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Sumarah Sumarah
Department of Midwifery, Poltekkes Kemenkes Yogyakarta, Yogyakarta, Indonesia
Biochemistry, Genetics & Molecular Biology Chemistry Dentistry Health Professions Immunology & microbiology Public Health

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Factors Associated with the Diarrhea Incident in Children Ages 12-59 Months Sumarah Sumarah; Salsabilla Jannah; Yuliantisari Retnaningsih; Sri Winarni
JURNAL INFO KESEHATAN Vol 23 No 4 (2025): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol23.Iss4.1838

Abstract

Diarrhea remains one of the leading causes of mortality among children under five years of age and ranks as the second most common cause of death among Indonesian children aged 12–59 months. Given its endemic nature and potential to cause outbreaks, identifying modifiable risk factors is essential for effective prevention. This study aimed to analyze factors associated with the occurrence of diarrhea among children aged 12–59 months in Bantul, Indonesia. An observational analytic study with a retrospective case–control design was conducted using purposive sampling. A total of 160 children aged 12–59 months were included, comprising 80 diarrhea cases and 80 controls. Data were collected from mothers using structured questionnaires, while children’s nutritional status was assessed using the Growth Monitoring Card. Data analysis was performed using chi-square tests and multivariable logistic regression. The results demonstrated significant associations between diarrhea incidence and nutritional status (p = 0.041; OR = 2.343), economic status (p = 0.024; OR = 2.200), household water source (p = 0.016; OR = 1.209), hand-washing behavior (p < 0.001; OR = 3.646), and history of exclusive breastfeeding (p < 0.001; OR = 5.479). Multivariate analysis identified a history of exclusive breastfeeding as the strongest factor associated with diarrhea occurrence (p < 0.001; OR = 4.140; 95% CI: 1.938–8.843). In conclusion, diarrhea among children aged 12–59 months is significantly associated with nutritional status, socioeconomic conditions, water sources, hand hygiene practices, and exclusive breastfeeding history, with exclusive breastfeeding showing the greatest protective effect. Strengthening parental education and public health programs that promote exclusive breastfeeding is essential for reducing diarrhea incidence in young children.
Exclusive Breastfeeding History with The Incidence of Stunting in Children Aged 6-24 Months Sumarah Sumarah; Munica Rita Hernayanti
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.3858

Abstract

Background: Stunting is nutritional health issues in Indonesia affecting children under 5 years. Numerous variables, including exclusive breastfeeding, can contribute to stunting. This study aims to find out the influence of history of exclusive breastfeeding to stunting in children between the ages of 6 and 24 months in the Turi Health Center working area. Methods: This study used a case-control study design and an observational-analytic sampling with a simple random sampling method. All children aged 6-24 months in Turi Health Center's toddler registration who met the inclusion and exclusion criteria were listed as study subjects. There were 100 subjects with 50 subjects being cases and 50 subjects being controls. Data analysis used univariable, bivariable using Chi-square, and multivariable using logistic regression. Results: The characteristics of respondents with male and female gender had the same proportion (50%), while the children age were mostly 13-24 months old (62%). Most of respondents had a history of exclusive breastfeeding (80%) dan had never experiencing infectious diseases (58%). The findings demonstrated a significant correlation between exclusive breastfeeding history and stunting among children aged 6-24 months with a p-value of 0.012 OR 3.857 (95% CI:1.278-11.638). Conclussion: Exclusive breastfeeding is one of the keys to provide sufficient nutrients among children under five. Exclusive breastfeeding continues to be promoted to decrease the prevalence of stunting in children aged 6-24 months.or exploring other variables that influence labor progress.
Strengthening Application-Based Digital Health Literacy in The Prevention and Management of Stunting among Mothers with Children Under Five Years of Age Dyah Noviawati Setya Arum; Masrif Masrif; Atik Ismiyati; Sumarah Sumarah; Nuning Marina Pengge; Linda Nur Wahyuni
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.4194

Abstract

Background: The rapid advancement of information technology has significantly transformed access to health information. However, the emergence of online media as a major information channel has also brought negative consequences, such as the widespread dissemination of misinformation, particularly when not accompanied by adequate digital literacy skills. This study aimed to analyze the effect of strengthening digital health literacy among mothers with children under five years of age in preventing and managing stunting. Methods: A quasi-experimental study with a two-group pre-posttest design was conducted involving 112 mothers of children under five with stunting, divided into control (n=56) and intervention (n=56) groups. Samples were selected using simple random sampling. A web-based application, Cegating, was developed and tested for usability using the System Usability Scale (SUS). Respondents’ knowledge was measured using a structured questionnaire. Data were analyzed using univariate and bivariate approaches with SPSS software. Results: The usability test of Cegating yielded a SUS score of 89.8%. In the intervention group, the mean knowledge score increased from 62.52 (pre-test) to 64.79 (post-test) (p=0.001). In the control group, the mean score increased from 60.68 to 63.30 (p=0.029). Conclusion: Strengthening digital health literacy improved mothers’ knowledge in preventing and managing stunting. The Cegating application is feasible and effective as an educational tool to enhance health education strategies for mothers with children under five to prevent and address stunting.
Co-Authors Atik Ismiyati Dyah Noviawati Setya Arum Linda Nur Wahyuni Masrif Munica Rita Hernayanti Nuning Marina Pengge Salsabilla Jannah Sri Winarni Yuliantisari Retnaningsih