A cute diarrhea is remains a major problem of morbidity and mortality in the most de veloping countries. According to the Sensus Kesehatan Rumah Tangga (SKRT) in year of 2002, the cumulative incidence of acute diarrhea in Indonesia was 127.8% or 1.3 episode/children below 5 year old per year. In Bali, the incidence of acute diarrhea in the children below 5 year old was 62.1%. 1,2The most frequent etiology of acute diarrhea is viral, bacterial, parasite, and fungal infections. Virus is the most frequent etiology, in which 30-60% caused by rotavirus, especially in infants and children <2 years. Many risk factors can influence duration and severity of diarrhea. Internal risk factors are age, nutritional status, and the type of nutrition, meanwhile the external risk factors are the etiology of diarrhea, breastfeeding, and the accompanying diseases. 3-5 ABSTRACTBackground WHO standard treatment for acute diarrhea remains
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: Pregnant women are considered as a risk group for exposure to COVID-19. Changes in their hormones and immune systems possibly influence their rate of infection by several viruses, including the coronavirus. This stresses the need to observe necessary precautions, by maintaining social distancing, avoiding crowds, and staying at home. Furthermore, the condition also influences the scope of pregnant women’s antenatal visits. AIM: The study aims to determine the effect of COVID-19 on antenatal visits by pregnant women. Furthermore, it seeks to ascertain the effect of electronic technology antenatal care (e-ANC) on the enhanced participation of midwives and pregnant women in antenatal care (ANC) (i.e., counseling, high-risk early detection on pregnancy, and monitoring of Hb and Fe tablets). Therefore, the impact COVID-19 on women’s reproductive health during the pandemic is also evaluated. METHODS: This research involved pre- and post-test experiments on 30 pregnant women and 20 midwives at areas around the Public Health Centers in Tinggiede and Marawola. A purposive sampling technique was adopted, and the results were analyzed using a paired t-test. RESULTS: The study showed discrepancies in the ANC visits of pregnant women before and after the COVID-19 lockdown period, with p < 0.00. Furthermore, there were also differences in midwife participation in counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.001, Hb monitoring by p < 0.002, and provision of Fe tablets by p < 0.003 during the pandemic. Moreover, the pregnant women showed variations in the frequency of counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.00, Hb monitoring by p < 0.002, and the provision of Fe tablets by p < 0.003. The e-ANC instigated a decline in reproductive health problems before (73.4%) and after (10.0%) the intervention. CONCLUSION: The lockdown period influences the low antenatal visits of pregnant women. However, e-ANC for midwives and pregnant women is developed as an alternative solution to improve ANC (i.e., counseling, high-risk early detection, and monitoring Hb and Fe tablets). This consequently has an effect on the reduced reproductive health problems of pregnant women during the pandemic.
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