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ANALYSIS OF MOTHER’S BEHAVIOR TOWARDS THE LOW OF EXCLUSIVE BREASTFEEDING IN KECAMATAN GANDUS PALEMBANG Ananingsih, Esti Sri; Pulungan, Annie Kholila Oktora; Fajar, Nur Alam
Publikasi Penelitian Terapan dan Kebijakan Vol 3 No 3 (2009): Jurnal Pembangunan Manusia
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Exclusive breastfeeding is normal way of providing young infants with best nutrients. Besides, it also offers many benefits that can be seen from several aspects such as from nutrient content, immunity level, and mental activity through love and affection essentially needed for mental and intelligence development in a child (Message 7 PUSGS). The objective of the research was to investigate mother’ behavior and other factors influencing the exclusive breastfeeding in Kecamatan Gandus, Palembang . This was analytical descriptive study applying cross sectional design. The research population was all mothers breastfeeding their baby of 6 – 12 months old. The total population was 312 breastfeeding mothers taken from different five areas in Kecamatan Gandus; Kelurahan Gandus, Kelurahan Pulokerto, Kelurahan Karang Anyar, Kelurahan Karang Jaya, and Kelurahan 36 Ilir. 95 out of the total population served as sample and collected using Simple Random Sampling. The result of the research showed that the factors related to mother’s behavior in giving exclusive breastfeeding were mother’s occupation (P value = 0.010), attitude (P value = 0.005), and family’s role (P value = 0.025). On the other hand, the factors not related to mother’s behavior in giving exclusive breastfeeding were age (P value = 0.477), education (P value = 0.91), knowledge (P value = 0.917), and economic status (P value = 0.225). It may be expected from the research that the information should be delivered periodically and continually using modified method and media; the standard room equipped with good facility is needed and the governmental regulation that regulates the exclusive breastfeeding procedure should be available; and the leaders in the scope of small community, NGO, and government should involve in enhancing family’s role in order to support exclusive breastfeeding.
Analisis Persepsi Hambatan Berdasarkan Teori Health Belief Model dengan Pemberian ASI Eksklusif dalam Pencegahan Stunting Ayu, Dewi Putri; Fajar, Nur Alam; Munadi, Muhammad Cholil; Ananingsih, Esti Sri
Health Information : Jurnal Penelitian Vol 16 No 1 (2024): Januari - April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v16i1.1365

Abstract

Persepsi ibu menyusui mengenai hambatan yang dialami sangat penting untuk merumuskan strategi yang lebih efektif dalam mendorong praktik pemberian ASI Eksklusif. Tujuan penelitian ini menganalisis persepsi hambatan berdasarkan teori health belief model dengan pemberian ASI Eksklusif dalam pencegahan stunting. Metode pengambilan sampel dengan teknik purposive sampling dengan jumlah 154 sampel dengan kriteria sampel yaitu ibu yang memiliki anak berusia 6-36 bulan. Teknik analisis data dengan uji regresi logistik. Hasil penelitian menunjukkan sikap ibu, pengetahuan dan status pendidikan berhubungan signifikan terhadap persepsi hambatan dengan pemberian ASI Eksklusif dalam pencegahan stunting. Kesimpulan berdasarkan teori Health Belief Model (HBM) yang signifikan berhubungan dengan pemberian ASI Eksklusif untuk pencegahan stunting, yaitu sikap, pengetahuan, dan status pendidikan ibu. Faktor persepsi hambatan berdasarkan teori HBM yang paling dominan adalah sikap ibu.
Analisis Persepsi Manfaat Berdasarkan Teori Health Belief Model dengan Inisiasi Menyusui Dini dalam Pencegahan Stunting Sulaningsi, Kiki; Ananingsih, Esti Sri; Wulanda, Ayu Febri; Fajar, Nur Alam; Flora, Rostika
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 19 No 1 (2024): (JPP) Jurnal Kesehatan Poltekkes Palembang
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v19i1.2233

