ABSTRAKKekurangan gizi pada usia balita dapat menyebabakan terganggunya pertumbuhan fisik, perkembangan mental, menurunnya kecerdasan, bahkan dapat menjadi penyebab kematian. Penelitian ini bertujuan untuk menganalisis pengaruh LILA ibu awal kehamilan, berat badan bayi baru lahir, keberhasilan ASI eksklsusif dan asupan MP-ASI terhadap kejadian gizi kurang pada anak usia 6-11 bulan. Penelitian ini menggunakan desain studi analitik observassiaonal dengan pendekatan kasus kontrol. Pengambilan sampel menggunkan teknik fixed disease sampling sejumlah 144 sampel, terdiri dari 72 kasus dan 72 kontrol. Analisis dilakukan secara univariat dan bivariat menggunakan uji chi square. Hasil penelitian menunjukan adanya pengaruh kuat antara berat badan bayi baru lahir (p=0.009; OR=10.14) dan asupan MP-ASI (p=0.002; OR=3.37) terhadap kejadian gizi kurang anak usia 6-11 bulan. Sedangkan LILA ibu awal kehamilan (p=0.019; OR= 2.60) dan keberhasilan ASI eksklusif (p=0.004; OR=2.67) berpengaruh sedang terhadap kejadian gizi kurang anak usia 6-11 bulan. Kesimpulan penelitian yaitu LILA ibu awal kehamilan, berat badan bayi baru lahir, keberhasilan ASI eksklsusif dan asupan MP-ASI secara signifikan berpengaruh terhadap kejadian gizi kurang anak usia 6-11 bulan di Kabupaten Cilacap. Kata kunci: Gizi kurang, LILA, berat lahir, ASI ekkslusif, MP-ASI ABSTRACT

Background: Undernutrition in children under five can cause disorder in the physical growth, mental development, low intellegence, or even death. This study aimed to test the hypothesis that under nutrition in infants aged 6-12 months is associated with gestational biological, social, and economic factors. Subjects and Method: This was an analytic and observational study with case control design. This study was conducted in Cilacap, Central Java. A total of 144 infants aged 6-12 months were selected by fixed disease sampling, consisting of 72 undernutrition cases and 72 control. The dependent variable was undernutrition. The independent variables were birthweight, breastfeeding complementary food intake, exclusive breastfeeding, maternal education, paternal education, family income, MUAC at pregnancy, intra-household food allocation, and rural-urban residence. The data were collected by questionnaire and anthropometry. The data were analyzed by multiple logistic regression. Results: Birthweight <2500 gram (OR=8.12; 95% CI=0.92 to 71.64; p=0.059), inadequate intake of breastfeeding complementary food (OR=3.93; 95% CI=1.59 to 9.75; p=0.003), and nonexclusive breastfeeding (OR=2.46; 95% CI=1.13 to 5.36; p=0.023) increased the risk of undernutrition in infants aged 6-12 months. Paternal education (OR=1.50; 95% CI=0.61 to 3.71; p=0.377), family income (OR=2.54; 95% CI= 1.03 to 6.28; p=0.43), MUAC (OR=1.32; 95% CI=0.512 to 3.38; p=0.562), intra-household food allocation (OR=1.84; 95% CI=0.85 to 4.02; p=0.123), maternal education (OR=0.78; 95% CI=0.31 to 1.97; p=0.599) and rural-urban residence (OR=0.82; 95% CI= 0.36 to 1.85; p=0.630) had non-significant effect on the risk of undernutrition in infants aged 6-12 months. Conclusion: Birthweight <2,500 g, inadequate intake of breastfeeding complementary food, and non-exclusive breastfeeding increase the risk of undernutrition in infants aged 6-12 months. Paternal education, family income, MUAC, intra-household food allocation, maternal education and rural-urban residence have non-significant effect on the risk of undernutrition in infants aged 6-12 months.

