Siti Sopiatun
STIKes Kharisma Karawang

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Continuum of Care as An Effort to Reduce Stunting Events in Karawang District Siti Sopiatun; Sri Maryati
Jurnal Ilmu dan Teknologi Kesehatan Vol 7 No 2 (2020): Maret 2020
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.299 KB) | DOI: 10.32668/jitek.v7i2.250

Abstract

Stunting is a condition of failure to thrive in children under five years due to chronic malnutrition so that the child is too short for his age. Malnutrition appears when the baby is in the womb and the early period after the baby is born. The purpose of this study is how the Continuum of Care Program is implemented, analyze cross-sectoral, and cross-program support in nutritional surveillance to prevent and manage stunting. The study design used a cross-sectional survey approach. The results of research from 6 Puskesmas working areas showed the highest number in Puskesmas Lemah Duhur with an incidence of stunting 81%, had a continuum of ineffective stunting treatments with an average of 63.84 and less available treatment centers with an average of 63.75. There are obstacles in sending information that occurs from the Puskesmas to posyandu cadres related to stunting. The range of treatments in providing effective care and place of care has the most significant impact on maternal health, the health of newborns, and children related to the incidence of stunting in each region. Collaboration and cross-sector programs are needed in stunting prevention by the government.
PERBANDINGAN TEKNIK PEMERAHAN ASI TANGAN DENGAN MANUAL BREAST PUMP TERHADAP KENYAMANAN IBU DAN KUALITAS ASI Siti Sopiatun; Heda Melinda N Natapawira; Meita Dhamayanti
JOMIS (Journal of Midwifery Science) Vol 4 No 2 (2020): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v4i2.1322

Abstract

The scope of exclusive breastfeeding is low caused by many factors, one of which is a working mother. The government supports the program of exclusive breastfeeding for mothers by promoting breastfeeding by expressed breast milk. Expressed breast milk can be done by hand and manual tools such as pump. Expressed breast milk can be influenced by mother’s experience and the pain at the time of expressing breast milk, this can lead to a sense of comfort. The differences in expressing techniques might lead to contamination of different bacteria and fungi. the purpose of this research is to analyze the differences in hand milking techniques and manual breast pump on the comfort of the mother and the quality of breast milk This was an observational study with cross sectional approach and conductive in Taman Sari district, Bandung. The samples were 35 mothers who fulfilled the inclusion and exclusion criteria. Mann Whitney, Wilcoxon and McNemar were used in examining mothers’ comfort and breast milk quality. The result of of comfort score showed 65.6 in hand expressed and 59.5 has in manual breast pump. There were several significant differences in expressing techniques to mothers’comfort (p = 0.046). Hand expressing were contaminated by yeast (60%), total mesophilic bacteria (20%), and enterobacter (17.1%). Manual breast pump was contaminated by yeast (80%), total mesophilic bacteria (8.6%), and enterobacter (20%). Breast milk quality in hand expressed was better than the manual breast pump (p = 0.032). It was concluded that hand expressed more comfortable and had better quality breast milk than manual breast pump techniques.