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All Journal Jurnal Gizi Klinik Indonesia Jurnal Kesehatan Reproduksi Jurnal Kesehatan Masyarakat Public Health of Indonesia Media Kesehatan Politeknik Kesehatan Makassar
Siswanto Agus Wilopo
Universitas Gadjah Mada
Health Professions Public Health

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Pola, tren, dan perbedaan praktik menyusui di Indonesia: analisis deskriptif peran modernisasi dan budaya tradisional dari data Survei Demografi Kesehatan Indonesia 2007 Wilopo, Siswanto Agus
Jurnal Gizi Klinik Indonesia Vol 6, No 1 (2009): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5177.513 KB) | DOI: 10.22146/ijcn.17688

Abstract

Background : A modernization can lead to the adoption of western behavior while cultural values can also prevails, resulting in rejection of certain aspects of modernity. The question is how such conflicting forces affect breastfeeding practices in Indonesian women. Objective : This study examined modern and traditional factors that may affect pattern, trends and differentials of breastfeeding in Indonesia. Methods : The study based on data from Indonesian Demographic Health Survey (IDHS) conducted in 2007. There were 32.895 women or 19.939 children born after January 2002 and contributed to this information. We used duration of breastfeeding as dependent variables which based on information pertained to the last two children of respondent. The variable was calculated as the number of months that the mother reports having breastfed the child. The early use of supplementary food for children and the use of health services were examined to represent cultural values and modernity respectively. Socio-economic and demographic variables were considered important variables for breastfeeding practices. Kaplan Meier graphs were employed for the analysis of pattern, trends, and differentials of breastfeeding.Result : In Indonesia, the duration of breastfeeding varied between provinces. There was a trend of shortening of duration breastfeding about two months during 5 years period. Factors associated with modernity were significant determinant in shortening breastfeeding practice. These included: type of residence (urban or rual), level of education, prenatal care, previous or ever use of contraceptives, delivery at the hospital, and the use of an infant formula. Conclusion : Factors associated with modernity were significant in terms of early termination of breastfeeding. Traditional factors associated with breastfeeding practice did not show significant roles in maintaining the breastfeeding practice. We recommend to use a social enginering to include breastfeeding practice as a part of modern health practices.
Pemberian Makanan Pralaktasi dengan Kelangsungan Hidup Bayi di Indonesia Dewi, Utami; Wilopo, Siswanto Agus; Wibowo, Tunjung
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (615.089 KB) | DOI: 10.22146/jkr.35436

Abstract

Background: It is recommended for a mother to initiate to give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding shows that non breast milk-supplementary food is given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with KaplanMeier, Log regression and Cox regression.Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95).Conclusion: Pre-lacteal feeds showed a significant result with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and ≥ 35 years, low economic status, and birth assistant with non professional.Keywords: infant’s survival, pre-lacteal feeds, infant
Position and Chance of Indonesia Family Planing to Achieve RPJMN 2015-2019 and FP2020 Targets Pinandari, Anggriyani Wahyu; Wilopo, Siswanto Agus
KEMAS: Jurnal Kesehatan Masyarakat Vol 14, No 1 (2018)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v14i1.9466

Abstract

Indonesia’s commitment at London Summit 2012 was to reduce TFR by increasing contraceptive users by 2020. This paper aimed to estimate the number, trend and possibility to achieve RPJMN and FP2020 targets in Indonesia. This was a descriptive study using secondary data from Indonesia national survey. Data are presented in line, bar, and pie graphs, also table to explain trend and possibility of Indonesia FP to achieve 2020 targets. Using 2012 data as the baseline, RPJMN and FP2020 targets will be achieved if CPR grows 0.5 point/year. However, recent growth was insufficient, only 0.3 additional points. The current CPR is behind the target and 1 point/year growth rate is needed to approximate the target trajectory. Based on three surveys in 2015 (PMA, SUSENAS and SUPAS), Indonesia’s CPR was predicted to be 61.1% on 2020. This is five points lower than the 2020 target, 66.3%. This discrepancy shows that Indonesia would not achieve FP target on RPJMN 2015-2019. Based on recent survey in 2015, CPR trajectory is predicted to be 5 points below the target. 1.5 points annual growth is needed to achieve the 2020 goals.
Pemulihan Kesuburan Pasca Pemakaian Alat Kontrasepsi pada Wanita Usia Subur di Indonesia Setyaningsih, Reni Dwi; Wilopo, Siswanto Agus; Emilia, Ova
Media Kesehatan Politeknik Kesehatan Makassar Vol 16, No 1 (2021): Media Kesehatan
Publisher : Politeknik Kesehatan Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32382/medkes.v16i1.1684

