Women Of Productive Age Research Articles

Upaya penurunan jumlah kematian ibu dan bayi melalui peran stakeholder

The number of maternal deaths in North Sumatra in 2017 was recorded in Labuhanbatu Regency and Deli Serdang Regency as many as 15 deaths, Langkat Regency with 13 deaths, and Batubara Regency with 11 deaths. Efforts to accelerate the reduction of Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are carried out to ensure that every mother is able to access quality maternal health services, such as maternal health services, delivery assistance by trained health personnel in health care facilities, postpartum care for mothers and babies, special care and referrals if complications occur, the ease of obtaining maternity and childbirth leave and family planning services. Efforts to reduce MMR and IMR are not only the responsibility of one sector, but need the involvement and roles of other stakeholders to accelerate the reduction of MMR/IMR. This study aims to provide recommendations for the reduction of MMR/IMR through the role of stakeholders in North Sumatra. The study used a qualitative method with a phenomenological approach which was conducted from May to September 2019. The research locations were: Mandailing Natal Regency, Deli Serdang Regency, Simalungun Regency, and Sibolga City. The research subjects consisted of 3 (three) elements, namely: Government, Private and Community. Data collection was carried out through observation and through Focus Group Discussion (FGD). This study concludes that the model of efforts to reduce maternal and infant mortality rates must be carried out in a holistic and integrative manner with medical, social, and cultural approaches, starting from health services for adolescent girls, women of productive age, pregnant women, maternity, newborns and toddlers. Efforts to reduce MMR and IMR are the responsibility of all DPOs and elements of academia, business and community, whose programs and activities are integrated. Efforts to reduce MMR and IMR must be viewed from various perspectives, including from a medical, social and cultural perspective.

WASH and Gender: a critical review of the literature and implications for gender-transformative WASH research

Abstract The connections between gender and water, sanitation, and hygiene (WASH) are profound, and the sector is beginning to explore the integration of gender-transformative principles into WASH programming and research. Gender-transformative approaches challenge inequalities and move beyond an instrumentalist approach to gender in development interventions. Through a critical review of academic empirical studies, this paper explores the last decade of WASH-gender literature (2008–2018). Trends were visualised using an alluvial diagram. The reviewed literature was underpinned by a diversity of disciplines, yet was dominated by women-focused, water-focused studies. Although the studies addressed many important gender considerations, few studies engaged with transformational aspects of gender equality. The majority of the studies were based in rural sub-Saharan Africa and South Asia, indicating opportunity to explore contextual dynamics in other areas of the global south. Lastly, the studies primarily focus on women of productive age; only a few studies touched on gender dynamics relevant for a diversity of women, and men and boys were mostly absent. Insights from this analysis can inform future studies at the intersection of WASH and gender. Researchers and practitioners are encouraged to include a diversity of voices, reflect on the strengths and limitations of research disciplines, and incorporate gender-transformative concepts.

Menstrual Pattern Disorder Related to Physical Activity and Stress Psychic Soldiers Female Student of Indonesian Navy

A disorder of menstrual patterns in women of productive age can have an impact on quality of life, risk factors for menstrual pattern disorders include physical activity and psychological stress. The purpose of the study was to analyse the correlation between physical activity and stress relations with the pattern of correlations between female students in the Indonesian Navy’s First Bintara Education. This research was an observational analytic study using cross sectional study. The sample in this study was 95 female students. For measuring the grade of physical activity using the International Physical Activity Questionnaire (IPAQ) the grade of psychological stress using Depression Anxiety Stress Scale 42 (DASS 42), and monitoring patterns of menstrual patterns in the first 3 months during military education, then analysed using bivariate. The results of statistical tests using Chi Square obtained p value of physical activity that has (p = 0.008; OR 24.3) and stress (p = 0.019), showing related correlations related to physical activity and psychological stress on the correlation of menstrual patterns in the troops female soldiers in military education.

