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Effect of Breastfeeding Technique Education on Breastfeeding Success Among Primiparous Postpartum Mothers in Magetan Nunung Devi M; Nurlailis Saadah; Astuti Setiyani; Budi Joko Santosa
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.493

Abstract

Exclusive breastfeeding rates in Indonesia remain below national and global targets, with a substantial proportion of postpartum mothers experiencing breastfeeding difficulties, particularly among primiparous women. Inadequate breastfeeding technique is a major contributing factor, often resulting from limited experience, insufficient education, and lack of hands-on guidance during the early postpartum period. These challenges may compromise breastfeeding success, maternal confidence, and infant nutrition outcomes. This study aimed to examine the effect of structured breastfeeding technique education on breastfeeding success among primiparous postpartum mothers. A quantitative pre-experimental study with a onegroup pretest–posttest design was conducted at RSUD dr. Sayidiman Magetan. Forty primiparous postpartum mothers were recruited using non-probability sampling based on predefined inclusion criteria. The intervention consisted of structured breastfeeding technique education delivered by trained midwives through direct explanation, visual leaflets, practical demonstrations, and interactive discussion sessions. Breastfeeding success was assessed before and after the intervention using the LATCH scoring system, which evaluates latch, audible swallowing, nipple type, maternal comfort, and infant positioning. Data were analyzed using the Wilcoxon Signed-Rank Test. The results demonstrated a statistically significant improvement in breastfeeding success following the educational intervention (Z = −5.35, p < 0.005), with a large effect size (r = 0.85). Prior to education, 75% of mothers were classified in the “not successful” category, while none achieved a “good” score. After the intervention, 70% of participants attained good breastfeeding success, and the proportion of mothers with inadequate scores decreased to 2.5%. Improvements were consistently observed across all LATCH components. In conclusion, structured breastfeeding technique education significantly enhances breastfeeding success among primiparous postpartum mothers. Integrating systematic, hands-on breastfeeding education into routine postnatal care is strongly recommended to promote effective breastfeeding practices and support exclusive breastfeeding goals.
The Effect of Chronic Energy Deficiency on the Incidence of Stunting in Childern Aged 24-59 Months Nisa Khoirotul Qoni'ah; Astuti Setiyani; Nurlailis Saadah; Sulikah Sulikah
International Journal of Advanced Health Science and Technology Vol. 6 No. 1 (2026): February
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v6i1.495

Abstract

Chronic Energy Deficiency (CED) during pregnancy is a significant public health concern with long-term effects on maternal and child health. The study explores the impact of maternal CED on stunting in children aged 24-59 months in Ngariboyo Public Health Center, where the prevalence of CED among pregnant women was 11.01% in 2023, and stunting affected 8.2% of children. The primary aim of this study is to determine the relationship between maternal CED and the incidence of stunting in the target population. Employing an analytical observational approach, this case-control study included 32 children with stunting as the case group and 64 non-stunted children as the control group, selected through random sampling methods. Data on maternal CED were obtained from maternal and child health records, while stunting data were gathered via questionnaires. The analysis utilized chi-square and Mantel-Haenszel common odds ratio tests to evaluate the association. The results indicated a significant association (p=0.021) between maternal CED and stunting, with an odds ratio of 3.201, suggesting that mothers with CED have a 3.2 times higher risk of giving birth to stunted children compared to mothers without CED. The study concludes that maternal CED is a crucial factor contributing to stunting in children. Therefore, interventionssuch as early identification and nutritional education for pregnant women are essential for stunting prevention. The findings emphasize the need for targeted public health policies to address maternal nutrition in rural settings.
Maternal Health Interventions and Other Determinants of Childhood Stunting: A Cross-Sectional Study Astuti Setiyani; Suparji Suparji; Hery Sumasto; Alfi Rusdianti
MEDICA (International Medical Scientific Journal) Vol. 8 No. 5 (2026): MEDICA (International Medical Scientific Journal)
Publisher : Borneo Scientific Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/medica.v8i5.920

