BACKGROUND: Nutritional problem is still a significant public health issue worldwide, and Indonesia is not exempted. Stunting is the failure of a child to grow to the proper height of their age due to unbalance nutritional intake (more calories and less protein) when they are still in the womb, baby, and toddlers. The mother’s lack of awareness about the susceptibility and severity of the stunting is the contributing factor. AIM: Purpose of this study is to investigate mothers’ perceived susceptibility and severity toward stunting and their association with mothers’ behavior to prevent stunting. METHODS: It is a quantitative study using an analytical observation design with a cross-sectional approach. This population is 120 mothers with under 5 years of children in East Surabaya Health Center, Indonesia. They were all taken as research samples. The independent variables are perceived susceptibility and severity of stunting, whereas stunting prevention is the dependent variable. The Likert scale is used to develop a questionnaire as a data collection tool. The logistic regression test was carried out to identify mothers’ perceived susceptibility and severity level to protect their children from stunting. RESULTS: The study found that mothers generally have a good perception of the susceptibility and severity of stunting. The logistic regression test shows that the value of significant = 0.000 for the susceptible variable and significant = 0.003 for the severity factor. CONCLUSION: The study concluded that the strong association between mothers’ perception of susceptibility and severity of stunting affects their stunting prevention behavior. SUGGESTION: The study advises mothers to improve their awareness of the danger of stunting and take necessary action to prevent it. Health promotion efforts should focus on empowering and enhancing the participation of mothers to take pre-emptive steps to prevent stunting.
Preeklampsia merupakan masalah kesehatan yang merupakan salah satu kontributor utama morbiditas dan mortalitas pada ibu dan janin. Sampai saat ini preeklampsia belum diketahui dengan jelas penyebabnya, namun salah satu faktor risiko preeklampsia adalah primigravida. Penelitian ini bertujuan untuk mengetahui hubungan primigravida dengan kejadian preeklampsia di Puskesmas Jagir Surabaya. Jenis penelitian ini adalah survei analitik dengan rancangan cross sectional. Populasi yang digunakan adalah seluruh ibu hamil dengan usia kehamilan diatas 20 minggu pada periode bulan Januari-Desember 2017 di Puskesmas Jagir Surabaya yaitu sebanyak 278 ibu hamil, dengan sampel penelitian sebanyak 164 ibu hamil dengan teknik non probability tipe purposive sampling. Instrumen yang dipakai dalam penelitian ini adalah rekam medik. Variabel dependen adalah preeklampsia dan varibel independen adalah primigravida. Analisis dengan uji statistik chi square. Hasil penelitian ini menunjukkan bahwa ibu hamil yang mengalami preeklampsia lebih banyak terjadi pada ibu hamil primigravida yaitu 22 (26,2%). Berdasarkan hasil analisis menggunakan uji statistik chi square didapatkan ρ-value = 0,027 (ρ-value < 0,05) yang artinya H1 diterima.Penelitian ini dapat disimpulkan bahwa ada hubungan antara primigravida dengan kejadian preeklampsia pada ibu hamil. Saran untuk tenaga kesehatan kususnya bidan, melakukan penyuluhan tentang preeklampsia pada ibu hamil dan pemeriksaan ANC secara rutin sangat diperlukan untuk mendeteksi dini adanya preeklampsia.
Stunting is a new issue that harms nutritional problems in Indonesia, affecting the child's body because it is a child's number and function. To explain the Perceived factors and Perceived Barrier related to the behavior of toddlers' mother in stunting prevention based on the theory of the Health Belief Model. This study used an observational analytic study with a cross-sectional approach. The number of samples in the study was 120 respondents using the purposive sampling technique. This research was conducted at Mojo Health Center and Mulyorejo Health Center Surabaya. The variables perceived benefits and perceived barriers have a p-value of the Wald test (Sig) < 0.05, meaning that each variable has a significant partial effect on stunting prevention behavior in the model. Perceived benefits have a partial effect on stunting prevention behavior. Perceived barriers have a partial effect on stunting prevention behavior. Health workers can continue to assist the community and improve maternal and child health services in an effort to reduce stunting prevalence. The community, especially mothers with children aged 2-5 years, should design healthy and varied menus in an effort to prevent stunting in children. Keywords: Benefit, Barrier, Stunting Prevention Behavior. ABSTRAK Stunting merupakan isu baru yang berdampak buruk terhadap permasalahan gizi di Indonesia karena mempengaruhi fisik dan fungsional dari tubuh anak serta meningkatnya angka kesakitan anak. Menjelaskan pengaruh persepsi manfaat dan persepsi terhadap perilaku ibu Balita dalam pencegahan stunting berdasarkan teori Health Belief Model. Penelitian ini menggunakan penelitian analitik observasional dengan pendekatan cross sectional. Jumlah sampel dalam penelitian sejumlah 120 responden dengan Teknik simple random sampling.Penelitian ini dilakukan di Puskesmas Mojo dan Puskesmas Mulyorejo Surabaya. Variabel Persepsi Manfaat dan Persespsi Hambatan memiliki nilai p value uji wald (Sig) < 0,05, artinya masing-masing variabel mempunyai pengaruh parsial yang signifikan terhadap perilaku pencegahan stunting di dalam model. Persepsi Manfaat dan persepsi hambatan memiliki pengaruh parsial pada perilaku pencegahan stunting. Kata kunci: Manfaat, Hambatan, Perilaku Pencegahan Stunting.
