Background: Stunting has become a public health problem in Indonesia, with the prevalence of stunting is 37.2% nationally and 25.6% in West Java. One of the causes of stunting is malnutrition that may occur because of not giving exclusive breastfeeding on the first 1000 days of life (FDL). The purpose of this study was to determine whether there was difference between exclusive and non-exclusive breastfeeding among stunted and normal 6-9 month-old-children. Methods: This study was conducted using a cross-sectional analytic study during August-October 2018 with consecutive sampling method. This study involved 110 pairs of mothers and children aged 6-9 months who resided in villages which were within the work area of Jatinangor Public Health Center. Nutritional status was determined based on length-forage z score according to WHO. The type of breastfeeding was known based on the questionnaire. Data was analyzed by chi square test. Result: There were 60 of 110 children (54.5%) who did not receive exclusive breastfeeding. The incidence of stunting in children was 12.7% (14 of 110), of whom 10 children had no exclusive breastfeeding (p>0.05). Conclusions: Although the incidence of stunting is higher in non-exclusive breastfeeding group, there is no difference in the proportion of stunting in children aged 6-9 months between those who are exclusively breastfed and those who are not, however, exclusive breastfeeding is encouraged.
Latar belakang. Stunting merupakan kondisi kurang gizi kronis disebabkan asupan makanan yang kurang dalam waktu lama. Kejadian stunting dapat direduksi oleh salah satu faktor yang memengaruhi pemenuhan gizi anak, yaitu perilaku ibu dalam praktik pemberian makan.Tujuan. Mengetahui hubungan perilaku ibu dalam praktik pemberian makan dengan kejadian stunting.Metode. Studi analitik potong lintang yang dilakukan pada ibu dan anak usia 12-23 bulan di wilayah kerja Puskesmas Jatinangor. Pengambilan data dilakukan dengan wawancara menggunakan instrumen kuesioner yang disusun berdasarkan panduan Ikatan Dokter Anak Indonesia (IDAI) dan World Health Organization (WHO). Pengukuran panjang badan anak menggunakan infantometer. Analisis menggunakan uji chi kuadrat dan Mann Whitney. Hasil. Lima puluh sembilan subjek (27,2%) dari 217 total subjek termasuk kelompok stunting. Angka kemaknaan pemberian makan cukup dan pemberian makan secara responsif dengan kejadian stunting sebesar 0,003 dan 0,012. Ketepatan waktu dan pemberian makan secara aman dengan kejadian stunting memiliki nilai p>0,05. Perilaku ibu dalam praktik pemberian makan secara keseluruhan menunjukkan nilai p<0,05.Kesimpulan. Praktik pemberian makan secara keseluruhan memiliki hubungan dengan kejadian stunting. Kecukupan dalam pemberian makan dan pemberian makan secara responsif memiliki hubungan dengan stunting, tetapi pemberian makan secara tepat waktu dan aman tidak memengaruhi kejadian stunting.
Background: Breast milk has protective factors for infants' digestive tract. Infants are vulnerable to diseases, one of which is diarrhea. This cross-sectional study was designed to determine the relation between the proportion of diarrhea in infants and the administration of exclusive breastfeeding in Jatinangor. Methods: This study was an observational study. Data on mothers with 6 months old infants were collected from Jatinangor Primary Health Center (PHC) infant records. The inclusion criteria applied were infants born in April 2012, alive, and living in Jatinangor subdistrict. One hundred and seventy one infants were recorded in April of 2012 in the PHC data. Thirty five were excluded because they were not born in April 2012. Another 45 were excluded because they were not permanent residents of Jatinangor subdistrict, while 4 infants died, and 23 had incomplete data. Therefore, only 66 infants were included as study subjects. Those infants came from 12 villages in the subdistrict of Jatinangor. Data collection was then performed using a questionnaire to the parents during the period of 21-31 October 2012. Results: From 66 infants, the proportion of diarrhea was 66.7%. Only 27.3% of all infants received exclusive breastfeeding. There was a difference in the proportion of diarrhea between infants who were exclusively breastfed and those who were not. Exclusive breastfeeding also reduced the risk of diarrhea (OR= 0.26, 95% CI 0.08-0.83). Conclusions: There is a relation between the proportion of diarrhea in infants and exclusive breastfeeding in Jatinangor. Breastfeeding has a protective effect against diarrhea in infants.
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