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Children are in the vulnerable category of COVID-19 infection. Parent’s decision to grant permission for their children to be vaccinated or not, depends on the parental acceptance of COVID-19 vaccination itself. Indonesian Pediatric Association set the vaccination coverage rate at 100% for safe face-to-face learning, while WHO set it at 70%. COVID-19 vaccination coverage for children aged 6-11 years in Cakung district is only 65.57% for the first dose and 33.59% for the second dose, this rate is the lowest compared to other sub-districts in DKI Jakarta. This study aims to find out the determinants of parental acceptance of COVID-19 vaccination in elementary school children in Cakung district, East Jakarta City. The Study used a cross sectional design, data collection was done through filling out online questionnaires. The research respondents were 394 parents of elementary school students in Cakung district. Multivariate analysis using multiple logistic regression risk factor model. The result has shown that 87.3% of parents received the COVID-19 vaccination for their children. Perceived benefits (pValue: 0.018), perceived barriers (pValue: 0.018), and cues to action (pValue: 0.001) were variables that were significantly associated with parental acceptance of the COVID-19 vaccination. Cues to action became the dominant variable in this study. Parents with high-cues to action tend to receive the COVID-19 vaccination 3.1 times more than those with low-cues to action after being controlled by perceived benefits and perceived barriers.
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.
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.
COVID-19 has hit the world, has been declared an emergency status for the outbreak in Indonesia. COVID-19 disrupts immunization services, this allows millions of children to potentially contract outbreaks such as diphtheria, measles, polio and its complications. The theory of the Health Belief Model (HBM) about perception can influences response, the COVID-19 pandemic is assumed to be able to influence parents' perceptions and basic immunization search patterns. This study used a qualitative analysis to see the pattern of basic immunization search for parents during the COVID-19 pandemic in Bojong Menteng and Margajaya, Kota Bekasi. The results of this study indicate that the economic status during the pandemic is behind the delay in immunization of children, although it is not a single factor. Support of cadres and health workers for immunization plays a role in the decision to immunize their children. The implementation of strategies that are adapted to the socio-cultural characteristics in each region is very important. The implementation of strategies that are adapted to the socio-cultural characteristics in each region is very important. Suggestion: increase public understanding of COVID-19 and information about a safe health service system when special emergencies such as a pandemic need to be conveyed in full to provide confidence in safe immunization services.
Kata kunci : stres, strategi coping, cerebral palsy
