Indah Trianingsih
Poltekkes Kemenkes Tanjung Karang

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Hubungan Riwayat Kekurangan Energi Kronis (KEK) Ibu Hamil dengan Kejadian Stunting Balita Marlina Marlina; Putu Rangga Dewi Dasi; Indah Trianingsih; Adinda Juwita Sari
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 3 (2025): February Edition 2025
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i3.804

Abstract

Background: Cases of pregnant women experiencing SEZ, which increases the risk of low birth weight and stunting, are still found in East Lampung District. Purpose: To determine the relationship between the history of chronic energy deficiency (CED) in pregnant women and the incidence of stunting in children under five. Method: Correlation analytic study with cross-sectional design. The population in this study were all mothers who had toddlers aged 0-59 months in 2023 totaling 1030 recorded in medical records (secondary data) with a research sample of 100 respondents. The independent variable in this study is the history of maternal SEZ when pregnant and the independent variable is stunitng in toddlers aged 0-59 months. The sampling technique used was proportional random sampling technique. Data collection tools in the form of a checklist. Data analysis used univariate with percentage, bivariate with Chi Square. Results: The study showed that toddlers who were stunted were 21% and mothers who had a history of SEZ were 26%. Conclusion: The results of statistical tests can be concluded that there is a highly significant relationship between the history of SEZ in pregnant women and the incidence of stunting in toddlers with a p-value of 0.000 with an OR of 22,080. Suggestion: Researchers suggest conducting more in-depth longitudinal studies to evaluate the effectiveness of long-term nutrition interventions and examining other factors such as socioeconomics, access to health services, and environmental factors that influence SEZ and stunting. The development of new intervention models that are more effective in accordance with local conditions is also needed to address nutrition problems more comprehensively. Keywords: Community Health Center; Health Center; Nutrition Problem. Pendahuluan: Kasus ibu hamil yang mengalami KEK, yang meningkatkan risiko bayi lahir dengan berat rendah dan stunting masih ditemukan di Kabupaten Lampung Timur. Tujuan: Untuk mengetahui hubungan antara riwayat kekurangan energi kronis (KEK) pada ibu hamil dengan kejadian stunting pada balita. Metode: Penelitian analitik korelasi dengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh ibu yang memiliki balita usia 0-59 bulan tahun 2023 berjumlah 1030 yang tercatat dalam rekam medik (data sekunder) dengan sampel penelitian ada 100 responden. Variabel independen dalam penelitian ini riwayat KEK ibu ketika hamil dan variabel independennya stunitng pada balita usia 0-59 bulan . Teknik sampling yang digunakan adalah teknik porposional random sampling. Alat pengumpulan data berupa ceklist. Analisis data yang digunakan univariat dengan persentase, bivariat dengan Chi Square. Hasil: Penelitian terlihat bahwa balita yang mengalami stunting sebanyak 21% dan ibu yang mengalami Riwayat KEK sebanyak 26%. Simpulan: Hasil uji statistik dapat disimpulkan adanya hubungan yang sangat signifikan antara hubungan Riwayat KEK pada ibu hamil dengan kejadian stunting pada balita dengan p-value 0.000 dengan OR 22.080. Saran: Peneliti menyarankan untuk melakukan studi longitudinal yang lebih mendalam untuk mengevaluasi efektivitas intervensi gizi jangka panjang dan meneliti faktor-faktor lain seperti sosioekonomi, akses layanan kesehatan, dan faktor lingkungan yang mempengaruhi KEK dan stunting. Pengembangan model intervensi baru yang lebih efektif sesuai dengan kondisi lokal juga diperlukan untuk menangani masalah gizi secara lebih komprehensif.
Factors Associated with Early Introduction of Complementary Feeding (CF) Marlina Marlina; Nadia Dwi Putri; Indah Trianingsih; Yusari Asih; Yeyen Putriana
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.2656

