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The Behavior of Exclusive Breastfeeding and Complementary Feeding (MP-ASI) as Causes of Stunting in Toddlers in Jombang: A Case Study Rahmawati, Vivin Eka; Azizah, Ninik; Annuchasari, Helmi
Ahmar Metastasis Health Journal Vol. 4 No. 1 (2024): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v4i1.290

Exclusive breastfeeding, food preparation, and food sanitation are part of parental care patterns that also influence the occurrence of stunting. Stunting is a condition of impaired growth in toddlers due to chronic malnutrition, particularly during the first 1000 days of life. The issue of stunting in toddlers indicates chronic nutritional problems, influenced by many factors including the condition of the mother, the intranatal period, infancy or toddlerhood, and illnesses suffered during toddlerhood, as well as other issues that indirectly affect health. The purpose of this research is to explain and provide an understanding and interpretation of the internal dimension, namely the behavior of exclusive breastfeeding and complementary feeding for toddlers in Jombang District. This study uses a qualitative method with a case study approach conducted at the Health Office of Jombang Regency, East Java, and Mayangan Health Center. A total of 3 key informants, 11 mothers of toddlers as the main informants, and 1 supporting informant were selected purposively and by snowball sampling. Data collection was done using interviews, observations, and documentation. Data were analyzed using the Miles and Huberman approach. The results of the study indicate that parental education level, exclusive breastfeeding, and complementary feeding (MP-ASI) are among the factors causing stunting in Jombang Regency, East Java. The impact unrelated to the occurrence of stunting is parental occupation. There are several other internal and external factors causing stunting in Jombang Regency, East Java, such as parental education level, parental occupation, exclusive breastfeeding, and complementary feeding (MP-ASI).

Mothers' Perceptions Of The Influence Of Environmental Sanitation On The Causes Of Stunting In Toddlers Annuchasari, Helmi; Azizah, Ninik; Wulandari, Dewi Triloka; Rahmawati, Vivin Eka
Jurnal EduHealth Vol. 16 No. 01 (2025): Jurnal EduHealt, Edition January - March, 2025
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Nutritional status is an important health indicator where the age of toddlers is a group that is very vulnerable to nutritional problems, especially stunting, which is a condition of failure to grow in children under five years of chronic lack of nutrition so that height is less at their age. Research Objectives: to determine the Mother's Perception of the Effect of Environmental Sanitation on the Causes of Stunting in Toddlers. This research is a qualitative research with a case study approach. This research was conducted in the Mayangan Health Center area, Jombang Regency. The informants of this study amounted to 12 consisting of 3 key informants, 8 main informants and 1 supporting informant. Informants were selected by purposive sampling and snowball sampling to obtain the information needed to answer the research questions. The results of the study were that the mother's education level and sanitation were associated with the incidence of stunting, while parental labor and clean water were not associated with the incidence of stunting in Jombang Regency. Environmental sanitation factors are one of the triggers for the emergence of stunting in Jombang District.

Application of Theory of Planned Behavior on Periodic Testing among People Living with HIV/AIDS in Jombang, East Java, Indonesia Annuchasari, Helmi; Demartoto, Argyo; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.02.07

Background: HIV/AIDS is one of the sexually transmitted diseases that is still high in the world. As many as 650,000 people died from this disease, around 38.4 million people were living with HIV/AIDS (PLWHA), by the end of 2021 with 1.5 million people newly infected with HIV. This study aimed to explore the behavior of people with HIV/AIDS based on the theory of planned behavior. Subjects and Method: A qualitative design with a case study approach was conducted at the Jombang District Health Service, Jombang Care Center, and the Kabuh Community Health Center Work Area. A total of 5 key informants, 10 people with HIV/AIDS as main informants, 1 supporting informant were selected purposively and snowballed. Data collection was carried out by interviews, observation, documentation (taking photos and reviewing control cards of people with HIV/AIDS). Data were analyzed using the Miles and Huberman method. Results: Behavioral intentions are related to the behavior of regular examinations in PLWHA. Attitudes are related to the behavior of regular examinations of PLWHA. Subjective norms are related to the behavior of regular examinations in PLWHA. Perceived behavioral control is related to the behavior of periodic examinations of PLWHA in Jombang Regency, East Java. Conclusion: Informants have high intentions or positive intentions to carry out periodic examinations aimed at maintaining their health so that it is much better. Informants accept and believe that with regular check-ups their body condition and health will be much better. The role of family and peer support groups is stronger than the influence of health workers. All key informants had positive control behavior to carry out examinations at community health centers that were not close to where they lived when the service from health workers was non-discriminatory and provided accurate information.

