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All Journal Jurnal EduHealth Jurnal Vokasi Kesehatan
Paramitha, Fiona
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Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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The Effects of Early Initiation of Breastfeeding and Exclusive Breastfeeding on Stunting among Children Under Five: A Systematic Review Paramitha, Fiona
Jurnal Vokasi Kesehatan Vol 4 No 1 (2025)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/juvokes.v4i1.1388

Abstract

This systematic review aims to synthesize and critically appraise the evidence on the association between early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) with the incidence of stunting in children under five years of age. A comprehensive search was conducted through Semantic Scholar and related databases up to April 2024. Selection, data extraction, and methodological quality assessment followed PRISMA guidelines and were conducted independently by two reviewers. Results were synthesized narratively due to heterogeneity of included studies. Of 1,500 articles identified, 1,050 were screened after removal of duplicates. After screening titles and abstracts, 80 full-text articles were assessed, and 40 studies were included in the synthesis. Most studies showed a significant protective effect of both EIBF and EBF against stunting, with odds ratios for stunting in non-EBF children ranging from 4.08 to 21.0. Delayed EIBF increased the risk of stunting with some studies reporting odds ratios up to 9.14. Meta-analyses confirmed this protective association with pooled adjusted odds ratios for EBF around 0.73. Early initiation and exclusive breastfeeding for the first six months are proven, low-cost, and scalable interventions for reducing stunting risk in children under five.
Effectiveness of Interactive Education on Cardiovascular Risk in Increasing Knowledge of Reproductive Age Women for Prevention of Pregnancy Complications Paramitha, Fiona; Halim, Alviannur; Ramadani, Tri Putra Rahmad; Tanara, Erick; Adi, Rahmantio; Rachmanto, Iman
Jurnal EduHealth Vol. 16 No. 04 (2025): Jurnal EduHealt, Edition October-December , 2025
Publisher : Sean Institute

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Abstract

Pregnancy complications related to cardiovascular disease are a significant cause of maternal morbidity and mortality in Indonesia, exacerbated by low health literacy among women of reproductive age. Effective education is a key intervention, but the most impactful model still needs to be explored. This study aims to evaluate the effectiveness of a multimedia-based interactive education program in increasing knowledge about cardiovascular risk as a preventive measure for pregnancy complications in women of reproductive age. This study uses a quasi-experimental design with a one-group pretest-posttest approach. A total of 17 women of reproductive age (20-35 years) in Malang, who were members of the Indonesian Midwives Association, participated in this program. The intervention consisted of face-to-face education sessions that combined lectures, discussions, and posters and videos. Participants' knowledge was measured before and after the intervention using a validated questionnaire. Data analysis was performed using descriptive statistics and the Wilcoxon signed-rank test. The results showed a statistically significant increase in participants' knowledge scores after the intervention (Z = -2.810$, p = 0.005). The average knowledge score increased from 94.12 (SD = 11.21) on the pre-test to 95.29 (SD = 11.72) on the post-test. All program outputs, including educational modules, media publications, and activity videos, were successfully completed. The interactive education model proved effective in increasing the knowledge of women of reproductive age about cardiovascular risks in pregnancy.
Co-Authors Adi, Rahmantio Halim, Alviannur Rachmanto, Iman Ramadani, Tri Putra Rahmad Tanara, Erick