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EFFECT OF IMPLEMENTING EARLY BREASTFEEDING (IMD) TO PROMOTE EXCLUSIVE BREASTFEEDING

Introduction: Early initiation of breastfeeding is beneficial for both mother and baby and determines the success of breastfeeding. The benefits of IMD include reducing the risk of maternal and infant mortality, increasing the success of exclusive breastfeeding for 6 months, and increasing bonding attachment between mother and baby. This study aims to determine the effect of early breastfeeding initiation on the success of exclusive breastfeeding. Methods: This research is an observational, cross-sectional study designed with a retrospective approach. The population in this study were mothers who had babies aged 7-12 months in the Tambakrejo Health Centre Area, Jombang Regency. The technique used to determine the sample in this study used purposive sampling with a total of 60 respondents. Data collection using a questionnaire. Results: The results of the chi-square statistical test showed p value = 0.110 (p>0.05), meaning that there was no relationship between the implementation of IMD and the success of exclusive breastfeeding. The results of the calculation of the prevalence ratio (PR) show that mothers who carry out IMD have a 1.699 times chance of successful exclusive breastfeeding compared to those who do not carry out IMD. Conclusion: There is no influence between the implementation of IMD on the success of exclusive breastfeeding. Suggestion: Future researchers are expected to examine other factors that influence the success of exclusive breastfeeding other than early breastfeeding initiation, such as husband and family support factors and daily food factors consumed by mothers during breastfeeding

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LITERATURE REVIEW: THE CORRELATION BETWEEN FAMILY SUPPORT AND STUNTING INCIDENCE

Stunting is a problem that threatens the quality of human resources in the future. This problem of chronic malnutrition is caused by a lack of nutritional intake and failure to achieve development and growth both physically and cognitively as measured by height for age. This research aims to explain the relationship between family support and the incidence of stunting. Data collection carried out in this literature review used a literature search method from national and international articles using the ScienceDirect, Google Scholar and Pubmed databases. An initial search using the keyword: “Child Stunting Family Support” yielded 9,924 articles from 2018 to 2023 that met the inclusion criteria. Based on the results of the literature review, it was found that family support has a significant relationship with the incidence of stunting because good family support is considered capable of creating an optimal environment so that risk factors for stunting can be minimized. Family support is specifically provided in four ways through emotional, informational, instrumental, and assessment or appreciation support. Stunting prevention can be done through strengthening family support in a complex manner through the implementation of emotional support, information support, instrumental support, and good assessment or appreciation support for the mother. By implementing this family support, health behavior will be created that can provide greater opportunities to fulfill children's needs so that they do not experience stunting.

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Characteristics of Anemic Pregnant Women Receiving SMS Intervention on Iron Supplement Consumption

The case of maternal deaths due to anemia is increasing. The high level of anemia is caused by a lack of compliance in taking iron supplements. SMS (Short Message Service) features on mobile phones can be used as reminders for patients to take iron supplements. This research aims to describe the characteristics of anemic pregnant women who receive SMS interventions regarding iron supplement consumption. This study uses a descriptive research design conducted in 7 community health centers in the city of Makassar. The sampling technique uses purposive sampling and a total of 68 pregnant women were included (33 received SMS intervention and 35 did not receive SMS intervention). The research involving 33 anemic pregnant women shows that 48.5% are between 17 and 25 years old, and 51.5% have completed high school. Most are unemployed (81.8%), with sufficient husband support (45.5%). Most of them are in the second trimester (57.6%), with the highest parity being multiparous (45.5%) with only one ANC visit (42.4%), and have moderate anemia (51.5%). This study concludes that the respondents are classified as having moderate anemia, multipara, and having only one ANC visit. Regarding socioeconomic status, most of them have completed high school, unemployed, and receive sufficient support from their husbands.
 Keywords: Anemia, Iron Supplement, SMS Intervention

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MOTHER'S SUPPORT RELATED TO TOILET TRAINING IN TODDLERS 18-36 MONTHS

Toilet training is an important developmental milestone for toddlers, because the ability to control the urge to urinate and defecate begins to develop at this time. At present, many mothers work outside the home, so there is less time to stimulate children's toilet training. The purpose of this study was to determine the relationship between mother's support and toilet training success in toddlers aged 18-36 months at Posyandu Jemunang Pandanrejo Wagir Malang. The design of this research is correlation analytic with the cross sectional approach. The research sample is 30 respondents with a total sampling technique. The research instrument was a questionnaire filled out by mothers who had toddlers aged 18-36 months. The results showed that most of the mother's support was in the category of good support (66.67%). The success of toilet training is partly in the success category (53.33%). The results of data analysis using Spearman rank (rho) obtained 0.614, significant value (p-value) = 0.000 with α 0.05. Conclusion: there is a significant relationship between maternal support and toilet training success in toddlers aged 18-36 months. Parents, especially mothers, are expected to continue to provide support to children when doing toilet training.
 

