Pengaruh Pemberian Makanan Pendamping ASI (MP-ASI) Tradisional terhadap Kejadian ISPA, Diare dan Status Gizi Bayi pada 4 (Empat) Bulan Pertama Kehidupannya (Studi di Demak, 2000)
By: Suyatno, Ir. MKes
Keywords: infant health; nutritional status; makanan pendamping ASI; kejadian ISPA; diare; status gizi bayi; Abstrak Penelitian Kesehatan
Subject: WEANING FOOD
Introduction of early supplementation feeding is the preferred practices in the rural community, especially traditional infant feeding practices. The practices can affect the infant health seriously, because their gastrointestinal tract has not ready to receive it and also the risk of bacterial contamination, finally it can affect on the infant morbidity and nutritional status.
The study was conducted (1) to identify the factors which influence early traditional infant feeding practices, (2) to examine the effect of traditional infant feeding practices on Acute Respiratory Infections (ARI) and diarrhea of infant in their first 4 month and (3) to examine the effect of traditional infant feeding practices on nutritional status infant in their first 4 months.
The study was cohort design. The exposure group was infant who were exposed by traditional infant feeding and outcome was diarrhoeal and ARI diseases, and nutritional status (z-score W/A). Observation was be done to 157 infant during their first 4 months of life. Body weight data were collected every month, data of morbidity and infant feeding practices were collected every two weeks.
The result of the study showed that in the first 1 month of infant life there were 19,7 % infant who were given traditional infant feeding, in the first 2 moths 25,5 %, in the first 3 months 32,5 %, and in the first 4 months 38,2 %. Introduction of early traditional infant feeding in the low family income was greater 2,38 time than the average or high family income (CI : 1,12-5,12), and women who had sources of health information from non-health agents introducing of traditional infant feeding greather 4,12 time than women who had sources of health information from health agents (CI : 1,19-8,95) in the first 4 months of infant life.
Overall, early traditional infant feeding practices affected significantly on episode of diarrhea, but did not affect significantly on duration of diarrhea, or on duration and episode of ARI. With a stratification on age, early traditional infant feeding practices affected significantly on episode and duration of ARI in the first 1 month. Traditional infant feeding practices did not affect significantly on the nutritional status of infant, but episode of diarrhea affected significantly.
The conclusions of this study is low family income and mother who had sources of health information from non-health agents was associated with early traditional infant feeding practices. Introduction of traditional infant feeding did not affect on nutritional status of infant directly in their first 4 months of life. But introduction of traditional infant feeding in the first 4 months of infant life could be increasing episode of diarrhea. Increasing episode of diarrhea had a negatively affected on nutritional status of infant in their first 4 months of life.