Effect of nutritional education on anthropometric deficits among pre-school aged children in south West Ethiopia: quasi-experimental study

Background Under-nutrition is a global problem and one of the most serious public health issues. Globally, 156 million under-five children were stunted, and 50 million were wasted in 2016. Malnutrition among preschool-age children is caused by low socioeconomic status, food insecurity, poor feeding practices, and infectious diseases. This intervention aimed to evaluate the effect of nutrition education delivered through trained health professionals in improving the nutritional status of preschool -aged children. Methods A quasi-experimental design among 588 preschool –aged children was used. A multistage sampling technique followed by a systematic random sampling technique was used to identify caregivers with preschool-aged children. Structured questionnaires were used to collect data. The baseline difference in demographic and socioeconomic characteristics between the two groups was examined using a chi-square test and an independent sample t-test was used to determine the mean difference in under-nutrition between the intervention and control groups. Generalized estimating equations (GEE) were used to determine the change in the difference in outcome between the intervention and control groups as well as the association of predictors with under-nutrition in children. The Adjusted odds ratio (AOR) with the corresponding 95% confidence intervals was reported to show the strength of the association. Variables with a p-value of less than 0.05 were considered statistically significant in multivariable analysis. Results In this study, the nutritional status of preschool age children was significantly associated with nutrition education intervention [AOR = 0.566, 95% CI: (0.347, 0.923)], place of delivery [AOR = 0.724, 95% CI: (0.551, 0.951)], ARI in the last 2 weeks [AOR = 1.823, 95% CI: (1.226, 2.710)], source of drinking water [AOR = 0.624, 95% CI: (0.484, 0.805)] and household food security [AOR = 1.311, 95% CI: (1.030, 1.669)] . Conclusions Findings of this study showed that nutrition education can effectively reduce the magnitude of under-nutrition among preschool children. Under-nutrition was e significantly associated with nutritional education, place of delivery, ARI in the last 2 weeks, source of drinking water, and food security. Therefore, both government and non-government should consider the impacts of nutrition education to alleviate under-nutrition and improve the health status of preschool-age children.

ANALISIS IMPLEMENTASI JUAL BELI SISTEM PRE ORDER MENURUT FATWA DSN NO 05/DSN-MUI/IV/2000 TENTANG JUAL BELI SALAM (Studi Kasus Pada Pengrajin Batik Asad Kertijayan Pekalongan)

This study aims to examine the suitability of the implementation of the pre–order buying and selling system (Salam) carried out by the entrepreneur or batik producer Asad Kertijayan Pekalongan based on Fatwa DSN NO 05/DSN-MUI/IV/2000 about “Salam” buying and selling system. It is a qualitative study with an observation and interview as a data collecting technique. The subject of this data was chosen by snowballing data. This system is customer orders batik from the Batik Asad Kertijayan Pekalongan. The buyer pays the full amount of money that has been determined as a sign of the contractin accordance with the goods ordered. Meanwhile, the seller will explain the specifications of the ordered goods, the type, the time and the place of delivery. About the implementation of pre – order buying and selling system (Salam) in Batik Asad Kertijayan Pekalonga, the provisions on payment, on goods, on delivery of goods and the provisions on the pillars and terms of sale and purchase of Salam in islam, based on Fatwa DSN NO 05/DSN-MUI/IV/2000, this system has been complied with the Fatwa. Keywords : Salam, buying and selling, the provisions of payment, the provisions of goods, the provisions of delivery.

Faktor-Faktor Yang Berhubungan dengan Perilak Pemberian ASI Eksklusif Pada Bayi Usia 6-24 Bulan di Wilayah Kerja Puskesmas Sanggaran Agung Kabupaten Kerinci Provinsi Jambi

