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"Perkembangan anak pada periode emas sangatlah penting karena menentukan kualitas individu terutama pada 1 tahun pertama. Berdasarkan data WHO lebih dari 200 juta anak di negara berkembang berisiko perkembangan terhambat.Di Beiji diketahui prevalensi perkembangan terhambat sebesar 9,7 %. ASI eksklusif merupakan faktor yang berkaitan dengan perkembangan anak. Di Musi Banyuasin prevalensi ASI eksklusif baru mencapai 56,83%. Penelitian ini bertujuan untuk menganalisis hubungan riwayat pemberian ASI eksklusif dengan perkembangan suspek terhambat pada anak usia 12 bulan. Di samping itu dilakukan metode kualitatif kepada 11 informan yang bertujuan menggali pemahaman ibu secara mendalam mengenai hubungan ASI eksklusif dan perkembangan anak. Penelitian ini dilakukan dengan desain cross sectional. Responden terdiri dari 320 anak usia 12 bulan yang berasal dari 19 Puskesmas di Kabupaten Musi Banyuasin. Diperoleh hasil hubungan antara riwayat pemberian ASI eksklusif dan perkembangan dengan PR adjusted 1,932 (95% CI: 0,719-5,186). Selain itu diketahui mayoritas ibu telah paham bahwa ASI eksklusif berhubungan dengan perkembangan anak, namun tradisi pemberian makan dari nenek sebagai faktor utama dalam pencapaian ASI eksklusif.

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The children development in golden period is very important because determine quality of individu especially in the first year. Based on WHO data, more than 200 millions children in developing countries had developmental delay risk. In Beiji, the prevalence of developmental delay 9,7%. Exclusive breastfeeding as a factor of developmental delay. In Musi Banyuasin regency, the prevalence of exclusive breastfeeding is 56,3%.

This study purposes is to analyze the relationship between history of exclusive breastfeeding and suspected delayed development among 12 months infants. Besides, we had done qualitative methode among 11 informans to mining the deeply knowing of mom about relationship of exclusive breasfeeding to infant development. This study used cross sectional design involved 320 sample (infants) at 19 Puskesmas in Musi Banyuasin Regency.

The result showed that the relationship between exclusive breastfeeding and developmental delay among infants was PR adjusted 1,932 (95% CI: 0,719-5,186). Furthermore, study found that mostly moms had known that exclusive breastfeeding related to infant development, but feeding tradition from grand mothers were play as a role factor in practicing exclusive breastfeeding among mothers."

"Infeksi Saluran Pernafasan Akut merupakan penyakit yang sering terjadi pada anak dengan manifestasi ringan sampai berat (Pneumonia). Di dunia dperkirakan lebih dari 2 juta balita meninggal karena Pneumonia dari 9 juta total kematian balita. Pelitian ini bertujuan untuk mengetahui Faktor-Faktor yang Berhubungan dengan Kejadian Infeksi Saluran Pernafasan Akut pada Balita di wilayah Kecamatan Ngombol Kabupaten Purworejo. Penelitian ini merupakan penelitian survei dengan pendekatan kuantitatif dan rancangan penelitian cross sectional. Populasi penelitian adalah semua balita yang berada di wilayah Kecamatan Ngombol Kabupaten Purworejo. Sampel penelitian berjumlah 323 balita yang diambil dengan cara Quota sampling.Analisis data dan uji statistik menggunakan chi square. Hasil penelitian menunjukkan bahwa tidak ada hubungan antara status gizi dan status imunisasi dengan Kejadian ISPA pada Balita (p=1.000, OR=1.579) dan (P=0.437, OR=1.439). Ada hubungan kejadian ISPA pada Balita dengan pencemaran asap rokok oleh anggota keluarga (p=0.006, OR=2.102), pemberian ASI Eklsklusif (p=0,19, OR=1.847) dan status ekonomi orang tua (p=0.34, OR=1,754).Kesimpulan hasil penelitian: Status imunisasi dan status gizi tidak berhubungan dengan kejadian ISPA pada Balita, Pencemaran asap rokok oleh anggota keluarga, pemberian ASI Eksklusif dan status ekonomi orang tua mempunyai hubungan dengan kejadian ISPA pada Balita di Kecamatan Ngombol Kabupaten Purworejo.

