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All Journal AKSIOLOGIYA : Jurnal Pengabdian Kepada Masyarakat Indonesian Journal of Medicine Journal of Maternal and Child Health Jurnal Aisyah : Jurnal Ilmu Kesehatan
Majestika Septikasari, Majestika
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Effect of Gestational Biological, Social, Economic Factors on Undernutrition in Infants 6-12 Months in Cilacap Septikasari, Majestika; Akhyar, Muhammad; Wiboworini, Budiyanti
Indonesian Journal of Medicine Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.775 KB)

Abstract

Background: Undernutrition in children under five can cause disorder in the physical growth, mental development, low intellegence, or even death. This study aimed to test the hypothesis that under nutrition in infants aged 6-12 months is associated with gestational biological, social, and economic factors.Subjects and Method: This was an analytic and observational study with case control design. This study was conducted in Cilacap, Central Java. A total of 144 infants aged 6-12 months were selected by fixed disease sampling, consisting of 72 undernutrition cases and 72 control. The dependent variable was undernutrition. The independent variables were birthweight, breastfeeding complementary food intake, exclusive breastfeeding, maternal education, paternal education, family income, MUAC at pregnancy, intra-household food allocation, and rural-urban residence. The data were collected by questionnaire and anthropometry. The data were analyzed by multiple logistic regression.Results: Birthweight <2500 gram (OR=8.12; 95% CI=0.92 to 71.64; p=0.059), inadequate intake of breastfeeding complementary food (OR=3.93; 95% CI=1.59 to 9.75; p=0.003), and non-exclusive breastfeeding (OR=2.46; 95% CI=1.13 to 5.36;  p=0.023) increased the risk of undernutrition in infants aged 6-12 months. Paternal education (OR=1.50; 95% CI=0.61 to 3.71; p=0.377), family income (OR=2.54; 95% CI= 1.03 to 6.28; p=0.43), MUAC (OR=1.32; 95% CI=0.512 to 3.38; p=0.562), intra-household food allocation (OR=1.84; 95% CI=0.85 to 4.02; p=0.123), maternal education (OR=0.78; 95% CI=0.31 to 1.97; p=0.599) and rural-urban residence (OR=0.82; 95% CI= 0.36 to 1.85; p=0.630) had non-significant effect on the risk of undernutrition in infants aged 6-12 months.Conclusion: Birthweight <2500 gram, inadequate intake of breastfeeding complementary food, and non-exclusive breastfeeding increase the risk of undernutrition in infants aged 6-12 months. Paternal education, family income, MUAC, intra-household food allocation, maternal education and rural-urban residence have non-significant effect on the risk of undernutrition in infants aged 6-12 months.Keywords: birthweight, gestational, biological, social, economic factors, undernutrition, infants aged 6-12 monthsCorrespondence: Majestika Septikasari. School of Health Al-Irsyad Al-Islamiyyah Cilacap, Central Java. Email: jeaflava@gmail.comIndonesian Journal of Medicine (2016), 1(3): 184-194https://doi.org/10.26911/theijmed.2017.02.01.06
Determinants of Low Birth Weight in Cilacap District Septikasari, Majestika
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (509.432 KB)

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Background: Low birth weight (LBW) is closely related to the increased risk of child morbidity and mortality, disruption of developmental growth and in the long-run has an increased risk of chronic disease in their adulthood. This study aims to analyze the effect of nutritional status at the beginning of pregnancy, maternal education and family expenditure on the incidence of low birth weight (LBW) in Cilacap District.Subjects and Method: This study is an obser­vational analytic study with a cross sectional approach. The study was conducted in three health centers in Cilacap District, Central Java, in 2016. A sample of 144 children aged less than 1 year was selected by cluster sampling. The depen­dent variable was birth weight. The independent variables were maternal MUAC, maternal educa­tion, and family income. The data are collected with medical records. The data were analyzed using multiple logistic regression analysis.Results: Maternal MUAC ≥23.5 cm (OR = 0.22; 95% CI = 0.57 to 0.89; p = 0.033) reduced the risk of LBW and it was statistically significant. Maternal education (OR = 0.51; 95% CI = 0.12 to 2.13; p = 0.356) and high family income (OR = 0.47; 95% CI = 0.09 to 2.47; p = 0.376) reduced the risk of LBW but it is statistically insignificant.Conclusion: Maternal MUAC ≥23.5 cm, high maternal education, and high family income reduced the risk of LBW.Keywords: low birth weight, maternal mid-upper arm circumferenceCorrespondence: Majestika Septikasari. School of Health Sciences Al-Irsyad Al-Islamiyyah Cilacap, Central Java, Indonesia. Email: majestika86@gmail.com.Journal of Maternal and Child Health (2020), 5(2): 141-146https://doi.org/10.26911/thejmch.2020.05.02.03
Peran Bidan dalam ASI Eksklusif di Kabupaten Cilacap Septikasari, Majestika
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 3, No 2 (2018): December
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (64.024 KB) | DOI: 10.30604/jika.v3i2.93

