Spatial Stochastic Modeling of Adolescent and Under-Five Children Nutritional Status: A Case Study from Aceh, Sumatera Island, Indonesia

Author(s):  
Siti Rusdiana ◽  
Zurnila Marli Kesuma ◽  
Latifah Rahayu ◽  
Edy Fradinata
2017 ◽  
pp. 109-115
Author(s):  
Yesstia Pulung Sari ◽  
Treesia Sujana ◽  
Kristiawan Prasetyo Agung Nugroho

ABSTRAK Latar belakang penelitian adalah permasalahan status gizi pada balita. Pada tahun 2013, kasus gizi di Kabupaten Semarang tercatat sebanyak 1,05% balita dengan gizi buruk dan 6,63% balita dengan gizi kurang. Selain itu, berdasarkan data Kohort tahun 2016 di Dusun Gondang terdapat sebanyak 21,4% balita dengan gizi kurang dan 14,3% balita tidak secara rutin mengikuti program Posyandu. Meskipun Posyandu telah dilaksanakan secara rutin, terdata pada tahun 2014 Posyandu sebanyak 289.685 tersebar di wilayah Indonesia. Padahal adanya program Posyandu memiliki 5 kegiatan utama, salah satunya yaitu mengenai gizi. Penelitian bertujuan untuk mengetahui kebijakan yang mendasari program Posyandu, aktivitas Posyandu dilaksanakan, dan status gizi balita di Dusun Gondang, Desa Getasan. Penelitian menggunakan metode studi kasus dengan beberapa teknik pengumpulan data seperti observasi, wawancara dan pembelajaran terhadap dokumentasi. Data penelitian dideskripsikan, dilanjutkan mentranskrip dan reduksi data. Penelitian dilakukan selama 1 bulan pada Februari 2017 di Dusun Gondang, Desa Getasan. Simpulan penelitian adalah bahwa Program Posyandu di Desa Getasan telah mengikuti kebijakan pemerintah pusat dimana aktivitas Posyandu sudah cukup sesuai dengan ketetuan yang ada dan kondisi balita dengan gizi kurang sebanyak 4 balita di Dusun Gondang.   Kata Kunci : kebijakan, Posyandu, status gizi balita   ABSTRACT Nutritional problem on children’s age has long become a concern. In 2013, Semarang recorded 1.05% of under-fives children with poor nutritional status and 6.63% of under-fives with malnutrition status. In addition, based on the cohort data in 2016 there were 21.4% of under-fives children who had poor nutrition and 14.3% of children did not regularly come to the Posyandu program, eventhough it had been carried out regularly in Dusun Gondang. It is identifiied that in 2014, there are 289,685 Posyandu which had been carried out nation-wide. Posyandu has 5 main activities, and one of them focused on nutritional problem. The purpose of this study is to understand the underlying policy of Posyandu program, activities which implemented in each program, and nutritional status of under five children in Dusun Gondang, Getasan Village. This study used case study method, which utilizied several data collection techniques, which were: observation, interview and documentation study. This study was held for 1 month started from February, 2017. The collected data then described and reduced. The conclusion which emerged from this study especially describes the Posyandu program in Getasan village which had been carried out according to the central government policy. The implementation of programs in Posyandu has been done according to the current policy, however there were still 4 under five children identified with poor nutritional status.   Keywords: policy, Posyandu, nutritional status children under five years old  


Author(s):  
Siti Zakiah Zulfa ◽  
◽  
Cesa Septiana Pratiwi ◽  

Background: In developing country, malnutrition of under five children was still a severe problem because it may have an impact on the quality of human resources in the future. Various program has been tried in many places to overcome this problem, one of which is through a home visit program, which is very necessary for educational purposes to manage malnutrition. This study aimed to determine how to implement a home visit program to improve the nutritional status of under five children in developing countries. Subjects and Method: A scoping review method was conducted using Arksey and O’malley (2005) framework with five steps: (1) Identify the scoping review question; (2) Identify relevant articles; (3) Article selection; (4) Mapping; (5) Present the results, discussion and conclusion. The search included Pubmed, Wiley, Ebsco, Science Direct, and Google scholar databases. The inclusion criteria were original articles in Indonesian and English from developing countries published from 2010 to 2019. The data were reported by PRISMA flow chart. Results: Five of the 159 articles were selected, and found that five themes were summarized, namely: (1) effective implementation of home visits, (2) types of rehabilitation of nutritional status of under-five children on home visits, (3) home visit officers 4) time and activities for conducting home visits and 5 ) constraints on home visits for malnutrition education purposes. Conclusion: Home visit program is an effective and significant strategy to reduce the incidence of underweight, moderate and severe malnutrition, stunting and wasting in under five children only when combined with other programs. Several knowledge gaps identify which confirm through further research. Keywords: home visit, nutritional status of under-five children, malnutrition, developing countries Correspondence: Siti Zakiah Zulfa. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta. Email: [email protected]. Mobile: 085641349694. DOI: https://doi.org/10.26911/the7thicph.02.11