Abstract

Stunting remains a major public health problem in developing countries and is associated with impaired cognitive development, poor educational attainment, reduced productivity, and an increased risk of chronic diseases later in life. Maternal health during pregnancy is considered a key determinant of child growth and development. This study aimed to identify factors associated with stunting among children under five years of age, with a particular focus on maternal health interventions during pregnancy, including antenatal care, nutritional monitoring, and micronutrient supplementation. A cross-sectional study was conducted among 140 mothers of children under five years of age attending four community health centers in Surabaya, East Java, Indonesia. Participants were selected using proportionate stratified random sampling. Data were collected using a structured questionnaire and analyzed using descriptive statistics, Chi-square tests, and binary logistic regression, with a significance level of p < 0.05. The results of the study show that the prevalence of stunting was 21.4%. Bivariate analysis showed that maternal health interventions were significantly associated with stunting (p = 0.040), while breastfeeding and complementary feeding practices demonstrated a marginal association (p = 0.074). Child nutritional intake (p = 0.271), immunization and growth monitoring (p = 1.000), and environmental sanitation (p = 0.526) were not significantly associated with stunting. Multivariable logistic regression analysis identified maternal health intervention as the most influential factor associated with stunting (OR = 0.46; 95% CI: 0.23–0.94; p = 0.032), indicating a protective effect against stunting among children under five years of age. In conclusion, maternal health interventions during pregnancy play a significant role in reducing the risk of childhood stunting. Strengthening antenatal care services, maternal nutrition support, and health education for pregnant women should therefore be prioritized as part of integrated stunting prevention strategies at the primary healthcare level.  
PEMBENTUKAN KELOMPOK PENDUKUNG AIR SUSU IBU (KP-ASI)  DI DESA SUMBERDODOL KECAMATAN PANEKAN KABUPATEN MAGETAN Astin Nur Hanifah; Agung Suharto; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2050

Abstract

The development of the health sector, as part of national development, is directed toward improving the quality of human resources. One of the indicators of successful health development is the reduction of infant mortality rates and the improvement of community nutritional status. Optimal nutritional status can only be achieved when good nutritional practices are implemented at every stage of life, including during infancy . Failures in breastfeeding often stem from a lack of information. The study by Ambarwati, Setiyani, and Usnawati (2017) indicates that breastfeeding discussion classes can improve breastfeeding practices among breastfeeding mothers (Ambarwati, Setiyani, and Usnawati, 2017). Parents’ Education has also been shown to be effective in improving the knowledge and attitudes of primigravida couples regarding exclusive breastfeeding. Efforts to enhance knowledge and attitudes toward exclusive breastfeeding must be continuously strengthened and followed by an evaluation of exclusive breastfeeding practices (Usnawati, 2017). Based on these findings, it is necessary to establish a Breastfeeding Support Group (KP-ASI) and implement breastfeeding assistance programs. The establishment of KP-ASI and the breastfeeding assistance program will be carried out through the following strategies: Phase 1: Issuance of an official request letter from Sumberdodol Village for the formation of a breastfeeding support group. Educational materials will be provided to third-trimester pregnant women and breastfeeding mothers. Phase 2: Delivery of educational materials to Posyandu cadres, third-trimester pregnant women, and breastfeeding mothers. The training session will be conducted once. The education session in the village is scheduled for Tuesday, September 9, 2025. Phase 3: Developing a meeting plan and activity schedule for the members and committee of the Breastfeeding Support Group (KP-ASI) for the following month.  
REFRESING KADER POSYANDU TENTANG PENCEGAHAN DAN DETEKSI STUNTING DI DESA TAPAK KECAMATAN PANEKAN KABUPATEN MAGETAN Agung Suharto; Astin Nur Hanifah; Heru SWN; Teta Puji Rahayu; Sunarto Sunarto; Sulikah Sulikah; Nurweningtyas Nurweningtyas; Tinuk Esti Handayani; Tutiek Herlina; Nurlailis Saadah; Budi Joko Santosa; Nana Usnawati; Suparji Suparji; Rahayu Sumaningsih; Nuryani Nuryani; Triana Septianti; Astuti Setiyani
MAJU : Indonesian Journal of Community Empowerment Vol. 3 No. 1 (2026): MAJU : Indonesian Journal of Community Empowerment, January 2026
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/maju.v3i1.2227

