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Latar Belakang. Wilayah Depok menduduki posisi lokasi fokus stunting, salah satunya di Kelurahan Sawangan. Berdasarkan pengolahan data awal, diketahui prevalensi stunting meningkat dari 6,29% menjadi 7,29% dan menduduki peringkat ke-2 se kota Depok.
Tujuan. Mengetahui Gambaran Pola Asuh Ibu balita stunting (0-59 bulan) di Wilayah kerja UPTD Puskesmas Sawangan Depok Tahun 2024.
Metode. Penelitian kualitatif dengan pendekatan studi kasus melalui wawancara mendalam secara tatap muka dan observasi. Sampel dipilih secara purposive sampling sesuai kriteria inklusi dan eksklusi dengan 6 informan utama yang memiliki balita stunting 0-59 bulan, informan keluarga, serta informan kunci terdiri dari, Tenaga Pelaksana Gizi, Bidan, Ketua kader dan kader posyandu.
Hasil. Hasil penelitian terhadap informan utama dengan balita stunting menunjukkan bahwa sebagian besar ibu tidak memberikan ASI Eksklusif kepada anaknya, memberikan makan dengan frekuensi yang kurang, variasi makanan tidak beragam karena anak banyak diberikan camilan. Selain itu, ibu dengan anak stunting juga mendapatkan dukungan psikososial yang rendah serta rendahnya partisipasi ke Posyandu.
Kesimpulan. Terdapat faktor pola asuh yang mempengaruhi naiknya prevalesi stunting di wilayah Puskesmas Sawangan .
Background. The Depok area occupies a stunting focus location, one of which is Sawangan Village. Based on preliminary data collection, it is known that the prevalence of stunting has increased from 6.29% to 7.29% and is ranked 2nd in Depok City. Objective. Find out the description of parenting patterns for mothers of stunted toddlers (0-59 months) in the UPTD work area of the Sawangan Community Health Center, Depok in 2024. Method. Qualitative research with a case study approach through in-depth face-to-face interviews and observations. The sample was selected using purposive sampling according to the inclusion and exclusion criteria with 6 main informants who had stunted toddlers aged 0-59 months, family informants, and key informants consisting of nutrition workers, midwives, cadre heads and posyandu cadres. Results. The results of research on key informants with stunted toddlers show that the majority of mothers do not give exclusive breast milk to their children, provide food with less frequency, the variety of food is not diverse because the children are given lots of snacks. Apart from that, mothers with stunted children also receive low psychosocial support and low participation in Posyandu. Conclusion. There are parenting style factors that influence the increase in stunting prevalence in the Sawangan Community Health Center area.
Stunting is often associated with a lack of purchasing power due to poor economic conditions. However, according to data found by researchers, 46 of the 50 toddlers who experienced stunting in Depok Jaya Village came from families with a middle to upper economic level. The aim of the research is to find out the description of the parenting patterns of mothers with middle to upper economic status for stunted toddlers at the Depok Jaya Community Health Center. This research uses a qualitative approach. Data collection techniques were in-depth interviews with main informants, namely 10 mothers of toddlers, key informants namely TPG, midwives, cadre heads and cadres, family informants namely 10 caregivers/closest family of mothers of toddlers. Offline data collection. The results of the study were that some did not have IMD and exclusive breastfeeding for 6 months. Some give their first MPASI to children in the form of manufactured instant porridge, the frequency of giving animal protein sources is only 1-2 times a week with portions that are not in accordance with WHO recommendations, they have not introduced carbohydrates or animal protein to toddlers when they first give MPASI, children do not like vegetables green, and an irregular MPASI feeding schedule every day. Some toddlers are given snacks without considering the nutritional content and dangers of sugar. Some conditions that divert a child's attention while eating are an invitation to play from an older sibling or a neighbor's child suddenly inviting him to play, the sound of a device, and the arrival of guests or the presence of strangers. Some did not measure their children's weight and height at the posyandu during the Covid-19 pandemic, and deliberately did not come to the posyandu regularly because they were lazy and in denial about their child's condition being declared stunted. Some rarely interact with their children because they are busy working and looking after their youngest children, rarely take their children to play and socialize outside the house, and rarely buy them toys. Suggestions are that community health centers can create promotional targets that are focused on the closest families of mothers of toddlers so that they can play an active role in supporting the feeding and health care of toddlers, increase the knowledge of posyandu cadres by recalling stunting information to prevent providing inappropriate information to mothers of toddlers at the next posyandu, design routine stunting education for mothers of toddlers regardless of the toddler's health status.