Abstract

Latar Belakang: Stunting merupakan salah satu bentuk kegagalan tumbuh kembang yang disebabkan penumpukan kekurangan gizi yang dimulai sejak dalam kandungan hingga usia dua tahun. Pada tahun 2022, prevalensi stunting di Indonesia sebesar 21,6%, dengan Kabupaten Musi Rawas melaporkan angka sebesar 25,4%. Percepatan penurunan stunting dapat dilakukan dengan intervensi diet khusus dengan mendorong bayi untuk menerima Inisiasi Menyusu Dini (IMD). Perilaku kesehatan dalam melaksanakan tindakan tersebut dapat dilaksanakan dengan meningkatkan persepsi ibu terhadap manfaat yang diperoleh. Penelitian ini untuk menganalisis manfaat yang dirasakan dari pemberian Inisiasi Menyusu Dini dalam pencegahan stunting di Kecamatan Tuah Negeri Kabupaten Musi Rawas. Metode: Penelitian ini menggunakan metode kuantitatif dengan desain cross-sectional. Pengambilan sampel menggunakan purposive sampling dengan uji hipotesis perbedaan dua proporsi dan diperoleh 154 responden. Analisis data menggunakan chi-square dan regresi logistik ganda. Hasil: Terdapat hubungan yang signifikan antara pengetahuan ibu (p=0,030) dan sikap (p=0,017) dengan tindakan IMD. Namun, umur, pendidikan, pekerjaan ibu, pendapatan keluarga, dan jumlah anggota keluarga tidak memiliki hubungan yang signifikan dengan tindakan IMD. Analisis multivarian menunjukkan sikap kurang baik sebesar 4,9 kali untuk tidak melakukan tindakan IMD dan dikontrol oleh variabel pengganggu pengetahuan dan pendapatan keluarga.. Kesimpulan: Studi ini menunjukkan bahwa peningkatan persepsi ibu tentang manfaat melalui pendidikan pemerintah dan peningkatan pendapatan keluarga dapat memengaruhi persepsi mereka secara positif. Kata kunci: Inisiasi, menyusui, persepsi, manfaat, stunting ABSTRACT Background: Stunting is a form of growth and development failure caused by the accumulation of malnutrition that begins in the womb until the age of two years. In 2022, the prevalence of stunting in Indonesia was 21.6%, with Musi Rawas Regency reporting a figure of 25.4%. Acceleration of stunting reduction can be done with special dietary interventions by encouraging babies to receive early initiation breastfeeding (IMD). Health behavior in carrying out these actions can be implemented by increasing mothers' perceptions of the benefits obtained. This study aims to analyze the perceived benefits of providing Early Breastfeeding Initiation in the prevention of stunting in Tuah Negeri District, Musi Rawas Regency Methods: This study used a quantitative method with a cross-sectional design. Samples were taken using purposive sampling with hypothesis testing of differences in two proportions and 154 respondents were obtained. Data analysis using chi-square and multiple logistic regression. Results: There was a significant relationship between maternal knowledge (p=0.030) and attitude (p=0.017) with IMD actions. However, age, education, maternal occupation, family income, and number of family members did not have a significant relationship with IMD actions. Multivariant analysis showed unfavorable attitude was 4.9 times to not give IMD action and controlled by confounding variables of knowledge and family income Conclusion: The study suggests that improving mothers' perceptions of benefits through government education and increased family income can positively influence their perceptions. Keywords: Initiation, breastfeeding, perception, benefits, stunting
Persepsi Keseriusan Berdasarkan Teori Health Belief Model Dengan Pemberian ASI Eksklusif Dalam Pencegahan Stunting Kamilah, Inayah; Fajar, Nur Alam; Munadi, Muhammad Cholil; Ananingsih, Esti Sri; Sugiarti, Rini; Winta, Mulya Virgonita Iswindari
Jurnal Manajemen Kesehatan Yayasan RS.Dr. Soetomo Vol 10, No 1 (2024): JMK Yayasan RS.Dr.Soetomo, Pertama 2024
Publisher : STIKES Yayasan RS.Dr.Soetomo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29241/jmk.v10i1.1851

