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All Journal Journal of Public Health Sciences JOURNAL OF Mother and Child Health Concerns
Nelly Indrasari
Poltekkes Kemenkes Tanjung Karang
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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The role of breastfeeding practices as part of reproductive health in preventing stunting in toddlers aged >24 months Nelly Indrasari; Eva Berliana; Amrina Octaviana; Indah Trianingsih; Risneni Risneni
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i2.3299

Abstract

Background: Stunting is a chronic nutritional problem that impacts child growth and development and is an important indicator of reproductive health. Optimal breastfeeding practices, such as Early Initiation of Breastfeeding (IMD), exclusive breastfeeding, and breastfeeding until two years of age, are part of reproductive health interventions that play a role in preventing stunting. Purpose: To analyze the role of breastfeeding practices as part of reproductive health in preventing stunting in toddlers aged 24-59 months. Method: This study used a correlational analytical design with a cross-sectional approach. The study population was 1,497 toddlers, with a sample of 94 respondents selected using a purposive sampling technique. Data were collected through questionnaires and anthropometric measurements, then analyzed using the chi-square test with a significance level of 0.05. Results: The study showed a significant association between breastfeeding practices and stunting, including early initiation of breastfeeding (IMD) (p=0.001; OR=0.175), exclusive breastfeeding (p=0.001; OR=0.023), and breastfeeding until 24 months of age (p=0.001; OR=0.089). Overall, successful breastfeeding practices as part of reproductive health were significantly associated with stunting (p=0.001; OR=0.019), with toddlers who received optimal breastfeeding practices having a 98.1% lower risk of stunting. Conclusion: Thus, breastfeeding practices are a crucial component in efforts to prevent stunting in toddlers, particularly within the framework of reproductive health interventions
Digital Premarital Health via KesCatin: Implementation Challenges in Pringsewu, Indonesia Nelly Indrasari; Risneni Risneni; Amrina Octaviana; Eva Berliana; Nurlaila Nurlaila; Roslina
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001370

Abstract

Stunting remains a major public health concern in Indonesia. Prevention during the premarital period is essential, as risk factors such as anemia, undernutrition, and early pregnancy (<20 years) are often established before conception. To address this, the Ministry of Health developed the KesCatin application as a digital innovation to enhance premarital reproductive health education and screening. This study aimed to explore the implementation process, challenges, and opportunities of the KesCatin application in improving digital-based premarital health services as part of stunting prevention efforts in Pringsewu District. A descriptive qualitative design was employed. Data were collected through four Focus Group Discussions (FGDs) involving 35 cross-sector program managers and in-depth interviews with 26 brides-to-be who had used KesCatin. Data were analyzed thematically following Braun and Clarke’s six-step framework, supported by source triangulation and member checking for validation. All 5,818 prospective brides registered in January–June 2024 received digital health screening and counseling via KesCatin. However, 3.2% were anemic (Hb <12 g/dL) and 1.8% had chronic energy deficiency (MUAC <23.5 cm). Thematic analysis identified three main themes: (1) strong cross-sector collaboration, (2) improved access to reproductive health information, and (3) barriers including poor internet connectivity, limited digital literacy, and absence of offline features. KesCatin has significant potential to strengthen premarital health services and support stunting prevention. To optimize its impact, offline access, user training, and continuous monitoring are recommended.
Co-Authors Amrina Octaviana Eva Berliana Eva Berliana Indah Trianingsih Nurlaila Nurlaila Risneni Risneni Roslina