scholarly journals FAKTOR-FAKTOR YANG MENYEBABKAN KETIDAKBERHASILAN PEMBERIAN ASI EKSLUSIF MELALUI KELOMPOK PENDUKUNG ASI (KP-ASI)

2020 ◽  
Vol 4 (2) ◽  
pp. 242-252
Author(s):  
Besti Verawati ◽  
Nopri Yanto ◽  
Indrawati Indrawati ◽  
Yufi Permata Dewi

Sidomulyo Health Center working area of 33.7%. One of the factors that influence the low level of exclusive breastfeeding is the lack of encouragement and support from family and the environment. Support from the environment can be realized by forming a breastfeeding support group (KP-ASI). The purpose of this study was to analyze the factors that cause the unsuccessfulness of exclusive breastfeeding through breastfeeding support groups (KP-ASI) at Sidomulyo Health Center Pekanbaru. Methode: This type of research is quantitative with cross sectional method. This research was conducted on 02 June - 17 June 2020 at Puskesmas Sidomulyo Pekanbaru with a sample size of 25 KP-ASI members and 25 infant mothers. The technique of collecting interview data using a questionnaire. The analysis used was univariate and bivariate with the Chi Square test. Result: The results of univariate analysis showed that most 13 people (52%) had good motivation, most of the availability of infrastructure, 14 people (56%) were in the inadequate category and supervision, namely 13 people (52%) were in the poor category The results showed a p value of 0.028 for the motivation variable, 0.070 for the variable availability of infrastructure and 0.025 for the monitoring variable. Conclusion: The conclusion is there is a relationship between motivation and supervision with the practice of exclusive breastfeeding. Meanwhile, seen from the p value> 0.05 for the variable availability of infrastructure, there is no relationship between the availability of infrastructure and the practice of exclusive breastfeeding

2020 ◽  
Vol 6 (3) ◽  
pp. 103
Author(s):  
Nur Hudayah ◽  
Ni’ma Meilani ◽  
Wa Ona

ABSTRAKLebih dari sekitar 132 juta bayi lahir setiap tahunnya di dunia, hanya 51 juta yang mendapatkan ASI Ekslusif dan 81 juta lainnya tidak mendapatkan ASI eksklusif. Menurut data laporan Dinas Kesehatan Kota Baubau diketahui bahwa pada tahun 2017 cakupan ASI eksklusif di Puskesmas Katobengke menempati urutan keempat dengan persentase mencapai 52,6%. Penelitian ini bertujuan untuk mengetahui determinan pemberian ASI eksklusif yang meliputi karakteristik ibu (umur saat melahirkan, pendidikan, pekerjaan, pengetahuan) dan promosi susu formula. Jenis penelitian ini adalah penelitian kuantitatif dengan desain penelitian cross sectional. Jumlah populasi dalam penelitian ini berjumlah 96 orang yang mempunyai bayi 0-6 bulan yang terdaftar dalam catatan KIA Puskesmas Katobengke. Penentuan sampel dalam penelitian ini menggunakan teknik total sampling sehingga seluruh populasi dalam penelitian ini adalah sampel. Data dalam penelitian ini diperoleh dari hasil wawancara dan observasi dengan instrumen berupa kuesioner. Analisis data dalam penelitian ini adalah analisis bivariat menggunakan uji chi-square dengan tingkat kepercayaan 95%. Uji chi square menunjukkan p-value untuk variabel umur adalah sebesar 0,654. Besaran p-value untuk variabel pendidikan adalah 0,497. Besaran p-value untuk variabel pekerjaan dan pengetahuan adalah 0,003. Besaran p-value untuk variabel promosi susu formula adalah 0,019. Sehingga dapat disimpulkan bahwa tidak ada hubungan antara umur ibu dan pendidikan ibu dengan perilaku pemberian ASI ekslusif di wilayah kerja Puskesmas Katobengke. Serta diperoleh hubungan yang bermakna antara pekerjaan ibu, pengetahuan ibu, dan promosi susu formula terhadap perilaku pemberian ASI eksklusif di Puskesmas Katobengke.Kata-kata kunci : Determinan, ASI eksklusif, karakteristik ibu, susu formula ABSTRACTMore than about 132 million babies are born every year in the world, only 51 million get exclusive breastfeeding and another 81 million do not get exclusive breastfeeding. According to the Baubau City Health Office data report it is known that in 2017 exclusive breastfeeding coverage at the Katobengke Health Center ranks fourth with a percentage reaching 52.6%. This study aims to determine the determinants of exclusive breastfeeding which includes maternal characteristics (age at birth, education, occupation, knowledge) and the promotion of formula milk. This type of research is quantitative research with cross sectional research design. The population in this study amounted to 96 people who have babies 0-6 months registered in the MCH records Katobengke Health Center. The determination of the sample in this study uses a total sampling technique so that the entire population in this study is the sample. Data in this study were obtained from interviews and observations with instruments in the form of questionnaires, as well as literature studies from several sources both agencies and other literature. Data analysis in this study included univariate analysis to see or get a picture of the distribution of respondents and bivariate analysis using the Chi-square test with a confidence level of 95%. Chi square test shows the p-value for the age variable is 0.654. The p-value for the education variable is 0.497. The p-value for work and knowledge variables is 0.003. The p-value for the formula milk promotion variable is 0.019. So it can be concluded that there is no relationship between mother's age and mother's education with exclusive breastfeeding behavior in the working area of Katobengke Health Center. And obtained a significant relationship between mother's work, mother's knowledge, and the promotion of formula milk to the behavior of exclusive breastfeeding at Katobengke Health Center.Keywords : Determinants, Exclusive breastfeeding, mother's characteristics, formula milk