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Acute Respiratory Infection (ARI) is a common disease in children with mild to severe manifestations (Pneumonia). In the world is estimated at more than 2 million Under Five Years Children died of pneumonia than 9 million total under-five deaths. The research aimed to determine Factors Associated with Acute Respiratory Infection incidence in Under Five Years Children in Ngombol District Purworejo Regency. This research is a research survey with quantitative approach and cross sectional research design. Research population was all children Under Five Years Children located in Ngombol District, Purworejo Regency.Number of sample was 323 Under Five Years Children were taken by Quota sampling.

Data analysis and statistical test using chi square. The results showed that there was no relationship between nutritional status and immunization status of in Under Five Years Children with ARI incidence (p=1.000, OR=1,579) and (P=0.437, OR=1.439). No association ARI genesis in Under Five Years Children in with cigerette smoke pollution by family members (p=0.006, OR=2.102), Exclusive breastfeeding (p=0.19, OR=1,847) and parents' economic status (p=0:34, OR=1.754).

The conclusion of the research : immunization status and nutritional status was not associated with the incidence of ARI in Under Five Years Children, smoke pollution by family members, exclusive breastfeeding and economic status of the parents had a relationship with the incidence of ARI in Under Five Years Children in Ngombol District, Purworejo Regency."

"Background: Postpartum blues is a mild mental disorder in postpartum mothers. infant feeding methods may affect the reciprocal of the postpartum blues or postpartum maternal mental health, and these symptoms can lead to successful breast-feeders (breast milk) exclusively Results in 2010 in lndonesia RISKESDES feeding patterns in infants < 1 month was 55.1% partially, and in the province of Bengkulu in 2010 52.9% prelakteal feeding. Prevalence of postpartum blues in several countries between 40-60% while the incidence of postpartum blues in Bengkulu not yet been reported. Research Goals: to determine the relationship breast-feeders pad infants aged < 10 days with symptoms of postpartum blues. Methods: This research is a type of observational research with cross sectional design studt. Large sampIe of 97 postpartum women with accidental sampling technique. Analysis of the data used is univariabIe, bivariable, and multivariable. Results: univariable analysis found that breast-feeders in infants less than 10 days almost all partial breastfeeding (48.45%) and only a fraction of full breastfeeding (19.59%), and almost half mothers experience symptoms of postpartum blues (29.90%). Bivariable analysis showed that there is a significant association between breast-feeders in infants age < 10 days, parity and social support to the symptoms of postpartum blues. But there is no relationship between type of labor with symptoms of postpartum blues. Results: Results of logistic regression analysis showed a significant association between early feeding patterns in infants with symptoms of postpartum blues (OR = 4.47, 95% CI: 1.03 to 10.43), which means non-breastfeeding mothers who have a risk 4.47 times more likely to experience postpartum blues than women full breastfeeding. Conclusion: non breastfeeding mothers who have a risk 4.47 times more likelyto have symptoms than women postpartum full breastfeeding blues. So need to improve the delivery of information, education and communication (IEC) on the importance of breast­feeders alone since the first hour of birth to age 6 months in the mother on an ongoing basis from now on antenatal care, delivery, and postpartum by involving her husband and close family"

"Penyebab kegagalan program ASI eksklusif adalah pemberian makanan prelakteal. Tujuan penelitian ini adalah untuk mengetahui hubungan faktor pengetahuan ibu tentang ASI eksklusif, IMD, Penolong persalinan dan tempat persalinan terhadap pemberian makanan prelakteal. Metode penelitian ini menggunakan desain analitik dengan pendekatan cross sectional. Analisis bivariat menggunakan uji chi square, t test independent dan regresi logistic. Hasil penelitian didapatkan proporsi pemberian makanan prelakteal sebesar 75,6%. Faktor yang berhubungan dengan pemberian makanan prelakteal adalah pengetahuan ibu (p = 0,012), penolong persalinan (p= 0,044) dan IMD (p < 0,001).