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IS CONTRACEPTIVE INJECTION CAUSE BREAST CANCER? : META ANALYSIS

Background: Injectable hormonal contraception was a major risk factor for breast cancer. The content of the progestin hormone in injection hormonal contraceptives can affect the uncontrolled growth of breast tissue, leading to breast cancer. This study aims to analyze the magnitude of the effect of injection hormonal contraception on the incidence of breast cancer with a meta-analysis study. Method: This research is a systematic review and used a Prisma flow diagram. The process of searching for articles through a database of journals which includes: PubMed, Science Direct, and Google Scholar by selecting articles published in 2010-2020. Keywords used include: “ Women Aged 15-80 Years” OR “Women of Menopause” AND “Birth control injections” AND “Breast Cancer”. The inclusion criteria included full-text articles with a case-control study design, articles using English, and multivariate analysis with adjusted odds ratios. Artikel fulfills the requirements for analysis using Revman 5.3 Result: There were 6 articles with the case-control study. A meta-analysis of 6 case-control studies showed that the use of injectable hormonal contraception had a 1.37 times risk of developing breast cancer compared with women using non-hormonal contraception (aOR 1.37; 95% CI 1.09 to 1.71; p = 0.006). Conclusion: Injectable hormonal contraceptives can increase the incidence of breast cancer.

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THE EFFECTIVENESS OF KANGAROO AND INCUBATOR CARE METHODS TO INCREASE BODY TEMPERATURE IN BABIES WITH LOW BIRTH WEIGHT

Low Birth Weight (LBW) infants are at risk of experiencing various health problems. One of them that often occurs is an unstable body temperature and tends to be hypothermic. This study aims to determine the effectiveness of Kangaroo Method Care (KMC) and incubator treatment to increase body temperature in LBW infants. This study used a Quasi Experiment Design technique with a Pre-test and Post-test Group design. The sample in this study were all LBW infants according to the inclusion criteria, which were 30 babies. The sample was divided into two intervention groups, namely 15 infants with KMC intervention and 15 infants with nursing intervention in an incubator, which were given intervention for 2 hours per day for a period of 3 days. The sampling technique used in this study was purposive sampling. In the KMC group, the average pretest value was 36.59°C and the posttest value was 37.06°C. In comparison, in the treatment group of incubator intervention, the average pretest value was 36.4°C and the posttest value was 36.8°C. Based on the results of the independent sample t-test statistical test, the significance was 0.035, p <0.05. The results showed that the average of increasing infants' body temperature in the intervention of KMC was 0.4640 (SD = 0.08998), while the average increase in infant body temperature in the incubator treatment was 0.3953 (SD = 0.07909). The application of KMC and treatment in the incubator are equally effective in increasing the body temperature of LBW.

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RELATIONSHIP OF HEALTH BELIEF MODEL WITH SELECTION OF CONTRACEPTIVE EQUIPMENT IN HIGH-RISK WUS

High-risk fertile age women in the Singosari district who used Non-MKJP was 95.8% and MKJP was 42%. The driving factor in the selection of contraceptives is confidence in reducing risk factors for disease. This can be seen using Health Belief Model (HBM) theory. The purpose of this study is to analyze the relationship between HBM and the selection of contraceptives in high-risk fertile-age women. This research design used correlation analysis with a cross-sectional approach. The sampling technique used simple random sampling with a sample of 52 respondents who met the inclusion criteria. The results obtained (51.6%) of respondents with positively perceived susceptibility chose MKJP, (63%) of respondents with perceived positive severity chose MKJP, all respondents chose those with perceived negative benefits and perceived negative barrier chose Non-MKJP. Based on the analysis of contingency coefficient test obtained perceived susceptibility (p = 0.038), perceived severity (p = 0.027), perceived benefit (p = 0.000), and perceived barrier (p = 0.000), value for each HBM indicator <α (0.05 ) so H0 rejected, meaning that there is a relationship between HBM and selection contraceptives. High-risk fertile age women's belief in reducing risk factors for health conditions affects the choice of contraceptive. With the results of the research, it is hoped that health workers can optimize information and counseling about family planning and high-risk fertile age women can choose the right contraceptive method 05 ) so H0 was rejected, meaning that there is a relationship between HBM and selection contraceptives. High-risk fertile age women's belief in reducing risk factors for health conditions affects the choice of contraceptive. With the results of the research, it is hoped that health workers can optimize information and counseling about family planning and high-risk fertile age women can choose the right contraceptive method 05 ) so H0 was rejected, meaning that there is a relationship between HBM and selection contraceptives. High-risk fertile age women's belief in reducing risk factors for health conditions affects the choice of contraceptive. With the results of the research, it is hoped that health workers can optimize information and counseling about family planning and high-risk fertile age women can choose the right contraceptive method.

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