2020 ◽  
Vol 8 (2) ◽  
pp. 107-110
Author(s):  
Arnisam Arnisam ◽  
Nunung Sri Mulyani ◽  
Eva Fitriyaningsih ◽  
Desi Muntazirah

Background :Stunting is called a cross-generation nutritional problem caused by multifactors including genetic factors (maternal height). Another factor causing stunting is lack of nutrition. ASI fulfills all of the baby's nutritional needs, so breastfeeding status also affects the incidence of stunting.Objective : to determine the relationship of exclusive breastfeeding and maternal height with the incidence of stunting in children aged 6-36 months in the UPTD of the Ulee Kareng Health Center in Banda Aceh.Methods : This research is descriptive analytical research with cross sectional design with a quantitative approach. It was held on May-June 2019. The population of this study was all children aged 6-36 months in the UPTD of the Health Center Ulee Kareng Banda Aceh. The sample size was 81 children aged 6-36 months. The sampling technique in this study was accidental sampling. The instrument used was a questionnaire to determine toddler identity and the identity of the respondent. Measurement of height using microtoice, and body length was measured using an infrantometer Analysis of data using the chi square test with a 0.05 degree of confidence.Result : Based on the results of the study, children who received exclusive breastfeeding were 51.9%. Short mother 58%. Normal child 51.9%. There is a relationship between exclusive breastfeeding and maternal height with the incidence of stunting in children aged 6-36 months. With p-value 0.05. Namely exclusive breastfeeding with the incidence of stunting in children (p-value = 0.011). Maternal height with incidence of stunting in children (p-value = 0.028).Conclusion : Exclusive breastfeeding and maternal height have a relationship with the incidence of stunting in children aged 6-36 months in the UPTD of the Health Center Ulee Kareng Banda Aceh. So it is expected that mothers give exclusive breastfeeding for babies as an effort to prevent stunting.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Novita Andayani ◽  
Iflan Nauval ◽  
Trinita Sukma Zega