Community-based insights on maternal nutrition knowledge and its role in preventing stunting and wasting in rural Indonesian children Wulandari, Dewi Triloka; Azizah, Ninik; Rahmawati, Vivin Eka; Annuchasari, Helmi
Journal of Current Health Sciences Vol. 5 No. 3: 2025
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2025128

Stunting and wasting remain significant public health challenges in Indonesia, with the 2023 SSGI survey reporting prevalences of 21.6% and 7.7% respectively—figures that exceed global targets, especially in rural areas. This qualitative case study, conducted in Mojowarno, Jombang Regency, was chosen due to its persistently high rates of child undernutrition and limited access to nutrition education. The study aimed to explore the relationship between maternal nutrition knowledge and the incidence of stunting and wasting among toddlers. Data were collected from 24 informants, including mothers, health workers, and a community volunteer, through in-depth interviews and triangulated with document and observation data. Results revealed that low maternal nutrition knowledge—characterized by limited understanding of balanced meals, meal timing, and child feeding practices—was a primary driver of malnutrition, regardless of parental occupation or income. The study highlights the urgent need for sustainable, community-based nutrition education interventions and cross-sectoral collaboration. Findings inform local policy and support targeted strategies for reducing stunting and wasting in similar rural contexts. Abstrak: Stunting dan wasting tetap menjadi tantangan kesehatan masyarakat yang signifikan di Indonesia, di mana Survei Status Gizi Indonesia (SSGI) 2023 melaporkan prevalensi masing-masing sebesar 21,6% dan 7,7%—angka yang masih melebihi target global, terutama di wilayah pedesaan. Studi kasus kualitatif ini dilakukan di Mojowarno, Kabupaten Jombang, yang dipilih karena tingginya angka kekurangan gizi pada anak dan terbatasnya akses edukasi gizi di wilayah tersebut. Penelitian ini bertujuan untuk mengkaji hubungan antara pengetahuan gizi ibu dengan kejadian stunting dan wasting pada balita. Data dikumpulkan dari 24 informan yang terdiri dari ibu balita, tenaga kesehatan, dan kader masyarakat melalui wawancara mendalam, serta triangulasi dengan data dokumen dan observasi. Hasil penelitian menunjukkan bahwa rendahnya pengetahuan gizi ibu—yang tercermin pada pemahaman terbatas tentang pola makan seimbang, jadwal makan, dan praktik pemberian makan anak—menjadi faktor utama terjadinya malnutrisi, terlepas dari pekerjaan atau pendapatan orang tua. Studi ini menyoroti perlunya intervensi edukasi gizi berbasis komunitas yang berkelanjutan serta kolaborasi lintas sektor. Temuan ini dapat menjadi acuan kebijakan lokal dan mendukung strategi terarah untuk menurunkan angka stunting dan wasting di wilayah pedesaan serupa.

Application of Theory of Planned Behavior on Periodic Testing among People Living with HIV/AIDS in Jombang, East Java, Indonesia Annuchasari, Helmi; Demartoto, Argyo; Prasetya, Hanung
Journal of Health Promotion and Behavior Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpb.2024.09.02.07

Background: HIV/AIDS is one of the sexually transmitted diseases that is still high in the world. As many as 650,000 people died from this disease, around 38.4 million people were living with HIV/AIDS (PLWHA), by the end of 2021 with 1.5 million people newly infected with HIV. This study aimed to explore the behavior of people with HIV/AIDS based on the theory of planned behavior. Subjects and Method: A qualitative design with a case study approach was conducted at the Jombang District Health Service, Jombang Care Center, and the Kabuh Community Health Center Work Area. A total of 5 key informants, 10 people with HIV/AIDS as main informants, 1 supporting informant were selected purposively and snowballed. Data collection was carried out by interviews, observation, documentation (taking photos and reviewing control cards of people with HIV/AIDS). Data were analyzed using the Miles and Huberman method. Results: Behavioral intentions are related to the behavior of regular examinations in PLWHA. Attitudes are related to the behavior of regular examinations of PLWHA. Subjective norms are related to the behavior of regular examinations in PLWHA. Perceived behavioral control is related to the behavior of periodic examinations of PLWHA in Jombang Regency, East Java. Conclusion: Informants have high intentions or positive intentions to carry out periodic examinations aimed at maintaining their health so that it is much better. Informants accept and believe that with regular check-ups their body condition and health will be much better. The role of family and peer support groups is stronger than the influence of health workers. All key informants had positive control behavior to carry out examinations at community health centers that were not close to where they lived when the service from health workers was non-discriminatory and provided accurate information.