Abstract

Introduction: Posyandu cadres are community members who are involved in the community health center to manage the posyandu voluntarily. They are the main pillar and the front line of defense in improving the health status of the community because they are the ones who best understand the characteristics of the community in their area. Cadres also remind the community about the posyandu schedule, encourage pregnant women and parents of toddlers to come to the posyandu to monitor nutritional status and health. Objective: To determine the increase in knowledge of posyandu cadres in preventing stunting. Method: Conducting refresher posyandu cadres about prevention and detection of stunting in Tapak Village, the working area of ​​the Panekan Community Health Center, Magetan Regency, including providing health information to cadres so that it can be passed on to the community. Training on measuring and determining nutritional status aims to enable cadres to determine the nutritional status of toddlers accurately and provide actual and accurate reports to the community health center. Results: Of the 18 Posyandu cadre participants who attended the Posyandu refreshing activity held on September 9, 2025 with material on stunting prevention and toddler growth detection at the Tapak Village Hall, Panekan District, Pre-test scores were obtained, a small portion received a score of 8, namely 11% and most received a score of 10, namely 44%. While the post-test results obtained a small portion received a score of 9, namely 28% and most received a score of 10, namely 72%. Conclusion: There was an increase from the pre-test results to the post-test of knowledge and skills about stunting prevention in Posyandu cadres.
Development of a Community-Based Disaster Preparedness Module: Enhancing Resilience and Response Capabilities Suparji Suparji; Heru Santoso Wahito Nugroho; Sunarto Sunarto; Sulikah Sulikah; Astuti Setiyani; Alfi Rusdianti
Health Dynamics Vol 2, No 6 (2025): June 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20604

Abstract

Background: Disaster preparedness is one of the important aspects in reducing the negative impacts of disasters, especially in areas prone to natural disasters. This study aims to develop a community-based disaster preparedness module that can improve community resilience and response capabilities to disaster threats. This module is designed to provide practical guidance in preparedness efforts, as well as build the capacity of local communities. Methods: This study uses a research and development design with quantitative and qualitative approaches. The population in this study was the community in disaster-prone areas in Genilangit Village, Poncol District, Magetan Regency. The sample consisted of 120 respondents selected using purposive sampling techniques, with the criteria of the community who had been involved in disaster mitigation activities. The main variable in this study was community preparedness before and after the implementation of the module. The data collection instrument used a questionnaire to measure preparedness and in-depth interviews to gain qualitative insights into the implementation of the module. Quantitative data were analyzed using paired descriptive statistics to see the difference in preparedness before and after the module intervention. While qualitative data were analyzed using thematic analysis techniques. Results: The results of this study indicate that the implementation of the module significantly increased the level of community preparedness in terms of knowledge, attitudes, and skills related to disaster mitigation. Conclusion: These findings indicate that this module can be an effective tool in increasing community resilience in disaster-prone areas. 
The Relationship Between Nutritional Status and the Incidence of Dysmenorrhea in Adolescent Girls: A Frequency Analysis Based on Nutritional Status Categories Lintang Dwi Ariyanty; Sunarto Sunarto; Astuti Setiyani; Hery Sumasto
Health Dynamics Vol 1, No 9 (2024): September 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10902

Abstract

Background: Dysmenorrhea is a common complaint that occurs during menstruation. The main research problem is that dysmenorrhea is often experienced by young women with high cases. The results of preliminary studies show that adolescents with poor nutritional status or malnutrition have a 50% risk of experiencing dysmenorrhea. This study aims to analyze the relationship between nutritional status and the incidence of dysmenorrhea in adolescent girls. Methods: This type of research is observational analytic with a cross-sectional design. The population is all students in class VII MTs. Negeri 2 Magetan, totaling 225 students. The sample size was 144 students, calculated using the Slovin formula. The sampling technique is simple random sampling using a lottery. The independent variable in this study is nutritional status, and the dependent variable is dysmenorrhea. Instruments for measuring height use a height-measuring device, and instruments for measuring body weight use a weight scale. The instrument for measuring dysmenorrhea uses a questionnaire. Nutritional status data was collected by measuring body weight and height, while dysmenorrhea data was collected by filling out questionnaires. Analyze the data descriptively, and test the hypothesis using the Chi-Square statistical test. Results: The results of the study obtained a picture of 144 female students studied, half of whom had abnormal nutritional status (54.9%), and dysmenorrhea (54.2%). The prevalence ratio of exposure to abnormal nutritional status to the incidence of dysmenorrhea is 0.91. Then at 95% significance, there is a relationship between nutritional status and dysmenorrhea. Conclusion: This study concludes that there is a relationship between nutritional status and the incidence of dysmenorrhea in young women at MTs. Negeri 2 Magetan and the prevalence ratio of dysmenorrhea from exposure to abnormal nutritional status was 50.7%. Comprehensive nutritional education and early health intervention are recommended to prevent and reduce the risk of dysmenorrhea.
Knowledge and Attitudes of Pregnant Women towards Bankjo Lamp Technology: Case Study of Choosing a Birth Place Naning Siswati; Sunarto Sunarto; Astuti Setiyani; Nurwening Tyas Wisnu
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10804