HUBUNGAN PENGGUNAAN KONTRASEPSI HORMONAL DENGAN KEJADIAN HIPERTENSI PADA WANITA USIA REPRODUKTIF (15-49 TAHUN) DI WILAYAH KERJA PUSKESMAS TELADAN KOTA MEDAN TAHUN 2019

Background: The prevalence of hypertension in Indonesia continues to increase, especially in women. The incidence rate reached 28.8% higher than the incidence of hypertension in men which is 22.8%. There are factors that make women more at risk of hypertension than men. Namely the use of hormonal contraception in women whose users reach 47.54%. Purpose: to analysis Correlational hormonal contraceptive use and hypertension. Methods: This research is an observational survey research, case-control design. Held in the Work Area of the Medan City Primary Health Center. Conducted from March-June 2019. The population were all women of productive age (15-49 years) totaling 572 people. The size of the case sample was 35 people and 35 controls. Case samples were taken by means of consecutive sampling, control samples were taken by convenient sampling. Data analysis was performed univariately and bivariately using the Chi Square statistical test (?2) with a significance level of 0.05. Results: In the hypertension group, 77.1% used hormonal contraception and 22.9% did not use hormonal contraception. Whereas in the non hypertensive group 62.9% did not use hormonal contraception only 37.1% used hormonal contraception. There is a relationship between hormonal contraceptive use and hypertension in women of reproductive age. A value (OR = 5.7; 95% CI 2,008-16,244) means that women of reproductive age are at risk of experiencing hypertension 5.7 times greater if women of reproductive age use hormonal contraception than those who do not use hormonal contraception. Conclusion: Women of reproductive age are at risk of developing hypertension when using hormonal contraception. Therefore, it is recommended that women of reproductive age prefer non-hormonal contraception or natural contraception. If using hormonal contraception to keep monitoring blood pressure regularly at least 3 months after using hormonal contraception and immediately stop using hormonal contraception if there is a hypertension Keyword: Hormonal contraception; Hypertension; Women at Reproductive age

Association of BMI and Sport Activity Habits With Dysmenhorea

<p><strong>Abstract</strong></p><p><em>Pain during menstruation or primary dysmenorrhea is the most common gynecological complaint and experienced by many women, especially in adolescence or puberty. On average more than 50% of women in each country experience primary dysmenorrhea. As many as 55% of productive age women in Indonesia experience dysmenorrhea. Although dysmenorrhea is a common complaint about adolescents, dysmenorrhea can disrupt the activities and productivity of adolescents, so that if it is not prevented or not handled properly it can result in a decrease in the quality of life and productivity of adolescents who are the next generation. Several factors that influence the incidence of dysmenorrhea are the age of the woman, age of menarche, nutritional status, stress and exercise habits. Based on these factors, Body Mass Index (BMI) and sport activity habits are factors of the healthy habits that are very useful for improving health status in general and specifically reproductive health. Knowing the relationship between Body Mass Index (BMI) and sport activity habits and the incidence of dysmenorrhea in adolescents The study was an observational study with a cross-sectional approach. All respondents numbered 142 students, experiencing menarche at a normal age. The highest frequency of menarche (mode) is at the age of 12 years as many as 50 respondents (35.2%). A respondent with a normal BMI category there are 81 respondent (57%), 44 (31%) respondent have underweight BMI category and 17 (35%) was obese. Ninety-three respondents or 69.5% have sport activity habits, 49 (34.5%) were not used to exercise. Respondents who experienced dysmenorrhea were 120 respondents (84.5%) and 22 respondents (15.5%) did not experience dysmenorrhea. BMI is not associated with dysmenorrhea incidence with P-Value = 0,07. While sport activity habits are significantly associated with dysmenorrhea in high school students with a p-value = 0.01 <α (0.05), CI = 95%, and a strong Contingency Coefficient with a value of 0.621</em>.</p>

Planejamento estratégico situacional em saúde: abordagem da saúde do trabalhador na Estratégia Saúde da Família

