Kusumawardani, Hastin Dyah
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THE ROLE OF PRENATAL CLASSES IN EXCLUSIVE BREASTFEEDING: EVIDENCE FROM PAPUA, INDONESIA Latifah, Leny; Laksono, Agung Dwi; Soerachman, Rachmalina; Mulyantoro, Donny Kristanto; Khairunnisa, Marizka; Kusumawardani, Hastin Dyah; Hidayat, Taufiq; Samarang; Musoddaq, Muhamad Arif
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 13 No. 1 (2025): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v13i1.2025.82-97

Abstract

Background: Exclusive breastfeeding (EBF) is a lifesaving practice for infants in vulnerable conditions. Therefore, it is crucial to ensure the optimization of EBF coverage in disadvantaged areas. One of the barriers to EBF is limited maternal knowledge, and prenatal classes are designed to improve maternal health knowledge and practices. Aims: The study aimed to analyze the role of prenatal classes in supporting EBF in Papua. Methods: The cross-sectional study examined 640 mothers with children aged 0-5 months from the Papua Region. Prenatal classes were an exposure variable, while EBF practice served as an outcome variable. Nine control variables, including age, marital status, education, work, wealth, sex, infant age, and early initiation of breastfeeding (EIBF), were incorporated into the analysis. Binary logistic regression test was used for analysis. Results: The proportion of EBF in Papua is 50.7%. Mothers who participated in prenatal classes were 1.560 times more likely to practice EBF than those who did not (AOR = 1.560; 95% CI [1.476-1.649]). Additionally, the study identified nine control variables related to EBF in the Papua Region: type of residence, maternal age group, maternal marital status, education level, employment status, wealth status, infant age, infant sex, and EIBF.   Conclusion: Participation in prenatal classes is positively associated with the achievement of EBF practice in the Papua Region. Additional characteristics associated with a higher likelihood of EBF among Papuan mothers included having a higher level of education and employment, living in rural regions, experiencing poverty, being married, and achieving successful EIBF. Keywords: exclusive breastfeeding, Papua, prenatal classes, public health, public health nutrition
Stunting among toddlers in poor Indonesian households Bela, Sarni Rante Allo; Fatiah, Mona Safitri; Tambing, Yane; Laksono, Agung Dwi; Wulandari, Ratna Dwi; Kusumawardani, Hastin Dyah; Hidayat, Taufiq
International Journal of Public Health Science (IJPHS) Vol 14, No 3: September 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i3.25738

Abstract

Poverty has a significant impact on stunting in children under the age of five from low-income families, accounting for around 18.4% of stunting cases in Indonesia. The goal of this study was to look into the factors that may contribute to the prevalence of stunting among children under the age of five from low-income families in Indonesia. The study used a cross-sectional design and data from the 2022 Indonesian National Nutrition Status Survey to evaluate approximately 112,574 children. The data was analyzed at the multivariate level in binary logistics using SPSS 26 software. The data revealed that around 24.8% of disadvantaged households in Indonesia experienced stunting, with a variety of variables impacting its frequency. These included residence variables (AOR:1.08 and 95% CI:1.08-1.09), maternal age (AOR: 1.28 with 95% CI: 1.21-1.25), education level (AOR: 1.02 and 95% CI: 1.01-1.03), marital status (AOR:1.02 with 95% CI: 1.01-1.03), Antenatal Care (ANC) (AOR:1.45 with 95% CI: 1.44-1.47), age of the child (AOR:3.29 with 95% CI: 3.27-3.31), and the sex of the infant (AOR:3.29 with 95% CI: 3.27-3.21). Seven characteristics have been identified as predictors of stunting in children under the age of five in disadvantaged Indonesian homes. Expanding targeted programs for low-income families is critical for increasing their income through comprehensive entrepreneurship training and social assistance activities.