Stunting Management with Exclusive Breastfeeding, Early Breastfeeding Initiation Toddlers at Sei Panas Community Health Center

Nelli Roza
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Abstract

Indonesia continues to struggle with nutritional issues, which seriously affect the caliber of human resources (HR). The prevalence of stunting in children under the age of five is one of the nutritional issues that is currently of great concern. The goal is to analyze the reduction in stunting by promoting exclusive breastfeeding and Early Breastfeeding Initiation in toddlers. A case control study with 33 mothers of stunted toddlers and 33 mothers of non-stunted toddlers was done in the working area of the Sei Panas health center. Non-probability sampling is used for sampling, while the chi square test is used for data analysis. It was discovered that 18 (78.3%) of the 25 toddlers who did not get only breast milk stunted, with a p-value of 0.003 0.05; OR 4,286 (Lower 1,246 - Upper 14,735). meaning that the incidence of stunting and exclusive breastfeeding have a substantial link. In addition, 15 (65.2%) of the 22 children who did not initiate early breastfeeding had stunted growth, with a v-palue of 0.039 0.05; OR 8,229 (Lower 2,175- Upper 31,132). This indicates that the incidence of stunting and early breastfeeding initiation are significantly correlated. The following interventions are included in the framework for specific nutritional intervention activities typically carried out in the health sector and are aimed at breastfeeding mothers and children aged 0–6 months: 1) Encouraging early initiation of breastfeeding (giving breast milk/colostrum); Public health centers are advised to increase education about exclusive breastfeeding for babies 0–6 months in order to reduce the incidence of stunting in their working area.
在Sei Panas社区卫生中心,纯母乳喂养、早期母乳喂养幼儿的发育迟缓管理
印度尼西亚继续与营养问题作斗争,这严重影响了人力资源(HR)的水平。5岁以下儿童发育迟缓的普遍性是目前令人高度关注的营养问题之一。目标是通过促进幼儿纯母乳喂养和早期开始母乳喂养来分析减少发育迟缓的情况。在Sei Panas保健中心的工作区域,对33名发育迟缓幼儿的母亲和33名未发育迟缓幼儿的母亲进行了病例对照研究。抽样采用非概率抽样,数据分析采用卡方检验。结果发现,在25例非纯母乳喂养的幼儿中,发育迟缓的有18例(78.3%),p值为0.003 0.05;OR 4,286(下1,246 -上14,735)。这意味着发育迟缓的发生率和纯母乳喂养有着实质性的联系。此外,未开始早期母乳喂养的22名儿童中有15名(65.2%)发育迟缓,v值为0.039 0.05;OR 8,229(下限2,175-上限31,132)。这表明发育迟缓的发生率与早期开始母乳喂养显著相关。以下干预措施包括在具体营养干预活动框架内,这些活动通常在卫生部门开展,针对的是母乳喂养的母亲和0-6个月大的儿童:1)鼓励尽早开始母乳喂养(提供母乳/初乳);建议公共卫生中心加强0-6个月婴儿纯母乳喂养的教育,以减少其工作区域的发育迟缓发生率。
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