EARLY PREGNANCY, ANTENATAL CARE, ESCLUSIVE BREASTFEEDING AND NUTRITIONAL KNOWLEDGE TO STUNTING IN CHIDREN UNDER FIVE Background: stuntingis a major nutritional problem that will have an impact on social and economic life in society. Stunting is a problem because it is associated with an increased risk of illness and death, suboptimal brain development, resulting in delayed motor development and stunted mental growth. Bone is one of the district in south Sulawesi high prevalence of stunting compared with province and national.Purpose To determine risk factors early pregnancy, antenatal care, esclusive breastfeeding and nutritional knowledge on stunting among children 12-59 months old.Mathods:The study used is quantitative witch a designed case-control study. It was conducted in Kading health centre, Bajoe health centre, and Usa health centre. with the research time May-Juli 2020. The subjects were children between 12-59 month. The sample in this study were 120 consisting of 40 stunted and 80 normal with gender matching. Subject were chosen by purposive sampling methode. The risk factor were early pregnancy, antenatal care, esclusive breastfeeding, and nutritional knowledge. Data were analyzed by univariate, bivariate with chis-quare test and odds ratio with 95% confidence interval Results: The results showed that factors associated with stunting were early pregnancy (P = 0.003) and antenatal care with (P = 0.033), while exclusive breastfeeding (P = 0.892) and maternal nutritional knowledge (P = 0.404) were not associated with stunting in under-five. . Early pregnancy variable is the dominant variable in the occurrence of stunting in children under five. Early childhood pregnancy has a 5.00 times higher risk of stunting in children under five compared to mothers who are pregnant at adulthood, and mothers not antenatal care during pregnancy have 2.68 times the risk of stunting compared to mothers antenatal care visit during pregnancy.Conclusion: The risk factors for stunting were early pregnancy and antenatal careSuggestion It is hoped that the government will be even more stringent on the implementation of early marriage, so that there will be no more early marriages and can prevent stunting in toddlers. Keywords: stunting, early pregnancy, antenatal care ABSTRAK Latar belakang :Stunting adalah masalah gizi utama yang akan berdampak pada kehidupan sosial dan ekonomi dalam masyarakat. Stunting menjadi permasalahan karena berhubungan dengan menungkatnya risiko terjadinya kesakitan dan kematian, perkembangan otak suboptimal sehingga perkembangan motoric terlambat dan terhambatnya pertumbuhan Kabupaten Bone meruapakan salah satu kabupaten di Sulawesi Selatan dengan angka stunting yang cukup signifikan melebihi prevalensi stunting provinsi dan nasional.Tujuan: untuk menganalisis factor risiko kehamilan usia dini, antenatal care, ASI eksklusif dan pengetahuan gizi ibu terhadap stunting pada balita usia 12 – 59 bulanMetode : Penelitian yang digunakan adalah penelitian kuantitatif dengan pendekatan Case Control Study. Penelitian dilakukan di tiga puskesmas yaitu Puskesmas Kading, Puskesmas Bajoe dan Puskesmas Usa. Penelitian dilakukan pada bulan Mei-Juli 2020. dengan subjek adalah anak umur 12 – 59 bulan. Sampel dalam penelitian ini sebanyak 120 balita yang terdiri dari 40 kasus (balita stunting) dan 80 kontrol (balita normal/tidak stunting) dengan Matching jenis kelamin. Metode penarikan sampel yang digunakan adalah purposive sampling. Factor risiko yang diukur adalah kehamilan usia dini, antenatal care (ANC), ASI eksklusif dan pengetahuan gizi ibu. Data dianalisis dengan chi square dan Odds Ratio (OR) 95% CI.Hasil : Hasil penelitian menunjukkan faktor yang berhubungan dengan stunting adalah kehamilan usia dini (P=0,003) dan antenatal care dengan (P=0.033), sedangkan ASI eksklusif (P=0,892) dan pengetahuan gizi ibu (P=0,404) tidak berhubungan dengan stunting pada balita. Variabel kehamilan usia dini merupakan variable dominan terjadinya stunting pada balita. Kehamilan usia dini memiliki risiko 5,00 kali lebih tiinggi untuk mengalami stunting pada balita dibandingkan ibu yang hamil pada usia dewasa, ibu yang tidak melakukan antenatal care memiliki risiko 2,68 kali mengalami stunting dibanding ibu yang melakukan pemeriksaan antenatal care. Kesimpulan: kehamilan usia dini dan antenatal care merupakan factor risiko terjadinya stunting pada balitaSaran Diharapkan pemeritah lebih ketat lagi terhadap pelaksanaan pernikahan usia dini, agar tidak ada lagi pernikahan usia dini dan bisa mencegah terjadinya stunting pada balita Kata kunci : stunting, kehamilan Dini, antenatal care