Abstrak. Infeksi Saluran Pernapasan Atas (ISPA) merupakan penyakit infeksi yang masih menjadi masalah kesehatan utama di Indonesia yang dapat disebabkan oleh berbagai macam virus yang menginfeksi tubuh balita dengan kekebalan tubuh yang masih lemah. Salah satu faktor yang dapat menyebabkan ISPA pada balita ialah pemberian ASI ekslusif. ASI ekslusif memiliki kandungan gizi dan sistem kekebalan yang melindungi balita dari infeksi. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian ASI eksklusif terhadap kejadian ISPA pada balita di Wilayah Kerja Puskesmas Kopelma Darussalam.  Variabel dalam penelitian ini diukur dengan menggunakan kuisioner pemberian ASI ekslusif pada balita. Metode penelitian ini adalah analitik observasional dengan rancangan cross sectional. Jumlah sampel sebanyak 63 balita diambil dengan teknik Non Random (Non Probability) Sampling dengan metode Accidental sampling. Analisis statistik yang digunakan adalah uji Chi-Square. Data penelitian menunjukkan balita yang diberikan ASI ekslusif sebesar 30,2% dan balita yang mengalami kejadian ISPA sebesar 82,5%. Hasil penelitian ini didapatkan bahwa p-value =0,008 yang menunjukkan adanya pengaruh pemberian ASI eksklusif terhadap kejadian ISPA pada balita di Wilayah Kerja Puskesmas Kopelma Darussalam. Balita yang tidak mendapatkan ASI ekslusif lebih banyak mengalami kejadian ISPA.Kata kunci: Air Susu Ibu (ASI) esklusif, ISPA, balitaAbsrtact. Acute Respiratory Infections (ARI) is an infectious disease that still a major health problem in Indonesia which can be caused by various viruses that infect the bodies of infants with weak immune bodies. One factor that can cause ARI in infants is exclusive breastfeeding. Exclusive breastfeeding has nutritional and immune systems that protect infants from infection. This research aims to determine the effect of exclusive breastfeeding on the incidence of ARI in infants in the Community Health Center Kopelma Darussalam. These variables measured by exclusive breastfeeding questionnaire in infants respectively . The type of the research is analytical observational study with cross sectional  design. The samples is 63 infants who are taken by Accidental sampling. The statistical analysis of the research were analyzed using Chi-Square test. The result of the research showed that 30.2% infants who were given exclusive breastfeeding and 82,5% infants who experienced ARI events. The conclusion of this study shows p-value=0,008 that the influence of exclusive breastfeeding on the incidence of ARI in infants in the Community Health Center Kopelma Darussalam . The Infants who do not get exclusive ASI experience more ARI events. Key words: exclusive breastfeeding, ARI, infants


2020 ◽  
Vol 6 (1) ◽  
pp. 16-24
Author(s):  
ARNOF YERNI

ABSTRACT Indoplant as one of the methods of contraception under the skin, is officially used in several countries including Indonesia and is quickly accepted by the public and is one of the programmed methods of contraception. However, there are still many acceptors who do not carry out re-control after installation. This study aims to determine the factors that influence the Indoplant acceptors in carrying out re-control at TanjungBerigin Health Center in Langkat Regency in 2018. This study uses a descriptive design with cross-sectional approach. The population in this study were all indoplant acceptors after 13 months installation at Tanjung Beringin Health Center, as many as 68 people and the sampling technique was total sampling .The result of univariate analysis was the highest age of respondents>  = 0.05) found the effect of age on the re-contro (p-value = 1000) and the influence of education (p-value = 0.023) and the influence of parity (p-value = 0.034) and the influence of knowledge (p-value = 0.015).a35 years 37 people (54.4%) higher education 42 people (61.8%) high parity 41 people (60.3%), high knowledge 39 people (57.4%) and those who re-controlling 53 people (77.9%). While the results of the bivariate analysis using the chi square test (95% CI and Based on the results of the study it is expected that health workers, especially midwives, can provide counseling or complete information about indoplant, especially the implementation of re-control. Keywords: Indoplant acceptors, re-control


2020 ◽  
Vol 4 (2) ◽  
pp. 157-168
Author(s):  
Nur Afrinis ◽  
Indrawati Indrawati ◽  
Noni Haspriyanti