Estudo por métodos mistos e de abordagem construcionista social, com objetivo de analisar a condução do Planejamento Estratégico Situacional em saúde para levantamento das demandas relacionadas a saúde do trabalhador com duas equipes da Estratégia Saúde da Família, realizado em maio a junho de 2018. Realizou-se observação ativa do território, entrevista com informantes-chave, análise de dados secundários e roda de discussão. As equipes possuíam 1637 famílias cadastradas, todas as casas são de tijolo, 80,1% com tratamento da água em domicílio e 99,6% com abastecimento pela rede pública. A coleta do lixo é pública, 99,9% possui rede de esgoto e 99,5% energia elétrica. A observação ativa indicou predominância de comércio informal. Equipamentos sociais foram identificados, como igrejas, bancos, centro comunitário para prática desportiva, escolas públicas e um Centro de Referência para a Assistência Social, bem como uma universidade pública. As áreas de abrangência apresentam características de moradores de classe média baixa, com pessoas em situação de pobreza. Os informantes-chave relataram que existem atividades ocupacionais domiciliares, frequentes entre as mulheres em idade produtiva. No adoecimento relacionado ao trabalho o sofrimento mental e depressão foram apontados como recorrentes e a inexistência de ações intersetoriais. No plano de ação, optou-se o problema “Hipertensão Arterial, Diabetes Mellitus e Sofrimentos Mentais como as doenças frequentes entre os usuários trabalhadores”. O nó-crítico selecionado para a elaboração do plano de ação foi “Organização do processo de trabalho das equipes com fragilidades nas investigações/reconhecimento das condições de saúde do usuário trabalhador”. O estudo propõe o fortalecimento e construção de competências que atuem na modificação da realidade social das coletividades, em consonância ao debate atual brasileiro na proteção e promoção da saúde e, prevenção de danos à saúde do trabalhador.

23P - The correlations between knowledge and attitudes of productive age women toward “SADARI” (breast self-assessment) as early detection of breast cancer in Pejeng Kaja Village, Ubud, Bali

BackgroundBreast cancer is the second most common cancer in women worldwide and contributes to a significant amount of mortality annually. It also contributes significantly to cancer-related morbidity in Bali especially in Gianyar district where most of the breast cancers are diagnosed at an advanced stage. Therefore, we aimed to evaluate the correlation between the levels of knowledge with the attitude of local-productive age women toward SADARI (breast self-assessment). MethodsA family-based cross-sectional study was conducted in August 2018 in the Pejeng Kaja village, Ubud, Bali. The level of knowledge such as the definition of breast cancer, risk factors, therapy, prevention and several aspects of SADARI method was examined using a validated questionnaire. All of the data were subsequently recorded into SPSS for analysis. Results122 respondents were enrolled in this study with a mean age of 45.65±9.51 years. More than half of the respondents were having at least high school education and 55% know breast cancer. However, 46.7% were known about SADARI. 5 variables were significantly associated with the status of SADARI knowledge namely: level of education, knowledge about breast cancer, breast cancer prevention, and how to perform SADARI as well as the frequency of SADARI performance by respondents (p < 0.05). Risk assessment for each variable showed that all variables had OR > 5 with the biggest OR on the level of education (OR: 7.2; 95%CI: 3.56-14.75). ConclusionsWe conclude that the level of education, knowledge about breast cancer, early symptoms of breast cancer, breast cancer prevention, and how to perform SADARI as well as frequency of SADARI performance influenced the performance rate of SADARI in reproductive women in Pejeng Kaja with low level of education posed the greatest risk of not performing SADARI. Legal entity responsible for the studyThe authors. FundingHas not received any funding. DisclosureAll authors have declared no conflicts of interest.