2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  

Abstract BackgroundUndernutrition among under five children in India is a major public health problem.Despite India’s growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas.Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition in children under five in Maharashtra, India.Methods A community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3,671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas. ResultsThe mean age of the children was 2.38 years (±SD 1.36) and mean age of mothers was 24.25 years (± SD 6.37).Overall prevalence of stunting among children under five was 45.9 %, wasting was 17.1% and 35.4% children were underweight.Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.In the rural areas exclusive breast feeding(p<0.001) and acute diarrhea (p=0.001) were associated with wasting, children with birth order 2 or less than 2 were associated with stunting and exclusive breast feeding (p<0.05) and low maternal education were associated with underweight. Whereas in the urban slums exclusive breast feeding(p<0.05) was associated with wasting, sex of the child (p<0.05) and type of family(p<0.05)were associated with stunting,and low income of the family(p<0.05) was associated with underweight.ConclusionsFactors like sex of the child, birth order,exclusive breast feeding ,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.Trial registration-Trial registration number:CTRI/2017/12/010881;Registration date:14/12/2017. Retrospectively registered.


2020 ◽  
Author(s):  
Sujata Kapil Murarkar ◽  
Jayashree Sachin Gothankar ◽  
Prakash Doke ◽  
Prasad Pore ◽  
Sanjay Lalwani ◽  
...  

Abstract Background Undernutrition among under five children in India is a major public health problem.Despite India’s growth in the economy, the child mortality rate due to undernutrition is still high in both urban and rural areas.Studies that focus on urban slums are scarce. Hence the present study was carried out to assess the prevalence and determinants of undernutrition in children under five in Maharashtra, India.Methods A community-based cross-sectional study was conducted in 16 randomly selected clusters in two districts of Maharashtra state, India. Data were collected through house to house survey by interviewing mothers of under five children. Total 2929 mothers and their 3,671 under five children were covered. Multivariate logistic regression analysis was carried out to identify the determinants of child nutritional status seperately in urban and rural areas. Results The mean age of the children was 2.38years (±SD 1.365) and mean age of mothers was 24.25(± SD6.37) years.Overall prevalence of stunting among children under five was 45.9 %, wasting was 17.1% and 35.4% children were underweight.Prevalence of wasting, stunting and underweight were more seen in an urban slum than a rural area.In the rural areas exclusive breast feeding(p<0.001) and acute diarrhea (p=0.001)in children underfive were associated with wasting, children with birth order 2 or less than 2 were more affected by stunting and exclusive breast feeding (p<0.05) and low maternal education were associated with underweight.Whereas in the urban slums exclusive breast feeding(p<0.05) was associated with wasting, sex of the child (p<0.05) and type of family(p<0.05)were associated with stunting,and low income of the family(p<0.05) was associated with underweight.Conclusion Factors like sex of the child, birth order,exclusive breast feeding ,economic status of the family, type of family,acute diarrhea and maternal education have influence on nutritional status of the child. Improvement of maternal education will improve the nutritional status of the child. Strategies are needed to improve the economic status of the community.The trial registration-This article is part of baseline data of the project, hence not related to trial registration. After baseline data principal investigator had done trial registration retrospectively.


2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix

Background: Under-five children are more vulnerable to malnutrition especially in rural areas resulting in more morbidity and mortality among them. The present study is aimed to assess the prevalence of malnutrition among children of 1-5 years of age in tribal hamlets of Valparai block, Coimbatore district in Tamil Nadu. Methods: A community-based, cross-sectional study was conducted among 95 children in the age group of 1-5 years during December-January 2020. Anthropometric measurements were taken. The indicators of nutritional status of children like stunting, underweight, and wasting were expressed using WHO growth standards. Results: The overall prevalence of malnutrition in our study was 31.6%. Among the 30 (31.6%) malnourished children, 40% were underweight, and 6.67% were severely underweight. 40% were stunted, of which 13.3% were severely stunted. Wasting was present in 23.3% of malnourished children. Severe wasting was not seen. Socio-demographic factors including the type of house, maternal education, BMI of the mother, age of mother at childbirth and place of delivery had significant association with malnutrition among under-five tribal children. Conclusions: Malnutrition poses a serious threat to under-five children. Though many known risk factors of malnutrition have been studied, understanding the local factors linked with malnutrition is so crucial while planning information, education, and communication programs in this area.