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The causes of the failure of exclusive breastfeeding program is prelacteal feeding. Objective of this study was to determine the relationship of factors of maternal knowledge about exclusive breastfeeding, Immediate breastfeeding, place of delivery and birth attendants to prelacteal feeding. This research method using analytical design with cross sectional approach. Bivariate analysis using chi square test, independent t test and logistic regression. The results obtained prelacteal feeding proportion is 75.6%. Factors related to prelacteal feeding are mother knowledge of breastfeeding (p=0,012), birth attendants (p=0,044) and Immediate breast feeding (p < 0,001)."

"Bayi dengan asfiksia perinatal sangat rentan mengalami komplikasi baik jangka pendek seperti disfungsi multi organ maupun komplikasi jangka panjang dengan terjadinya gangguan perkembangan. Tujuan penelitian ini adalah untuk mengetahui hubungan riwayat asfiksia perinatal dengan perkembangan bayi usia 6 sampai 12 bulan. Desain penelitian ini menggunakan ?cross sectional?, yang melibatkan 56 bayi dengan riwayat asfiksia berat, sedang dan ringan di Kabupaten Banyuwangi. Hasil penelitian menunjukkan ada hubungan yang signifikan antara riwayat asfiksia perinatal dengan perkembangan bayi (p value=0,026, α=0,05). Rekomendasi dari penelitian ini adalah perlu dilakukan deteksi dini penyimpangan perkembangan khususnya bayi dengan risiko tinggi serta mengoptimalkan peran serta orang tua dalam proses perkembangan anak sehingga perkembangan anak tercapai dengan optimal.

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Infant with perinatal asphyxia history is very susceptible to have both short-term complications such as multiple organ dysfunctions and long-term complications with development disorder. The purpose of this research is to know the relation of perinatal asphyxia history with infant?s development age 6 to 12 months old. The design of this study uses ?cross-sectional?, which involves 56 infants with severe, moderate and mild asphyxia histories in Banyuwangi Regency.

The result of this research shows that there is significant relation between perinatal asphyxia history with infant?s development (p value=0.026, α=0.05). The recommendations of this research is that it is so necessary to be detected early about the development disorder especially for high-risk infants and to optimize the participation of parents in a child's development process that child?s development is achieved optimally."

"Indonesia mempunyai masalah gizi ditandai dengan masih besarnya prevalensi gizi kurang pada anak balita. Kekurangan gizi pada usia anak sejak lahir hingga tiga tahun akan sangat berpengaruh terhadap pertumbuhan dan perkembangan sel glia dan proses mielinisasi otak, sehingga berpengaruh terhadap kualitas otaknya. Di Kabupaten Karawang proporsi gizi buruk (BB/U) balita pada penimbangan bulan Juli 2013 adalah sekitar 0,4%, dan 35,76% dari jumlah itu merupakan anak berusia 6-35 bulan. Tujuan penelitian ini adalah untuk mengetahui hubungan riwayat pemberian ASI eksklusif dengan status gizi buruk (BB/U) anak usia 6-35 bulan di Kabupaten Karawang tahun 2013 setelah dikontrol oleh variabel berat badan lahir, status kesehatan anak, asupan makanan, pendidikan ibu, pengetahuan ibu, status pekerjaan ibu, pendapatan keluarga, jumlah anggota keluarga dan keaktifan berkunjung ke posyandu. Penelitian ini dilaksanakan pada bulan Agustus 2013 di Kabupaten Karawang dengan menggunakan desain kasus kontrol. Kasus adalah anak usia 6-35 bulan di Kabupaten Karawang yang diukur berat badannya pada penimbangan di Bulan Juli 2013 dan memiliki status gizi buruk (BB/U) dan kontrol adalah anak usia 6-35 bulan di Kabupaten Karawang yang diukur berat badannya pada penimbangan di Bulan Juli 2013 dan memiliki status gizi baik. Dalam penelitian ini jumlah sampel sebanyak 276 (kasus 138 dan kontrol 138).Data dianalisis dengan uji regresi logistik ganda. Hasil penelitian didapatkan hubungan riwayat pemberian ASI eksklusif dengan status gizi buruk (BB/U)anak usia 6-35 bulan di Kabupaten Karawang Tahun 2013.Anakusia 6-35 bulan yang memiliki riwayat ASI eksklusif berisiko 0,26 kali (95% CI 0,12-0,55) untuk terkena gizi buruk (BB/U) dibandingkan yang tidak memiliki riwayat ASI eksklusif setelah dikontrol oleh asupan makanan, pengetahuan ibu, dan keaktifan berkunjung ke posyandu. Riwayat pemberian ASI eksklusif menurunkan risiko terjadinya gizi buruk (BB/U) pada anak usia 6-35 bulan di Kabupaten Karawang tahun 2013 sebesar 74%. Upaya pencegahan terjadinya gizi buruk pada balita salah satunya adalah dengan pemberian ASI eksklusif.Perlunya peningkatan promosi kesehatan mengenai pemberian ASI eksklusif yang baik dan benar kepada kelompok sasaran secara efektif guna mendapatkan status gizi anak yang baik.

