The population is expected to increase by 8,5 billion persons in 2030 and 10,9 billion persons in 2100, population is growing at a rate of around 1,1% per year. One of population growth control by birth control with contraception. The most effective contraception is long-acting contraception, however, on IDHS (Indonesian Health Demographic Survey) only 13% of currently married women use long-acting contraception. Many factors affect contraceptive use among married women, such as knowledge, education, and husband’s support. The purpose of this study was to determine the effect of knowledge, education, and husband's support on the selection of MKJP. This study used meta-analysis with the search engines by Google scholar, PUBMED, science direct, and ProQuest. The study was selected using PRISMA and it was evaluated by AMSTAR. Data synthesis was conducted by STATA 16.0. The results of this study obtained by knowledge [OR = 0,99; 95% Cl : 0,90-1,08, p = 0,000; I2 = 74,8%], education [OR = 0,84; 95% Cl : 0,77-0,92, p = 0,000; I2 = 86,3%], and husband’s [OR = 0,94; 95% Cl : 0,69-1,20, p = 0,000; I2 = 81,5%]. This means that knowledge, education, and husband’s support have an impact on the use of long-acting contraception.
ABSTRAKKekurangan Energi Kronik (KEK) pada remaja putri/wanita adalah suatu kondisi di mana remaja putri/wanita mengalami kekurangan gizi (kalori dan protein) yang berlangsung lama atau menahun. Berdasarkan hasil Riskesdas 2018 angka kejadian KEK pada remaja putri sebesar 33,5 %. Data Riskesdas Kalimantan Selatan angka KEK paling banyak pada kategori usia remaja (15-19 tahun) yaitu sebanyak 41,24% pada wanita hamil dan 38,27% pada wanita yang tidak hamil. Berdasarkan survei pendahuluan terdapat 58,3 % remaja di Kecamatan Aluh-aluh mengalami KEK. Mitra sasaran kegiatan PKM adalah siswi SMAN 1 Aluh-aluh. Berdasarkan hasil survei dan diskusi dengan mitra, ada beberapa masalah yang dihadapi oleh mitra, yaitu mereka tidak pernah melakukan pemantauan status gizi dan rendahnya pengetahuan terhadap makanan dengan gizi seimbang. Metode pelaksanaan pengabdian adalah dengan memberikan edukasi remaja sadar gizi secara daring dengan cara diskusi menggunakan media ebooklet tentang gizi seimbang dan KEK. Berdasarkan hasil evaluasi terdapat peningkatan pengetahuan siswi SMAN 1 Aluh-aluh tentang gizi seimbang dan KEK. Sebanyak 62 % meningkat, 20% menurun dan 18% tetap. Rekomendasi kepada pihak sekolah adalah melaksanakan kegiatan edukasi tentang gizi seimbang dan KEK secara berkala untuk meningkatkan pengetahuan remaja dan dapat mengaplikasikannya dalam rangka mencegah terjadi KEK. Kata kunci: edukasi; pemberdayaan; siswi SMAN 1 Aluh-aluh; gizi seimbang; KEK; booklet. ABSTRACTChronic Energy Deficiency (CED) in adolescent girls/women are young women/women who experience malnutrition (calories and protein) that lasts for a long time or are chronic. Based on the results of the 2018 Riskesdas, the incidence of CED in adolescent girls is 33.5%. Data from Riskesdas South Kalimantan has the highest number of CED in the category of adolescents (15-19 years) as many as 41.24% in pregnant women and 38.27% in women who are not pregnant. Based on the preliminary survey, there were 58.3% of adolescents in Aluh-aluh District experienced CED. The target partners of PKM activities are students of SMAN 1 Aluh-aluh. Based on the survey results and discussions with partners, there are several problems faced by partners, namely they have never monitored their nutritional status and have low knowledge of balanced nutrition. The method of implementing the service is to provide nutrition-aware youth education online by means of discussions using ebooklet media about balanced nutrition and CED and online quizzes about balanced nutrition. Based on the results of the evaluation, there was an increase in the knowledge of SMAN 1 Aluh-aluh students about balanced nutrition and CED. A total of 62% increased, 20% decreased and 18% remained. Recommendations to the school are to carry out educational activities about balanced nutrition and CED on a regular basis to increase adolescent knowledge and be able to apply it in order to prevent CED from occurring. Keywords: education; empowerment; students of SMAN 1 Aluh-aluh; balanced nutrition; CED; booklet.
