods: Our present cross-sectional study is based on the secondary data of the Bangladesh Demography and Health Survey (BDHS) 2014. Complete data of 4,235 (weighted) mother-child pairs were included in the analysis.   Results: The overall prevalence of LBW among newborns were found to be 19.3% (95% CI: 17.8-20.9). Among the mothers who received antenatal care services 1-3 times during pregnancy, 35% had less possibility of having LBW babies [COR = 0.65, 95% CI: 0.50-0.85]. The association remained significant after adjusting the analysis with the sex of the newborn, administrative regions (division), maternal educational status, mother’s weight status and fathers’ occupation [AOR = 0.74, 95% CI: 0.55-0.99]. Additionally, the sex of the newborn, division, maternal education, maternal weight status, and fathers’ occupational status were found to be significantly associated with LBW.   Conclusion: Increasing the coverage of antenatal services and enabling mothers to receive quality antenatal services may substantially contribute to reducing the prevalence of LBW in Bangladesh.


2018 ◽  
Vol 58 (5) ◽  
pp. 205-12 ◽  
Author(s):  
Arya Krisna Manggala ◽  
Komang Wiswa Mitra Kenwa ◽  
Made Me Lina Kenwa ◽  
Anak Agung Gede Dwinaldo Putra Jaya Sakti ◽  
Anak Agung Sagung Sawitri

Abstract Background Childhood stunting (low height-for-age) still remains a global health problem because it increases the risk of disturbances in growth and development as well as mortality. The prevalence of stunting in Bali is 32.5%, with the highest in Gianyar District at 41%. However, little is known about the risk factors of stunting children in Gianyar. Objective  To investigate the risk factors of stunting in children aged 24-59 months in Gianyar. Methods  This cross-sectional study involved 166 children, collected consecutively, aged 24-59 months, who visited the integrated health posts in 13 community health centers in Gianyar District, Bali from September to November 2016. Stunting is defined as -2SD below the WHO height-for-age z-score (HAZ), according to sex. Statistical analyses were done with Chi-square and multivariate logistic regression tests. Results Of 166 subjects, 37 (22.3%) children were stunted. Multivariate analysis revealed that low paternal education (AOR 2.88; 95%CI 1.10 to 7.55; P=0.031), maternal height less than 150 cm (AOR 7.64; 95%CI 2.03 to 28.74; P=0.003), high risk maternal age (AOR 4.24; 95%CI 1.56 to 11.49; P= 0.005), low birth weight (AOR 5.09; 95%CI 1.03 to 25.31; P=0.047), and low birth length (AOR 9.92; 95%CI 1.84 to 53.51; P=0.008) were strongly associated with stunting. Conclusion  Risk factors for stunting in children are low paternal education, maternal height less than 150 cm, high risk maternal age, low birth weight, and low birth length.


2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Nebyu Daniel Amaha ◽  
Berhanu Teshome Woldeamanuel

Abstract Background Stunting or chronic undernutrition is a significant public health problem in Ethiopia. In 2019, 37% of Ethiopian children under-5 were stunted. Stunting results from a complex interaction of individual, household and social (environmental) factors. Improving the mother’s overall care is the most important determinant in reducing the stunting levels in developing countries. We aimed to determine the most important maternal factors associated with stunting and quantify their effects. Methods This study used data from the nationally representative 2016 Ethiopian Demographic Health Survey (EDHS). Common maternal factors were first selected and analyzed using Pearson’s chi-square of association followed by multiple logistic regression. To quantify the effect of a unit change of a predictor variable a model for the continuous maternal factors was developed. All analyses were carried out using IBM SPSS© Version 23. Results Higher maternal educational level, better maternal autonomy, average or above maternal height and weight, having at least 4 antenatal care (ANC) clinic visits, and delivering in a health facility were significantly associated with lower severe stunting levels. Unemployed mothers were 23% less likely (p = 0.003) to have a stunted child compared with employed mothers. Mothers delivering at home had 32% higher odds of stunting (p = 0.002). We found that short mothers (< 150 cm) were 2.5 more likely to have stunted children when compared with mothers above 160 cm. Every visit to the ANC clinic reduces stunting odds by 6.8% (p <  0.0001). The odds of stunting were reduced by 7% (p = 0.028) for every grade a girl spent in school. A unit increase in Body Mass Index (BMI) reduced the odds of stunting by 4% (p = 0.014) and every centimeter increase in maternal height reduced the odds of stunting by 0.5% (p = 0.01). Conclusion Maternal education, number of antenatal care visits, and place of delivery appear to be the most important predictors of child stunting in Ethiopia.. Therefore, educating and empowering women, improving access to family planning and ANC services, and addressing maternal malnutrition are important factors that should be included in policies aiming to reduce childhood stunting in Ethiopia.


2021 ◽  
Vol 2 (1) ◽  
pp. 1-12
Author(s):  
Ana Setiyorini ◽  
Friska Yuliana Sijabat ◽  
Maudy Anita Sari

Background: Antenatal care (ANC) is a health service from professionals for pregnant women in accordance with service standards that implemented to improve the physical and mental health of pregnant women optimally, so that they able to face childbirth, postpartum periode, exclusive breastfeeding preparation, and periode of reproductive system return to its normal pre-pregnant stage. Mother’s adherence in ANC attendance can detect and treat pregnancy problems which could impact on maternal mortality. Inadequate utilization of health services can be caused by many factors, including knowledge of pregnant women, distance of residence, family income, information from media, family support, and health workers’ factor. Objective: Determined the factors that influence the adherence of pregnant women to ANC attendance at Panti Rini Hospital Yogyakarta  Method: This research is a descriptive analytic study with a cross sectional design at Panti Rini Hospital Yogyakarta. The sample in this study were thirty-two of third trimester pregnant women who visited antenatal care during 15 December 2020-6 January 2021 which recruited with an accidental sampling. Univariate, bivariate analysis with the Spearman correlation statistical test used to determine the relationship of each variables (p-value) at the level of significance p <0.05.  Results: Factors that influence maternal adherence to ANC attendance were family support (p-value: 0,000). The factors that did not affect were maternal age (p-value: 0.868), maternal education (p-value: 0.644), employment status (p-value: 0.224), maternal knowledge (p-value: 0.175), distance of residence (p-value: 0.613), family income (p-value: 0.921), media information (p-value: 0.233), support from officers (p-value: 0.141). Conclusions: Factors that influence maternal adherence to ANC attendance were family support. The factors that did not affect were maternal age, maternal education, employment status, maternal knowledge, distance of residence, family income, media information, support from officers. It is hoped that the family will always offer support the mother in checking her pregnancy.


Sign in / Sign up

Export Citation Format

Share Document