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Indonesia has a nutritional problem is characterized by the magnitude of the prevalence of malnutrition among children under five. Malnutrition in children from birth to age three years will greatly affect the growth and development of glial cells and brain myelination process, and therefore contributes to the quality of his brain. In Karawang district proportion malnutrition (weight / age) infants weighing in July 2013 was approximately 0.4 % , and 35.76 % of that number is children aged 6-35 months. The purpose of this study was to determine the relation of exclusive breastfeeding history with severe malnutrition status (weight/age) children aged 6-35 months in Karawang district in 2013 after being controlled by the variable birth weight, child 's health status, dietary intake, maternal education, knowledge mother, maternal employment status, family income, number of family members and liveliness visit the neighborhood health center.

This study was conducted in August 2013 in Karawang district using casecontrol design. Cases were children aged 6-35 months in Karawang measured weight on the weighing in July 2013 and have severe nutritional status (weight / age) and controls were children aged 6-35 months in Karawang measured weight onthe weighing in July 2013 and had a good nutritional status. In this study a total sample of 276 (138 cases and 138 controls). Data were analyzed by multiple logistic regression.

The results showed a relation of exclusive breastfeeding history with severe malnutrition status (weight/age) children aged 6-35 months in Karawang districtin 2013. Children aged 6-35 months who had a history of exclusive breastfeeding risk 0.26 times (95% CI 0,12-0,55) exposed to severe malnutrition (weight/age) compared with no history of exclusive breastfeeding after controlled by food intake, maternal knowledge, and liveliness visit the neighborhood health center. History of exclusive breastfeeding decrease the risk of severe malnutrition (weight/age) in children aged 6-35 months in Karawang district in 2013 by 74%.Efforts to prevent malnutrition in infants one of which is the exclusive breastfeeding.Necessary of increases the health promotion of exclusive breastfeeding with good and correct way to the target group effectively in order to get a good nutritional status."

"Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan, sikap, dan faktor-faktor lain terhadap perilaku pemberian ASI eksklusif di Wilayah Kerja Puskesmas Alai Ilir Kabupaten Tebo Propinsi Jambi tahun 2011. Penelitian menggunakan rancangan cross sectional, ini dilakukan pada bulan November sampai Desember 2011 dengan jumlah sampel sebanyak 144 responden yaitu ibu yang mempunyai bayi 6-12 bulan. Hasil penelitian mendapatkan sebesar 13,9 % ibu yang memberikan ASI eksklusif, ibu berpengetahuan baik cenderung memberikan ASI eksklusif sebanyak 4,9 kali dibandingkan dengan yang berpengetahuan rendah. Saran, untuk Dinas kesehatan Kabupaten Tebo Diharapkan ada suatu kebijakan khusus disertai alokasi anggaran dan pendampingan pelaksanaan ASI eksklusif.

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The objective of this reseach was assess the relationship between knowledge, mothers attitudes, and other factors on Practic of exclusive breastfeeding mothers of baby aged 6-12 month. A cross sectional design was used in this research, that was done from November to Desember 2011. A total sample of 144 respondents who were having mothers babies 6-12 months were selected. The research found out that 13,9 % of exclusive breastfeeding, there was a relationship between knowledge and practice of exclusive breastfeeding where as mothers had better knowledge of likely and practice of exclusive breastfeeding 4,9 times higher that of the who had than mothers lower knowledge of exclusive breastfeeding, it was recomanded that Dictrict of Tebo Health office develop a clear policy to support exclusive breastfeeding ad allocate specific budget to develop such program. Advice for the District Tebo hoped there was a spesific policy with budget allocation and implementation of exclusive breastfeeding assistance."

