Effects of Family Planning and Baby Care Behavior on Stunting in Early Married Couples

Abstract

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.

Early Breastfeeding Initiation Effect in Stunting: A Systematic Review

“…Breast milk contains substance and nutrients that are needed for newborns [18]. Breastfeeding for one hour after birth will provide the newborn with nutrition and antibodies that the infant needs, abundant in colostrum [14], rich in protective factors and boost the child's immunity against illness [7,9,19]. Furthermore, early breastfeeding initiation has become the main pathways to subsequent effective breastfeeding and ensures that children obtain sufficient nutritional intake, lowering the chance of stunting [7,20].…”

Komunikasi Informasi dan Edukasi (KIE) tentang Kontrasepsi sebagai Upaya Mengatur Jarak Kehamilan yang Sehat pada Ibu Menyusui

“…WUS yang sedang menyusui merupakan salah satu akseptor KB yang harus mendapatkan perhatian, karena masa ini merupakan masa menjarangkan kehamilan dengan jarak minimal 2 tahun. Jarak kehamilan tersebut merupakan upaya untuk mendapatkan kondisi reproduksi terbaik, pencegahan stunting sampai dengan mencegah kematian maternal dan neonatal (Chola et al, 2015;Nur et al, 2021;Utomo et al, 2021).…”

Optimalisasi Perawatan Bayi Melalui Kelas Online: Pengabdian Masyarakat pada Ibu Hamil di Kecamatan Baturraden

“…Studi tentang pengaruh perawatan bayi dengan stunting pada pasangan usia dini, menjelaskan bahwa perawatan bayi meliputi pemberian kolostrum, ASI eksklusif, imunisasi lengkap, pemberian makanan pendamping ASI dan pemberian ASI sampai 2 tahun mempengaruhi kejadian stunting (Nur et al, 2021). Beberapa manfaat ASI adalah ASI sebagai nutrisi yang terbaik untuk bayi, ASI mudah dicerna oleh sistem pencernaan bayi, ASI yang diproduksi menyesuaikan dengan perkembangan bayi dan ASI dapat membantu pertumbuhan bayi dengan baik (Yuliani, Sumiyati, & Winarso, 2021).…”