Umi Sukowati
Universitas dr. Soebandi

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Maternal Behavior Regarding Stunting Prevention Using Health Belief Model Lailil Fatkuriyah; Ulfia Fitriani Nafista; Ainul Hidayati; Umi Sukowati
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 1 (2026): EDITION MARCH 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i1.6764

Abstract

The national prevalence of stunting among children in Indonesia has yet to meet the WHO’s minimum target of below 20%. Furthermore, in Jember Regency, 34.9% of children were affected by stunting in 2023. Stunting not only leads to a shorter height compared to peers of the same age but also has both short-term and long-term effects that can deteriorate a child's health and even increase the risk of mortality. A mother's engagement in stunting prevention is affected by perceptions and beliefs, including perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The aim of this research was to identify factors related to maternal behavior regarding prevention of stunting using the Health Belief Model approach. This study is an analytical observational research using a cross-sectional approach. It was conducted in Karengrejo Village, Jember Regency, involving 88 mothers of children under five. Participants were recruited through purposive sampling. The independent variables include: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The dependent variable is stunting prevention behavior. Data collection was conducted using the Health Belief Model questionnaire and the Stunting Prevention Behavior questionnaire. Data analysis was performed using the Spearman Rho statistical test with a significance level of 0.05. Statistical test results show that perceived susceptibility (p=0.011; r=0.273), perceived severity (p=0.018; r=0.254), and self-efficacy (p=0.004; r=0.310) have a significant relationship with maternal stunting prevention behavior. Strategies should be implemented to strengthen mothers' perceived susceptibility, perceived severity, and self-efficacy, encouraging greater involvement in stunting prevention through various programs, such as counseling, education, and home visits to increase mothers’ knowledge and skills related to appropriate feeding practices. 
Association Between Breastfeeding Frequency and Neonatal Jaundice in the Perinatology Unit of Bhayangkara Hospital Bondowoso Anik Ummi Faizah; Lailil Fatkuriyah; Umi Sukowati
Journal of Nursing Periodic Vol. 2 No. 2 (2025): July
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/jnp.v2i2.44

Abstract

Introduction: Low frequency of breastfeeding (<8 times per day) can reduce the infant's body fluid volume, thereby hindering bilirubin excretion and resulting in reabsorption into the bloodstream. This condition increases bilirubin levels and the risk of neonatal jaundice. If not properly managed, jaundice can develop into kernicterus, a condition of permanent brain damage caused by the accumulation of bilirubin in brain tissue. In Indonesia, the incidence rate of hyperbilirubinemia is 79.6%. At Bhayangkara Hospital Bondowoso in 2024, 25.7% of newborns experienced jaundice. This study aims to analyze the relationship between breastfeeding frequency and the incidence of neonatal jaundice in the Perinatology Unit of Bhayangkara Hospital Bondowoso. Methods: This is a quantitative study with a cross-sectional design. The population consisted of all mothers who gave birth at Bhayangkara Hospital Bondowoso, totaling 103 individuals. The sample size was calculated using the Slovin formula, resulting in 83 respondents selected through purposive sampling. Results: The results showed that the majority of respondents (54%) breastfed with a low frequency (<8 times per day), while 46% breastfed frequently (≥8 times per day). Furthermore, 53% of infants experienced jaundice, while 47% did not. Based on the chi-square statistical test, there was a significant relationship between breastfeeding frequency and the incidence of neonatal jaundice at Bhayangkara Hospital Bondowoso, with a p-value of 0.000 (<0.05). Conclusions: This indicates that the lower the frequency of breastfeeding, the higher the risk of jaundice in newborns. The findings of this study are expected to serve as a foundation for enhancing education for breastfeeding mothers to prevent jaundice in newborns. Keywords: Breastfeeding frequency, neonatal jaundice