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Effectiveness of Using Information, Education, and Communication Flowchart Media in Implementation of Early Breastfeeding Initiation Notarianti, Rizna; Fikawati, Sandra; Faradhila, Alifani Faiz
Kesmas Vol. 17, No. 1
Publisher : UI Scholars Hub

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Abstract

Early initiation of breastfeeding (EIB) has many benefits for both the baby and the mother. However, in Bogor City, there are still many babies who do not get EIB when they are born (33.6%). The implementation of EIB is not optimal due to the absence of standard procedures to equalize its theory and perception. This study aimed to investigate the effectiveness of using Information, Education, and Communication (IEC) flowchart media concerning the standard procedure for EIB implementation in the Primary Health Care (PHC) in Bogor City. A quasi-experimental research was conducted on 58 midwives divided into the intervention and control groups. The intervention group was given IEC flowchart media, the EIB standard procedure, whereas the control group was given a brief explanation about EIB. The results indicated that the intervention group (96.0) had a higher average EIB implementation score than the control group (84.7). Furthermore, the success rate of EIB was higher in the intervention group (93.1%) than in the control group (20.7%). In conclusion, the IEC flowchart media is effectively used to optimize EIB implementation by midwives in the PHC in Bogor City.
OPTIMIZING IRON ABSORPTION IN CHILDREN THROUGH VITAMIN C SUPPLEMENTATION AND FORTIFICATION: A REVIEW Aulia, Bianda; Notarianti, Rizna; Larasati, Adisti; Sitorus, Nova Lidia
Journal of Indonesian Specialized Nutrition Vol. 3 No. 3 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63953/jisn.v3i3.55

Abstract

Background: Iron deficiency aeamia is common in children, particularly in low- and middle-income countries, where diets are typically low in bioavailable iron and infections are prevalent. As vitamin C enhances non-heme iron absorption, this review explores current evidence on its role in improving iron status in children. Methods: A narrative literature review was conducted using PubMed, Scopus, and Google Scholar and included studies published from January 2000 to June 2025. Search terms combined keywords related to “vitamin C”, “iron absorption”, “supplementation”, “fortification”, “children”, and “anemia”. Results: Iron absorption in children is influenced by iron form, dietary factors, and developmental stage, with infants and young children at greatest risk of deficiency. Vitamin C is an enhancer of non-heme iron absorption, counteracting inhibitors such as phytates and calcium. Trials combining oral iron with vitamin C supplementation generally showed greater increases in hemoglobin and ferritin compared with iron alone, particularly among children with iron deficiency. Evidence from fortification studies is limited and varies due to differences in study design. Conclusion: Vitamin C co-supplementation might improve iron status in children. However, existing evidence remains insufficient to support specific recommendations for children.