ABSTRACT Exclusive breastfeeding for infants aged 0-6 months has a major contribution to optimal growth and development and immunity of infants. Mother and family play an important role in exclusive breastfeeding. The purpose of this study was to analyze the relationship between maternal knowledge about lactation management and family support with exclusive breastfeeding for infants aged 0-6 months in the work area of the Senapelan Community Health Center in 2020. This type of research is a quantitative study with a cross sectional design. The study was conducted on April - June 2020 with a total sample of 38 primiparous mothers who had babies aged 6-12 months which were obtained using purposive sampling technique. Data collection using a questionnaire. The data analysis used was univariate and bivariate analysis with the Chi Square test. The results of univariate analysis showed that 20 respondents (52.6%) had less knowledge about lactation management, 24 respondents (63.2%) did not get support from their families and 21 respondents (55.3%) did not exclusively breastfeed babies aged 0- 6 months. The results of the Chi Square test showed a relationship between maternal knowledge about lactation management (p value = 0.024) and family support (p value = 0.029) with exclusive breastfeeding for infants aged 0-6 months. There is a significant relationship between maternal knowledge about lactation management and family support with exclusive breastfeeding for infants aged 0-6 months in the working area of the Senapelan Community Health Center in 2020. Pregnant women and breastfeeding mothers should actively participate in counseling activities and practices in increasing knowledge about lactation management. and health workers actively socialize to the community so that families can support exclusive breastfeeding, especially for primiparous mothers. Kata kunci: Exclusive breastfeeding, family support, lactation management, maternal knowledge ABSTRAK Pemberian ASI eksklusif pada bayi usia 0-6 bulan memiliki kontribusi yang besar terhadap tumbuh kembang optimal dan daya tahan tubuh bayi. Ibu dan keluarga berperan penting dalam pemberian ASI eksklusif. Tujuan penelitian ini untuk menganalisis hubungan pengetahuan ibu tentang manajemen laktasi dan dukungan keluarga dengan pemberian ASI eksklusif pada bayi usia 0-6 bulan di wilayah kerja Puskesmas Senapelan tahun 2020. Jenis penelitian adalah penelitian kuantitatif dengan desain cross sectional. Penelitian dilakukan pada tanggal 29 Mei-9 Juni 2020 dengan jumlah sampel 38 orang ibu primipara yang memiliki bayi usia 6-12 bulan diperoleh menggunakan teknik purposive sampling. Pengumpulan data menggunakan kuesioner. Analisa data yang digunakan adalah analisa univariat dan bivariat dengan uji Chi Square. Hasil analisa univariat diperoleh 20 responden (52,6%) memiliki pengetahuan kurang tentang manajemen laktasi, 24 responden (63,2%) tidak mendapat dukungan dari keluarga dan 21 responden (55,3%) tidak memberikan ASI eksklusif pada bayi usia 0-6 bulan. Hasil uji Chi Square ada hubungan antara pengetahuan ibu tentang manajemen laktasi (p value = 0,024) dan dukungan keluarga (p value = 0,029) dengan pemberian ASI eksklusif pada bayi usia 0-6 bulan. Terdapat hubungan yang signifikan antara pengetahuan ibu tentang manajemen laktasi dan dukungan keluarga dengan pemberian ASI eksklusif pada bayi usia 0-6 bulan di wilayah kerja Puskesmas Senapelan tahun 2020. Ibu hamil dan ibu menyusui agar aktif mengikuti kegiatan penyuluhan dan praktik dalam meningkatkan pengetahuan tentang manajemen laktasi dan petugas kesehatan aktif melakukan sosialisasi kepada masyarakat sehingga keluarga dapat mendukung pemberian ASI eksklusif khususnya pada ibu primipara


2017 ◽  
Vol 2 (2) ◽  
pp. 74
Author(s):  
Nurul Fitri ◽  
Yuniar Lestari ◽  
Lisma Evareny

Exclusive breastfeeding is one of ways to maintain a good growth and development for the baby. Exclusive breastfeeding in Indonesia is the right for every baby which is regulated in government regulations, but the coverage of exclusive breastfeeding is still low in some areas. The lowest exclusive breastfeeding coverage in Padang is in the working area of Air Dingin health center. The aims of this study is to determine the relationship between husbands support with exclusive breastfeeding in Air Dingin public health center.This study was a quantitative study with cross sectional design conducted at Air Dingin health centerfrom Marchto December 2017. Subject of this studywere mothers who had 6-12 month babies whichwere106 people. Data was collected by using questionnaires and guided interviews. Data analysis was performed using univariate and bivariate using chi square test with  p-value ≤  0,05.The results showed 76,4% of mothers did not provide exclusive breastfeeding for their babies and 59,4% of mothers did not get support from their husbands.Bivariate analysis showed  that there was a relationship between husband support with exclusive breastfeeding with p-value=0.000.There was a relationship between husband support with providing exclusive breastfeeding for the babies. Because of the importance of husbands role, husbands must be the target for exclusive breastfeeding counseling.Therefore, husbands can also be active to find the information and participate in the success of exclusive breastfeeding for the babies.