Premarital Sexual Behavior among Papua Women: a Qualitative Research

Abstrac t Sexual behavior outside of marriage means practicing sexual relations outside of marriage. This activity can cause problems like health and psychology of sexually transmitted infections, unwanted pregnancies, shyness, maternal mortality and HIV/ AIDS. This qualitative research was conducted in the city of Jayapura in November 2017, with the aim to know the attitude of women of Papua against premarital sexual behavior. Observations and interviews were conducted on seven unmarried Papuan women. Participants are in reproductive age (ie between 20 to 23 years). As expected, from the interview the three individuals did not accept this behavior. They say that this behavior is bad for the culture, morality, and value of society in general, especially for young women. Although premarital sexual behavior among Papuan women seems to be an unusual thing, they have knowledge about sexuality and the attitude of rejecting premarital sex. According to them talking about sexual problems in society was still a taboo. Strict cultural controls are a barrier to achieving sexual knowledge. Family factors, religiosity and value systems individual expected as an important factor in preventing premarital sexual behavior, especially among young women. Practical education, the development of individual value systems and the development of positive self-esteem should be given meaningfully to them to avoid and be protected from premarital sexual behavior. The priority of these activities should be given to youth, especially women of productive age. Keywords: Outside marriage, positive self esteem, individual value system, Papuan women

DETERMINANT ANALYSIS OF PRODUCTIVE AGE WOMEN ON PARTICIPATION OF VISUAL INSPECTION WITH ACETIC ACID (VIA) EXAMINATION IN PALEMBANG

Background:World Health Organization (WHO) showed two of 10.000 women in Indonesia suffer from cervical cancer and an estimated 26 women die each day because cervical cancer. The low early detection performed by productive women lead to cervical cancer incidence is increasing each years. One of prevention cervical cancer is early detection through examination of visual inspection with Acetic Acid (VIA). This study aimed to determinant analyze on productive women towards participation in the VIA in Palembang.&#x0D; Methods: The research method used cross-sectional design, the sampling technique using proportional accidental sampling consisted of 165 respondents which on the inclusion and exclusion criteria . The data collection was done by using a questionnaire home visit CPC-28 Questionare. The data analysis using chi-square and multiple logistic regression.&#x0D; Results: Results showed the proportion of productive women who participated inspection IVA is only 7.9%. Based on the results obtained by multiple logistic regression analysis found significant relationship between education (p value = 0.037; OR = 0.27) and perceived barriers (p value = 0.015; OR = 13) against participation in the IVA examination in productive women in Palembang. Multivariate analysis showed that the perception of barriers is the dominant factor affecting participation in VIA examination in productive age women in Palembang. It is therefore necessary strategies to overcome perceived barriers by women as socialization.&#x0D; Conclusions: Multiple logistic regression analysis found a significant relationship between education and perceived barriers against participation in the IVA examination in productive age women in Palembang.&#x0D; Keywords: Health beliefs, Cervical cancer, VIA

Knowledge, Preference, and Willingness to Pay for Hepatitis B Vaccination Services among Woman of Reproductive Age in Vietnam.

Background Hepatitis B virus (HBV) vaccine is a critical approach to prevent HBV transmission from mother to child. However, despite high HBV prevalence, evidence about the preference of women of productive age for HBV vaccine in Vietnam was constrained. This study aims to explore the preference and willingness to pay (WTP) for the HBV vaccine in Vietnamese women in productive age. Methods A cross-sectional study was conducted in Hanoi in April 2016. A structured questionnaire was used to collect information about respondents' socioeconomic status and knowledge about HBV vaccination. A contingent valuation approach was employed to measure the WTP for the HBV vaccine. Logistic and interval regressions were used to determine the associated factors. Results Among 807 women, 80.8% were willing to have the vaccine injected which had the average price of 108,600 VND (95% CI, 97,580 VND–119,570 VND). Participants not suffering any diseases during pregnancy were more likely to be willing to pay for the HBV vaccine (OR = 3.41, 95% CI = 1.73–6.70). Not having the antenatal examination at central hospitals and working as farmers/workers were positively correlated with willingness to pay for this vaccine, while the number of children of respondents had a negative correlation with WTP. Conclusions Our sampled women expressed a high willingness to pay for the vaccine. The price people were willing to pay for the vaccine, however, is equal to half of the actual price. These findings implied needs for better targeted public education interventions about HBV and the involvement of local medical staffs and the media in providing information. Efforts to reduce the price of the vaccine should also be warranted for scaling-up the coverage of this vaccine.

