Lactation preparation for pregnant women to prevent stunting
Persiapan Laktasi Bagi Ibu Hamil untuk Mencegah Stunting
Keywords:
Stunting prevention, Lactation management , Maternal education , Breastfeeding techniques, Community health workersAbstract
Background: Stunting, caused by chronic malnutrition during a child's first 1000 days, remains a pressing public health issue in Indonesia. Affecting one in three children under five, stunting hampers physical growth and cognitive development, posing long-term socio-economic risks. The Indonesian government has introduced strategies focusing on maternal and child health, particularly through improving nutrition and healthcare access. However, rural areas face challenges like limited healthcare services and inadequate nutrition education.
Case presentation: This program was implemented in Sungai Tabuk, a rural village with high stunting prevalence. The program aimed to educate pregnant women on lactation management and breastfeeding to improve early infant nutrition. Village cadres facilitated pregnancy classes that combined education with hands-on breastfeeding practice. Pre-intervention tests indicated substantial gaps in knowledge, especially about exclusive breastfeeding, while post-intervention assessments showed marked improvements in participants' understanding and skills.
Discussion: The involvement of cadres was instrumental in ensuring community participation and sustained educational outcomes. Post-program evaluations revealed that 93% of participants demonstrated improved lactation knowledge and breastfeeding techniques. This highlights the effectiveness of educational interventions in increasing maternal competence, which can lead to better child health outcomes and stunting reduction. However, the program’s short duration and exclusion of other key family members, such as fathers and grandparents, were noted limitations.
Conclusion: The program successfully enhanced maternal knowledge and breastfeeding practices as part of stunting prevention efforts. While the results are promising, ongoing support, inclusion of broader family members, and integration with other socioeconomic interventions are necessary for long-term success in reducing stunting in rural communities.
References
Andriani, R., & Islamy, L. O. S. (2023). Effectiveness of the Sensitive Nutrition Intervention Program in Accelerating Stunting Reduction in Baubau City. Poltekita : Jurnal Ilmu Kesehatan, 17(3), 812–820. https://doi.org/10.33860/jik.v17i3.3377
Asmi, A. S., & Cahya Mulat, T. (2024). Education of pregnant women to increase mothers’ knowledge and attitudes regarding exclusive breastfeeding. Jurnal Pengabdian Masyarakat Edukasi Indonesia, 1(1), 22–28. https://doi.org/10.61099/jpmei.v1i1.34
Berutu, R. E., Rosmiati, R., Emilia, E., Haryana, N. R., & Ingtyas, F. T. (2024). Maternal Knowledge of Balanced Nutrition and Maternal Feeding Practices Associated with Stunting in Children Aged 24-60 Months in the Puskesmas Siempat Rube Working Area. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 7(7), 1878–1883. https://doi.org/10.56338/mppki.v7i7.5288
Ananta, S. D., Krisnana, I., & Tri Lestari, W. (2023). The Relationship Between Maternal Knowledge Level And Feeding Practices With Dietary Patterns In Stunted Children. Jurnal EduHealth, 14(3), 1393–1399. https://doi.org/10.54209/jurnaleduhealth.v14i3.2762
Endah Yani, R. W., Ma’Rufi, I., & Andini, U. H. (2023). The Role of Health Care Workers of Kedungrejo Public Health Center in Stunting Reduction Strategy. International Journal of Integrated Medical Research, 10(03), 83–88. https://doi.org/10.57181/ijoimr/vol10i03/124
Fatmawati, Meldawati, Palimbo, A., & Mahdiyah, D. (2024). Effect of demonstration-method counseling on the understanding of correct breastfeeding techniques among pregnant women. Health Sciences International Journal, 2(2), 60–73.
Javanparast, S., Windle, A., Freeman, T., & Baum, F. (2018). Community Health Worker Programs to Improve Healthcare Access and Equity: Are They Only Relevant to Low- and Middle-Income Countries? International Journal of Health Policy and Management, 7(10), 943–954. https://doi.org/10.15171/ijhpm.2018.53
Komalasari, K., Supriati, E., Sanjaya, R., & Ifayanti, H. (2020). Factors Causing Stunting in Toddlers [in Indonesia]. Majalah Kesehatan Indonesia, 1(2), 51–56. https://doi.org/10.47679/makein.202010
Lubis, B., & Tioman Deliana. (2024). The Relationship of Mother’s Knowledge Level And Mp-Asi Feeding Patterns and Baby’s Nutritional Status Age 6-12 Months at Rantang Health Center. JURNAL KEBIDANAN KESTRA (JKK), 6(2), 205–211. https://doi.org/10.35451/jkk.v6i2.2088
Marshan, J. (2023). Maternal Education and Children’s Well-Being: Evidence from Four Pacific Countries. https://doi.org/10.56506/UZVO7244
Ministri of Health. (2021). Pocketbook - Results of the 2021 Indonesian Nutritional Status Study (SSGI) at the national, provincial, and district/city levels [in Indonesia]. Ministri of Health. https://www.badankebijakan.kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/
Nathalia, A., Rahmawati, D., Nastiti, K., & Salmarini, D. D. (2024). Factors influencing the occurrence of exclusive breastfeeding failure in six-month-old infants. Health Sciences International Journal, 2(2), 96–103.
Permatasari, C. (2022). Early Marriage and the Risk of Stunting in Toddlers at Kertek 2 Health Center, Wonosobo Regency [in Indonesia]. HIGEA, 6(1), 31–37.
Rezaeizadeh, G., Mansournia, M. A., Keshtkar, A., Farahani, Z., Zarepour, F., Sharafkhah, M., Kelishadi, R., & Poustchi, H. (2024). Maternal education and its influence on child growth and nutritional status during the first two years of life: a systematic review and meta-analysis. EClinicalMedicine, 71, 102574. https://doi.org/10.1016/j.eclinm.2024.102574
Setianingsih, T., & Hussain, N. (2023). Analysis of the completeness of specific nutritional interventions as an effort to prevent stunting: an observational study. Padjadjaran Journal of Dentistry, 35(3), 237. https://doi.org/10.24198/pjd.vol35no3.50724
Sukardi, S., Nashihah, D., & Maulana, I. N. H. (2024). Empowering communities for sustainable stunting prevention: A comprehensive approach to enhance child nutrition and family health education. Inovasi Kurikulum, 21(2), 1125–1136. https://doi.org/10.17509/jik.v21i2.68846
United Nations Children’s Fund (UNICEF), & World Health Organization (WHO). (2019). UNICEF-WHO Low birthweight estimates: Levels and trends 2000–2015. World Health Organization.
United Nations Children’s Fund (UNICEF), World Health Organization (WHO), & International Bank for Reconstruction and Development/The World Bank. (2023). Levels and trends in child malnutrition: UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates: Key findings of the 2023 edition. UNICEF & WHO.
Utomo, B. S. (2018). Together we prevent stunting [in Indonesia]. WartaKesmas-Ministry of Health, 6–7.
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