Author(s):  
Brain Guntoro ◽  
Kasih Purwati

Hypertension is one of the number one causes of death and disability in the world. Hypertension contributes nearly 9.4 million deaths from cardiovascular disease each year. Hypertension can cause undesirable effects, it needs good handling, one of them is by doing a hypertension diet. To carry out a hypertension diet requires knowledge, lack of knowledge can increase risk factors for hypertension. This study aims to determine the relationship of the level of knowledge about hypertension diet to the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City. This research method is an analytic observational with a cross-sectional approach conducted at the Baloi Permai Public Health Center Batam City 2018. Sampling technique is a total sampling with a sample of 64 people in 2018 determined by inclusion and exclusion criteria. The results of the study were analyzed with frequency distribution and then tested with the Chi-square test. Based on the results of this study indicate that of the 64 respondents found elderly who have a good level of knowledge are 41 people (64.1%), 48 people (75.0%) have an age range between 60-70 years. 27 people (42.2%) elderly have the last high school education and 40 people (62.5%) have jobs as entrepreneurs. Elderly people who have normal blood pressure are 40 people (62.5%), and those affected by hypertension are 24 people (37.5%). The elderly who have a family history of hypertension is 21 people (32.8%) and those who do not have a history of hypertension are 43 people (67.2%). Chi-Square Test analysis results show the significance value p = 0.009. This number is significant because the p-value is smaller than the significance level (α) ≤ 5% (0.05), so H0 is rejected and Ha is accepted. Therefore it can be concluded that there is a significant relationship about the level of knowledge about the hypertension diet to the incidence of hypertension in the elderly. From the results of this study it was concluded that there was a relationship between the level of knowledge about the hypertension diet and the incidence of hypertension in the elderly at the Baloi Permai Public Health Center Batam City in 2016.


2017 ◽  
Vol 9 (01) ◽  
pp. 59
Author(s):  
Is Susiloningtyas ◽  
Dewi Ratnawati

ABSTRAKMenyusui adalah proses fisiologis untuk memberikan nutrisi kepada bayi. ASI adalah nutrisi ideal bagi bayi untuk menunjang kesehatan, pertumbuhan dan perkembangan bayi secara optimal. ASI memiliki energi dan komposisi gizi yang lengkap bagi pertumbuhan dan perkembangan bayi terutama di awal kehidupan bayi. Di era industrialisasi kegiatan menyusui telah mengalami penurunan yang signifikan. Ibu yang bekeja menjadi alasan untuk tidak menyusui. Kondisi tersebut menyebabkan semakin menurunnya angka ibu menyusui di Indonesia dalam 5 tahun terakhir. Pencapaian angka menyusui yang rendah telah mempengaruhi angka cakupan pemberian ASI Eksklusif pada tahun 2014 hanya berkisar 27,5%. Oleh karena itu pemerintah Indonesia memandang perlu untuk meningkatkan program ASI Eksklusif dengan diterbitkannya Peraturan Pemerintah Nomor 33 tahun 2012 tentang Pemberian ASI Eksklusif. Pemerintah telah menetapkan bahwa setiap penyelenggara fasilitas kesehatan dan pengurus tempat kerja serta penyelenggara tempat umum harus menyediakan ruang laktasi sesuai dengan ketentuan dan standar prosedur yang telah ditetapkan. Jenis penelitian yang digunakan adalah explanatory research, yaitu bertujuan untuk menguji suatu hipotesis dari hubungan antara variabel. Adapun pendekatannya menggunakan rancangan cross sectional dengan sampel penelitian 99 orang. Analisa data menggunakan analisis univariabel dan bivariabel. Hasil Uji chi square faktor usia dengan pemanfaatan Ruang Laktasi didapatkan  nilai p value 0,06 sehingga tidak ada hubungan antara faktor usia dengan pemanfaatan Ruang Laktasi sedangkan hasil uji chi square faktor pendidikan, persepsi dan motivasi dengan pemanfaatan Ruang Laktasi didapatkan nilai p value 0,05 sehingga ada hubungan antara faktor pendidikan, persepsi dan motivasi dengan pemanfaatan Ruang Laktasi. Sarannya adalah melakukan sosialisasi pemanfaatan ruang laktasi. Kata Kunci : ASI, Ruang LaktasiFACTORS THAT INFLUENCE THE USE OF LAKTATION ROOM IN PRIMARY HEALTH CARE GUNUNG PATI  SEMARANGABSTRACTBreastfeeding is a physiological process to provide nutrition to the baby. Breast milk is the ideal nutrition for babies to optimally support the health, growth and development of babies. Breast milk has a complete energy and nutritional composition for infant growth and development, especially early in life. In the industrialization era of breastfeeding activity has decreased significantly. A working mother is the reason not to breastfeed. This condition causes the decreasing number of nursing mothers in Indonesia in the last 5 years. The achievement of low breastfeeding rates has affected the coverage rate of exclusive breastfeeding in 2014 to only about 27.5%. Therefore the Indonesian government considers it necessary to improve the exclusive breastfeeding program by the issuance of Government Regulation No. 33 of 2012 on Exclusive Breastfeeding. The Government has determined that every provider of health facilities and workplaces and public place providers should provide lactation chambers in accordance with established provisions and standard procedures. The type of research used is explanatory research, which aims to test a hypothesis of the relationship between variables. The approach using cross sectional design with a sample of 99 people. Data analysis using univariable and bivariable analysis. The result of chi square test of age factor with Lactation Space utilization got p value 0,06 so there is no correlation between age factor with Lactation Room utilization whereas chi square test of education factor, perception and motivation with Lactation space utilization got p value 0,05 So there is a relationship between educational factors, perceptions and motivation with the utilization of Lactation Space. The suggestion is to socialize the utilization of lactation space.Keywords: Breast milk, Lactation Room


