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HUBUNGAN KADAR HEMOGLOBIN PADA IBU MENYUSUI DENGAN STATUS GIZI BAYI USIA 1-2 BULAN DI DESA LENGKONG WILAYAH KERJA PUSKESMAS MUMBULSARI KABUPATEN JEMBER Erynda, Revina Fiandany; Wildan, Moh.; Purwaningrum, Yuniasih
Journal of Borneo Holistic Health Vol 2, No 2 (2019): Journal Of Borneo Holistic Health
Publisher : Fakultas Ilmu Kesehatan, Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (223.112 KB) | DOI: 10.35334/borticalth.v2i2.672

Abstract

ABSTRAK Kejadian anemia pada ibu menyusui akan menurunkan produksi, kualitas dan kuantitas ASI. Air Susu Ibu (ASI) merupakan sumber gizi sangat ideal dan aman bagi bayi. Bayi yang mendapat asupan makanan cukup sesuai umur dapat meningkatkan berat badan berhubungan dengan status gizi (Berat Badan/Umur). Tujuan dari Penelitian ini adalah menganalisis hubungan kadar hemoglobin pada ibu menyusui dengan status gizi bayi usia 1-2 bulan di desa Lengkong wilayah kerja Puskesmas Mumbulsari Kabupaten Jember. Penelitian ini merupakan penelitian analisis korelasi dengan desain penelitian cross sectional. Sampel penelitian adalah ibu menyusui yang hanya memberikan ASI saja pada bayi usia 1-2 bulan sebesar 21 orang yang dipilih menggunakan metode simple random sampling. Pengumpulan data melalui wawancara dengan menggunakan kuesioner. Hasil Penelitian menunjukkan tidak terdapat hubungan antara kadar hemoglobin pada ibu menyusui dengan status gizi bayi usia 1-2 bulan (p=0,258). Kesimpulan dari ini adalah  tidak selalu ibu menyusui yang mengalami anemia akan mempengaruhi status gizi  bayinya dikarenakan status gizi bayi juga dapat di pengaruhi oleh beberapa faktor diantaranya adalah frekuensi dan durasi menyusui. Saran petugas kesehatan diharapakan dapat  mengadakan  program penyuluhan tentang anemia pada ibu menyusui dan gizi pada ibu menyusui, memantau konsumsi ibu terhadap tablet zat besi setidaknya selama 40 hari pasca persalinan dan melakukan pemeriksaan Hb post partum. 
Contextual Effect of the Integrated Health Post and Other Determinants on Completeness of Basic Child Immunization: A Multilevel Analysis Evidence from Jember, East Java Erynda, Revina Fiandany; Sulaeman, Endang Sutisna; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (581.305 KB)

Abstract

Background: Every year, more than 1.4 million children worldwide die from diseases that can be prevented by immunization. Immunization is still one of the most cost-effective preventive mea­su­res to reduce mortality and morbidity among child­ren. This study aimed to analyze the influ­ence of posyandu contextual and maternal cha­rac­teristics on the provision of complete basic im­mu­ni­za­tion in children aged 12-23 months.Subjects and Method: This was an observa­tional analytic study with a cross sectional design. The study was conduct­ed at 25 integrated health posts (posyandu) in Jember, East Java, Indonesia from Sep­tem­ber to October 2019. A sample of 200 mothers who had children aged 12-23 months was selected by simple random sampling. The dependent variable was complete basic immunization. The independent variables were maternal education, maternal knowledge, parity, maternal em­ploy­ment status, family income, maternal attitude, family support, and contextual effect of pos­yandu. The data were collected by questionnaire and analyzed by a multilevel logistic regression analysis run on Stata 13.Results: Provision of complete basic immuniza­tion increased with maternal education ≥Senior high school (b= 2.99; 95% CI= 1.26 to 4.73; p= 0.001), good maternal knowledge (b= 1.93; 95% CI= 0.38 to 3.53; p= 0.018), family income ≥Rp 2,170,000 (b= 1.18; 95% CI= -0.15 to 2.50; p= 0.081), positive maternal attitude (b= 1.92; 95% CI= 0.45 to 3.39; p= 0.011), and strong family sup­port (b= 2.29; 95% CI= 0.62 to 3.96; p= 0.007). Complete basic immunization decreased with ma­ternal parity ≥3 (b= -1.35; 95% CI= -2.68 to -0.01; p= 0.048) and mother working outside the ho­me (b= -2.67; 95% CI= -4.49 to - 0.85; p= 0.004). Posyandu had contextual effect on the pro­vi­si­on of complete basic immunization in children aged 12-23 months with ICC= 23.65%.Conclusion: Provision of complete basic im­mu­nization increases with maternal education ≥Se­nior high school, good maternal knowledge, fa­mi­ly income ≥Rp 2,170,000, positive maternal at­titude, and strong family support. Complete basic immunization decreases with maternal parity ≥3 and mother working outside the home. Posyandu has contextual effect on the pro­vision of com­ple­te basic immunization in children.Keywords: basic immunization, children aged 12-23 months, integrated health post, multilevel analysisCorrespondence: Revina Fiandany Erynda. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: revinaerynda@gmail.com. Mobile: 085­36­18­0003.Journal of Maternal and Child Health (2020), 5(2): 154-166https://doi.org/10.26911/thejmch.2020.05.02.05