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Fathers help to improve breastfeeding practice : can Indonesian fathers provide the same help ? Februhartanty, Judhiastuty; Muslimatun, Siti; Septiari, Mariyasari
Universa Medicina Vol 26, No 2 (2007)
Publisher : Faculty of Medicine, Trisakti University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2007.v26.90-100

Abstract

The objectives of this paper are i) to explore factors influencing practices of timely breastfeeding initiation and exclusive breastfeeding with special attention on factors related to the roles of father; and ii) to elaborate possible factors influencing father’s roles in breastfeeding based on literatures from the developed world. Studies conclude that father’s roles in supporting breastfeeding include participation in decision on infant feeding mode, involvement in child care taking and household tasks, as well as being the protector and the family provider. They also explore that the quality of couple relationship, parental knowledge and attitudes, characteristics of parental function, and the burden on the family economy are barriers which discourage fathers from being supportive towards breastfeeding. Indonesian fathers may influence breastfeeding in the same way and also experience similar barriers. However, due to different exposure to norms, beliefs, and cultures, a specific study on this matter is very relevant to be carried out in Indonesia prior to any breastfeeding promotion targeted to fathers.
ONLINE MOTHER SUPPORT GROUP: THE NEW WAY OF PEER SUPPORT FOR IMPROVING BREASTFEEDING PERFORMANCE Dewanti, Lintang Purwara; Februhartanty, Judhiastuty; Roshita, Airin
JHE (Journal of Health Education) Vol 4 No 1 (2019)
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v4i1.29407

Abstract

Background: Data from Riskesdas in 2010 showed that family living in the urban area still had lower rate of exclusive breastfeeding, specifically 25.2% compare to those living in the rural area. In Jakarta, the proportion of children aged 0-23 months that still being breastfed was only 70.3%, this rate was below the national level of children age 0-23 months that still being breastfed which reach 80.1%. This study aimed to explore the experiences of mothers attending online Mother Support Group as their breastfeeding support. Methods: Qualitative approach was used to explore mothers? breastfeeding performance and mothers? experience attending the online group. Key findings show the mothers in the group exposure received support and knowledge from other mother or peers. Type of support given to the mother by both peers and experts (professionals) can be in the form of support group and given in online form. Results: There were also mothers experienced overwhelmed with the information that circulate. This kind of mothers considered that they better learning with individual setting to be more focus or conduct only virtual meeting Conclusion: Good performance on breastfeeding among mothers? can be maintained by their experiences of group that allow mothers learn in conducive environment and/or solved mothers? breastfeeding problem.
Paternal Roles in Breastfeeding in Jakarta, Indonesia: A Mixed-method Approach Februhartanty, Judhiastuty; Muslimatun, Siti; Shankar, Anuraj H; Djakababa, Nelden; Suradi, Rulina
Indonesian Journal of Human Nutrition Vol 7, No 1 (2020)
Publisher : Jurusan Gizi, Fakultas Kedokteran, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2020.007.01.4

Abstract

Abstract We explored paternal roles in timely breastfeeding initiation and exclusive breastfeeding practices in Jakarta using a mixed-methods approach in sequence of focus group discussions (FGDs – phase 1) and a quantitative survey (phase 2). The study population was parents with infants aged below 6 months. Data on paternal roles, maternal attributes, and breastfeeding practices were collected from 43 purposively selected parents in phase 1 and 536 couples in phase 2. FGDs provided insights to finalize the questionnaire for the survey. Nine paternal roles were identified: 1-accompanying the mother during antenatal and postnatal visits, 2-suggesting places for health checkups and delivery, 3-seeking information about child nutrition, 4-accompanying the mother during delivery, 5-facilitating psychological support of the mother, 6-childcare involvement, 7-engagement in childcare discussions, 8-involvement in decisions about infant feeding mode, and 9-enthusiasm for fatherhood. Roles 3 (aOR=1.65; 95%CI=1.07 to 2.54) and 9 (1.59; 1.04-2.44) were positively associated with timely initiation of breastfeeding. Role 8 was positively associated with exclusive breastfeeding (1.69; 1.10-2.60), but roles 2 (0.49; 0.32-0.76) and 5 (0.97; 0.41-0.64) were negatively associated with exclusive breastfeeding. Fathers played roles in breastfeeding practices under study. Fathers need a tailored breastfeeding promotion to stimulate necessary support for breastfeeding mothers. Keywords: initiation of breastfeeding, exclusive breastfeeding, fathers, mixed-methods approach, Indonesia
The Effect of a Teacher-led Nutrition Education Program towards Nutrition and Anemia Status of Adolescent Girls in Bogor, Indonesia Rachman, Purnawati Hustina; Ekawidyani, Karina Rahmadia; Mauludyani, Anna Vipta Resti; Februhartanty, Judhiastuty
Jurnal Nutrire Diaita (Ilmu Gizi) Vol 13, No 01 (2021): NUTRIRE DIAITA
Publisher : Lembaga Penerbitan Unversitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/nut.v13i01.4050