Causes of post-caesarean surgical site infection at South Konawe Hospital, Southeast Sulawesi, Indonesia, February - July 2017

Objectives: To analyze the causes of post-caesarean section surgical site infection (SSI) at South Konawe Hospital, Southeast Sulawesi, Indonesia, between February and July 2017.Materials and Methods: Retrospective study using descriptive method with cross-sectional design from February to July 2017 in inpatient and outpatient wards at Obstetrics and Gynecology Outpatient Clinic, South Konawe Hospital. The population was the patients medical records.Results: There were nine cases (7.75%) from totally of 116 cases of caesarean section with SSI. Based on SSI type, there were four cases (44.4%) with superficial SSI and 5 cases (55.5%) with deeper classification of SSI. SSI was dominated by women of productive age with age 20-35 years in 66.6% case. The lowest BMI was 22 kg/m2 and the highest BMI was 41.5 kg/m2. Hemoglobin levels were higher than 11 g/dL (66.6%). The most surgical action to be performed was emergency operation in 8 cases (15.09%).Conclusion:Causal characteristics of SSI at South Konawe were age of 20-35 years, the lowest BMI of 22 kg/m2 and the highest BMI 41.5 kg/m2, hemoglobin levels higher than 11 g/dL, and the need of emergency operation.

Maternal and child health services in Kuranji Padang City towards SDG's

Health is the first pillar in achieving SDG's goals in Indonesia, including health services for mothers, children, and adolescents, and the elderly. For this reasons research was carried out using survey, interview, and questionnaire methods, the data were analyzed qualitative descriptive of 843 women of productive age, consisting of fertile couples (PUS) 552 people, married 355 people, 29 pregnant women, 95 breastfeeding mothers, babies (age 0-1 years) 65 babies, toddlers (ages 1-5 years) 302 people, 479 teenagers, 405 elderly people, and health services. This research conducted in Kelurahan Korong Gadang Kecamatan Kuranji, Kota Padang held on January to March 2016. The results showed that the pregnancy distance of <2 years was 38%, pregnant women and disease sufferers were 6.9%, pregnant women had 93.1% prenatal care, pregnant women had TT immunization 51.7%, the menu of pregnant women was less protein 44, 8%, and PUS does not have family planning (KB) 40.6%. Meanwhile babies suffered from 48.8% fever and exclusive breastfeeding mothers only 29.2%. Other services are PUS not participating in family planning by 40.6%, children not to Posyandu 49.7%, and the habit of buying unofficial medicine 36.7%. The conclusion of the study shows that several indicators of maternal and infant health do not meet national averages, such as PUS not participating in the National KB number of 17.63%.

DECOUPAGE CREATION TRAINING FOR EMPOWERING WOMEN AT RPTRA MAHKOTA MERUYA SELATAN

Women are part of the community but participation of women in community empowerment has not been maximized. Meruya Selatan is one of areas in Jakarta Selatan which has presence of low-educated housewives. Women in productive age, especially housewives, are one of the potential group that can be developed by providing skills and knowledge. One of the ways to improve knowledge and life skills as a part of the women empowerment training program is giving the skills of decorating product with decoupage technique which is now a trend among housewives. By the activity, it was expected could empower and improve knowledge and ability of women for producing products that had high economic value. This training was expected could provide an alternative for women in the field of entrepreneurship so that they can open business, increase income, and help to fulfill the needs of their family.

MALAY CULTURAL PRACTICE AND CHILDBIRTH WITH TRADITIONAL BIRTH ATTENDANTS: A QUALITATIVE STUDY IN WOMEN OF PRODUCTIVE AGE IN WEST BORNEO INDONESIA