ABSTRACT: FACTORS RELATED TO EXCLUSIVE BREASTING BEHAVIOR IN INFANTS AGED 6-24 MONTHS IN THE WORK AREA OF SANGGARAN AGUNG PUSKESMAS, KEINCI REGENCY, JAMBI PROVINCE Introduction: The problem of exclusive breastfeeding in infants is caused by a lack of mother's knowledge, mother's attitude towards exclusive breastfeeding, busy working mothers, and low maternal education. In Indonesia, the exclusive breastfeeding coverage target is 80%, according to the 2013 Riskesdas report, the milk adequacy rate of 30.2% is still below the target.Objective: To determine the factors associated with exclusive breastfeeding behavior in infants aged 6-24 months in the Sanggaran Agung Community Health Center Work Area in 2020.Methods: This type of research is quantitative with a cross-sectional design. This research was conducted on August 2-10, 2020, with the population being all mothers with children under five in the Sanggaran Agung Health Center Work Area as many as 65 people, and samples were taken using the Total Population technique. Data was collected through a questionnaire sheet. Data were analyzed by univariate and bivariate with Chy Square test.Results: The results showed the frequency distribution of exclusive breastfeeding behavior (not giving exclusive breastfeeding 46.2%, exclusive breastfeeding 53.8%), knowledge factor (not good 41.5%, good 58.5%), place of delivery (non-health facilities) 30.8%, health facilities 69.2%), birth attendants (non-health workers 27.7%, health workers 72.3%), support from health workers (less supportive 44.6%, supported 55, 4%) and family support (less supportive 35.4%, supportive 64.6%).Conclusion: Based on the results of the study, it can be concluded that there is a relationship between knowledge of mothers, birthing places, birth attendants, support for health workers and family support with exclusive breastfeeding behavior for infants aged 6-24 months in the Sanggaran Agung Public Health Center, Kerinci Regency, Jambi Province in 2020. Support from health centers and related stakeholders to increase mother's knowledge about exclusive breastfeeding and provide support to mothers to be able to give exclusive breastfeeding to their babies. Keywords: Knowledge, place of delivery, birth attendant, support for health workers, family support, exclusive breastfeeding behavior INTISARI: FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERILAK PEMBERIAN ASI EKSKLUSIF PADA BAYI USIA 6-24 BULAN DI WILAYAH KERJA PUSKESMAS SANGGARAN AGUNG KABUPATEN KERINCI PROVINSI JAMBI Pendahuluan: Permasalah ASI eklusif pada bayi adalah karena pengetahuan ibu yang kurang, sikap ibu terhadap pemberian ASI eklusif, ibu sibuk kerja, pendidikan ibu yang rendah. Di Indonesia target cakupan ASI ekslusif adalah 80%, menurut laporan Riskesdas 2013, angka kecukupan ASI sebanyak 30,2% masih dibawah target.Tujuan: Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan perilaku pemberian ASI Eksklusif pada bayi Usia 6-24 Bulan Di Wilayah Kerja Puskesmas Sanggaran Agung Tahun 2020.Metode: Jenis penelitian ini adalah kuantitatif dengan desain Cross Sectional, Penelitian ini telah dilaksanakan pada tanggal 2-10 Agustus 2020, dengan populasi adalah semua ibu yang memiliki baduta di Wilayah Kerja Puskesmas Sanggaran Agung sebanyak 65 orang dan sampel diambil dengan teknik Total Populasi. Pengumpulan data dilakukan melalui lembar kuesioner. Data dianalisa secara univariat dan bivariat dengan Uji Chy Square.Hasil: Hasil penelitian didapatkan distribusi frekuensi Perilaku pemberian ASI Ekslusif (Tidak ASI Ekslusif 46,2%, ASI Ekslusif 53,8%), faktor pengetahuan (kurang baik 41,5%, Baik 58,5%), tempat persalinan (Non fasilitas kesehatan 30,8%, Fasilitas kesehatan 69,2%), penolong persalinan (non tenaga kesehatan 27,7%, tenaga kesehatan 72,3%), dukungan petugas kesehatan (kurang mendukung 44,6%, mendukung 55,4%) dan dukungan keluarga (kurang mendukung 35,4%, mendukung 64,6%).Kesimpulan: Berdasarkan hasil penelitian maka dapat disimpulkan bahwa Ada hubungan pengetahuan ibu, tempat persalinan, penolong persalinan, dukungan tenaga kesehatan dan dukungan keluarga dengan perilaku pemberian ASI eksklusif pada bayi usia 6-24 bulan di Wilayah Kerja Puskesmas Sanggaran Agung Tahun Kabupaten Kerinci Provinsi Jambi 2020. Dukungan dari pihak puskesmas dan stakeholder terkait untuk dapat meningkatkan pengetahuan ibu tentang ASI Ekslusif serta memberikan dukungan bagi ibu untuk dapat memberikan ASI Ekslusif untuk bayinya. Kata Kunci : Pengetahuan, tempat persalinan, penolong persalinan, dukungan tenaga kesehatan, dukungan keluarga, Perilaku Pemberian ASI Ekslusif