Abstract

ABSTRAKMasalah kesehatan anak khususnya stunting masih jadi permasalahan utama yang dialami oleh Masyarakat Indonesia. Prevalensi total stunting di Indonesia menurut Survei Status Gizi Indonesia sebesar 21,6.%. Musi rawas adalah kabupaten dengan angka kejadian stunting tertinggi di Sumatera Selatan pada tahun 2022 sejumlah 25,4%. Upaya pencegahan stunting tidak lepas dari perilaku pemberian ASI Eksklusif pada balita. Teori Health Belief Model menjelaskan bahwa ada empat elemen atau factor yang akan mempengaruhi perilaku Kesehatan, salah satunya adalah persepsi keseriusan terhadap ancaman kesehatan. Seseorang mengubah perilaku mereka saat mereka mengerti bahwa penyakit yang dapat dialami merupakan penyakit serius. Tujuan dari penelitian ini adalah untuk menganalisis hubungan persepsi keseriusan dengan pemberian ASI eksklusif dalam pencegahan stunting. Metode yang dipergunakan dalam penelitian ini adalah kuantitatif dengan desain potong lintang (cross sectional). Teknik pengambilan sampel dilakukan melalui purposive sampling dengan sampel 154 ibu yang memiliki anak usia 6-36 bulan. Analisa data yang digunakan adalah Uji Deskriptif, Chi Square, dan Uji Regresi Logistik dengan derajat kemaknaan (α) = 0,05. Hasil temuan penelitian menunjukkan bahwa terdapat hubungan antara Jumlah Keluarga dan sikap ibu terhadap persepsi keseriusan pemberian ASI dalam pencegahan stunting. Hasil analisis multivariat menyatakan bahwa sikap ibu dan jumlah keluarga merupakan faktor dominan persepsi keseriusan dalam pemberian ASI Eksklusif dalam pencegahan stunting. Kata kunci : Persepsi keseriusan, ASI eksklusif, stunting
Analysis of Perceived Vulnerability Based on the Health Belief Model Theory Toward Exclusive Breastfeeding in Stunting Prevention Efforts Syafitri, Zahara; Fajar, Nur Alam; Munadi, Muhammad Cholil; Ananingsih, Esti Sri; I. Winta, Mulya Virgonita
Biomedika Vol 16, No 1 (2024): Biomedika Februari 2024
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/biomedika.v16i1.3758

Abstract

Stunting is a major health problem that occurs in children under 5 years of age and prevalent in developing countries for years.  A Toddlers is defined as stunted if the measurement results of the child's body length or height show less than -2 Standard Deviation based on WHO data measurement media. Perception The vulnerability of toddlers suffering from stunting will affect the actions of a mother in making prevention efforts in making prevention efforts. Exclusive breastfeeding is important in the growth and development process that can meet the nutritional needs of children. This study aimed to analyze the perception of vulnerability to exclusive breastfeeding in an effort to prevent stunting. Exclusive breastfeeding in stunting prevention efforts. The research method uses a quantitative research design quantitative research design with a cross sectional approach, the sample studied was as many as 154 mothers of toddlers 6-36 months with purposive sampling technique. Data analysis using Chi-Square test and Logistic Regression Test. The results showed that the independent variables of maternal knowledge and attitude had a significant relationship to the dependent variable of exclusive breastfeeding in an effort to prevent stunting with a p-value of 0.001 and 0.005 (p-value<0.005).  The results of multivariate analysis showed that maternal knowledge and attitude were the dominant factors of perception of maternal vulnerability in exclusive breastfeeding in an effort to prevent stunting (p value <0.000). It can be concluded that maternal knowledge and attitudes have a significant relationship with the action of exclusive breastfeeding in preventing stunting in an effort to prevent stunting.
Deteksi dini stunting berbasis edukasi dan pendampingan kader kesehatan Fajar, Nur Alam; Sulaningsi, Kiki; Ananingsih, Esti Sri; Sunarsih, Elvi; Yuliana, Indah; Etrawati, Feny; Octaviana, Sinta
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 8, No 4 (2024): December
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v8i4.27878

