Globally, the prevalence of exclusive breastfeeding is still less than 40%. Exclusive breastfeeding is the appropriate recommendation to build quality human resources. The infant mortality rate has not decreased according to the SDGs target. Neonatal death rate is 32/1000 live births. Difficulties in accessing health services can also be seen in Maternal and Child Health (MCH) program, where the MMR and IMR in several areas are still quite high. This study aims to determine the relationship between accessibility to health services related to exclusive breastfeeding. This study is a quantitative study with a cross-sectional analytic design. Primary data collection in the province of DKI Jakarta. Data collected and analyzed using SPSS 25 as univariate and bivariate analysis. The results showed that there was a relationship between the accessibility to health services with exclusive breastfeeding (p=0.040). Accessibility to health services is positively related to exclusive breastfeeding for infants. Ease of access to health services is the fulfillment of all items of access to health services that should be easily accessible to mothers. The item availability of health workers around the house (p=0.042) and health workers who examine mothers during childbirth (p=0.0001) had the greatest influence on access to health services so that it had a positive effect on exclusive breastfeeding. Ease of access to health services motivates and helps a mother to provide exclusive breastfeeding to her baby. We hope that access to health services and facilities can improve performance in providing easy access and the best services for mothers.
Desa Emas is Elimination for Stunting in the Village that focuses on action to catalyst the reduction of stunting that carried out in 18 district/city in East Java. This program is initiated requires cooperation in achieving the goals. Collaboration that actively involves various sectors is very important, especially using penta-helix strategy include government, college, community, media mass and business partners to commit the acceleration of the stunting reduction. This study aims to describe the implementation of the penta-helix strategy "Desa Emas" in the perception commitment and stunting reduction in Sumenep Regency, East Java Province. The method used is descriptive qualitative with purposive samples, data obtained through in-depth interviews, observations and FGDs to the staff of the Health District Department, sub-district PLKB, village heads, BUMDES managers, family support teams consisting of midwives, PKK cadres, and family planning cadres in 10 stunting locus villages in Sumenep Regency. The results showed that the Sumenep Regency Government had optimized the policies that were prepared with cooperation support of government officials until the village level, media mass, business partner, community, and academic support. The national support for stunting reduction is very important, because of that the action plan of penta-helix strategy is needed to support a commitment to accelerate the stunting reduction sustainability. Keywords: Penta-helix, Commitment, Stunting, Desa Emas
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