ABSTRAK Nama : F. Detiniaty Program Studi : Ilmu Kesehatan Masyarakat Judul : Perilaku Ibu dalam Pemberian Makan Bayi dan Anak Stunting Usia 0-23 Bulan (Studi Kualitatif di Kecamatan Lape, Kabupaten Sumbawa Tahun 2017) Perilaku ibu dalam Pemberian Makan Bayi dan Anak (PMBA) pada periode kritis (usia 0-23 bulan) sangat penting untuk mencegah kondisi stunting pada bayi/anak. Penelitian ini bertujuan mengetahui perilaku ibu dalam pemberian makan bayi dan anak stunting usia 0-23 bulan di Kecamatan Lape, Kabupaten Sumbawa, tahun 2017. Pendekatan Kualitatif menggunakan desain Rapid Assessment Procedure dengan metode pengumpulan data diskusi kelompok terarah, wawancara mendalam, dan observasi terhadap informan ibu yang sudah dan belum mendapatkan konseling/penyuluhan PMBA. Pengetahuan dan sikap ibu yang positif terhadap informasi terkait PMBA yang diperoleh dari konseling/penyuluhan tidak menjamin terlaksananya perilaku pemberian makan bayi dan anak dengan benar. Adanya faktor dukungan keluarga, tradisi yang tidak mendukung, akses dan pemanfaatan pangan serta praktik pemberian informasi melalui penyuluhan menjadi salah satu yang menghambat kegiatan PMBA. Perilaku ibu dalam pemberian makan bayi dan anak stunting usia 0-23 bulan di Kecamatan Lape belum optimal. Perlu adanya evaluasi pelaksanaan kegiatan konseling PMBA di lapangan. Kata kunci : stunting, perilaku ibu, pemberian makan bayi dan anak (PMBA)
ABSTRACT Name : F. Detiniaty Study Program : Public Health Science Title : Mother's Behavior in Infants and Young Child Feeding Stunting Age 0-23 Months (Qualitative Study in Lape Sub-district, Sumbawa Regency in 2017) Mother’s behavior in Infant and Young Child Feeding (IYCF) in critical periods (ages 0-23 months) is very important to prevent stunting conditions in infants/children. This study aims to determine the behavior of mothers in feeding infant and stunting children aged 0-23 months in Lape Sub-district, Sumbawa Regency in 2017. Qualitative approach using Rapid Assessment Procedure design with data collection methods of focus group discussion, indepth interviews, and observation of mother’s informants who had had and have not received IYCF counseling/education. Knowledge and a positive attitude towards mother IYCF related information obtained from counseling/education does not guarantee the implementation of feeding infants and children properly. The existence of family support factors, unsupported tradition, access and utilization of foods and the practice of providing information through counseling to be one that inhibits IYCF activities. Mother’s behavior in feeding infant and stunting children 0-23 months in Lape Sub-District is not optimal. It is necessary to evaluate the implementation of IYCF counseling activities in the field. Keywords: stunting, maternal behavior, infant and young child feeding (IYCF)
Stunting is a condition of failure to thrive in children under five years old (toddlers) due to chronic malnutrition and recurrent infections, especially in the period of the First 1000 Days of life (HPK). Kerinci Regency has the second highest stunting percentage in Jambi Province in 2019 at 42.4%, while the highest stunting incidence rate in Kerinci Regency is in Siulak Mukai Subdistrict at 44.32%, the villages that are the study sites are Tebing Tinggi Village and Siulak Mukai Village in May-June 2020. The purpose of this study was to analyze how the role of cultural aspects and cultural elements in the occurrence of stunting in Baduta in the Kerinci tribe, Jambi. This research was qualitative with phenomenology approach. The main informants in this study were 5 mothers who had poorly educated stunts and 5 mothers who had high-educated stunts and 10 mothers with high educated stunted toddlers. Data collection was carried out by in-depth interviews and document review. The results of the study revealed the existence of traditions / habits that have a negative impact, the existence of fatalistic behavior, the existence of values / norms in terms of beliefs that have a negative impact, the lack of knowledge and not get family support in terms of exclusive breastfeeding, complementary feeding, hygiene and sanitation behavior and utilization of health services in the event of stunting. Suggestions for regular outreach and outreach to the community and in partnership with community leaders and traditional healers to provide education about stunting, exclusive breastfeeding, provision of varied MP-ASI, hygiene and sanitation behavior and the importance of utilizing health services such as integrated health center.
Based on the results of a nutritional status monitoring survey (PSG) in 2018, as many as 26.64% of children under five in North Lampung Regency were stunted. In 2020 North Lampung Regency was established as one of the stunting focus districts. Regarding the implementation of stunting dropping interventions at the community level, it is known that not all villages have formed human development cadres (HDC) including villages in the working area of the Kotabumi II Public Health Center. The purpose of this study was to identify the knowledge, attitudes, motivations and behavior of posyandu cadres about stunting and its prevention in the context of preparing policy advocacy documents regarding the role of cadres. The study uses qualitative methods with rapid assessment procedure design. The informants in this study were 6 posyandu cadres, with 7 key informants namely 5 midwives, 1 nutritionis and 1 puskesmas head. Data collection was carried out by means of in-depth interviews via cellular telephone, using interview guidelines. The results of this study indicate that the knowledge of posyandu cadres about stunting and prevention is still largely lacking, all cadres have a positive attitude about stunting and prevention, all cadres have high motivation, and cadre behavior regarding early detection of stunting and prevention, most are still lacking. Based on the identification results, a policy advocacy document can be prepared in the form of a policy brief with recommendations including: need to increase the capacity of posyandu cadres, and the need to establish human development cadres (KPM) as staff who can assist in overcoming stunting problems in the village by increasing the role of posyandu cadres . Considering that North Lampung Regency is one of the special stunting location districts, there should be an integrated stunting prevention policy at the community level by making stunting a priority program in village fund budgets and forming human development cadres (HDC) by recruiting posyandu cadres