Abstract

AbstrakStunting merupakan masalah kesehatan nasional yang memerlukan intervensi dari berbagai pihak untuk mengatasinya. Stunting adalah kondisi dimana seorang anak memiliki tinggi atau panjang badan yang lebih rendah dari standar usianya, yang sering kali diakibatkan oleh kekurangan gizi kronis dan kondisi kesehatan yang tidak optimal selama periode penting pertumbuhan anak. Pemerintah Indonesia telah menetapkan target untuk menurunkan prevalensi stunting melalui berbagai strategi intervensi yang spesifik dan sensitif, yang bertujuan meningkatkan kesehatan dan kualitas hidup generasi mendatang. Kegiatan pengabdian ini dirancang untuk meningkatkan pengetahuan, sikap, dan keterampilan deteksi dini stunting pada balita di Kelurahan Thehok, Kecamatan Jambi Selatan, Kota Jambi. Metode yang digunakan dalam kegiatan pengabdian ini melibatkan pendampingan intensif kepada 34 kader dan perangkat desa di Kelurahan Thehok. Pendampingan ini dilakukan melalui beberapa tahapan pelaksanaan, yaitu persiapan, pelaksanaan (pre-test) untuk mengetahui tingkat pengetahuan awal, pemberian pendampingan edukatif, evaluasi (post-test) untuk mengukur peningkatan pengetahuan, serta kegiatan keberlanjutan yang bertujuan memastikan penerapan hasil pengabdian dalam jangka panjang. Hasil evaluasi menunjukkan peningkatan skor rata-rata pengetahuan dari 86,4 menjadi 91, serta peningkatan skor sikap dari 12,46 menjadi 14,23, yang keduanya signifikan secara statistik (p- value < 0,05). Keterampilan peserta dalam deteksi dini stunting juga meningkat, khususnya dalam penggunaan alat ukur tinggi badan dan pemberian edukasi kepada masyarakat.Hal ini mengindikasikan perubahan positif pada ketiga komponen tersebut di kalangan kader dan perangkat desa yang terlibat. Kesimpulannya, program ini mampu meningkatkan kapasitas kader dalam mendeteksi dan mencegah stunting di Kelurahan Thehok, yang diharapkan dapat berkontribusi pada penurunan angka stunting di daerah tersebut. Kata kunci: stunting; deteksi dini; pengetahuan; sikap; keterampilan AbstractStunting is a national health issue that requires interventions from various stakeholders to address it. Stunting is a condition where a child has a height or length below the standard for their age, often caused by chronic malnutrition and suboptimal health conditions during critical growth periods. The Indonesian government has set a target to reduce stunting prevalence through specific and sensitive intervention strategies aimed at improving the health and quality of life of future generations. This community service program was designed to enhance the knowledge, attitudes, and skills of early detection of stunting in toddlers in Thehok Village, Jambi Selatan District, Jambi City. The method employed in this program involved intensive mentoring for 34 village health cadres and officials in Thehok. The mentoring process included several implementation stages: preparation, pre-test to assess initial knowledge levels, educational mentoring, post-test to evaluate knowledge improvement, and sustainability activities to ensure long-term application of the program's results. The evaluation results showed an increase in the average knowledge score from 86.4 to 91, and an increase in attitude scores from 12.46 to 14.23, both statistically significant (p-value < 0.05). Participants' skills in early detection of stunting also improved, especially in the use of height measurement tools and in providing education to the community. This indicates positive changes in all three components among the involved cadres and village officials. In conclusion, this program effectively enhanced the capacity of cadres to detect and prevent stunting in Thehok Village, which is expected to contribute to reducing stunting rates in the area. Keywords: stunting; early detection; knowledge; attitudes; skill
Breaking the Chains of Stigma: Psychodrama and Kuda Lumping Unite to Empower Cancer Patients in Society Ananingsih, Esti Sri; Afrilia, Dian; Suryaningtyas, Winda; Khodijah, Salma
International Journal Scientific and Professional Vol. 4 No. 1 (2025): December 2024 - February 2025
Publisher : Yayasan Rumah Ilmu Professor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56988/chiprof.v4i1.75

Abstract

Cancer, a formidable and life-altering disease, often carries with it a heavy burden of stigma that devastates not only the physical well-being of patients but also their emotional and social lives. The deep-rooted fear and misconceptions about cancer lead to alienation, isolation, and an exacerbation of the patient’s suffering. This study embarks on an audacious journey to challenge this stigma by merging the therapeutic power of psychodrama with the rich cultural heritage of Kuda Lumping, a Javanese traditional performance symbolizing strength, resilience, and unity. Using a bold, participatory action research approach, this intervention weaves together the art of psychodrama with cultural rituals, inviting cancer patients, their families, and the broader community to engage in a profound collective experience. The result? A revolutionary shift in perception. Through powerful role-playing and symbolic acts, participants broke down barriers of fear, ignorance, and judgment. The Kuda Lumping dance became more than just a performance—it became a transformative ritual that empowered both patients and community members to confront and dismantle the stigma surrounding cancer. By the end of the intervention, 80% of participants reported a profound shift in their understanding of cancer, with 70% expressing newfound empathy and commitment to supporting those affected by the disease. This study underscores the transformative power of combining psychological therapy with cultural heritage, offering a powerful blueprint for future health interventions. It stands as a testament to the potential of psychodrama, enriched with local cultural elements, to heal and unite communities, and to finally break the chains of cancer stigma that have long bound society in silence and fear.
PENINGKATAN PENGETAHUAN DAN KEMAMPUAN KELUARGA DALAM MERAWAT LANSIA MELALUI PENYULUHAN DAN LATIHAN KEMANDIRIAN LANSIA DI WILAYAH RW. 03, KECAMATAN 5 ILIR PALEMBANG Ananingsih, Esti Sri; Amin, Maliha; Shobur, Sherly; Meilina, Meilina
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 1 No Tahun (2019): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v1iTahun.1184

