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Exclusive Breastfeeding and Immunization as Determinants of Stunting Among Indonesian Children Under Five: Evidence from a Community-Based Case–Control Study Nurhidayah, Ikeu; Khaedar, Mochamad; Herawati, Yanti; Koeryaman, Mira Trisyani
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.I1.2026.108-115

Abstract

Background: Stunting remains a major public health issue in Indonesia, reflecting chronic undernutrition and recurrent infections in early childhood. Exclusive breastfeeding and immunization are key interventions to promote healthy growth and child survival, aligning with SDG 2 (Zero Hunger) and SDG 3 (Good Health and Well-Being). However, evidence on their combined effects on stunting is inconsistent, especially in rural areas like Sumedang, where local data are limited. Objective: This study aimed to examine the association between exclusive breastfeeding, immunization status, and stunting among children aged 2–5 years in rural Indonesia. Methods: A community-based, case–control study involved 132 children (66 stunted and 66 non-stunted), aged 24–59 months. Data on stunting, breastfeeding, and immunization were collected via structured questionnaires and verified through child health records. Purposive sampling was used. Statistical analyses included descriptive statistics, Chi-square tests, and odds ratios (ORs) with 95% confidence intervals (CIs). Results: Children not exclusively breastfed had a significantly higher risk of stunting (p=0.001; OR=3.27, 95% CI: 1.48–7.22). Immunization completeness was not significantly associated with stunting (p=0.380; OR=1.36, 95% CI: 0.68–2.71). Conclusion: Exclusive breastfeeding offers strong protection against stunting and is vital for achieving SDG 2 and SDG 3. While immunization was not directly linked to stunting in this study, it remains essential for preventing infections that may indirectly impair growth. Strengthening breastfeeding promotion and community health programs are crucial for reducing stunting in rural Indonesia.
PROFIL STATUS GIZI PADA BALITA DI POSYANDU MELATI PMB W KABUPATEN SUMEDANG Maya Indriati; Yanti Herawati; Rosa Sonia Rahmawati
Jurnal Sehat Masada Vol 17 No 2 (2023): Jurnal Sehat Masada
Publisher : Sekolah Tinggi Ilmu Kesehatan Dharma husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38037/jsm.v17i2.427

Abstract

Status gizi adalah keadaan tubuh sebagai akibat interaksi antara asupan energy dan protein. Serta zat-zat gizi esensial lainnya dengan keadaan kesehataan tubuh. Status gizi adalah kondisi tubuh sebagai akibat penyerapan zat-zat gizi esensial. Status gizi merupakan ekspresi dari keseimbangan zat gizi dengan kebutuhan tubuh, yang diwujudkan dalam bentuk variable tertentu. Tujuan penelitian ini adalah untuk mengetahui profil status gizi pada balita di posyandu melati PMB W kabupaten sumedan. Penelitian ini menggunakan metode penelitian deskriptif dengan rancangan cross sectional, subjek 54 orang dengan menggunakan strategi total sampling. Analisa data dilakukan menggunakan analisis univariat. Hasil penelitian menunjukkan berdasarkan berat badan kategori normal yaitu sebanyak 48 Balita (88%), kurus terdapat 2 balita (4%), sangat kurus terdapat 2 balita (4%), dan gemuk terdapat 2 balita (4%). Berdasarkan usia kategori baduta sebanyak 21 orang (40%), batita sebanyak 12 orang (20%) dan pra sekolah sebanyak 21 orang (40%). Berdasarkan status gizi BB/U kategori gizi baik yaitu sebanyak 43 orang (80%), gizi kurang terdapat 7 orang (12%), gizi buruk terdapat 2 orang (4%) dan gizi lebih terdapat 2 orang (4%). Disarankan untuk posyandu melati PMB W kabupaten Sumedang agar memberikan edukasi gizi kepada ibu balita supaya anak balita dapat tumbuh dan berkembang dengan baik.
EFEKTIVITAS PENGGUNAAN MULTIKOM TERHADAP PENINGKATAN KETERAMPILAN TEKNIK REBOZO PESERTA DIDIK SARJANA TERAPAN KEBIDANAN POLITEKNIK BHAKTIASIH Dewi Sulastri Sutaran; Hidayat Wijayanegara; Yanti Herawati; Teni Nurlatifah; Ma’mun Sutisna; Herry S Sastramihardja
JOMIS (Journal of Midwifery Science) Vol. 9 No. 2 (2025): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v9i2.6133

Abstract

Introduction:Labor pain can affect maternal physiology by increasing blood pressure, heart rate, respiratory rate, and muscle tension, which may interfere with concentration during childbirth. The rebozo technique is a non-pharmacological method used to reduce labor pain, yet its implementation in midwifery education remains limited. Methods: This quasi-experimental study employed a two-group pretest-posttest control design, involving 76 seventh-semester midwifery students randomly assigned to either an intervention group (n = 38), which used D’ Multikom interactive multimedia, or a control group (n = 38), which used a conventional practical guidebook. Skills were assessed before and after the intervention using a checklist. The Mann-Whitney test was used for data analysis, and effectiveness was evaluated using the WebQual 4.0 instrument. Results:The results showed a statistically significant improvement in rebozo technique skills in the intervention group compared to the control group (p = 0.001). The effectiveness score of D’ Multikom reached 89.84%, categorized as highly effective. Conclusion: D’ Multikom is more effective than traditional guidebooks in improving midwifery students’ practical skills in the rebozo technique and is recommended as an innovative learning tool in midwifery education.
EFFECTIVENESS OF TRIPLE ELIMINATION FLIPCHART (LEB3E) IN IMPROVING PREGNANT WOMEN’S KNOWLEDGE, ATTITUDES, AND PREVENTIVE ACTIONS Dini Pajriani Khairunnisa; Yanti Herawati; Teni Nurlatifah; Hidayat Wijayanegara; Achmad Suardi; Herry Garna
JURNAL RISET KESEHATAN POLTEKKES DEPKES BANDUNG, Online ISSN 2579-8103 Vol 17 No 2 (2025): Jurnal Riset Kesehatan Poltekkes Depkes Bandung
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/juriskesbdg.v17i2.2761

