Salah satu upaya untuk mengatasi jumlah penduduk di Indonesia adalah melalui program Keluarga Berencana (KB), Kegiatan Komunikasi, Informasi dan Edukasi (KIE) yang dilakukan kepada masyarakat belum mampu mengubah nilai tentang jumlah anak ideal pemilihan alat kontrasepsi.Alat bantu konseling yang digunakan adalah alat bantu pengambilan keputusan yang berbentuk lembar balik, sehingga tidak jarang digunakan dengan alasan repot penggunaan, WHO Wheel Criteria atau diagram lingkaran kriteria kelayakan medis. ini merupakan modifikasi dari hasil publikasi resmi WHO yaitu Medical Eligibility Criteria for Contraceptive Use, 5th edition 2015 Update. Penelitian ini bertujuan mengetahui perbedaan efektifitas penggunaan WHO Wheel Criteria dan Alat Bantu Pengambilan Keputusan (ABPK) dalam pemilihan kontrasepsi pada ibu nifas di wilayah kerja Puskesmas Kabila.Metode penelitian ini menggunakan pre-experiment, dengan pendekatan post-test only control grup design Subjek dalam penelitian ini adalah seluruh ibu nifas di wilayah kerja Puskesmas Kabila dalam selang waktu Februari – April 2020.Analisis data pada penelitian ini menggunakan uji statistik T-test. Kesimpulan: Penggunaan WHO Wheel Criteria lebih efektif dari alat Bantu Pengambilan Keputusan terhadap pemilihan alat kontrasepsi pasca persalinan di wilayah kerja Puskesmas Kabila Kabupaten Bone Bolango.
Latar Belakang: Data GHI (Global Hunger Index) yang menyatakan bahwa Indonesia tergolong negara yang termasuk kategori serius atau berada dibawah level mengkawatirkan dalam jumlah penderita gizi buruk. Jumlah penderita gizi buruk seperti gunung es, kasus yang muncul kepermukaan sedikit. Buah pepaya mengandung enzim papain. Enzim ini sangat aktif dan memiliki kemampun mempercepat proses pencernaan protein. Papain dapat membantu mewujudkan proses pencernaan makanan yang lebih baik, dengan cara ini sistem kekebalan tubuh dapat ditingkatkan. Buah pepaya juga kaya akan vitamin B kompleks yang dapat meningkatkan laju reaksi metabolisme tubuh, merangsang hipotalamus untuk meningkatkan nafsu makan dan menyokong pertumbuhan. Tujuan: untuk mengetahui pengaruh buah pepaya terhadap nafsu makan anak berumur 2-5 Tahun di PAUD Moheingo Kecamatan Tilango Kabupaten Gorontalo.. Metode: Jenis Penelitian yaitu pre experimen yang bersifat One Group Pre Test-Post Test Design. Populasi adalah balita yang berada di PAUD Moheingo Kecamatan Tilango Kabupaten Gorontalo, dengan sampel 28 responden.. Hasil: Setelah dilakukan pemberian buah pepaya terdapat perbedaan mean sebesar 0.61 dengan standar deviasi 0.497. Hasil analisis statistik menunjukkan pemberian buah pepaya berpengaruh terhadap peningkatan nafsu makan pada anak 2-5 tahun di wilayah kerja Puskesmas Tilango Kabupaten Gorontalo. Kesimpulan: Buah Pepaya yang diberikan 100 gr setiap hari selama 14 hari dapat dijadikan salah satu alternatif dalam meningkatkan nafsu makan anak 2-5 tahun.
Background: Biological and environmental factors play a role in stunting among children under five. Maternal nutrition during pregnancy and child nutrition intake are influenced by the way parents interact with their children. This study aimed to investigate determinants of stunting in children aged 24-59 months in Gorontalo, Indonesia. Subjects and Method: A cross-sectional study was conducted at Hayahaya Village, Western Limboto Sub-district, Gorontalo, Indonesia, from July to October 2019. A sample of 76 children aged 24-59 months was selected randomly. The dependent variable was stunting (height for age <-2 SD). The independent variables were maternal education, family income, parenting style, birth length, birth weight, birth space, and exclusive breastfeeding. The data were obtained from maternal and child health book monitoring and questionnaire. The data were analyzed by a multiple logistic regression.Results: High education level (OR= 0.18; 95% CI= 0.03 to 1.21; p= 0.077) and good parenting style (OR= 0.02; 95% CI= 0.01 to 0.18; p <0.001) decreased the risk of stunting in children aged 24-59 months. Birth space <2 years (OR= 12.62; 95% CI= 1.44 to 110.94; p= 0.022) increased the risk of stunting in children aged 24-59 months, and it was statistically significant. Conclusion:High education level and good parenting style decrease the risk of stunting in children aged 24-59 months. Birth space <2 years increased the risk of stunting in children aged 24-59 months.
BACKGROUND: The high rate of stunting cases is a serious nutritious problem that still persists in Indonesia. The problem is potentially impactful on the quality of the country’s human resources. AIM: This present study aimed to analyze the determinant factors of stunting cases in 24–59-month-old children in the working area of Puskesmas or Community Health Center in Kota Tengah, Gorontalo. METHOD: The case-control survey analytical research involved a case population of 34 people and a control population of 34 people. All the participants were 24–59 months old. All case populations were treated as the research subject, while the control population was calculated based on the formula. A simple random sampling technique was employed to acquire the sample in the control group. The study involved independent variables of birth length, birth weight, provision of exclusive breastfeeding, and the number of siblings. Meanwhile, the dependent variable was the stunting cases in 24–59-month-old children. The data were analyzed by Chi-square (χ2) and multiple logistic regression statistical tests. RESULTS: The bivariate analysis that used the Chi-square suggested that the birth length (0.001) < (0.05), birth weight (0.003) < (0.05), and provision of exclusive breastfeeding (0.000) < (0.05) were the factors of stunting cases. Meanwhile, parity (1.72) > (0.05) was not a factor of stunting. Moreover, the multivariate analysis involving multiple logistic regression tests indicated that the provision of exclusive breastfeeding (0.006) served as the determinant factor of stunting cases. CONCLUSIONS: The provision of exclusive breastfeeding is the most significant determinant factor of stunting cases.
Sibling rivalry is a form of relationship conflict with siblings that can affect individual development, both positively and negatively and give impact on the child, parents, and society. Puskesmas Kabila is one of the health centers in Bone Bolango Regency, Gorontalo, which has the lowest achievement of health services for children under five, namely 61.1% in 2019 and as many as 70% of mothers who have more than one toddler tend to experience sibling rivalry. This literature study aims to determine the factors associated with the behavior of sibling rivalry in toddlers. This literature study research was conducted by examining 13 literatures consisting of 8 journals and 5 books. The results will be analyzed descriptively. The independent variable in this study is the factors examined in research journal articles, while the dependent variable is the behavior of sibling rivalry in children under five. The research instrument used was a data table to make it easier to interpret the results of a literature study. The results of the literature study show that the factors associated with sibling rivalry include: parenting styles, emotional intelligence, parental knowledge, differences in gender and age as well as parents' attitudes towards children.
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