Abstract

Elderly is part of the process of growth and development. The elderly experience physical decline and social changes that cause dependence on independence. Elderly who are used to having activities will be more independent than the elderly who are dependent. With physical changes, the elderly experience decreased hearing and vision, the mentally healthy elderly are the elderly who enjoy daily activities. If these needs can be met, then the fantasy arises to think and try to achieve how these needs can be met, for example food, clothing, shelter and health. The elderly is not to return to their role as breadwinners, but how to prepare them to be able to enjoy the last part of their lives with maximum independence. If the independence of helping oneself without assistance has been achieved, then there are still many areas of activity for the elderly that can still be explored and raised. In this regard, given the importance of the role of the family, the family must be even stronger in carrying out family duties, especially those related to the elderly. Through community service activities by providing counseling on elderly independence exercises, it is hoped that families can care for the elderly so that the elderly become independent and optimal in living life. This activity is aimed at families and the elderly who live in the area of RW 3 , 5 ilir Palembang in collaboration between Poltekkes Kemnekes Palembang Department of Nursing and the related Puskesmas
Pemanfaatan Daun Kelor dalam Pencegahan Stunting di Desa Lubuk Rumbai Kecamatan Tuah Negeri Kabupaten Musi Rawas Fajar, Nur Alam; Ananingsih, Esti Sri; Hasyim, Hamzah; Flora, Rostika; Sulaningsi, Kiki; Rachmayanti, Riris Diana
Poltekita: Jurnal Pengabdian Masyarakat Vol. 6 No. 1 (2025)
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v6i1.3705

Abstract

Stunting is a representation of chronic malnutrition throughout a time of growth and development from birth. Stunting can be caused by a variety of variables, including familial and toddler traits, as well as low dietary intake along with the prevalence of viral infections in children. This study intends to enhance housewives' understanding of preventing and overcoming stunting, as well as their abilities in using Moringa dodol maker (DOKERINA) for stunting prevention. The target in this service is mothers who visit the white jasmine Posyandu, totaling 30 people. This study used counseling methods and interactive discussions with the community, direct demonstrations on how to make Moringa dodol (Dokerina) by involving mothers at the posyandu, distribution of leaflets, administration of dokerina, cognitive tests. From the empowerment results, it was found that there was an increase in knowledge and skills, that is, the knowledge value increased by 37% from 60% to 97% and the skill value increased by 30% from 63% to 93%. It is hoped that related parties will continue to monitor the continuation of the Moringa dodol making program.
Family Roles and Support in Preventing Stunting: A Systematic Review Fajar, Nur Alam; Zulkarnain, Mohammad; Taqwa, Ridha; Sulaningsi, Kiki; Ananingsih, Esti Sri; Rachmayanti, Riris Diana; Sin, Siau Ching
Jurnal Promosi Kesehatan Indonesia Volume 19 No.1 Januari 2024
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.19.1.50-57

Abstract

Background: Stunting is inadequacy in physical growth. Stunting can be detrimental to children under five as it causes low intelligence, decreased endurance, and inhibited growth and development. This will increase risk of infections and non-communicable diseases in adulthood. The optimal implementation of family roles supports the improvement of nutritional status in toddlers so it can reduce the incidence of stunting.Method: This systematic review is written in accordance to the PRISMA guidelines. The process includes analysis on online articles from databases of ScienceDirect, PubMed, and Google Scholar for the past five years the period from 2019 with the keywords "stunting and parents or family".Results: There are researches from eight articles related to the role and support of families in preventing stunting. Based on several syntheses reviewed, it was determined that culture can be an inhibiting factor in preventing stunting. Still, with local wisdom, it can also be a catalyst in reducing stunting itself. Culture is one of the specific nutrition interventions that can reduce the prevalence of stunting by emphasizing aspects of a mother as the “center of life”, family roles and support, and the role of fathers in preventing stunting. Families have an important role to play in preventing and managing the problem of stunting. Families play an important role in preventing stunting at every stage of life from fetus in the womb, to newborn, toddler, teenager, married, pregnant, and so on. Therefore, efforts to empower families are necessary.