Correlation of Mother's Outlook of Exclusive Breastfeeding and Stunting in Border Area of West-Central Java Province

Irman Permana; Dini  Norviatin; Hasna Nuha  Arumtara; Faza Nurul  Wardhani

doi:10.37899/journallamedihealtico.v5i6.1731

Irman Permana Departement of Child Health, RS Waled – Faculty of Medicine, Universitas Swadaya Gunung Jati-Waled Public Hospital, Cirebon, West Java, Indonesia
Dini Norviatin Department of Public Health, Faculty of Medicine, Universitas Swadaya Gunung Jati, Cirebon, West Java, Indonesia
Hasna Nuha Arumtara Clinical Clerkship Program, Faculty of Medicine, Universitas Swadaya Gunung Jati-Waled Public Hospital, Cirebon, West Java, Indonesia
Faza Nurul Wardhani Research Assistant Department of Child Health, RS Waled – Faculty of Medicine, Universitas Swadaya Gunung Jati-Waled Public Hospital, Cirebon, West Java, Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v5i6.1731

Keywords: Exclusive Breastfeeding, Outlook of Mother, Stunting

Abstract

Children under five years-old (toddlers) were very vulnerable to malnutrition especially stunting. Special consideration must be given to stunting in children under the age of five, as it has a detrimental impact on their mental and physical development. One of the factors that has been linked to stunting is non-exclusive breastfeeding. Lack of exclusive breast feeding on baby can be caused by poor parenting, especially low maternal’s outlook. The aim of the study was to discover the correlation between maternal’s outlook and exclusive breastfeeding with the incidence of stunting in toddlers aged 24-59 months in Brebes city, border area of West – Central Java Province. This cross-sectional study was conducted in June 2022 in multiple integrated health service clinics (posyandu) in Kersana district, Brebes. Participants were children between the ages of 24 and 59 months who attended the posyandu and were selected using consecutive sampling. Data was taken using questionnaire and the analytical technique used Spearman correlation test. Most of respondents were aged 31-40 years (53,7%), elementary school education level (47,1%), maternal status (82,4%), and who had daughters (56,5%). The results of the Spearman correlation test showed that there was a significant relationship between the maternal knowledge (p = 0.000, r = -0.886), and exclusive breastfeeding (p = 0.000, r = -0.661) with the incidence of stunting. The study concluded that low maternal’s outlook and non-exclusive breastfeeding significantly correlated with higher incidence of stunting.

References

Adila, W. P., & Yanti, R. S. (2023). The relationship of chronic energy deficiency (CED), exclusive breastfeeding, and economic with stunting in Nagari Aua Kuning West Pasaman. Science Midwifery, 10(6), 4471–4480. https://doi.org/10.35335/midwifery.v10i6.1165

Aureliyana, T., & Sakinah, R. K. (2022). The Relationship between Exclusive Breastfeeding and The Incidence of Stunting Toddlers. Jurnal Riset Kedokteran, 67–72. https://doi.org/10.29313/jrk.vi.1437

Bhutta, Z. A., Akseer, N., Keats, E. C., Vaivada, T., Baker, S., Horton, S. E., Katz, J., Menon, P., Piwoz, E., & Shekar, M. (2020). How countries can reduce child stunting at scale: lessons from exemplar countries. The American Journal of Clinical Nutrition, 112, 894S-904S. https://doi.org/10.1093/ajcn/nqaa153

De Onis, M., & Branca, F. (2016). Childhood stunting: a global perspective. Maternal & Child Nutrition, 12, 12–26.

Ekholuenetale, M., Okonji, O. C., Nzoputam, C. I., & Barrow, A. (2022). Inequalities in the prevalence of stunting, anemia and exclusive breastfeeding among African children. BMC Pediatrics, 22(1), 333. https://doi.org/10.1186/s12887-022-03395-y

Elba, F., Hassan, H. C., Umar, N. S., & Hilmanto, D. (2024). Mother’s knowledge of nutrition and protein intake in stunted children aged 12-36 months in Indonesia. International Journal of Innovative Research and Scientific Studies, 7(1), 56–62. https://doi.org/10.53894/ijirss.v7i1.2418