Abstract

Abstrak: Pemberian ASI eksklusif dapat menurunkan kematian balita di Indonesia sampai dengan 40%. Cakupan ASI Eksklusif di Kabupaten Cilacap hanya sebesar 36,16 persen. Bidan dapat berperan dalam meningkatkan cakupan ASI eksklusif. Tujuan dari penelitian adalah untuk menganalisis peran bidan dalam ASI eksklusif. Penelitian ini merupakan penelitian desriptif korelatif dengan pendekatan cross sectional. Sampel berjumlah 220 ibu yang memiliki anak berusia 6-12 bulan di wilayah Puskesmas Cilacap Selatan I pengumpulan sampel menggunakan teknik cluster random sampling. Data dianalisis menggunakan uji chi-square. Hasil penelitian menunjukan pengaruh yang kuat antara perawatan payudara selama kehamilan (OR 6,35; Cl 95 persen 3,27-12,31; p value 0.001) dan IMD (OR 11,56; Cl 95 persen 4,04-33,07; p value 0.001) terhadap ASI eksklusif. Sedangkan promosi ASI eksklusif (OR= 1,55; Cl95%=0,69-3,47; p=0,279) berpengaruh sedang terhadap ASI kesklusif. Peran bidan dalam melakukan promosi ASI eksklusif, perawatan payudara selama hamil dan IMD berpengaruh terhadap ASI eksklusif. Abstract: Exclusive breastfeeding led to decreasing 40 percent of children under-five mortality in Indonesia. Exclusive breastfeeding rate found in Cilacap in 2014 around 36,16 percent. Midwife role was able to increase exclusive breastfeeding. This research aim was to analyze midwife role on exclusive breastfeeding in Cilacap. Type of this study was a correlation descriptive with cross-sectional approach. Of 220 mothers who had babies aged 6-12 month in Puskesmas Cilacap Selatan I in 2014 collected by a cluster random sampling method. The analysis data used the chi-square test. The results showed a strong effect between breast care (OR=6,35; Cl 95 percent=3,27-12,31; p=0.001) and the initiation of breastfeeding (OR=11,56; Cl 95 percent=4,04-33,07; p=0.001) on exclusive breastfeeding. While exclusive breastfeeding promotion (OR= 1,55; Cl 95 percent=0,69-3,47; p=0,279) was sufficiently influential on exclusive breastfeeding. Midwife role on promotion of exclusive breastfeeding, beast care, and initiation breastfeeding affected the exclusive breastfeeding
Kader Kesehatan Sebagai Konselor Gizi Anak Septikasari, Majestika
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 2 No 1 (2018): Februari
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v2i1.1185

Abstract

Lack of adequate nutrition intake not only affects the disruption of growth and development of children but can further impact on increased risk of morbidity and mortality of children. In 2016, the number of children under five in Slarang Village is 1056 toddlers and 63 (5.96%) of them are malnourished. One of the efforts to overcome the problem is through the role of health cadres. But with the number of Poyandu 11 Posyandu and 55 health cadres, the role of cadres in promotive efforts is still lacking. Observations conducted at 4 posyandu showed that the cadres were only responsible for recording and weighing. Based on the interviews, the cadres found that children's nutrition knowledge is still lacking, they can not counsel properly and there is no cadre handbook.Community service activities have been implemented with the results have been compiled pocket book nutrition cadres. The number of participants was 19 cadres, the cadre's knowledge about children's nutrition had increased from 61,8 average to 93,7 and had been monitored activity to see the cadre skill in giving nutrition counseling of children through visit to 6 posyandu where 11 cadres conducted skill evaluation nutritional counseling of children with a checklist of more than 70.   
Co-Authors Ali Djamhuri Budiyanti Wiboworini Susilawati, Susilawati