Abstract

Background: Early introduction of complementary feeding (MP-ASI) is the practice of providing additional food to infants before the age of six months, which contradicts the recommendations of the World Health Organization (WHO) and the Indonesian Ministry of Health (WHO, 2020). This practice may increase the risk of digestive disorders, infections, and nutritional problems in infants. WHO reports that only about 40% of infants worldwide receive exclusive breastfeeding, while the rest are introduced to complementary foods prematurely (WHO, 2021). The low rate of exclusive breastfeeding indicates that the practice of early MP-ASI is still prevalent. This phenomenon may be influenced by several factors, such as maternal knowledge, education, and employment status. Purpose: To identify the factors associated with early complementary feeding. Method: This research was a quantitative study with a cross-sectional design. The population included all mothers with infants aged 6–12 months in Marga Kaya Village. The sample consisted of 43 respondents selected using total sampling technique. Data were collected using questionnaires and analyzed using univariate descriptive analysis and bivariate analysis with the Chi-Square statistical test. Results: The results showed that most mothers introduced CF before six months of age (68.1%), with the majority having low knowledge (62.8%), low education (55.8%), and not working (67.4%). The Chi-Square test revealed a significant relationship between maternal knowledge (p = 0.001), education (p = 0.006), and employment (p = 0.022) and the practice of early CF. Conclusion: It can be concluded that there is a significant association between maternal knowledge, education, and employment and the practice of early complementary feeding. Suggestion: It is recommended that health workers enhance maternal education to ensure CF is provided at the appropriate recommended age.
The role of breastfeeding practices as part of reproductive health in preventing stunting in toddlers aged >24 months Nelly Indrasari; Eva Berliana; Amrina Octaviana; Indah Trianingsih; Risneni Risneni
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i2.3299

Abstract

Background: Stunting is a chronic nutritional problem that impacts child growth and development and is an important indicator of reproductive health. Optimal breastfeeding practices, such as Early Initiation of Breastfeeding (IMD), exclusive breastfeeding, and breastfeeding until two years of age, are part of reproductive health interventions that play a role in preventing stunting. Purpose: To analyze the role of breastfeeding practices as part of reproductive health in preventing stunting in toddlers aged 24-59 months. Method: This study used a correlational analytical design with a cross-sectional approach. The study population was 1,497 toddlers, with a sample of 94 respondents selected using a purposive sampling technique. Data were collected through questionnaires and anthropometric measurements, then analyzed using the chi-square test with a significance level of 0.05. Results: The study showed a significant association between breastfeeding practices and stunting, including early initiation of breastfeeding (IMD) (p=0.001; OR=0.175), exclusive breastfeeding (p=0.001; OR=0.023), and breastfeeding until 24 months of age (p=0.001; OR=0.089). Overall, successful breastfeeding practices as part of reproductive health were significantly associated with stunting (p=0.001; OR=0.019), with toddlers who received optimal breastfeeding practices having a 98.1% lower risk of stunting. Conclusion: Thus, breastfeeding practices are a crucial component in efforts to prevent stunting in toddlers, particularly within the framework of reproductive health interventions
Factors associated with breast self-examination behavior in adolescent girls Indah Trianingsih; Estu Ayu Ningsih; Amrina Octaviana; Roslina Roslina; Santa Nuriya
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i2.3301

Abstract

Background: Brelast canceler is the most common type of canceler among women worldwide, including in Indonesia. The Ministry of Health of the Republic of Indonesia states that one of the institutions that can be made for early prevention of brelast canceler is brelast sellf-examination, commonly known as SADARI (an acronym in Indonesian). According to the 2019 Non-Communicable Diselasel Relselarch (PTM 2019), the practice of BSE among the public is still level low. As many as 53.7% have nelvelr pelrformeld BSE, whilel 46.3% havel donel it at last oncel. Howelvelr, the practice of BSE among felmalel adolelscelnts relmains relatively low. Purpose: to deltelminel the factors associated with brelast sellf-examination belhavior among felmalel adolelscelnts. Method: This research uses a correlational analytic analysis with a cross-selective approach. The sample consisted of 89 students sold using simple random sampling. Data welrel collelcteld using quelstionnairels melasuring knowleldgel, attitudel, family support, and BSEL behavior. Data analysis was carried out using the chi-square telst. Results: The results showed that the majority of respondents had good BSEL behavior (30.3%), good knowledge (51.7%), positive attitudes (53.9%), and good family support (46.1%). Thelrel was a significant relationship beltweleln knowledge and BSEL behavior (p=0.000), attitude and BSEL behavior (p=0.000), and family support and BSEL behavior (p=0.030)(p<0.05). Conclusion: It can be concluded that knowledge, attitude, and family support are associated with BSEL behavior among female students.