Abstract

Background: A high-risk pregnancy jeopardizes both maternal and fetal lives. Despite recommendations for hospital births, six out of ten high-risk expectant mothers in Kawedanan opt for PMB or Community Health Center Maternity. To identify high-risk pregnancies, Kawedanan Community Health Center employs the innovative Bankjo lamp. This study investigates how pregnant women's attitudes and knowledge about Bankjo lamps influence their maternity location choice. Methods: This type of research uses quantitative descriptive research. This observational analytical research involved 57 expectant mothers due to maternity in January, February, or March. Using a cross-sectional design, the study treated knowledge and attitudes about Bankjo lamps as independent variables, with maternity location preference as the dependent variable. Data collection methods included knowledge and attitude questionnaires and monthly midwife reports. The data was analyzed using the Chi-Square test and descriptive statistics in the form of frequency distribution with presentation. Results: Findings indicate that pregnant women generally possess adequate knowledge about suitable maternity locations, with some showing insufficient understanding. A significant correlation (p = 0.013) exists between knowledge levels and preferred birthplace. Despite the preference for hospital births among nearly all expectant mothers, a majority hold negative attitudes, strongly correlated (p = 0.000) with their birthplace choices. Interestingly, while most pregnant women understand the Bankjo lamp innovation well, they harbor negative attitudes toward it. Nevertheless, almost all opt for hospital births, prioritizing medical safety despite reservations about new technologies. Conclusions: The study underscores the need for government support in advancing maternal health initiatives, including innovative technologies like Bankjo lamps. Enhancing awareness and promoting positive attitudes among expectant mothers can foster safer childbirth practices. By disseminating knowledge and addressing misconceptions, healthcare providers can better support high-risk pregnancies, ensuring better outcomes for both mothers and babies.
Evaluating the Impact of Nabila Cantika’s Innovation on Reducing Stunting in the Kawedanan Community Health Center, Magetan, Indonesia Mastuti Handayani; Astuti Setiyani; Sunarto Sunarto; Nurwening Tyas Wisnu
Health Dynamics Vol 1, No 9 (2024): September 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10904

Abstract

Background: Nabila Cantika is an innovation to overcome the problem of stunting. This innovation is in the form of toddler class training involving grandmothers. The training was conducted twice, each lasting 120 minutes. The novelty of the study lies in the involvement of grandmothers in the Toddler class. The purpose of the study was to evaluate the effectiveness of the Nabila Cantika innovation in reducing stunting rates. Methods: This study was descriptive and was conducted at the Kawedanan Health Center, Magetan, Indonesia, from February to May 2024. The study population consisted of 90 stunted toddlers cared for by their grandmothers. Samples were taken from the entire population that met the inclusion criteria. The independent variable was grandmothers who attended the Toddler class. Data collection used observation sheets and secondary data in the form of reports from nutrition officers. Data analysis was carried out descriptively, and the effectiveness of this innovation was tested using the McNemar test. Results: The results showed that the effectiveness of the Nabila Cantika program varied in each village. Before the innovation was implemented, 71 toddlers (78.9%) were classified as short, and 19 toddlers (21.1%) were classified as very short. After the innovation was implemented, out of 71 toddlers who were classified as short, 48 toddlers (67.6%) increased to the normal category, while 23 toddlers (32.4%) were still classified as short. Out of 19 toddlers who were classified as very short, 8 toddlers (42.2%) remained in that category, while 10 toddlers (57.8%) increased to the short category. This program has proven effective in reducing stunting rates with a significance value of 0.000. Conclusion: Nabila Cantika's innovation has proven very effective in reducing stunting rates in the Kawedanan Health Center area. This program needs to be continued and monitored until it reaches the target of zero stunting.
Community Empowerment in Stunting Prevention Through the Complete Stunting Response Mothers Movement (GITa TingTas) Astuti Setiyani; Hery Sumasto; Agung Suharto
Frontiers in Community Service and Empowerment Vol. 5 No. 1 (2026): March
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v5i1.118