2019 ◽  
Vol 1 (2) ◽  
pp. 96-105
Author(s):  
Dewi Sartika Siagian ◽  
Sara Herlina

The purpose of this study was to determine the relationship of exclusive breastfeeding and mother's education on infant development. This research is a quantitative observational analytic with cross sectional design. The results of univariate analysis show that most babies get exclusive breastfeeding as many as 46 people (55.4%), low education as many as 56 people (67.5%) and most of the normal development of 47 people ( 56.6%). The results of bivariate analysis of exclusive breastfeeding for infant development by chi square test obtained P value <0,000. Conclusions, there is a relationship between exclusive breastfeeding on infant development and bivariate analysis of maternal education on infant development. There is a relationship between mother's education and infant development. Keywords: Exclusive ASI, Mother's Education, Infant Development


2019 ◽  
Vol 10 (1) ◽  
pp. 11-18
Author(s):  
Erni Yuliastuti ◽  
Tut Barkinah

Diarrhea is an important health issue because it is the third major contributor to toodler morbidity and mortality in Indonesia (Basic Health Research, 2010). The incidence of diarrhea in Banjar Regency was ranked 2nd after Banjarmasin city. Diarrhea in Martapura Health Center amounted to 306 people, ranked second after the Gambut Health Center, as many as 936 people (Banjar Regency Health Office,2013). Diarrheaas a top 10 most diseases and the highest prevalence occurs in toddlers. The risk of diarrhea related to knowledge, behaviour of exclusive breastfeeding and environmental sanitation. These three factors will interact with human behavior that could have an impact on the incidence of diarrhea. The purpose of this research was to analyze knowledge, exclusive breastfeeding, environmental sanitation and maternal characteristics, culture about maruas with the incidence of diarrhea. This research is an analytic survey type with cross sectional design.The instrument used is a questionnaire containing a list of questions and medical record. The population of the research was mothers who took their children to visit the IMCI Polyclinic at Martapura Health Center in 2016. The sample is the mother who visited theIMCI Polyclinic in the work area of Martapura Health Center and large sample as many as 100 people. Data analysis using the Chi Square Test and OR. The results showed that there was a relationship between the incidence of diarrhea with age (ρ = 0,000), education (ρ = 0,021), employment (ρ = 0,026) OR = 4,012, knowledge (ρ = 0,001), exclusive breastfeeding (ρ = 0,013) OR = 4,573 , environmental sanitation (ρ = 0,000) OR = 16,579, maruas culture (ρ = 0,020) OR = 3,250. The risk of the highest incidence of diarrhea by environmental sanitation factors is 16,579 risky timesoccur in families with unhealthy home environmental sanitation.  Keywords: Diarrhea; Sanitation; Breastfeeding; Culture


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