Assessment of Feeding Practice among Mothers Attending the Immunisation Clinic of UCMS Hospital, Nepal: A Cross-Sectional Study

INTRODUCTION: Practice of exclusive breast feeding has dramatically reduced infant mortality in developing countries due to reduction in diarrhea and infectious diseases. We conducted a study to assess the feeding practices among mothers with children less than 12 months of age attending the immunization clinic of UCMS hospital, Nepal. MATERIAL AND METHODS: A hospital based cross sectional study was carried out in the immunization clinic of Pediatric ward of UCMS, Nepal for a period of four months. Mothers of child of 0-12 months were included in the study. Sample size was 372 which was based on the number of mothers visited Pediatric ward for immunization of their child of age group 0-12 months during the duration of the study. Mothers were interviewed by using a pre-validated structured questionnaire. Data was analyzed by using SPSS version-20 software and presented by descriptive statistics as frequency and percentages. RESULTS: Most of the children were above six months, 56.5% were of 7-12 months of age group. Exclusive breastfeeding was done in 48.4% children for first six months. Maximum population preferred hospital as their mode of delivery. 93.5% mothers opted for hospital as their place of delivery. 23.4% mothers were illiterate. Night feeding was practiced by 96.2% mothers. CONCLUSION: Breast feeding awareness must be spread among mothers by workshops and health education programs.

Geographical variation and associated factors of vitamin A supplementation among 6–59-month children in Ethiopia

Introduction Vitamin A has been one of the most important micronutrients which are necessary for the health of the children. In developing countries, the supplementation of vitamins under a regular schedule had different constraints. Awareness, access, and resource limitations were usually the problem. In the current study, we analyzed the data from the demographic health survey (EDHS) 2016 to uncover the spatial distribution, predictors, and to provide additional information for policymaking and interventions. Methods In this analysis, we applied intra-community correlation to measure the random effect; global Moran’s I to test the nature of variance in the null model; proportional change in variance to check the variance of null and neighborhood in subsequent models. We used STATA 15 for prediction; ArcGIS 10.7 for the spatial distribution of vitamin A supplementation; SaTscan 9.6.1 to specify location of clustering were the applied soft wares. After confirming that the traditional logistic regression cannot explore the variances, we applied multilevel logistic regression to examine predictors where p-value <0.25 was used to include variables into the model and p-value<0.05 was used to declare associations. We presented the result using means, standard deviations, numbers, and proportions or percent, and AOR with 95% CI. Result The vitamin A coverage was 4,029.22 (44.90%) in Ethiopia in 2016. The distribution followed some spatial geo-locations where Afar, Somali were severely affected (RR = 1.46, P-value < 0.001), some pockets of Addis Ababa (RR = 1.47, p-value <0.001), and the poor distribution also affected all other regions partially. Place of delivery 1.2(1–1.34), primary and secondary education 1.3 (1–1.6), media exposure 1.2(1.1–1.4), having work 1.4(1.2–1.5), and all visits of ANC were positively influenced the distribution. Conclusion The distribution of vitamin A coverage was not random as per the EDHS 2016 data. Regions like Afar, Somali, and some pocket areas in Addis inquires immediate interventions. Pastoralist, agrarian, and city administrations were all involved from severe to the lesser coverage in order. Since factors like Place of delivery, education, ANC, media exposure, and having work were showed positive associations, interventions considering awareness, access, and availability of service need more attention than ever.

Factors influencing the place of delivery in the rural region of Labrousse, Hati

Objectives The objective of this study is to determine factors that influence the place of delivery in the rural region of Labrousse, Haiti Design This study employed a cross-sectional survey design to collect data using an anonymous interview guide comprising structured questions and made up of two parts: 1- Identification of personal and socio-cultural parameters. 2-Identification of the reasons for the place of the last childbirth. Setting The study was conducted fromSeptember to November 2017 in Notre-Dame of Lourdes of Labrousse community health center and the area catered to by it. Labrousse is a rural community located in the 3rd communal section of Miragoâne about 19 kilometers from the main road, in the department of Nippes. Participants The survey included 92 women aged 13–46 years, live in the area who had at least one birth in the last 1–3 years by the time of data collection. Results 75% of women gave birth to their last child at home. 76% of home births were assisted by a matron or traditional practitioner. age, religion, level of education of mothers and fathers, distance between home and health facility, availability of transportation and prenatal follow-up are significant factors (P <0.05) that influence the choice of delivery place. Conclusion Acting on the factors influencing the delivery place in Labrousse would make it possible to bridge this gap between the number of home births and the number of births in healthcare facility.