Emaniar, A. E., Octafania, N. S., Buchori, A. M., Anggraeni, D. A., Widyawati, R. W., Mawardhani, A. Y., Astuti, D. F., Anggrena, R. S., Putri, A. Z., & Roosana, M. R. (2023). Increasing Maternal Knowledge in Preventing Stunting Through Community-Based Nutrition Education. Advance Sustainable Science Engineering and Technology, 5(2), 230205. https://doi.org/10.26877/asset.v5i2.16252

Febriyona, R., Muhamad, Z., & Sali, N. R. (2024). Analysis of Toddler Eating Patterrn on the Incidence of Stunting in the Coastal Ponelo Islands of North Gorontalo District. Journal La Medihealtico, 5(3), 689–691. https://doi.org/10.37899/journallamedihealtico.v5i3.1391

Gebreegziabher, E., Bountogo, M., Sié, A., Zakane, A., Compaoré, G., Ouedraogo, T., Lebas, E., Nyatigo, F., Glymour, M., & Arnold, B. F. (2023). Influence of maternal age on birth and infant outcomes at 6 months: a cohort study with quantitative bias analysis. International Journal of Epidemiology, 52(2), 414–425. https://doi.org/10.1093/ije/dyac236

Haque, M. A., Zaman Wahid, B., Farzana, F. D., Tanvir Ahmed, S. M., Ali, M., Naz, F., Rahman, S. S., Siddiqua, T. J., Faruque, A. S. G., & Choudhury, N. (2023). Influence of the Suchana intervention on exclusive breastfeeding and stunting among children aged under 6 months in the Sylhet region of Bangladesh. Maternal & Child Nutrition, 19(4), e13535. https://doi.org/10.1111/mcn.13535

Hasni, D., Anugrah, N. S., Al Asri, Z., & Jelmila, S. N. (2023). The Relationship Between Exclusive Breastfeeding and the Incidence of Stunting in Toddlers. Nusantara Hasana Journal, 3(7), 161–173. https://doi.org/10.59003/nhj.v3i7.1081

Huang, J., Zhang, Z., Wu, Y., Wang, Y., Wang, J., Zhou, L., Ni, Z., Hao, L., Yang, N., & Yang, X. (2018). Early feeding of larger volumes of formula milk is associated with greater body weight or overweight in later infancy. Nutrition Journal, 17, 1–9. https://doi.org/10.1186/s12937-018-0322-5

Naja, F., Chatila, A., Ayoub, J. J., Abbas, N., Mahmoud, A., collaborators, M., Abdulmalik, M. A., & Nasreddine, L. (2022). Prenatal breastfeeding knowledge, attitude and intention, and their associations with feeding practices during the first six months of life: a cohort study in Lebanon and Qatar. International Breastfeeding Journal, 17(1), 15. https://doi.org/10.1186/s13006-022-00456-x

Naufal, F. F., Indita, H. R., & Muniroh, L. (2023). The Relationship between Maternal Knowledge and Family Support with Exclusive Breastfeeding. Amerta Nutrition, 7(3). https://doi.org/10.20473/amnt.v7i3.2023.442-448

Notarbartolo, V., Giuffrè, M., Montante, C., Corsello, G., & Carta, M. (2022). Composition of human breast milk microbiota and its role in children’s health. Pediatric Gastroenterology, Hepatology & Nutrition, 25(3), 194. https://doi.org/10.5223/pghn.2022.25.3.194

Nugraheni, D., Nuryanto, N., Wijayanti, H. S., Panunggal, B., & Syauqy, A. (2020). Asi Eksklusif Dan Asupan Energi Berhubungan Dengan Kejadian Stunting Pada Usia 6–24 Bulan Di Jawa Tengah. Journal of Nutrition College, 9(2), 106–113. https://doi.org/10.14710/jnc.v9i2.27126

Nurani, N., Wibowo, T., Susilowati, R., Hastuti, J., Julia, M., & Van Weissenbruch, M. M. (2022). Growth of exclusively breastfed small for gestational age term infants in the first six months of life: a prospective cohort study. BMC Pediatrics, 22(1), 73. https://doi.org/10.1186/s12887-021-03080-6

Permaha, O. R., Argarini, D., & Hidayat, R. (2023). The Relationship Between Maternal Knowledge Parenting Patterns and Exclusive Breastfeeding with The Incidence of Stunting in Toddlers in The Work Area of The Urban Health Center Tanjung Priok North Jakarta. Jurnal Kesehatan Dr. Soebandi, 11(2), 139–146. https://doi.org/10.36858/jkds.v11i2.509

Permatasari, T. A. E., & Syafruddin, A. (2016). Early initiation of breastfeeding related to exclusive breastfeeding and breastfeeding duration in rural and urban areas in Subang, West Java, Indonesia. J Health Res Vol, 30(5).