Abstract

Currently, Indonesia is facing the problem of stunting, including in Magetan. The prevalence of stunting in 2022 was 17.2%, decreasing by 4.34% to 14.9%. Although this prevalence has decreased, it has not yet reached the 2024 RPJMN target of less than 14%. In Pandeyan Village, 14% of toddlers still experience stunting. Strong efforts are needed to reduce the stunting target. This stunting problem will be more easily prevented through Posyandu (Integrated Health Posts). Posyandu (Integrated Health Post) is an integrated service post for mothers and toddlers in a specific, agreed-upon area, driven by the community to provide health services. Posyandu is a form of community-based health service (UKBM) established by the community based on community initiative and needs, particularly for toddlers. The purpose of this community service is to raise public awareness of stunting prevention through health promotion, education for mothers of toddlers, and the formation of the Complete Stunting Response Mothers Movement Group (GITa TingTas). The method used is training to provide mothers of toddlers with understanding and competencies about exclusive breastfeeding, complementary feeding (MP-ASI), monitoring child growth and development, and the importance of environmental cleanliness. The results of the knowledge test before and after the test (post-test) showed that knowledge about stunting increased from 11% to 23%, and knowledge about stunting increased from 48% to 61%. Meanwhile, in the sufficient and insufficient knowledge categories, the percentages decreased during the pre- and post-tests. The sufficient knowledge category decreased from 23% to 16%, and the insufficient knowledge category decreased from 18% to 0%. Conclusion: The Cadre Training has had an impact on increasing mothers' knowledge about stunting prevention in Pandeyan Village, Maospati District, Magetan Regency. Recommendations: Ongoing training on stunting is needed to ensure mothers remain responsive to stunting prevention. Continuous cross-sectoral and cross-program efforts are needed so that stunting can be addressed with the participation of the entire community.
Co-Authors Agung Suharto Agung Suharto Aldita Hajar Setya Rohmah Alfi Rusdianti Alfi Rusdianti Ambarwati, Maria Retno Ani Media Harumi Aqila Fahru Sidqia Astin Nur Hanifah Aulia Savitri Bambang Hadi Sugito Budi Joko Santosa Darjati Dedi Kurniawan Demes Nurmayanti Domas Nurchandra Pramudianti Endarini, Lully Hani Ervi Husni, Ervi Evi Yunita N Farah Hanifah Farida Ayu Munika Irianty Fitri Rohkmalia Ginarsih, Yuni Hadi Suryono Handayani, Tinuk Esti Herlina, Tutiek Heru Santoso Wahito Nugroho Hery Sumasto I Desak Ayu Apriyanti Indah Lestari, Indah Ira Puspita Sari Ira Puspitasari Ira Rahayu Tiyar Sari Isfentiani, Dina Islamiah, Ahdatul Islamiah Juliana Christyaningsih Kartika Rahayuningsih, Christ Kasiati, Klanting Khambali, Khambali Kiaonarni OW Lembunai Tat Alberta, Lembunai Tat Lintang Dwi Ariyanty Mairo, Queen Khoirun Nisa’ Mamik Maria Retno Ambarwati Mastuti Handayani Mentari, Mulyananda Dwi Miliana Fantini Mutiarawati, Diah Titik N. S. Widodo Nabella Rahmadhani Nana Usnawati Nana Usnawati Suparji Naning Siswati Ngestiningrum, Ayesha Hendriana Nisa Khoirotul Qoni'ah Novi Danisia Ekayanti Nunung Devi M Nur Hatijah Nurchandra, Domas Nurlailis Saadah nurlailis saadah Nurlailis Saadah Nurlailis Sa’adah Nurweningtyas Nurweningtyas Nuryani Nuryani Nuryani, Nuryani Pengge, Nuning Marina Puji Astuti Purwanti, Dwi Purwanto, Triana Septianti Puspita Dewi, Teresia Retna Rahayu Sumaningsih Rancakasari, Ayu Ditya Rashel, Salsabila Nuriliyah Rashel Ratna Sari Refiola Priska Talia Renanda Ayu Revalina Anissa Azzahra Rijanto Rijanto, Rijanto Rodiyatun Salsabila Nuriliyah Rashel Rashel Santosa, Budi Joko Santosa, Budi Joko Sasongkowati, Retno Sepriarum, Satyawati Narda Sherly Jeniawaty, Sherly Siagian, Hotmaida Siswahyudianto Siti Alfiah Siti Alfiah Subagyo, Subagyo Suharto, Agung Suhermin, Suhermin Sukesi Sukesi . Suliati Sulikah Sulikah Sulikah Sulikah Sulikah, Sulikah Sumasto, Hery Sunarto Sunarto, Sunarto Suparji Suparji Suparji Suparji Suparji Suparji Susilaningrum, Rekawati Tatarini Ika Pipitcahyani Teta Puji Rahayu Tinuk Esti Handyani Titi Maharrani Triana Septianti Triana Septianti Purwanto Tsanir Rohmah Zamzami Ninik Wardani, Novita Eka Kusuma Wisnu, Nurwening Tyas Wisnu, Nurwening Tyas Yusianti Silviani