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Exclusive Breastfeeding and Gross Motor Development in Six-Month-Old Infants: A Cross-Sectional Study at Manyar Primary Health Center, Gresik Regency Nanik Nuraini; Yuyun Farihatin; Abdul Muhith
PROMOTOR Vol. 9 No. 4 (2026): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i4.2910

Abstract

Background: Gross motor development in six-month-old infants is strongly influenced by nutritional adequacy during early life. Exclusive breastfeeding provides complete nutrition including DHA, AA, enzymes, and antibodies that support neuromuscular development. Objective: This study aimed to analyze the relationship between exclusive breastfeeding and gross motor development in six-month-old infants at Manyar Primary Health Center, Gresik Regency. Methods: This study employed an observational quantitative approach with a cross-sectional design. Purposive sampling was used to recruit 30 mothers with six-month-old infants. Data were collected using a breastfeeding status questionnaire and the Pre-Screening Developmental Questionnaire (KPSP) appropriate for six months of age. Data analysis was performed using the Chi-square test and Fisher's exact test. Results: Of 30 infants, 23 (76.7%) received exclusive breastfeeding and 23 (76.7%) achieved appropriate gross motor development. Among exclusively breastfed infants, 91.3% demonstrated appropriate KPSP scores, compared to only 28.6% among non-exclusively breastfed infants. Statistical analysis revealed a significant association between exclusive breastfeeding and gross motor development (Fisher's exact p = 0.003; Odds Ratio = 26.25). Conclusion: Exclusive breastfeeding is significantly associated with appropriate gross motor development in six-month-old infants. Healthcare providers should strengthen breastfeeding education and early developmental stimulation programs to optimize infant growth outcomes.
Sustainable Occupational Safety and Health Culture Through SME OHS Leaders: Sustainable Occupational Safety and Health Culture Through SME OHS Leaders Achmad Sakhowi Al Awwarij; Abdul Muhith; Bima Ardiyanto Wibowo
Jurnal Abdimas Jatibara Vol. 5 No. 1 (2026): Jatibara, Vol 5 No.1 Agustus 2026
Publisher : STIKES Yayasan RS.Dr.Soetomo

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Abstract

The community service program was designed to foster a sustainable culture of Occupational Safety and Health (OSH) among ten home-based fish-processing micro, small, and medium enterprises (MSMEs) in Purwodadi Village, Sidayu Subdistrict, Gresik Regency, East Java. An initial assessment identified critical safety gaps, such as inconsistent use of Personal Protective Equipment (PPE), inadequate emergency facilities, and the absence of OSH Standard Operating Procedures (SOPs). Between May and June 2026, the program implemented awareness campaigns, technical training, and the establishment of SME OSH cadres through a Participatory Action Research (PAR) approach. Quantitative evaluation indicated a substantial increase in knowledge, with average pre-test scores rising from 60.32 to 92.75 following the intervention. The integration of educational calendar modules and the distribution of basic PPE facilitated ongoing monitoring. These findings suggest that a participatory, cadre-based approach is effective in transforming the OSH paradigm from basic compliance to a strategic investment in MSME sustainability.