Stunting is a thrive failure condition of under five children due to chronic malnutrition problem, especially in 1000 Days of Life (HPK). The condition of failure to thrive in children under five is caused by a lack of nutritional intake in a long time and the occurrence of repeated infections. In Indonesia, stunting is a serious problem and also the main nutritional problem that Indonesia is facing (Situation of Short Toddlers (Stunting) in Indonesia, 2018). If this problem is chronic, it will affect cognitive function, namely a low level of intelligence, and have an impact on the quality of human resources. Bangkalan Regency data in 2021 based on weighing month data in August 2021 the number of stunting was 2,287 people (4.9% prevalence) while SSGI data (Indonesian Nutritional Status Survey) stunting prevalence was 38.9% while East Java was 23.5%. Analyze the 1000 HPK Program (First Day of Life) Towards An Effort to Reduce Stunting at The Bangkalan District Health Center. This research method uses qualitative research with a phenomenological approach because This study aims to analyze 1000 HPK Program (First Day of Life) Towards an Effort to Reduce Stunting. Data collection was conducted using in-depth interviews with 10 informants divided into 5 coordinator midwives and 5 nutrition practitioners are worked at Bangkalan District Health Center and do FGD analysis for 5 Heads of Public Health Center and 2 Section Heads of Bangkalan District Public Health Office (Dinas Kesehatan Kabupaten Bangkalan). The researcher found that there are Policies or regulations regarding The 1000 HPK Program and The Office of Population Control and Family Planning (Dinas Pengendalian Penduduk dan Keluarga Berencana-DPPKB) as the policyholder. The source of funds from operational Public Health Center funds was allocated to undernourished, malnourished toddlers, and pregnant women with Chronic Energy Deficiency. The obstacle that occurred was from the health personnel ratio had not been able optimally to provide the effort to reduce stunting at The Bangkalan District Health Center. The resulting Survey by FGD analysis was there is The 1000 HPK Program to Reduce Stunting at The Bangkalan District Health Center and The Office of Population Control and Family Planning (Dinas Pengendalian Penduduk dan Keluarga Berencana-DPPKB) as the policyholder. Keywords: The 1000 HPK Program (First Day Of Life), Stunting Reduction ABSTRAK Stunting adalah kondisi gagal tumbuh pada anak balita akibat kekurangan gizi kronis terutama pada 1.000 Hari Pertama Kehidupan (HPK). Kondisi gagal tumbuh pada anak balita disebabkan oleh kurangnya asupan gizi dalam waktu lama serta terjadinya infeksi berulang, dan kedua faktor penyebab ini dipengaruhi oleh pola asuh yang tidak memadai terutama dalam 1.000 HPK.Di Indonesia, stunting merupakan masalah serius dan juga merupakan masalah gizi utama yang sedang dihadapi (Situasi Balita Pendek (Stunting) di Indonesia, 2018). Bila masalah ini bersifat kronis, maka akan memengaruhi fungsi kognitif yakni tingkat kecerdasan yang rendah dan berdampak pada kualitas sumberdaya manusia. Data Kabupaten bangkalan pada tahun 2021 berdasarkan data bulan timbang bulan agustus 2021 jumlah stunting sebanyak 2.287 orang (prevalensi 4,9%) sedangkan data SSGI (Survei Status Gizi Indonesia) prevalensi stunting sebesar 38,9% sedangkan Jawa Timur 23,5%. Menganalisis Program 1000 HPK (Hari Pertama Kehidupan) Terhadap Upaya Penurunan Stunting di Puskesmas Wilayah Kabupaten Bangkalan. Penelitian ini menggunakan penelitian kualitatif dengan pendekatan fenomenologi karena penelitian ini bertujuan untuk menangalisa kebijakan program 1000 HPK dalam upaya penurunan stunting. Peneliti mengumpulkan data dengan melakukan wawancara langsung secara mendalam kepada 10 orang informan yang terdiri dari lima bidan koordinator dan lima pelaksanan gizi di lima puskesmas di wilayah Kabupaten Bangkalan serta melakukan analisis FGD dengan lima kepala puskesmas dan dua orang kasi dinas Kesehatan Kabupaten Bangkalan. Bahwa ada Kebijakan atau Peraturan tentang program 1000 HPK dan Dinas Pengendalian Penduduk dan KB sebagai pemegang kebijakan. Sumber dana berasal dari Dana operasional Puskesmas dan dialokasikan kepada Balita gizi kurang, gizi buruk dan Ibu hamil dengan KEK. Hambatan yang terjadi adalah rasio tenaga dan masyarakat tidak sesuai sehingga belum bisa memberikan pelayanan secara optimal dalam upaya penurunan stunting di puskesmas wilayah Kabupaten Bangkalan. Berdasarkan hasil wawancara dan analisis FGD diperoleh hasil bahwa ada program 1000 HPK, dalam upaya penurunan stunting di puskesmas wilayah Kabupaten Bangkalan. Dinas Pengendalian Penduduk dan KB sebagai pemegang kebijakan. Kata Kunci: 1000 HPK ( Hari Pertama Kehidupan), Penurunan Stunting
Stunting is the most common problem in developing countries, including Indonesia. The problem of stunting is a new issue that harms nutritional problems in Indonesia because it affects the physical and functional aspects of the child's body and increases the child's morbidity, even the stunting incident has become the focus of WHO to be resolved immediately. The incidence of stunting is 53.2%. (East Java Provincial Health Office, 2015). Method: This study used a cross-sectional analytic design. With a sample of 109 respondents. The research site is at the Bangkalan Regional Health Center. The Variable Culture of Diet and Utilization of Health Services has a p-value (Sig) < 0.05, meaning that each variable has a significant partial effect on the incidence of stunting in the model. Dietary culture has a value of sig = 0.000, meaning that eating culture has a partial influence on the incidence of stunting. The utilization of health services has a sig = 0.003, meaning that the respondent's behavior in utilizing health services has a partial influence on the incidence of stunting. The culture of the right diet and the utilization of available health services can reduce the incidence of stunting.
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