Abstract

Nutrition education among adolescents is lacking in Indonesian schools. Whereas adolescent girls, in particular, need adequate nutrients to prepare them for their future pregnancy which may improve their nutrition status in the long term. Therefore, this study aims to assess the impact of a teacher-led nutrition education program on the nutrition and anemia status of adolescent girls. A quasi-experimental design was applied in junior high and high schools in Bogor which compared the findings between the intervention (n=112) and the control group (n=129). Teachers in the intervention group received training on health and nutrition for adolescents and were asked to deliver nutrition education for their students for 14 weeks. The control group did not receive any exposure to the topics. The weight, height, and hemoglobin level were measured before and after the program. Paired and independent t-test statistical analysis was used to assess the impact of the intervention for continuous variables and the Chi-Square test was used for categorical data. After the program, although there were no significant improvements in BMI-for-age z-score, however, significant improvements were observed for hemoglobin level among the treatment group. This was consequently shown in the anemia status, where the prevalence of anemia was significantly lower compared to the control group (p<0.001). The findings demonstrate that teacher-led nutrition education can improve the anemia status of adolescent girls.
Online Mother Support Group: The New Way of Peer Support for Improving Breastfeeding Performance Dewanti, Lintang Purwara; Februhartanty, Judhiastuty; Roshita, Airin
Journal of Health Education Vol 4 No 1 (2019)
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v4i1.29407

Abstract

Background: Data from Riskesdas in 2010 showed that family living in the urban area still had lower rate of exclusive breastfeeding, specifically 25.2% compare to those living in the rural area. In Jakarta, the proportion of children aged 0-23 months that still being breastfed was only 70.3%, this rate was below the national level of children age 0-23 months that still being breastfed which reach 80.1%. This study aimed to explore the experiences of mothers attending online Mother Support Group as their breastfeeding support. Methods: Qualitative approach was used to explore mothers’ breastfeeding performance and mothers’ experience attending the online group. Key findings show the mothers in the group exposure received support and knowledge from other mother or peers. Type of support given to the mother by both peers and experts (professionals) can be in the form of support group and given in online form. Results: There were also mothers experienced overwhelmed with the information that circulate. This kind of mothers considered that they better learning with individual setting to be more focus or conduct only virtual meeting Conclusion: Good performance on breastfeeding among mothers’ can be maintained by their experiences of group that allow mothers learn in conducive environment and/or solved mothers’ breastfeeding problem.
Feeding Practices of School-aged Children during COVID-19 Pandemic: A Qualitative Study Khoirun Nisa Alfitri; Judhiastuty Februhartanty; Fariz Nurwidya
Amerta Nutrition Vol. 6 No. 2 (2022): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i2.2022.155-163

Abstract

Background: Coronavirus disease-19 (COVID-19) pandemic caused the government to implement social movement restrictions affecting the household economy and school closure that will lead to change in the home food environment, parental feeding practices, and the end will influence child’s eating behavior. Objectives: This study aimed to explore the parental feeding practices among young school-aged children during the COVID-19 pandemic. Methods: Eighteen informants consisting of mothers and a grandmother have participated in the online in-depth interview. Moreover, 4 fathers had also been interviewed to triangulate the data and to increase the meaningful insight. A question guideline was used to guide the in-depth interview process. Thematic analysis using an inductive approach was applied to analyze the transcripts. Results: Five themes were identified around changes in food restriction, pressure to eat, giving the explanation, child involvement, and modeling. Conclusions: During the COVID-19 pandemic, parents demand their children to have good eating behavior. However, they tend to give autonomy more often to their child to get the snacks. It would make the children lead to having poor and unhealthy eating behaviors.
Exclusive breastfeeding practice and sources of support during COVID-19 pandemic in Indonesia Cahya Ayu Agustin; Judhiastuty Februhartanty; Saptawati Bardosono
Indonesian Journal of Human Nutrition Vol. 8 No. 2 (2021)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2021.008.02.10