Background: The decline in Maternal Mortality Rate (MMR) in developing countries still does not meet the target of Sustainable Development Goals (SDGs). The rise of childbirth with the help of traditional birth attendants and cultural practices still becomes the choice of women of productive age to give birth today. Objective: This study aimed to explore the Malay culture practice and childbirth with traditional birth attendants in women of productive age in West Borneo, Indonesia.Methods: This was a phenomenological study conducted on in 2018 in one district in West Borneo. Focus Group Discussion (FDG) was done with eight Malay tribal women who had given birth with the help of Traditional Birth Attendants (TBAs). Thematic analysis was used. Results: Cultural practices during pregnancy, childbirth and the care of newborns, the services of TBAs, and the economy factor were strong reasons for mothers to choose to give birth assisted by TBAs although they were aware of the risks. This study identified five main themes, namely: 1) Reason for choosing TBAs, 2) TBAs’ service, 3) Cultural trust in pregnancy, 4) Cultural trust in labor, and 5) Cultural trust in caring for newborns.Conclusion: Our findings revealed that culture and childbirth cannot be separated. Health practitioners should have different approach by involving culture and TBAs in childbirth among women of productive age in West Borneo Indonesia.

403P - Knowledge and attitudes of productive age women about visual inspection with acetic acid (VIA) test in early screening of cervical cancer in Tihingan village, Klungkung, Bali

403P - Knowledge and attitudes of productive age women about visual inspection with acetic acid (VIA) test in early screening of cervical cancer in Tihingan village, Klungkung, Bali

571P - Knowledge and attitudes of productive age women about “SADARI” (breast self-assessment) in early detection of breast cancer in Tihingan village, Klungkung, Bali

571P - Knowledge and attitudes of productive age women about “SADARI” (breast self-assessment) in early detection of breast cancer in Tihingan village, Klungkung, Bali

ANALYSIS OF HOMA-IR, FOLLICLE SIZE, AND ESTRADIOL AFTER COMBINATION THERAPY OF METFORMIN AND CLOMIPHENE CITRATE IN POLYCYSTIC OVARY SYNDROME’S PATIENT

PCOS is an ovarian dysfunction syndrome which characterized by the present of unovulation, hyperandrogenism, and polycystic ovarian morphology. The main cause of PCOS is still unclear, but many studies report that genetic factor have a great role. There are also two big concept in PCOS, hyperandrogenism and insulin resistance. Previous research by Ayaz et al (2013) has shown that metformin was given if there has been a resistance of clomiphene citrate. This study was designed to provide metformin and clomiphene citrate combination from the early administration to determine the effectiveness of the combination therapy. The objective of this study is to analyze HOMA-IR value, follicle size, and estradiol concentration after metformin and clomiphene citrate treatment in PCOS patient. Design of this study was an observational longitudinal prospective method. There was only a group with a total sample size 19 women of productive age (18-40 years) diagnosed with PCOS. The pre and post combination therapy was observed for ten weeks. Metformin 500 mg three times daily for ten weeks and clomiphene citrate 100 mg in 3rd day until 7th day of menstruation for two cycles were given to the subjects. The result showed that HOMA-IR value decrease after 10 weeks in which value before therapy was 4.9 ± 2.4 and after therapy 3.7 ± 2.2 with the achievement 21.1% HOMA-IR under 2.5. Estradiol concentration after therapy also decreased from 64.8 ± 24.7 pg/ml to 37.9 ± 17.9 pg/ml in ten weeks this concentration remained the range of the follicular phase estradiol levels. On the other hand, follicle size increased from 4.7 ± 0.6 mm to 10.7 ± 2.2 mm after combination therapy of metformin and clomiphene citrate with the occurrence of ovulation 31.6% but none of the samples were successfully pregnant. It is concluded that women with PCOS, declined HOMA-IR, estradiol, and increased follicle size was associated with a good response to combination therapy of metformin and clomiphene citrate.