Assessing individual factors associated with choice of place of delivery among postnatal women in Marsabit County, Kenya.

Background: Globally, about 295,000 maternal deaths occurred in 2017 with Sub-Saharan Africa and Asia accounting for 86%. Sub-Saharan Africa alone accounted for nearly two-thirds. The rate of skilled birth attendant in Sub-African region stood at 59%. Three quarters of neonatal and maternal deaths occur outside hospital settings. Currently, the rate of maternal mortality in Kenya stands at 362 per 100,000 live births. Despite the deliberate government interventions to increase hospital deliveries, still a significant number of women deliver at home. The objective of this study was to assess the individual actors associated with choice of place of delivery among postnatal women in Marsabit County, Kenya. Methods: This was a cross-sectional descriptive study adopting both quantitative and qualitative data collection methods. A total of 416 postnatal women were systematically sampled from households at a predetermined interval of four. Key informants interviews and focused group discussions provided additional qualitative data.Results: Approximately 56.7% of postnatal women in Marsabit County delivered in health facilities. Most individual factors such as decision maker (p=0.031), myths and misconceptions (p=0.025), reduction of complications (p=0.001), hospital delivery time consuming (p=0.023) and possession of medical insurance (p=0.001) were significantly associated with choice of place of delivery. Conclusions: Approximately 6 out 10 deliveries occur at health facilities in Marsabit County. Individual factors significantly influenced choice of place of delivery. There is need for the ministry of health, County Government of Marsabit and relevant stakeholders to demystify myths and misconceptions about hospital deliveries, scale up awareness on availability of Linda Mama medical cover for pregnant women to ensure easy access of hospital delivery services.

The Role of Birthplace in the Mode of Delivery in Nepal

The mode of delivery is strong-minded by diverse aspects. The available data and literature argue that the birthplace and birth orders play an imperative role in determining the mode of delivery. This study has been done with the objective to examine the association between the place of delivery and cesarean section in Nepal. A descriptive cross-sectional study was conducted among women who have delivery experience in the last five years of survey, but only the last one has been included. This study is based on the data of Nepal demographic and health survey 2016 [NDHS]. The data were collected from 19 June 2016 to 31 January 2017 through the questionnaires. The sampling frame of Central Bureau of Statistics [CBS] has been updated and used by NDHS where districts and provinces are categorized into urban and rural areas. Frequency tabulation, χ2 test and multivariate binary logistic regressions are used to analyze the data. There are 10.2 percent of women who had a cesarean section. Out of 3998 total deliveries, cesarean deliveries are 406 (10.2%) at 95 percent confidence interval (9-11). The prevalence of cesarean delivery was seen in women delivered in private hospitals 36.3 percent compared to women delivered in government health facilities 12.8 percent. Among 3998 deliveries, 57.4 percent are institutional deliveries. The place of delivery, anti-natal care visit and cesarean section delivery are related to each other. Women who go to private hospitals for anti-natal care and delivery, such hospitals are found to have performed more caesarean sections than the recommended level of World Health Organization (WHO).

Building the E-Commerce Supply Chain of the Future: What Influences Consumer Acceptance of Alternative Places of Delivery on the Last-Mile

Background: To cope with the expected further growth in e-commerce and to be able to continue delivering at low costs, new concepts for the last-mile are needed. This paper reviews the literature and qualitatively investigates which factors influence the acceptance of four alternative place-of-delivery innovations in a business-to-consumer (B2C) context: (1) parcel lockers, (2) reception boxes, (3) trunk delivery, and (4) home access systems; Methods: The available literature was reviewed. Furthermore, 37 interviews were conducted and analyzed using the deductive category development method. In the following, abductive reasoning can derive detailed research models that may form the basis for future confirmative studies; Results: The research gains more detailed insights into how consumers perceive innovative last-mile place-of-delivery concepts. The study provides a clearer picture of what factors influence the intention to use such alternative services; Conclusions: The results can be used by logistics service providers and e-tailers through targeted communication efforts and lay the groundwork for further confirmatory research.