Abstract

In 2018, the national coverage of exclusive breastfeeding among infants aged 0-5 months in Indonesia was still low. The COVID-19 pandemic can be a challenge to increase the coverage of exclusive breastfeeding. This study investigated the association between sources of breastfeeding supports and exclusive breastfeeding practices among mothers with infants aged under 6 months during the COVID-19 pandemic in Indonesia. This study used a cross-sectional study design through an online survey from November 2, 2020, to February 8, 2021. A total of 248 subjects were obtained through convenience sampling. Data analysis was done by bivariate analysis using Chi-square or Fisher’s exact test. Most of the subjects were aged 18-34 years old (90.7%), had higher education level (86.7%), had household income range Rp.3,000,000 – Rp.7,199,999 (39.2%), lived in Java Island (83.1%), had an infant aged ≤ 4 months (76.2%), and had a baby boy (51.2%). The proportion of exclusive breastfeeding was 79.0%. The most common sources of breastfeeding support were obtained from husband (91.1%) and health workers (65.7%), followed by family (62.9%). No significant association was found among all support sources on breastfeeding with exclusive breastfeeding. However, the proportion of exclusive breastfeeding among mothers who received husband support (80.1%) was higher than those who did not (68.2%). The most convenient and feasible breastfeeding supports that mother could obtain during pandemics were home-based supports. Mothers, their husbands, and families should be the priority target for health professionals to provide preventive and promotive breastfeeding intervention.
Maternal Attributes and Child Minimum Acceptable Diet during COVID-19 Pandemic in Indonesia Athiya Fadlina; Judhiastuty Februhartanty; Saptawati Bardosono
Indonesian Journal of Human Nutrition Vol. 8 No. 2 (2021)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2021.008.02.2

Abstract

Appropriate complementary feeding practices must be sustained during the COVID-19 pandemic for optimal growth and development of a child. However, the studies assessing factors associated with complementary feeding practices during COVID-19 are still limited. The objective of this study was to evaluate maternal attributes and minimum acceptable diet (MAD) of 6-11-month-old children during the COVID-19 pandemic in Indonesia. This study was part of the “COVID-19 Mom-Infant Study” and was conducted in all regions of Indonesia using an online survey. Chi-square or Fisher's exact test was performed to examine the relationship between MAD and maternal attributes, with a significant level at p-value <0.05. From a total of 262 data collected, 74%, 77.1%, 94.3% of the children aged 6-11 months have met MAD, MDD (minimum dietary diversity), and MMF (minimum meal frequency), respectively. Mother’s education level (OR= 3.625; 95%CI [1.805 – 7.280]) and working status (OR= 2.197; 95%CI [1.291 – 3.895] were found associated with child’s MAD. One-third of children did not receive the recommended infant and young children feeding practices. Conducting nutrition interventions to mothers with lower education and not working should be a priority under these circumstances.
Nutrient-rich food index 9.3 score and food choice values among female online food delivery users during COVID-19 pandemic Nadya Suci Palupi; Dian Novita Chandra; Judhiastuty Februhartanty; Helda Khusun; Nisrina Hanisa; Dian Kusuma Dewi
World Nutrition Journal Vol. 7 No. 2 (2024): WNJ. Volume 07 Issue 2, February 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V07.i2.0009

Abstract

Background: The COVID-19 pandemic has transformed eating habits, leading to an increased reliance on online food delivery. It's crucial to comprehend the diet quality and food choices among female users during this period. Objective: This study aims to explore the association between diet quality score and the food choice motives among female online food delivery users during the COVID-19 pandemic Methods: This online cross-sectional study involved surveying 405 female users recruited through consecutive sampling. The Food Choice Values Questionnaire (FCVQ) was utilized to understand their food choices, while nutrient intake and diet quality were assessed using the Nutrient-Rich Food 9.3 Index Score (NRF 9.3). Subsequently, the collected data underwent both univariate and multivariate analyses. Potential biases might arise due to time constraints during the pandemic and reliance on self-reported online data. Moreover, the method used to measure nutrient intake might not be ideal for this demographic, lacking tailored tests. Nonetheless, it’s important to highlight that the survey underwent prior validation among Indonesian adults, affirming its broad applicability. Results: Female users showed low average NRF 9.3 scores (241.67), indicating poor diet quality. Their prioritized food choice motives were also low. Significant associations surfaced between NRF 9.3 scores and food choice motives—tradition (p<0.01, r: 0.229), comfort (p<0.01, r: 0.223), organic (p<0.01, r: 0.231), safety (p<0.001, r: 0.162), weight control/health (p<0.01, r: 0.171), and income (p<0.05). Conclusion: The NRF 9.3 score is likely to increase when there are higher scores for tradition, comfort, and organic factors, and when income exceeds the minimum regional wage.
Eating Behavior of Indonesian Adults Differs by Metropolization Levels based on the 2018 Indonesian Food Barometer Febriana, Nor Laila; Februhartanty, Judhiastuty; Hanisa, Nisrina; Khusun, Helda
Media Gizi Indonesia Vol. 19 No. 1 (2024): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v19i1.1-10

