The prevalence of stunting in Aceh Province is 44.6% on a national scale, while the prevalence in Banda Aceh is 38.8%. Given the cause of the incident, it is vital to emphasize that as well. The objective of this study was to explore the relationship between exclusive breastfeeding, complementary feeding, immunization status, and family characteristics with the incidence of stunting in infants. A total of 96 samples were collected from the areas of Puskesmas Banda Raya, Batoh, and Meuraxa as part of this quantitative study employing a Case-Control Study design. The analysis of data was performed univariately and bivariately using the Chi-square test with a 95% confidence interval, and multivariately (logistic regression). The results showed that the incidence of stunting in infants was caused by low family income (p = 0.026; OR = 3.1), non-exclusive breastfeeding (p = 0.002; OR = 4.2), inadequate complementary feeding (p = 0.007); OR = 3.4), and incomplete immunization (p = 0.040; OR = 3.5). The results of the multivariate analysis revealed that non-exclusive breastfeeding was a significant contributor to infant stunting in the Banda Aceh region, with an odds ratio (OR) of 4.9. Accordingly, stunting in children is linked to a lower family income, breastfeeding that is not exclusive, inadequate complementary nutrition, and insufficient immunization. In contrast, non-exclusive breastfeeding is the major contributing factor for children with stunting.
Stunting is a chronic malnutrition problem caused by inadequate nutritional intake for a long time. There are around 8-10 children under the stunting category in Meunasah Intan Village, Aceh Besar District. The actions taken by Integrated Healthcare Center (posyandu) cadres are providing counseling about feeding, motor stimulation, and working together with nutrition workers at the puskesmas. This study uses a pre-experimental design type one group pretest-posttest design. The population is Posyandu cadres, Gampong Meunasah Intan, Kuta Baro District, Aceh Besar Regency with 14 cadres. Based on the results of the counseling, it is known that the average level of knowledge of cadres before being given counseling is 9.64 and after being given counseling is 11.50. The level of knowledge of cadres before and after being given counseling experienced a significant increase, namely 0.00 < 0.05. So, it can be concluded that there are differences in the level of knowledge of cadres about stunting prevention before and after being given counseling. This shows that this change is sufficient to improve the knowledge of posyandu cadres about stunting to be used as capital in carrying out monitoring activities for growth and nutritional status at the posyandu, as well as being able to provide counseling to families of children under five who are at risk or experiencing stunting.
Latar Belakang: Kematian ibu merupakan tantangan besar bagi beberapa Negara dengan risiko yang terkait dengan masa kehamilan, beberapa faktor yang mempengaruhi hal tersebut diantaranya adanya kesenjangan di masyarakat, lemahnya sistem kesehatan dalam perencanaan dan biaya, serta rendahnya program kesehatan yang diperuntukkan bagi orang miskin. Dalam rangka mengurangi angka kemiskinan dan perlindungan sosial bagi keluarga Rumah Tangga Sangat Miskin (RTSM), pemerintah membuat suatu kebijakan baru yaitu pemberian bantuan tunai bersyarat disebut dengan Program Keluarga Harapan (PKH), dengan adanya program tersebut diharapkan RTSM memiliki akses yang lebih baik untuk memanfaatkan pelayanan sosial dasar salah satunya pelayanan kesehatan, termasuk menghilangkan kesenjangan dan ketidakberdayaan sosial yang selama ini melekat pada diri warga miskin. Penelitian ini bertujuan untuk menggali lebih dalam gambaran mengenai penggunaan pelayanan kesehatan sebelum dan sesudah menjadi anggota PKH. Metode: Penelitian ini menggunakan metode kualitatif dengan rancangan fenomenologi menggunakan tehnik in-depth interview yang dilakukan di Kecamatan Pegasing pada bulan Juni-Juli 2019 dengan 6 orang KPM ibu hamil. Hasil: Penelitian menunjukkan bahwa informan datang kepelayanan kesehatan antenatal bukan karena sebagai syarat menjadi anggota PKH dan dana yang didapat digunakan untuk pemeriksaan USG ke dokter spesialis kandungan. Saran: Kepada pihak Pemerintah terkait untuk membuat pengadaan alat USG disetiap Puskesmas serta bagi Dinas Kesehatan untuk mengadakan kerjasama dengan klinik-klinik swasta dalam pemberian jaminan kesehatan gratis bagi keluarga miskin.
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