Background: The achievement of breastfeeding in Surakarta City in 2017 was 76.7% while the target of infants with exclusive breastfeeding is 80%. The lowest achievement of exclusive breastfeeding was at Gilingan Public Health Center (66.1%). The role of health center staff is very important in improving and supporting social breastfeeding efforts. Methods: The study was descriptive qualitative research using a case study approach. The informant of this research consists of 2 main informants and 3 triangulation informants with a purposive sampling technique. Results: The role of health center staff in socialization were in the form of counseling and individual counseling; education program were in the form of class for pregnant women and class for parents with under-five children. There has been no health campaign implementation in the World Breastfeeding Week celebration. Conclusions: The socialization and education program could be implemented but for the campaign has not been implemented. It was because of a lack of coordination by Gilingan Public Health Center’s staff.
Background: Exclusive breastfeeding for infants up to 6 months of age is the most effective way to ensure the health and the viability of the child. Exclusive breastfeeding coverage still does not meet the target due to various factors. This study aimed to determine the effectiveness level of health promotion of exclusive breastfeeding program in the integrated health service in Madiun, East Java. Subjects and Method: This was an a crosssectional study conducted in Madiun, East Java, from February to May 2020. A sample of 200 lactating mother who had infants aged 6 to 24 months was selected randomly. The dependent variable was exclusive breastfeeding practice. The independent variables were health promotion program, observational learning, role model, vicarious learning, imitation, attitude, outcome expectation, self regulation, self-efficacy, reinforcement, and integrated health post contextual. The data were collected using questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13. Results: Exclusive breastfeeding practice increased with adequate health promotion program (OR= 3.08; 95% CI= 1.06 to 8.94; p= 0.038), high observational learning (OR= 3.86; 95% CI= 1.31 to 11.39; p= 0.014), strong role model (OR= 4.01; 95% CI= 1.12 to 14.29; p= 0.033), vicarious learning (OR= 4.46; 95% CI= 1.34 to 14.82; p= 0.015), strong imitation (OR= 2.74; 95% CI= 1.02 to 7.35; p= 0.045), positive attitude (OR= 3.51; 95% CI= 1.04 to 11.88; p= 0.043), positive outcome expectation (OR= 4.04; 95% CI= 1.32 to 12.38; p= 0.014), strong selfregulation (OR= 2.36; 95% CI= 0.93 to 5.99; p= 0.068), strong self-efficacy (OR= 5.35; 95% CI= 1.81 to 15.77; p= 0.002), and strong reinforcement (OR= 3.90; 95% CI= 1.21 to 12.57; p= 0.022). There was a contextual effect of integrated health post on exclusive breastfeeding practice with intraclass correlation (ICC)= 10.97%. Conclusion: Exclusive breastfeeding practice is affected by health promotion program, observational learning, role model, vicarious learning, imitation, attitude, outcome expectation, self regulation, self-efficacy, and reinforcement. Integrated health post has a contextual effect on exclusive breastfeeding practice.
Background: Exclusive breastfeeding can reduce child mortality. The achievement of exclusive breastfeeding has not reached the expected number due to various factors. This study aims to examine the determinants of exclusive breastfeeding practice in Madiun, East Java. Subjects and Method: A cross-sectional study was carried out in Madiun, from February to May 2020. A sample of 200 lactating mothers was selected randomly. The dependent was exclusive breastfeeding. The independent variables were health promotion program, observational learning, role model, vicarious learning, imitation, positive attitude, outcome expectation, self-regulation, self-efficacy, and reinforcing. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Exclusive breastfeeding increased with following health promotion in exclusive breastfeeding program (OR= 2.76; 95% CI= 1.05 to 7.25; p= 0.039), high observational learning (OR= 3.33; 95% CI= 1.27 to 8.71; p= 0.014), strong role model (OR= 3.43; 95% CI= 1.10 to 10.67; p= 0.033), high vicarious learning (OR= 3.83; 95% CI= 1.31 to 11.12; p= 0.014), strong imitation (OR= 2.98; 95% CI= 1.19 to 7.48; p= 0.020), positive attitude (OR= 3.14; 95% CI= 1.03 to 9.60; p= 0.044), positive outcome expectation (OR= 3.56; 95% CI= 1.30 to 9.79; p= 0.014), strong self-regulation (OR= 2.59; 95% CI= 1.10 to 6.07; p= 0.028), strong self-efficacy (OR= 4.91; 95% CI= 1.84 to 13.11; p= 0.001), and reinforcing (OR=3.42; 95% CI= 1.17 to 10.01; p= 0.024). Conclusion: Exclusive breastfeeding increases with following health promotion in exclusive breastfeeding program, high observational learning, strong role model, high vicarious learning, strong imitation, positive attitude, positive outcome expectation, strong self-regulation, strong self-efficacy, and reinforcing. Keywords: exclusive breastfeeding, health promotion, social cognitive theory Correspondence: Rezyana Budi Syahputri. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: rezyanabs@gmail.com. Mobile: +6282325750134 DOI: https://doi.org/10.26911/the7thicph.02.58
Latar belakang: Proporsi perokok pada usia di atas 15 tahun mengalami peningkatan setiap tahunnya, khususnya pada remaja laki-laki. Kebiasaan merokok pada pelajar disebabkan karena kesalah pahaman informasi, pengaruh iklan dan pengaruh teman. Pengetahuan yang cukup akan memotivasi remaja untuk berperilaku hidup sehat karena individu dapat mempersepsikan informasi tersebut sesuai dengan predisposisi psikologisnya. Pengetahuan yang memadai tentang bahaya rokok bagi kesehatan diharapkan membuat orang yang belum merokok tetap tidak merokok dan para perokok bisa menghentikan kebiasaan yang sangat berbahaya ini. Tujuan: Pengabdian ini bertujuan meningkatkan pengetahuan siswa untuk berhenti merokok. Metode: Pendampingan ini dilakukan dengan persiapan yang melibatkan optimalisasi komunitas sekolah (OSIS), penyuluhan dengan metode participatory training, pelatihan pengurus dan kader berhenti merokok. Hasil: Peserta menunjukkan tingkat pengetahuan setelah kegiatan lebih tinggi daripada tingkat pengetahuan sebelum kegiatan yaitu sebesar 40%. Kesimpulan: Terdapat peningkatan pengetahuan setelah dilakukkannya program pendampingan berhenti merokok terhadap pengetahuan siswa tentang bahaya rokok di SMK Muhammadiyah 3 Klaten Utara.
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