2020 ◽  
Vol 11 (SPL2) ◽  
pp. 124-131
Author(s):  
Anuhya B ◽  
Nisha B ◽  
Ruma Dutta ◽  
Timsi Jain

Malnutrition among under-five children is a major public health problem all around the world. About more than 30% of the malnutrition world-wide is prevalent in southern Asia, a significant proportion of which is contributed by India. It is well known that malnutrition is frequently a part of a vicious cycle that includes poverty and infections, which can last a life-time and may also affect the next generations. This study aims to assess the nutritional status of children less than 5 years in a semi-urban area of Tamil Nadu using a composite index of anthropometric failure. A cross-sectional community-based study was undertaken among 168 children and anthropometric measurements were taken. Using conventional Z score indicators, 22.62% of the children were found to be stunted, 43.45% of the children were underweight and wasting was found in 45.83% of the children. Whereas using CIAF, the results were found to be 38.69% (no failure), 11.90% (Only wasting), 23.21% (Wasting and underweight), 11.31% (Wasting, underweight and Stunting), 6.55% (Stunting and underweight) 5.36% (Only stunting) and 2.98% (Only underweight). There was an unacceptably high prevalence of malnutrition among under-five children. Therefore, using CIAF showed better classification of undernutrition than conventional indicators. Also, health institutions at all levels should integrate nutrition as a health component and there is a need to educate the parents to provide age-appropriate energy-rich, locally available and nutritionally balanced food items. Accelerating the reduction in under-5 mortality is possible by expanding effective preventive and curative interventions that target the main causes of undernutrition. This will, in the long run, help in making this nation healthier, stronger, and more prosperous.


PeerJ ◽  
2018 ◽  
Vol 6 ◽  
pp. e5935 ◽  
Author(s):  
Sanni Yaya ◽  
Ruoxi Wang ◽  
Shangfeng Tang ◽  
Bishwajit Ghose

Abstract There is little evidence on maternal consumption of supplementary food on nutritional status of children. The objectives of this study were to measure the prevalence and determinants of supplementary food intake during pregnancy and lactation, and their association with nutritional status of under-five children in Timor Leste. Methods Cross-sectional data from Timor Leste Demographic and Health Survey on 5,993 mother (15–49 years) child dyads (<5 years) were included in the analysis. Self-reported intake of supplementary food intake was the explanatory variable. Child’s nutritional status was assessed by stunting, wasting, and underweight and categorized according to WHO recommendations. Results The prevalence of taking supplementary food during pregnancy and lactation was, respectively, 29.1% (95% CI [27.2–31.0]) 31.0% (95% CI [29.1–33.0]), and that of taking iron supplement during pregnancy was close to three-fifths (63.1%, 95% CI [60.9–65.3]). The odds of taking supplementary food during pregnancy and lactation were lower among those in the younger age groups and higher among urban residents. Compared with mothers who had supplementary food during pregnancy and lactation, those did not have had respectively 1.36 (OR = 1.360, 95% CI [1.191–2.072]) and 1.15 times (OR = 1.152, 95% CI [1.019–1.754]) higher odds of having stunted, and 1.30 (OR = 1.307, 95% CI [1.108–1.853]) and 1.43 (OR = 1.426, 95% CI [1.140–1.863]) times higher odds of having underweight children. Those who had none of the supplements had respectively 1.67 (OR = 1.674, 95% CI [1.118–2.087]) and 1.63 (OR = 1.631, 95% CI [1.130–2.144]) times higher odds of having stunted and underweight children. Conclusion A great majority of the mothers in Timor Leste are not taking supplementary food during pregnancy and lactation. We found a positive relationship between supplementary food intake during pregnancy and lactation with stunting and wasting among under-five children.


2011 ◽  
Vol 2 (2) ◽  
pp. 113-119 ◽  
Author(s):  
Md. Nure Alam Siddiqi ◽  
Md. Nuruzzaman Haque ◽  
Md. Abdul Goni

Objective: The objectives of this study are to describe the differentials and associated risk factors of malnutrition among under-five children in Bangladesh. Material & Methods: The data extracted from Bangladesh Demographic and Health Survey (BDHS)-2007. Basic anthropometric variables were used for finding prevalence of anthropometric indices (stunting, wasting and under weight) to assess child’s nutritional statuses. Chi- Square test and Logistic Regression technique were used to find out the significant factors associated with child’s nutritional status. Results: The study results showed the high prevalence of stunting and underweight, for instance 42% and 40% of under-five children were stunted and underweighted respectively. The analyses of the study also revealed that household economic status, mother’s education, father’s education, mother’s antenatal visit (s), mother’s age at birth and mother’s BMI are the most significant factor /determinant s of child’s malnutrition. Conclusion: The magnitude of the Child’s malnutrition still is of great concern in Bangladesh. Significant association between maternal related factors and child’s nutritional status has been found in this study. For improving the nutritional status of children or for getting healthy babies the intervention program(s) must connect not only children but also newly mothers and prospective mothers. Key Words: Anthropometric measurement; Malnutrition; Stunting; Underweight; Wasting DOI: http://dx.doi.org/10.3126/ajms.v2i2.3662 Asian Journal of Medical Sciences 2 (2011) 113-119


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