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All Journal Miracle Get Journal Professional Evidence-based Research and Advances in Wellness and Treatment
Naomi Isabella Hutabarat
Unknown Affiliation
Nursing Public Health

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Determinants of Nutritional Status among Toddlers in the Baduy Indigenous Community, Lebak Regency, Banten Naomi Isabella Hutabarat; Suparmi
Miracle Journal Get Press Vol 2 No 3 (2025): August, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/mgj.v2i3.208

Abstract

Nutritional issues among toddlers remain a major public health concern, especially in indigenous communities with limited access to basic services and unique socio-cultural systems, such as the Baduy tribe in Banten, Indonesia. This study aimed to identify key determinants of toddler nutritional status in the Baduy community using a cross-sectional design and multivariate logistic regression analysis. A total of 120 toddlers aged 0–59 months from Baduy Dalam and Baduy Luar were purposively selected. Data were collected through anthropometric measurements and structured interviews covering demographic, economic, environmental, and healthcare access variables. Bivariate analysis (Chi-square) showed significant associations between nutritional status and maternal education, household economic status, environmental sanitation, and healthcare access (p < 0.05). Multivariate analysis confirmed these as significant predictors: low maternal education (AOR = 2.31), low economic status (AOR = 4.85), poor sanitation (AOR = 2.70), and limited healthcare access (>3 km) (AOR = 2.40). Child age and gender were not significant factors. The findings indicate that nutritional vulnerability in the Baduy is shaped by structural determinants tied to cultural norms, geographic isolation, and subsistence lifestyles. Effective interventions must be culturally sensitive, improve sanitation and food security, and ensure accessible, community-accepted health services, involving traditional leaders for sustainable impact.
Factors Affecting the Implementation of Early Initiation of Breastfeeding (IMD) in Postpartum Mothers at RSUD Dr. Kanujoso Djatiwibowo Balikpapan Ni Nyoman Murti; Naomi Isabella Hutabarat
Professional Evidence-based Research and Advances in Wellness and Treatment Vol. 2 No. 3 (2025): September, 2025
Publisher : CV. Get Press Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69855/perawat.v2i3.205

Abstract

Early initiation of breastfeeding (IMD) is a crucial process that allows newborns to begin breastfeeding within the first hour after birth. This practice strengthens the mother-child bond, enhances the baby’s immune system, and reduces neonatal mortality. Despite its benefits, IMD implementation in Indonesia still encounters various challenges, and few studies have examined its influencing factors by region or facility. This study aims to identify the factors associated with IMD implementation among postpartum mothers at RSUD Dr. Kanujoso Djatiwibowo Balikpapan. A descriptive analytic design with a cross-sectional approach was used. The study involved 42 postpartum mothers selected through non-probability saturated sampling. Data collection was conducted using questionnaires, and the results were analyzed with univariate and bivariate methods using the Chi-Square test. A total of 61.9% of respondents practiced IMD. Most had good knowledge (64.3%), belonged to the risk parity group (52.2%), received family support (54.8%), and had support from health workers (57.1%). Significant relationships were found between IMD implementation and maternal knowledge (p = 0.033), family support (p = 0.017), and health worker support (p = 0.003). These findings suggest the importance of education and support to improve IMD practices. In conclusion, IMD implementation is significantly influenced by maternal knowledge, family involvement, and healthcare provider support. Strengthening educational and support interventions is essential to enhance IMD coverage in health facilities.
Co-Authors Ni Nyoman Murti Suparmi