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All Journal Amerta Nutrition Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Endang L Achadi
Faculty of Public Health, Universitas Indonesia, Jakarta
Health Professions Medicine & Pharmacology Nursing Public Health Other

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Faktor yang Memfasilitasi Ibu dengan Kepatuhan yang Baik dalam Melaksanakan Empat Program Gizi Nasional di Indonesia: Facilitating Factors of Mothers’ Good Adherence to Four National Nutrition Programs in Indonesia Wiradnyani, Luh Ade Ari; Khusun, Helda; Achadi, Endang L; Ocviyanti, Dwiana; Roshita, Airin
Amerta Nutrition Vol. 9 No. 1 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1.2025.87-100

Abstract

Background: Mothers’ compliance with national nutrition programs during the first 1000 days of life is crucial to optimal child growth and development. However, national surveys have revealed low levels of compliance, suggesting challenges faced by mothers. Thus, understanding the facilitating factors of mother’s consistent good compliance is important. Objectives: To explore the facilitating factors of mothers’ good compliance with four national nutrition programs during the first 1000 days of life. Methos: Of the 48 mothers of 6-23-month-old children interviewed in this study, 10 demonstrated consistent compliance with the recommended maternal iron and folic acid (IFA) supplementation, breastfeeding, complementary feeding, and vitamin A capsule (VAC) supplementation programs. In-depth exploration and analysis were carried out on the 10 mothers, focusing on the roles of health staff, information exposure, knowledge, and family support. Results: All mothers had a strong initiative to seek information from various sources, including healthcare staff, the mother and child health book, and Internet (among urban mothers), irrespective of their socio-demographic backgrounds. Frequent information exposure resulted in good knowledge, except on VAC supplementation. Healthcare staff, particularly midwives, played significant roles in mothers’ compliance to IFA supplementation and breastfeeding, but much less for complementary feeding practices. The role of Posyandu cadres was limited to the dissemination of VAC supplementation schedules. Support from family members were observed in all programs, mainly in providing information and maintaining motivation. Conclusions: Information exposure and family support were key to mothers’ good compliance. The roles of healthcare staff, particularly in providing complementary feeding information, should be strengthened.
A Stunting Prevention Risk Factors Pathway Model for Indonesian Districts/Cities with a Stunting Prevalence of ≥30% Fentiana, Nina; Achadi, Endang L; Besral, Besral; Kamiza, Abram; Sudiarti, Trini
Kesmas Vol. 17, No. 3
Publisher : UI Scholars Hub

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Abstract

The prevalence of stunting in Indonesian children aged 0-23 months is a public health problem caused by direct and indirect factors. This study aimed to discover the path of the relationship between various risk factors and the stunting prevalence of ≥30% in 165 districts/cities in Indonesia. Data were obtained from the 2018 National Basic Health Research, National Socioeconomic Survey, and the Statistics Indonesia with a cross-sectional approach. The secondary data on stunting and risk factors were aggregated at the district/city level from individual data; children aged 0-23 months. The path analysis used to determine a stunting prevention model showed that antenatal care at the district/city level decreased stunting rates by at least 2.56% (b = -0.16; p-value = 0.04). A contraceptive user at the district/city level decreased stunting rates by 2.25% (b = -0.15; p-value = 0.05), and handwashing with soap at the district/city level by5.76%, (b = -0.24; p-value = 0.003). Antenatal care, contraceptive use, and handwashing with soap contributed to the reduction of stunting prevalence by18.18%. The study results suggested that districts/cities can play an important role in reducing stunting.
Co-Authors Airin Roshita Besral . Dwiana Ocviyanti Febsi, Yania Fentiana, Nina Helda Khusun Kamiza, Abram Luh Ade Ari Wiradnyani Trini Sudiarti