Abstract

The issue of return of fertility after discontinuation of contraceptive use is one of the important studies related to the efficacy and safety of various contraceptive methods, both hormonal and non-hormonal. Indonesian Demographic and Health Survey Data from 2002-2003 revealed that 34 percent of women in childbearing age who discontinued using the contraceptive was due to pretension to have the next pregnancy. The mechanisms of action for a variety of contraceptives would be related to the varying duration of post-use fertility return. This study was aimed to see how long it takes for women in childbearing age to stop using the contraceptive until the next pregnancy occurs. This study was an observational study using secondary data from the Indonesian Demographic and Health Survey (SDKI) data from 2002-2003. The samples of this study were 5,223 women in childbearing age who discontinued using the contraceptive. Every interest in this study was the occurrence of pregnancy after stopping using the contraceptive. Determination of the samples was limited to ever pregnant women who stopped using hormonal contraceptive and IUD, which could be observed during the survey period.The results showed that the probability of  reaching 50 percent pregnancy required 7 and 6 months after the discontinuation of injection and implant use as well as 4 months after pill and IUD use. Keywords: Return of fertility, Contraceptive, Childbearing Age      
PREVALENCE AND PATTERN OF UTERINE BLEEDING AMONG BREASTFEEDING WOMEN USING PROGESTERONE-ONLY PILLS Ratrikaningtyas, Prima Dhewi; Rosdiana, Dian; Wilopo, Siswanto Agus
Public Health of Indonesia Vol. 4 No. 3 (2018): July - September
Publisher : YCAB Publisher & IAKMI SULTRA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (622.471 KB) | DOI: 10.36685/phi.v4i3.203

Abstract

Background: Progesterone-Only Pill (POPs) is one of the ideal oral contraceptive methods for breastfeeding women. Discontinuation of POPs was mostly due to bleeding pattern disorders.Objective: The purpose of this study is to identify the prevalence and pattern of uterine bleeding on breastfeeding women using contraceptive pills containing progesterone derivatives.Methods: This study is a double blind block randomized controlled trial for the treatment group (levonorgestrel or lynestrenol pills) and non-randomized controlled trial for the control group, 6-8 weeks' postpartum women, 20 to 35-year-old, and breastfeeding. Monthly follow up was done for 6 months. Analysis was done using survival analysis, X2,and Cox's Proportional Hazard.Results: A hundred and seven women were involved with a drop-out rate of 17.8%. Subjects characteristics were ≤ 32-year-old, multiparous, ever used contraception with birth spacing of >60 months. Spotting and amenorrhea was the most common pattern. Levonorgestrel causes bleeding/menstrual resumption sooner in breastfeeding women than Lynestrenol.Conclusion: The most common uterine bleeding on women using Progesterone-only Pills were spotting and amenorrhea. By recognizing such effects, for Indonesian women, POPs was expected to be produced in the country and can be included in the national family planning programs.
Co-Authors Agnes Montolalu, Agnes Astuti, Bariana Widitia Citra Indriani, Citra Dian Rosdiana, Dian Djaswadi Dasuki Husnawati Husnawati Mohammad Hakimi Ova Emilia Pinandari, Anggriyani W. Pinandari, Anggriyani Wahyu Prima Dhewi Ratrikaningtyas Reni Dwi Setyaningsih Risalia Reni Arisanti Sinta Prawitasari, Sinta Tunjung Wibowo Utami Dewi