Exclusive breastfeeding led to decreasing 40 percent of children under-five mortality in Indonesia. Exclusive breastfeeding rate found in Cilacap in 2014 around 36,16 percent. Midwife role was able to increase exclusive breastfeeding. This research aim was to analyze midwife role on exclusive breastfeeding in Cilacap. Type of this study was a correlation descriptive with cross-sectional approach. Of 220 mothers who had babies aged 6-12 month in Puskesmas Cilacap Selatan I in 2014 collected by a cluster random sampling method. The analysis data used the chi-square test. The results showed a strong effect between breast care (OR=6,35; Cl 95 percent=3,27-12,31; p=0.000) and the initiation of breastfeeding (OR=11,56; Cl 95 percent=4,04-33,07; p=0.000) on exclusive breastfeeding. While exclusive breastfeeding promotion (OR= 1,55; Cl 95 percent=0,69-3,47; p=0,279) was sufficiently influential on exclusive breastfeeding. Midwife role on promotion of exclusive breastfeeding, beast care, and initiation breastfeeding affected the exclusive breastfeeding

This preprint is submitted to The International Midwifery Scientific Conference 2018Stunting not only increases the risk of children morbidity and mortality but also decreases intelligence and increases the risk of chronic diseases as adults. This study aims to analyze the influence of MUAC on early pregnancy, birth weight, birth length, EBI, number of under-five children in house and mother education on stunting This is a descriptive correlative research with cross-sectional approach conducted in Tambakreja Village, south Cilacap District, Cilacap in 2018. The number of sample was 79 children from Puspa Kencana integrated health service center. Data analysis was univariate and bivariate analysis with Fisher test. The results showed number of children give strong effect on stunting (OR = 3.29; 95% CI = 0.61-17.85; p = 0.162). MUAC in early pregnancy (OR = 2.30; 95% CI = 0.40-13.32; p = 0.302), birth length (OR = 2.72; 95% CI = 0.26-27.99; p = 0.388) and EBI (OR = 1.74; 95% CI = 0.30-10.12; p = 0.426) have moderate effect towards the risk of stunting. While birth weight has weak effect to stunting (OR = 1.09; 95% CI = 1.02-1.16; p = 0.724) and mother education has negative effect toward stunting (OR = 0.96; 95% CI = 0.164-5.61; p = 0.668). CED in early pregnancy, LBW, non EBI and short birth length increase the risk of stunting.

Sebagian besar anggota kelompok PKK RT 3 RW 8 Desa Tritihlor, Kecamatan Jeruklegi, adalah ibu bekerja dan 2 diantaranya adalah kader kesehatan.  Banyaknya ibu yang bekerja berdampak pada pola hidup termasuk dalam konsumsi makanan. Berdasarkan survey pendahuluan yang dilakukan terhadap 5 ibu anggota kelompok PKK RT 3 tiga diantaranya mengatakan lebih dari 3 kali dalam satu minggu membeli makanan dari warung dan semua ibu mengatkan tidak pernah olahraga. Pola hidup yang demikian berisiko meningkatkan penyakit tidak menular yang menyebabkan kematian sebesar 68%. Mitra kader yang ada belum memiliki kemampuan melakuan pemeriksaan sederhana untuk mencegah penyakit tidak menular. Sebagian mitra tidak tau dan belum pernah melakukan pengecekan rutin kesehatan untuk mendeteksi penyakit tidak menular oleh karena telah dilakukan upaya untuk meningkatkan kemampuan mitra dalam melakukan pemeriksaan sederhana untuk mendeteksi penyakit tidak menular, kegiatan alih bina informasi dengan tujuan meningkatkan pemahaman mitra tentang penyakit tidak menular dan upaya mencegahnya serta melakukan pemeriksaan untuk mendeteksi penyakit tidak menular. Hasil kegiatan antara lain pengetahuan mitra tentang penyakit tidak menular dan upaya pencegahannya telah meningkat, mitra kader telah terampil dalam melakukan pemeriksaan sederhana untuk mencegah penyakit tidak menular serta terdeteksi 1 orang obesitas tingkat I, 10 orang obesitas tingkat II dan 2 orang dengan hipertensi