Assessment of Quality of Life among Women Aged 35-55 Suffering from Breast Cancer

Background: Breast cancer is the most common type of cancer with women worldwide, striking more and more at women in productive age of life, and the success of healthcare for women with this disease is measured with the quality of life of survivors. The aim of this study was to examine how the breast cancer affects the quality of life of women aged 35-55 and in what dimension of health quality of life is the least accomplished. Method: A pilot research has been performed in the period from June 10th to August 15th 2011, on 56 women, all from Association of women with breast cancer “Iskra” in Banja Luka, aged 35-55. The survey research was based on the EORTC QLQ-C30 version 3.0 and questionnaire. Results: The average value of scale for total health status was 30.1 and the score of overall health condition (2.9) as well as the score for total quality of life (2.8). Mean values of the score for emotional and social functioning, as well as functional role were statistically lower in relation to the physical function and cognitive functions. The scores on the symptoms scale were statistically lower for constipation, dyspnea, nausea and vomiting, loss of appetite and diarrhea, in relation to scores for symptoms of fatigue, pain and insomnia. Conclusion: Breast cancer affects all the domains in life quality in women's productive age, especially in the domain of emotional and social functioning. The quality of life is affected particularly in these domains by family, environment and community, whose influence is yet to be examined.

Factors that Influenced People to Become Islamic Bank customer: a study on kancana VIllagers

Islamic finance and banking industry in Indonesia has shown a significant growth, average growth of 30% more per year in the last five years, with a total number of Islamic banks customers as much as 12 million accounts, or market share 4.8%. In this study, researchers attempt to describe the events in rural districts West Java related to the factors that influence people to become customers of Islamic banks. Data processing by tabulation and scoring and based on the analysis and discussion are carried out. The results of this study indicate that the Islamic bank customers’ data are mostly women in productive age with maximum a senior high school education and their profession up mostly are traders. Others reasearch results related to factors which influence people to become customers of Islamic banks were influenced by psychological, social, personal, economic and cultural factors.DOI:10.15408/aiq.v7i1.1360

Faktor risiko balita stunting usia 12-36 bulan di Puskesmas Dasan Agung, Mataram, Provinsi Nusa Tenggara Barat

Abstrak: Prevalensi stunting di Kota Mataram, Provinsi NTB sebesar 37,17%. Salah satu puskesmas yang ada di Kota Mataram adalah Puskesmas Dasan Agung memiliki prevalensi balita stunting sebesar 27,28%, sehingga perlu dikaji faktor risiko balita stunting usia 12-36 bulan di Puskesmas Dasan Agung. Disain penelitian adalah cross sectional, dengan besar sampel 158 balita. Variabel terikat dalam penelitian ini adalah balita stunting dan variabel bebas adalah status sosial ekonomi, tinggi badan ibu, usia pertama ibu menikah, tingkat pendidikan ibu, kunjungan ANC, berat badan lahir, ASI eksklusif, pemberian MPASI, urutan anak dan pengasuh anak. Data dikumpulkan dengan wawancara dan pengukuran antropometri. Instrumen yang digunakan modifikasi kuesioner RISKESDAS dan SUSENAS I ibu hamil, microtoise dan infantometer. Analisis data dilakukan secara bertahap meliputi analisis univariat, bivariat (chi-square) dan multivariat (regresi logistik). Prevalensi balita stunting 48,1%. Dari hasil uji bivariat ada enam variabel yang meningkatkan faktor risiko yaitu status sosial ekonomi OR=2,83 (95%CI: 1,35-5,94), tinggi badan ibu OR=3,37 (95%CI: 1,69-6,72), kunjungan ANC OR=2,3 (95%CI: 1,21-4,36), berat badan lahir OR=20,47 (95%CI: 1,16-354,25), ASI eksklusif OR=4,94 (95%CI 2,51-9,74) dan pemberian MPASI OR=6,38 (95%CI: 3,18-12,78), sedangkan variabel usia pertama ibu menikah, tingkat pendidikan ibu, urutan anak dan pengasuh anak tidak terbukti meningkatkan fakor risiko. Pada analisis multivariat variabel yang dominan adalah pemberian MPASI OR=7,4 (95%CI: 1,54-34,97), tinggi badan ibu OR=2,9 (95%CI 1,27-6,42) dan kunjungan ANC OR=2,4 (95%CI: 1,09-5,19). Perlu dilakukan upaya pencegahan melalui perbaikan asupan gizi mulai dari remaja putri, wanita usia subur, ibu hamil maupun pada balita.