How Family and Health Cadres Enable Routine Integrated Antenatal Care (ANC) Attendance Among Pregnant Women: A Descriptive Phenomenological Study in Jombang, Indonesia Azizah, Ninik; Annuchasari, Helmi; Rahmawati, Vivin Eka; Wulandari, Dewi Triloka
Journal of Current Health Sciences Vol. 6 No. 1: 2026
Publisher : Utan Kayu Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/jchs.2026147

Integrated Antenatal Care (ANC) depends on sustained attendance across pregnancy, yet routine participation remains uneven. This study explored how pregnant women interpret family and health cadre support for maintaining routine Integrated ANC at the Jarak Kulon Primary Health Care Center, Jombang. Routine was defined as attending scheduled Integrated ANC contacts (PHC/Posyandu) and rescheduling any missed appointment within the same month. Using descriptive phenomenology, purposive sampling recruited pregnant women residing in the catchment area who had attended Integrated ANC in the current pregnancy, along with health cadres and key family supporters. Data were collected in March 2025 through in-depth semi-structured interviews (10 pregnant women, 4 cadres, 3 family members), supported by participatory observation and document review, and analyzed iteratively using Miles and Huberman’s reduction–display–verification procedures with NVivo. Two interrelated themes were identified. Cadre support functioned mainly as informational and instrumental support—education on ANC and danger signs, schedule reminders (including WhatsApp), home follow-up after missed visits, and assistance navigating access constraints. Family support operated primarily as emotional and instrumental support—reassurance, accompaniment, financial prioritization, and household task adjustments that made attendance feasible. Overall, participants described support as strengthening confidence and capability to keep visits on schedule, consistent with House’s (1981) social support dimensions. Abstrak. Pelayanan Antenatal Terpadu (ANC) memerlukan kehadiran yang berkelanjutan sepanjang kehamilan, namun partisipasi rutin masih belum merata. Penelitian ini mengeksplorasi bagaimana ibu hamil memaknai dukungan keluarga dan kader kesehatan dalam mempertahankan kunjungan ANC Terpadu yang rutin di Puskesmas Jarak Kulon, Jombang. “Rutin” didefinisikan sebagai menghadiri kontak ANC Terpadu yang terjadwal (Puskesmas/Posyandu) dan menjadwalkan ulang setiap kunjungan yang terlewat dalam bulan yang sama. Dengan menggunakan fenomenologi deskriptif, teknik purposive sampling merekrut ibu hamil yang tinggal di wilayah kerja dan telah mengikuti ANC Terpadu pada kehamilan saat ini, serta kader kesehatan dan anggota keluarga pendukung utama. Data dikumpulkan pada Maret 2025 melalui wawancara mendalam semi-terstruktur (10 ibu hamil, 4 kader, 3 anggota keluarga), didukung observasi partisipatif dan telaah dokumen, lalu dianalisis secara iteratif menggunakan prosedur reduksi–penyajian–verifikasi Miles dan Huberman dengan NVivo. Ditemukan dua tema yang saling terkait. Dukungan kader terutama berfungsi sebagai dukungan informasional dan instrumental—edukasi tentang ANC dan tanda bahaya, pengingat jadwal (termasuk WhatsApp), tindak lanjut ke rumah setelah kunjungan terlewat, serta bantuan menavigasi kendala akses. Dukungan keluarga terutama berfungsi sebagai dukungan emosional dan instrumental—penguatan, pendampingan, prioritas pembiayaan, dan penyesuaian tugas rumah tangga sehingga kunjungan menjadi mungkin. Secara umum, partisipan memaknai dukungan sebagai penguat kepercayaan diri dan kemampuan untuk menjaga kunjungan tetap sesuai jadwal, selaras dengan dimensi dukungan sosial House (1981).

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