Anemia adalah masalah kesehatan utama di negara berkembang dengan tingkat morbiditas yang tinggi terjadi pada wanita hamil. Hal ini kebetulan menjadi potensi hilang dalam mengembangkan bayi cukup sehat di trimester pertama. Beberapa faktor risiko terkait pada ibu seperti usia, paritas, status gizi dan kunjungan perawatan antenatal berkontribusi untuk menurunkan insiden kasus ini. Oleh karena itu penelitian ini bertujuan untuk mengetahui apakah keempat faktor yang berkontribusi paling berhubungan dengan prevalensi anemia. Penelitian dilakukan di Klinik Perawatan Kesehatan Primer setempat di Kecamatan Watampone selama bulan April - Agustus 2017. Melibatkan 203 ibu hamil yang dipilih secara purposif selama kunjungan pemeriksaan kehamilan pada periode yang sama. Menggunakan uji chi square untuk menganalisis semua variabel terkait (CI 95%, nilai p <0,05). Di antara keempat variabel hasilnya menunjukkan bahwa Umur (p value 0,001) dan status gizi selama kehamilan (p value: 0,001) adalah dua yang paling signifikan dibandingkan dengan dua variabel lainnya termasuk paritas (nilai p: 0,011) dan kunjungan perawatan antenatal (nilai p: 0,013). Menurut hasil analisis, perlu untuk memantau status gizi khusus pada ibu hamil yang membentang usia pada risiko tinggi, untuk menjalani periode konsepsi yang aman. sebagai rekomendasi pada layanan pencegahan klinis wanita usia subur, perlu meningkatkan promosi penggunaan kontrasepsi untuk wanita pada usia tersebut belum dikategorikan aman untuk hamil dan melahirkan.
Hipertensi merupakan salah satu faktor penting pemicu Penyakit Tidak Menular (Non Communicable Disease = NCD) yang menjadi salah satu penyebab utama kesakitan dan kematian di Indonesia. Penelitian ini bertujuan untuk mengetahui hubungan kebiasaan merokok dan stres dengan hipertensi pada lansia di Desa Welado. Metode penelitian ini menggunakan metode survey analitic dengan pendekatan cross sectional study. Teknik pengambilan sampel secara purvosive sampling dengan jumlah sampel sebanyak 50 lansia. Pengumpulan data dilakukan dengan pengukuran tekanan darah menggunakan tensimeter dan wawancara menggunakan kuesioner. Analisis data menggunakan uji statistik Chi Square dengan α=0,05. Hasil: tidak ada hubungan ( p value = 0,390) antara merokok dengan hipertensi, ada hubungan antara stres (p value = 0,005) dengan hipertensi pada lansia. Penanganan stres yang tepat dapat mencegah terjadinya hipertensi pada lansia
Introduction: The conceptual relationship between economics and breastfeeding is still mathematically invaluable, while the family's economic burden increases along with babies born. Indicating potential loss when a family chooses other than breastmilk is a progressive way to manage campaign messages about exclusive breastmilk and prolonged breastfeeding. Descriptive studies are needed to magnify all of these indicators and transform them into measuring instruments generalized to assess family expenditures related to infant feeding.Methods: This study uses a quantitative descriptive design, questionnaire draft upon qualitative open questions containing all micro indicators impacted financially during the baby’s first year. Data collection was carried out in Makassar based on telephone surveys with 330 preliminary samples. After structural analysis and data reduction, the expenditure indicators were divided into medical and non-medical expenses.Results: The study show there is a difference in the average amount of family expenses of those who provide formula milk compared to breastmilk. This outcome is 21.1 times higher in non-medical components and 2.5 times higher in the medical component. One of the highest contributions in medical expenses is the cost of a recurrent visit to a pediatrician due to a history of illness such as allergies, respiratory infections, and diarrhea.Conclusion: This empirical fact stated the strong affirmation of how families should consider wisely to choose the best feeding pattern for babies aged 0-12 months.
One indicator of the welfare of a nation can be seen from the human resources in the country, if human growth and development in a country is good, it will increase the productivity of human performance it self and will affect the welfare of the nation. Stunting is one of the nutritional problems that is currently in the spotlight because in additional to its impact on health, it also has an impact on socio-economic conditions. This research method is quantitative using Quasi Experiment (Pretest and posttest design). The sampling method in this study was purpossive sampling. The total sample in this study was 40 pregnant woman who were in the working area of the Mare Health Center. Data analysis using Wilcoxon test. Form the results of the Wilcoxon test analysis, it was found that the p value= 0.101 (p>0.05), which means that the stunting prevention and early detection module is not effective in increasing the knowledge of pregnant women in the working area of the Mare conditions.
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