"ASI merupakan gizi terbaik untuk mengoptimalkan tumbuh kembang bayi dan sistem kekebalan tubuh bayi. WHO menganjurkan untuk memberikan ASI eksklusif selama 6 bulan. IMD merupakan kunci keberhasilan pemberian ASI eksklusif. Tujuan penelitian mengetahui hubungan antara pelaksanaan IMD dengan pemberian ASI eksklusif pada bayi usia 0-5 bulan di Indonesia menurut SDKI 2017. Penelitian ini merupakan penelitian cross-sectional dengan menggunakan SDKI 2017. Populasi dari penelitian ini adalah seluruh Wanita Usia Subur (WUS) 15-49 tahun di Indonesia, sampel sebanyak 1243 WUS dengan anak usia 0-5 bulan dan masih menyusui serta memenuhi kriteria inklusi dan eksklusi. Variabel dependen dalam penelitian ini adalah ASI eksklusif, variabel independen utama yaitu Inisiasi Menyusu Dini (IMD) dan variabel kovariat umur, paritas, pendidikan, status pekerjaan, status ekonomi, daerah tempat tinggal, frekuensi kunjungan ANC, tempat persalinan, metode persalinan dan penolong persalinan. Analisis yang dilakukan yaitu analisis univariat, bivariate dengan chi square dan analisis multivariate dengan regresi logistic ganda model faktor resiko. Hasil penelitian menunjukkan bahwa persentase ASI eksklusif pada bayi usia 0-5 bulan di Indonesia yaitu sebesar 37,5%, dan IMD (39,5%). Hasil analisis multivariate menunjukkan bahwa terdapat hubungan yang signifikan antara IMD dengan pemberian ASI eksklusif setelah dikontrol oleh variabel kovariat dengan (p=0,001 dan OR=2,537) artinya ibu yang melaksanakan IMD memiliki peluang 2,537 untuk memberikan ASI eksklusif. Pada penelitian ini tidak ada variabel konfounding dalam hubungan IMD dengan pemberian ASI eksklusif. Berbagai upaya perlu dilakukan untuk meningkatan capaian pemberian ASI eksklusif yaitu optimalisasi proses KIE terkait IMD dan ASI eksklusif, memfasilitasi ibu untuk melakukan IMD sesuai prosedur, pelatihan pelaksanaan IMD untuk setiap tenaga kesehatan yang menjadi penolong persalinan dan adanya kebijakan yang terintegrasi di setiap fasilitas kesehatan dari pusat ke daerah terkait pelaksanaan IMD sesuai flowchart.

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Breast milk is the best nutrition to optimize baby growth and development and the baby's immune system. WHO recommends exclusive breastfeeding for 6 months. Early initiation of breastfeeding (EIBF) is the key of exclusive breastfeeding’s success. The purpose of the study was to determine the relationship between EIBF and exclusive breastfeeding for infants 0-5 months in Indonesia according to the 2017 IDHS. This research was a cross-sectional study using the 2017 IDHS. The population of this study were all of fertile women 15- 49 years old in Indonesia, a sample of 1243 women on fertile age who have the children 0-5 months and still breastfeeding and met the inclusion and exclusion criteria. The dependent variable in this study was exclusive breastfeeding, the main independent variable EIBF and the covariates were age, parity, education, employment status, economic status, area of residence, frequency of ANC visits, place of delivery, delivery method and birth attendant. The analysis for this research is univariate analysis, bivariate with chi square and multivariate analysis with logistic regression. The results showed that the percentage of exclusive breastfeeding for infants 0-5 months in Indonesia (37,5%) and EIBF (39,5%). The results of the multivariate analysis showed that there was a significant relationship between early initiation of breastfeeding and exclusive breastfeeding after being controlled by covariate variables with (p=0.001 and OR=2.537) meaning that mothers who carried out early initiation of breastfeeding had a 2.537 chance of exclusive breastfeeding. In this study, there were no confounding variables between early initiation of breastfeeding and exclusive breastfeeding. Various efforts need to be done to increase the achievement of exclusive breastfeeding with optimizing the IEC process related to EIBF and exclusive breastfeeding, facilitating mothers to carry out EIBF according to procedures, training in the implementation of EIBF for every health worker who assists childbirth and the existence of integrated policies in every health facility from the center to areas related to the implementation of EIBF according to the flowchart."