Qomah, I., Tazkiah, M., & Rahmayanti, R. (2024). The relationship between mother’s knowledge and the incidence of stunting in toddlers in polindes, mundar village, south labuan amas district, hulu sungai tengah regency in 2024. Journal of Health Management and Pharmacy Exploration, 2(2). https://doi.org/10.52465/johmpe.v2i2.383

Rachmawati, D. A., Indraswari, R. P. C., & Sakinah, E. N. (2022). The correlation between mother’s knowledge about complementary feeding with the incidence of stunting in toddlers under two in Mayang, Jember. Journal of Agromedicine and Medical Sciences, 8(2), 85–90. https://doi.org/10.19184/ams.v8i2.25606

Rahmadi, A., Bertalina, B., Sudarmi, S., & Aprina, A. (2022). Education on Nutrition, Sanitation, and IYCF to Increase Mother’s Knowledge in Lokus Stunting Village. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 7(2), 639–646. https://doi.org/10.30604/jika.v7i2.890

Rayhana, R., & Amalia, C. N. (2021). Pengaruh pemberian ASI, imunisasi, MP-ASI, penyakit ibu dan anak terhadap kejadian stunting pada balita. Muhammadiyah Journal of Nutrition and Food Science (MJNF), 1(2), 60–69. https://doi.org/10.24853/mjnf.1.2.60-69

Sari, A. L. (2022). Exclusive breastfeeding as an effort to prevent stunting in toddlers. NeuroQuantology, 20(5), 3668–3675.

Suherlis, S., Sriyanti, R., Meinapuri, M., Ariadi, A., Afdal, A., & Firdawati, F. (2024). The Relationship Between Knowledge, Information Exposure, and Cadre Support with Mothers’ Visits for Under-Five Weighing Coverage in the Working Area of Pegambiran Health Center, Padang City, 2024. Journal La Medihealtico, 5(4), 873–879. https://doi.org/10.37899/journallamedihealtico.v5i4.1555

Susilawati, S., Anzani, M. P., & Arifin, R. F. (2022). Husband’s Support and Mother’s Motivation with Exclusive Breastfeeding in Babies Aged 0–6 Months in Tipar Village, Sukabumi City. Risenologi, 7(1a), 49–55.

Tello, B., Rivadeneira, M. F., Moncayo, A. L., Buitrón, J., Astudillo, F., Estrella, A., & Torres, A. L. (2022). Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age. International Breastfeeding Journal, 17(1), 19. https://doi.org/10.1186/s13006-022-00461-0

Wiliyanarti, P. F., Wulandari, Y., & Nasrullah, D. (2022). Behavior in fulfilling nutritional needs for Indonesian children with stunting: Related culture, family support, and mother’s knowledge. Journal of Public Health Research, 11(4), 22799036221139936. https://doi.org/10.1177/22799036221139938

Wondim, A., Techane, M. A., Wubneh, C. A., Assimamaw, N. T., Belay, G. M., Tamir, T. T., Muhye, A. B., Kassie, D. G., Terefe, B., & Tarekegn, B. T. (2023). Major maternal related determinants of non-breastfeeding among mothers in Ethiopia: A multilevel analysis from DHS Ethiopia 2016. Plos One, 18(6), e0286662. https://doi.org/10.1371/journal.pone.0286662

Wulandari, R., & Harahap, Y. Z. (2023). Analysis Mother Knowledge with Risk Stunting Events in the Region Work Public health center Portibi. International Journal of Public Health Excellence (IJPHE), 3(1), 134–138. https://doi.org/10.55299/ijphe.v3i1.474

Yuliantini, E., Sukiyono, K., Sulistyo, B., & Yuliarso, M. Z. (2023). TheLinkage Between Mother’s Knowledge and Stunting Incidence in Coastal House Holds. Star Shine Medical Journal, 3(1).

Zahrah, S. N., & Damayanti, N. A. (2023). The relationship between religious leaders and the knowledge of mothers in reducing stunting: a literature review. Journal of Public Health in Africa, 14(2), 6. https://doi.org/10.13005/bpj/2972