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All Journal Jurnal Kebidanan Journal Research Midwifery Politeknik Tegal
Kadek Yuke Widyantari
Sekolah Tinggi Ilmu Kesehatan Panca Bhakti, Lampung, Indonesia
Medicine & Pharmacology Nursing Public Health

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BREASTFEEDING PRACTICES AND HISTORY OF INFECTIOUS DISEASES AS DETERMINANTS OF STUNTING AMONG CHILDREN AGED 12–59 MONTHS IN PESAWARAN REGENCY Kadek Yuke Widyantari; Rizka Dita Hidayati; Rully Fatriani
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 1 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i1.9853

Abstract

Stunting remains a public health problem in Indonesia, especially in rural areas. Breastfeeding practices and infectious diseases play an important role in child growth. This study aims to analyse the relationship between breastfeeding practices and infectious disease history with stunting in children aged 12–59 months in Pesawaran District. This study used a case-control design with 210 respondents (105 stunted, 105 not stunted) selected through purposive sampling. Data were collected through interviews and anthropometric measurements according to WHO standards. Analysis was performed using chi-square tests and multiple logistic regression. There was a significant relationship between breastfeeding practices and history of infectious diseases with the incidence of stunting (p0.05). Children who did not receive exclusive breastfeeding had a two times higher risk of stunting (AOR=2.10; 95% CI: 1.13–3.88). Children without a history of acute respiratory infections had a lower risk of stunting (AOR=0.48; 95% CI: 0.26–0.88). Exclusive breastfeeding and prevention of infectious diseases are important factors in preventing stunting. Efforts to educate on breastfeeding, improve clean and healthy living behaviours, and prevent infections need to be strengthened at the family and community levels.
Maternal Knowledge and Adherence to Iron–Folic Acid Supplementation as Factors Associated with Anemia among Pregnant Women Rully Fatriani; Kadek Yuke Widyantari; Nirma Lidia Sari; Rahmah Fitria; Rini Deska
Jurnal Kebidanan Vol 15, No 2 (2026): August 2026
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jk.15.2.2026.89-96

Abstract

Background: Gestational anemia continues to represent a prominent public health hurdle owing to its harmful impacts on maternal and neonatal health. Even with the regular supply of IFA supplementation during prenatal care, anemia rates remain elevated, showing that maternal awareness and supplement compliance may be important behavioral factors associated with the condition. Objective: This study aimed to evaluate the independent associations of maternal awareness and IFA supplement compliance with anemia status among pregnant women. Methods: An observational cross-sectional investigation was executed involving 66 pregnant women visiting prenatal clinics at Pinang Jaya Primary Health Center, Bandar Lampung, Lampung, Indonesia. Maternal awareness and IFA compliance were gauged through structured surveys, whereas anemia was established via hemoglobin assessment. Data evaluation utilized Chi-square tests alongside multivariable binary logistic regression to compute adjusted odds ratios and 95% confidence intervals. Results: The prevalence of anemia reached 57.6%. Following adjustment for maternal age, parity, pregnancy trimester, and employment, individuals with weak awareness exhibited 4.26 times greater odds of anemia relative to those with proper understanding (AOR = 4.26; 95% CI: 1.31 to 13.81; p = 0.016). Likewise, non-compliant participants experienced 4.29-fold higher odds of anemia compared to compliant peers (AOR = 4.29; 95% CI: 1.31 to 13.99; p = 0.016). Conclusion: Inadequate maternal awareness and non-adherence to IFA supplementation were independently associated with gestational anemia. As this was a cross-sectional study, these findings reflect associations rather than causal relationships. Embedding behavior-focused nutritional instruction along with adherence support into routine prenatal care may help strengthen maternal anemia prevention efforts across primary care environments.
Co-Authors Nirma Lidia Sari Rahmah Fitria Rini Deska Rizka Dita Hidayati Rully Fatriani