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BACKGROUND: District with the highest stunting prevalence in Central Sulawesi province is Sigi District by about 43.0%. Its birthrate is 3.2 and the first marriage age is 19.9 years old. AIM: This study analyzed various relationships between family planning behaviors of early married couples with births and stunting, as well as its connection with baby care (colostrum, exclusive breastfeeding, completeness of immunization, supplementary feeding, and breastfeeding for up to 2 years old). In addition, it will describe family planning behaviors and baby care in a gender perspective as well. METHODS: The sample of this study was 40 early married couples in the last 3 years in the area of Marawola Health Center in Sigi District. Data analysis used Chi-square and Mouser to see the gender relationship gap in the choice of contraception and baby care. RESULTS: There was a relationship between family planning behavior and birth with p = 0.001, a large parity with the incidence of stunting with p = 0.002. Likewise, there was also a relationship between baby care (colostrum of p = 0.0016, exclusive breastfeeding of p = 0.003, completeness of immunization of p = 0.003, supplementary feeding of p = 0.00, and breast milk up to 2 years of p = 0.00) and the occurrence of stunting in early married couples. The idea of family planning and child care is still dominated by wives, from the stages of planning, decision making, and implementation. Gaps occur because of unbalanced power relations. CONCLUSION: Family planning behavior and baby care (colostrum, exclusive breastfeeding, completeness of immunization, supplementary feeding, and breastfeeding for up to 2 years) affect the incidence of stunting in early married couples. The use of family planning and child care is still a gender gap which is dominated by wives.

BACKGROUND: Breast care is an important routine during pregnancy and breastfeeding. Its absence leads to inadequate milk production before and after childbirth. OBJECTIVE: This study aimed to determine the status of breast care during pregnancy, which is related to milk production and disease after childbirth in the Tinggede Health Center, Sigi Regency, Central Sulawesi. METHODS: The method used was an analytic survey with a cross-sectional approach and the samples were 82 breastfeeding mothers in the working area of the Tinggede Health Center. The sampling used a total population, and data were obtained by interview and observation. Furthermore, the analysis technique used Chi-Square. RESULTS: The results showed there was a relationship between breast care during pregnancy with milk production (p = 0.001), and breast care status with a disease (p = 0.012). The common diseases suffered by breastfeeding mothers due to inadequate care are non-protruding nipples, infections, blocked milk ducts, mastitis, and lumps. CONCLUSIONS: Breastfeeding mothers’ failure to care for their breasts during pregnancy can lead to lack of milk production and diseases such as non-protruding nipples, infections, blocked milk ducts, mastitis, and lumps.

Background and objective: Perinatal death is fetal death at 28 weeks of gestation or more and infant mortality in the first 7 days of life. WHO data in 2015 showed that 4.5 million babies died in the first year of life. This study aimed to find out the risk factors for perinatal death at Anutapura General Hospital (RSU) of Palu in 2018. Methods: The method used was observational research with a case control approach. The case subject was mothers who had perinatal death and the control group was mothers of infants who did not experience perinatal death. There were 22 case samples and 88 controls with baby age matching. Sampling was done by simple random sampling technique. Results: Data analysis used odds ratio test with α = 5%. The results showed that Asphyxia (OR = 3.988 and CI = 1.097-14.501), Low Birth Weight (LBW) (OR = 2.100 and CI = 0.800-5.510) and Congenital Abnormalities . Conclusions: Asphyxia, LBW, and Congenital Abnormalities are risk factors causing perinatal death. Recommendations: The mothers are expected to get early familiarization regarding the signs in pregnancy, increase ANC visits to control maternal and fetal health and pregnancy planning.

Background: After disaster happened, the number of ARI (Acute Respiratory Infections) cases could dramatically increase and even ranked top. The public health center (Puskesmas) in Wani is the public health facility that has the highest number of child ARI patients in Donggala Regency after the disaster happened. The public health center handled 149 ARI cases from the total of 1,597 cases occurred. This study was aimed to find out the knowledge and behavior of mothers, facilities, health services, health worker and family support for mothers that the children suffered from ARI at the working area of Wani public health center. Methods: This study is a qualitative research using case study approach. The data were collected through in-depth interviews with 12 informants who were selected through purposive sampling technique. Results: The results of the research showed that mothers' knowledgeable on ARI was still low due to the lack of information. Their behavior related to ARI management was good that was showed by their decision to take immediate medical treatment for their children by buying them drugs and taking them to health facilities. However, there were also mothers decided to give their children self-medication (traditional) that was performed at home by buying self-prescribed medication or even using traditional medicines. The health facilities are adequate to be utilized by the mothers. However, the role of health worker has not been maximized because of the lack of information related to ARI. Some informants got social support from their families in the form of information and emotional supports, but there were also some informants who did not get adequate support from their families. Conclusion. The low level of mothers' knowledge and lack of social support from health workers influenced the mother's behavior in treating of ARI on children at Wani Public Health Center.