Abstract

The triple elimination program aims to prevent the vertical transmission of HIV, hepatitis B, and syphilis in newborns. However, the effectiveness of educational efforts for pregnant women remains a challenge. The Triple Elimination Flip chart was developed as an interactive educational tool, expected to be more effective than leaflets in improving pregnant women’s knowledge, attitudes, and preventive actions regarding triple elimination screening. This study employed a randomized pretest-posttest control group design with purposive sampling. Participants were divided into two groups: an intervention group that received education using LeB3E and a control group that received a leaflet. Measurements were taken before and after the intervention using a questionnaire assessing knowledge, attitudes, and actions, and the data were analyzed using paired sample t-tests in SPSS. The results showed that LeB3E was more effective than leaflets in enhancing pregnant women’s knowledge, attitudes, and preventive actions regarding triple elimination screening. The intervention group demonstrated a significantly greater improvement compared to the control group. The Triple Elimination Flip chart has proven to be a more effective educational tool than leaflets in increasing pregnant women's knowledge, attitudes, and actions towards triple elimination screening. Integrating LeB3E into antenatal care services is recommended as an educational strategy to support efforts in preventing the vertical transmission of HIV, hepatitis B, and syphilis.
EVE 3 BIBOTE Soft Candies: A Functional Food Intervention for Anemia in Adolescent Girls Fiky Trisna Nilasari; Yanti Herawati; Herri S. Sastramidardja
Jurnal Ilmu Multidisiplin Vol. 4 No. 5 (2025): Jurnal Ilmu Multidisplin (Desember 2025 - Januari 2026)
Publisher : Green Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jim.v4i5.1334

Abstract

Anemia remained a significant public health issue among adolescent girls due to increased iron requirements and inadequate dietary intake. This study aimed to evaluate the effect of a functional food innovation, a soft candy formulated from beetroot, carrot, and broccoli (Eve 3 Bibote), on improving hemoglobin levels among anemic adolescent girls. The research was conducted at SMKN 1 Gunung Putri, Bogor Regency, in 2025 using an experimental design with pre- and post-intervention measurements. Participants were adolescent girls diagnosed with anemia who consumed the soft candy for a specified intervention period. Hemoglobin levels were measured before and after the intervention to assess the effect. The findings showed a significant increase in hemoglobin levels after the administration of the soft candy, indicating its potential as a complementary approach for anemia management. This study concluded that the functional combination of beetroot, carrot, and broccoli in soft candy form was effective in supporting hemoglobin improvement among adolescent girls with anemia. The results highlighted the potential application of plant-based functional foods in school-based nutrition programs to reduce anemia prevalence in adolescents.
Co-Authors Achmad Suardi Ade Ifah Latifah Agustin, Mesya Dwi Aminudin, Sri hennyati Andi Rinaldi Anita Deborah Anwar Arini, Wike Atie Rachmiatie Aulia Ridla Fauzi Aulia, Hasna Aziz, Alamsyah Azzumar, Farchan Cep Masdad Cherawaty, Aneu Deborah Anwar, Anita Dewi Sulastri Sutaran Dian Purnama Sari Dini Pajriani Khairunnisa Fiky Trisna Nilasari Fitri Hanriyani H. R., Teni Nurlatifah Halimatus Saidah Handari, Rahma Dewi Harefa, Umy Darni Hartiningsih, Siti Sugih Helda Helda Herlina, Lusi Hernawati, Yeti Herri S. Sastramidardja Herri S. Sastramihardja Herry Garna Herry Garna Herry S Sastramihardja Hidayat Wijayanegara HR, Teni Nurlatifah Ibna, Reihana Ramadlani Ida Jamilah Ikeu Nurhidayah Ira kartika Ira Kartika Iriani, Oktarina Sri Kartika, Ira Kartika, Ira Katmini, Katmini Khaedar, Mochamad Leri Septiani Lestari, Meti Widya Lestari, Mia Dwi Lia Novita Lina Herlina Lina Herlina Maya Indriati Ma’mun Sutisna Mega Fatimah Rosana Melan Meilani Mira Trisyani nashriva, Ita Neli Sunarni Nurlatifah HR, Teni Nurlatifah, Teni Nz.Gea, Diana Oktavia Pipih, Pipih Napisah Pramukani, Irka Putri Puspitasari R. Nety Rustikayanti Rahayu, Kusila Devia Rahma Amalyah Rahmawati, Nur Syifa Raksanagara, Ardini Sapatiningsih Ramadhani Ramadhani Ratminah, Mien Rosa Sonia Rahmawati Rosita . Rosita Rosita Rowawi, Roni Rustikayanti, R Nety S Sastramihardja, Herri Salamah, Qonita Nur Sarasati, Kadesma Fadhila Clara Shafira Suryadinda Siti Komsiah, Siti Siti Sugih Sri Hennyati A Sri Wulan Ratna Dewi Stusisna, Ma'nun Sudaryo, Mondastri Korib Sugih H, Siti Sugih, Siti Sumiati, Nenden Sum Suparni ,, Suparni Surtimanah, Tuti Sutisna, Ma'mun Sutisna, Ma’mun Teni Nurlatifah Teni Nurlatifah Teni Nurlatifah Trisiani, Desi Triwidiyantari, Dyah Whinalda, Dhinda Yanti, Ery Yeni Mahwati