Abstract

Modernization leads to nutrition transition process, shifts eating behavior into a more modernized pattern that may increase the risk of non-communicable diseases (NCDs). Using the 2018 Indonesian Food Barometer (IFB) data, this study assessed the differences in eating behavior between metropolization levels among Indonesian adults. 1482 adults aged 18-64 in six provinces were involved. Eating behavior was defined by the number of eating events, food preparation, eating location, eating companion, and activity while eating. Metropolization level was defined based on the gross domestic regional product (GRDP), GRDP/capita, population size, population density, and non-agricultural worker proportion. Differences in each eating behavior dimension between metropolization levels were analyzed using the Chi-square test (p<0.05) and adjusted with sociodemographic factors using logistics regression. 83.9% of the subjects had ≤5 eating events/day and dominated by 4-5 eating events/day. 51.2% and 83.1% of the subjects cooked and ate at home frequently, indicating the practice of traditional eating. Meanwhile, the tendency towards modern dimension can be seen as the proportion of eating alone frequently and eating only less frequently were 60.3% and 67.9%, respectively. Eating behavior differed significantly (p<0.05) between metropolization levels, except for eating with company. Proportion of not cooking and eating away from home frequently increase as metropolization level increases (p<0.05) after adjusted with sociodemographic factors while eating alone and eating only showed no significant differences. Modern eating behavior tendency increases along with metropolization level. Improving living and working conditions in metropolitan areas is imperative to facilitate healthier eating behavior among the inhabitants.
Co-Authors Ahmad Thohir Hidayat Aini, Rahmatika Nur Airin Roshita Aisyah Nurcita Dewi Andi Mariyasari Septiari Andi Mariyasari Septiari Anna Fitriani Anna Vipta Resti Mauludyani Anung Sugihantono Arifa, Vina Hasna Arumsari, Imas Astriana Marta Batubara Badzlina, Fildzah Batubara, Astriana Marta Birahmatika, Fitya Safira Cahya Ayu Agustin Chandra, Dian Novita Chyntia Aryanti Mayadewi Deandra, Fadhila Iswi Dewanti, Lintang Purwara Dewi Shinta Dewi Shinta Dewi Shinta Dian Kusuma Dewi Djakababa, Nelden Djoko Priyatno, Djoko Dwi Nastiti Iswarawanti Dwi Nastiti Iswarawanti Dwi Nastiti Iswarawanti Dyah Febriyanti Dziljian, Faradiva Tama Edri Indah Yuliza Nur Ermayani, Evi Evi Ermayani Evi Ermayani Fadlina, Athiya Faradilla Nur Rahmah Faraji, Mahsa Fariz, Nurwidya Fatmah Fatmah Fauzia, Khalida Febriana, Nor Laila Fildzah Badzlina Ginting, Septiana Maria Deba Helda Helda Helda Khusun Helda Khusun Hendra Susanto Indah S. Widyahening Irma Nuraeni Izzati Hayu Andari Kamila, Indah Tasya Karina Rahmadia Ekawidyani Khoirun Nisa Alfitri Kusuma, Sari Lathifah, Siti Nur Lulu Lilis Permatasari Luh Ade Ari Wiradnyani Luh Ade Ari Wiradnyani Luh Ade Wiradnyani Mariyasari Septiari, Mariyasari Maulianti, Raden RDA Muchtaruddin Mansyur Nadya Suci Palupi Nisrina Hanisa Nisrina Hanisa Nurlita, Hera Oka, A A Sagung Indriani Okky Lupita Sari Pramesthi, Indriya Laras Pranoto, Rohmad Joni Purnawati Hustina Rachman Putri, Nabilla Ayusyah Rahma, Alkanisa Rosalba, Gita Aisyah Astrid Rulina Suradi, Rulina Rusdatul Isma Saptawati Bardosono Shankar, Anuraj H Siti Muslimatun Suci Destriatania Suci Destriatania Sumarto Sumarto Teguh Budiharjo, Teguh Tisa Rahma Sari Vanie Rosalia Wangsa, Andrean Yustina Rossa Simatupang