Study of Phenomenology: The Experience of Meeting Nutritional Needs of Infants With Low Birth Weight (LBW) in Positive Deviance Families
Abstract
Babies born with Low Birth Weight (LBW) are more prone to experiencing malnutrition problems. Efforts to prevent malnutrition in infants and toddlers can be done through the Positive Deviance approach. Positive Deviance is an individual or group (family) based approach by identifying positive behaviors that allow them to find better solutions to their problems. The purpose of this study was to determine the experience of fulfilling the nutritional needs of infants with a history of LBW in Positive Deviance families. The research design employed in this study was qualitative with a phenomenological approach. The main informants were Positive Deviance mothers, and the supporting informants consisted of Positive Deviance families, non-Positive Deviance mothers, and village midwives. The sampling technique used was purposive sampling. Data collection was carried out through in-depth interviews and documentation studies. The results of this study reveal the experiences of families in fulfilling the nutritional needs of infants with a history of LBW including positive maternal behaviors. For example, Early Initiation of Breastfeeding (IMD), breastfeeding after childbirth, application of breastfeeding correct way to LBW babies, exclusive breastfeeding, complementary breastfeeding, and other efforts if the baby does not have an appetite. Thus, this study implies that positive habits of mothers and families can meet the nutritional needs of infants, especially in increasing the weight of LBW babies to achieve ideal body weight. Therefore, it is necessary to make efforts to make mothers and their Positive Deviance family role models in order to transmit positive habits to other families with babies in preventing malnutrition in infants with LBW history.
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References
Bappenas. (2013). Pedoman Perencanaan Program - Gerakan Nasional Percepatan Perbaikan Gizi Dalam Rangka Seribu Hari Pertama Kehidupan (Gerakan 1000 HPK). Indonesia.
Bisits Bullen, P. A. (2011). The positive deviance/hearth approach to reducing child malnutrition: Systematic review. Tropical Medicine and International Health. https://doi.org/10.1111/j.1365-3156.2011.02839.x
BKKBN, BPS, & Ministry of Health (2018). Indonesian Demographich and Health Survey 2017. Jakarta.
Blencowe, H., Krasevec, J., de Onis, M., Black, R. E., An, X., Stevens, G. A., … Cousens, S. (2019). National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis. The Lancet Global Health. https://doi.org/10.1016/S2214-109X(18)30565-5
Bonet, M., Forcella, E., Blondel, B., Draper, E. S., Agostino, R., Cuttini, M., & Zeitlin, J. (2015). Approaches to supporting lactation and breastfeeding for very preterm infants in the NICU: A qualitative study in three European regions. BMJ Open. https://doi.org/10.1136/bmjopen-2014-006973
CORE. (2003). Positive Deviance/Hearth A Resource Guide for Sustainably Rehabilitating Malnourished Children. Group.
D’Alimonte, M. R., Deshmukh, D., Jayaraman, A., Chanani, S., & Humphries, D. L. (2016). Using Positive Deviance to Understand the Uptake of Optimal Infant and Young Child Feeding Practices by Mothers in an Urban Slum of Mumbai. Maternal and Child Health Journal. https://doi.org/10.1007/s10995-015-1899-3
Devaki, G., & Shobha, R. (2018). Maternal anthropometry and low birth weight: A review. Biomedical and Pharmacology Journal, 11(2), 815–820. https://doi.org/10.13005/bpj/1436
Gangal, P., Bhagat, K., Prabu, S., & Nair, R. (2007). BREAST CRAWL INITIATION OF BREASTFEEDING BY BREAST CRAWL. Unicef. UNICEF Maharashtra. Retrieved from unicef.org/india
Hamze, L., Mao, J., & Reifsnider, E. (2019). Knowledge and attitudes towards breastfeeding practices: A cross-sectional survey of postnatal mothers in China. Midwifery, 74, 68–75. https://doi.org/10.1016/j.midw.2019.03.009
Hendryx, M., Guerra-Reyes, L., Holland, B. D., McGinnis, M. D., Meanwell, E., Middlestadt, S. E., & Yoder, K. M. (2017). A county-level cross-sectional analysis of positive deviance to assess multiple population health outcomes in Indiana. BMJ Open. https://doi.org/10.1136/bmjopen-2017-017370
Kemenkes. (2014). Situasi dan Analisis ASI Eksklusif. Jakarta: Pusat Data dan Informasi. Kementrian Kesehatan Republik Indonesia.
Lanita, U., Febry, F., & Mutahar, R. (2012). Gambaran Perilaku Positive Deviance pada Ibu dan Status Gizi Anak Batita dari Keluarga Miskin di Desa Pemulutan Ulu Kecamatan Pemulu Kabupaten Ogan Hilir. Jurnal Ilmu Kesehatan Masyarakat.
Luthfia, E., Yanti, Y., & Warsiti, W. (2017). Studi Fenomenologi : Pengalaman Pemeliharaan Kesehatan Keluarga Positive Deviance Dalam Upaya Peningkatan Status Gizi Balita Di Puskesmas Ngumpakdalem Kabupaten Bojonegoro. Jurnal Penelitian Dan Pengabdian Kepada Masyarakat UNSIQ, 4(2), 129–132. https://doi.org/10.32699/ppkm.v4i2.415
Roche, M. L., Marquis, G. S., Gyorkos, T. W., Blouin, B., Sarsoza, J., & Kuhnlein, H. V. (2017). A Community-Based Positive Deviance/Hearth Infant and Young Child Nutrition Intervention in Ecuador Improved Diet and Reduced Underweight. Journal of Nutrition Education and Behavior, 49(3), 196-203.e1. https://doi.org/10.1016/j.jneb.2016.10.007
Shafique, M., Sternin, M., & Singhal, A. (2010). Will Rahima’ s Firstborn Survive Overwhelming Odds? Positive Deviance Initiative, (5), 1–12. Retrieved from http://www.positivedeviance.org/pdf/wisdom series/FINALPakistanWisdomSeries05.27.10.pdf
Singh, D., Devi, N., & Raman, T. S. R. (2009). Exclusive breast feeding in low birth weight babies. Medical Journal Armed Forces India. https://doi.org/10.1016/S0377-1237(09)80004-X
UNICEF, WHO, World Bank, U.-D. P. D. (2019). Levels and trends in child mortality report 2018. Retrieved from https://www.who.int/maternal_child_adolescent/documents/levels_trends_child_mortality_2018/en/
van Dick, G., & Scheffel, R. (2015). Positive deviance: a literature review about the relevance for health promotion. University of Bergen Department of Health Promotion and Development.
Zeitlin, M., Ghassemi, H., Mansour, M., & Haenel, H. (1991). Positive Deviance in Child Nutrition - With Emphasis on Psychosocial and Behavioural Aspects and Implications for
Development. 153 Seiten, zahlr. Tab. The United Nations University, Tokyo 1990. Preis: 30,- US $. Food / Nahrung. https://doi.org/10.1002/food.19910351022
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