Alang river has been one of the river banks to contribute the most to fish production in the Banjar district. However, despite the seemingly protein-rich diet of its inhabitants, this area still has a high prevalence of stunting. This research was therefore conducted to identify the factors that might affect the occurrence of stunting among young children within the area. This cross-sectional research conducted from May to July 2019 recruited 96 dyads of mother and her young child as participants. The children were then analyzed for their adequacy of energy and protein intake based on the recommended dietary allowances (good vs. poor adequacy) and the occurrence of stunting based on the 2006 World Health Organization anthropometry standard (stunted vs. not stunted). Other variables of the children (sex, history of low birth weight, history of exclusive breastfeeding) and variables related to family members (total number of family members, maternal height, paternal height, family income, maternal educational level, and paternal educational level) were also analyzed. Young children with poor adequacy of energy intake had 9.133 times higher risk of stunting than young children with good adequacy of energy intake (p=0.001). The young children's energy and protein intake played a significant role in determining the occurrence of stunting, implying the importance of this macronutrient for the growth and development of young children. The education about the children's nutritional needs for mothers with young children should be delivered with a better design that includes easy-to-remember and immediately applicable local wisdom based methods for the children's nutritional fulfillment of the children's nutritional need.
Stunting prevalence in South Kalimantan has been higher than the national figure and is the sixth highest in Indonesia. Not many studies in South Kalimantan have analysed the risk factors for stunting comprehensively that combine sociodemographic factors, utilization of maternal health services, and characteristics of children. Therefore, the purpose of this study was to analyse sociodemographic factors, utilization of maternal health services, and characteristics of children under 5 as determinants of stunting in South Kalimantan Province. This study used an analytic observational method with a cross-sectional design. Data collection used secondary data from the results of South Kalimantan Baseline Health Research 2018. The total population of toddlers obtained from South Kalimantan Baseline Health Research 2018 data was 1218 toddlers, and all of them were taken as samples. Data analysis used a chi square test for bivariate test and Logistic Regression for multivariate test. There is a relationship between mother’s education level (p = 0.001), father’s education (p = 0.002), toddler age (p < 0.001), low birth weight (p = 0.05), exclusive breastfeeding (p = 0.008), and underweight (p = 0.000) with stunting. The data were continued with the Logistics Regression test and the dominant variables related to stunting were underweight (p < 0.001 with OR 18,241), under-five age (p < 0.001, with OR value for ages 24–35 months 9511), and premature birth (p = 0.027 with an OR of 2187). The conclusion of this study is that the most important factor in the incidence of stunting in South Kalimantan is underweight nutritional status.
AIM: This study aims to identify implementation of hypnobreastfeeding therapy as an effort to reduce the incidence of underweight on children aged 0–6 months. METHODS: This study is a pre-experimental with pre-test and post-test design. Subjects were children aged 0–6 months who are underweight. The intervention was conducted over 2 months. Data were analyzed by univariate analysis using frequency distribution table and bivariate using McNemar test. RESULTS: Before the education through hypnobreastfeeding therapy, only 33.3% of women having a good attitude about exclusive breastfeeding to children. After the intervention for 2 months, the percentage of good attitude increase as many as 73.3% and the mother is encouraged to continue to breastfeed the child obtained that a total of 18 children (60%) of the total 30 children aged 0–6 months are underweight, which has been entered into the category of normal nutritional status. A difference in the attitude of breastfeeding and status of underweight children aged 0–6 months before and after implementation of hypnobreastfeeding therapy (p < 0.000). CONCLUSION: There are differences in the attitude of the breastfeeding mother (p = 0.012) and underweight status of children aged 0–6 months (p = 0.000) before and after the implementation of hypnobreastfeeding therapy.
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