"Penelitian ini menggunakan penelitian kualitatif, dengan metode dekriptif. Data dikumpulkan dengan menggunakan teknik wawancara, pengamatan dan studi kepustakaan. Wawancara dilakukan terhadap 10 informan yang sengaja dipilih secara purposive oleh peneliti berdasarkan kebutuhan informasi yang diperlukan dan sesuai dengan kebutuhan penelitian.Berdasarkan pembahasan dari hasil penelitian didapatkan pokok-pokok hasil kesimpulan bahwa keberhasilan kebijakan sekolah gratis di Kabupaten Musi Banyuasin dikarenakan dalam proses implementasi kebijakan itu dilakukan mulai dari aktifitas organisasi, interpretasi dan penerapan sesuai dengan prosedur dan maksud dari kebijakan serta didukung oleh faktor-faktor komunikasi, sumber daya, sikap pelaksana dan struktur birokrasi.

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This research using quaiitativc approach with deseriptive method. Data collectcd by using interview, observation and literature study. Interview was done to 10 informan whose being chosen purposive by researcher bccause of the needs of the research.

According to analysis, some principal can be take as conclusion of the research is the successed of the free school policy at Musi Banyuasin District happened because of the process it self that begin since the organization activity, the interpretation and aplication that fit with procedur and the purpose of the policy and also being support by communication faetor, the resources, executor attitude and birocrat structure."

"Pendahuluan: Pemberian ASI Eksklusif pada bayi baru lahir sampai enam bulan pertama kehidupan tanpa menambahkan dann/atau mengganti dengan makanan atau minuman lain (kecuali obat, vitamin dan mineral) dapat mengurangi tingkat kematian pada bayi baru lahir yang disebabkan oleh penyakit yang dapat disembuhkan oleh pemberian ASI Eksklusif. Pengetahuan dan sikap ibu dalam melakukan pemberian ASI dapat mencegah terjadinya hal yang tidak diinginkan pada bayi. Penelitian ini bertujuan untuk mengetahui hubungan anatara pengetahuan dan sikap dengan perilaku ibu terhadap pemberian ASI Eksklusif pada bayi usia 0-6 bulan. Metode: Desain penelitian menggunakan deskriptif korelatif dengan teknik quota sampling yang dilakukan secra daring. Jumlah responden sebanyak 109 ibu yang memiliki bayi usia 0-6 bulan di wilayah Jakarta Selatan. Hasil: penelitian ini menunjukkan terdapat hubungan yang signifikan antara pengetahuan ibu, sikap ibu dengan perilaku ibu terhadap pemberian ASI Eksklusif pada bayi usia 0-6 bulan (p<0.05). Rekomendasi: Hasil peneltian ini diharapkan dapat menjadi dasar mengembangkan program dalam perilaku pemberian ASI Eksklusif pada bayi.

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Introduction: Exclusive breastfeeding for newborns until the first six months of life without adding/or replacing with other foods or drinks (except drugs, vitamins and minerals) can reduce the mortality rate in newborns caused by diseases that can be cured by giving Exclusive Breastfeeding. Mother’s knowledge and attitude in breastfeeding can prevent unwanted things from happening to the baby. This study aims to determine the relationship between knowledge and attitudes with mother’s behavior towards exclusive breastfeeding for infants aged 0-6 months. Methods: The Research design used descriptive correlation with quota sampling technique which was conducted online. The number of respondents was 109 mothers who had babies aged 0-6 months in the South Jakarta area. Results: This study showed that there was a significant relationship between mother’s knowledge, mother’s attitude and mother’s behavior towards exclusive breastfeeding for infants aged 0-6 months (p<0.05). Recommendation: The result of this study are expected to be the basis for developing programs in exclusive breastfeeding behavior for infants."