scholarly journals Pengaruh integrasi intervensi gizi dan stimulasi tumbuh kembang terhadap peningkatan berat badan dan perkembangan balita kurus

2018 ◽  
Vol 15 (1) ◽  
pp. 16 ◽  
Author(s):  
Bunga Paramashanti ◽  
Sulistyawati Sulistyawati
Keyword(s):  
Health Workers ◽  
Nutrition Intervention ◽  
Food Supplementation ◽  
Control Group ◽  
Intervention Package ◽  
Education Development ◽  
Double Burden ◽  
Children Under Five ◽  
Under Five ◽  
Feeding Center

Background: Indonesia has faced the problem where double burden malnutrition increasing. On the other hand, malnutrition in children may affect the development both in early childhood and the quality of human capital in later life.Objective: This study aimed to examine the effect of integration of nutrition intervention and development stimulation on weight gain and development of wasted children.Method: Design used in this study was quasi-experimental with pre- and post-test control group. Subjects were 38 children under-five resided in Sedayu Subdistrict. Sampels were selected by using total sampling of children under-five in community feeding center, meanwhile controls were children under-five selected from integrated health posts in another villages with the ratio of 1:1. Interventions given were education, development stimulation and food supplementation package distributed by the community health workers whom were given capacity building. Analysis used were Mann-Whitney U and Wilcoxon Signed Rank tests at the level of significance 0,05.Results: Children in intervention groups gained their weight significantly from before (9.17±1.89) and after (9.27±1.79) intervention (p=0.04). Meanwhile, development impairment score decreased from 1.32±0.75 to 0.42±0.61 significantly (p=0.00).Conclusion: Intervention package containing nutrition and development education, development stimulation and supplementary food through community feeding center (CFC) sucessfully increased body weight and development of wasted children significantly.

scholarly journals Impact of home-based Intervention for the prevention and treatment of malaria among Under-five children in the West Region of Cameroon: A protocol for a Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Esther Nicholas Tendongfor
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Intervention Group ◽  
Control Group ◽  
Children Under Five ◽  
Under Five ◽  
Under Five Children ◽  
Home Based ◽  
Prevention And Treatment

BACKGROUND One child dies of malaria in Africa every two minutes, although a preventable and curable disease. Home-based Management of malaria reduces the progression of severe malaria by more than 50%. Scalable, efficacious, and cost-effective strategies are needed to empower the capacities of home caregivers of children under five on health education, diagnosis and treatment of malaria at home. OBJECTIVE The main objective of this trial is to assess the impact of management of malaria in children under five by home caregivers for prevention, diagnosis and treatment compared to the home-based malaria management component of the integrated CDI strategy by Community Health Workers. METHODS A Randomized Controlled Trial will be conducted. The Community Health Workers will be used for the census of all household where there is at least one child under five with their home caregivers. Children under five and their home caregivers will be randomly selected into the intervention and control groups among the households identified. The trial will allow malaria home-based prevention and treatment of 350 children under-five by home caregivers in the Fombap area (Intervention group) where the Integrated Community Directed Interventions strategy is not implemented, compared to the home-based malaria management component of the integrated Community Directed Interventions strategy where 350 under five children will be follow-up through Community Health Workers in Penka-Michel health area (control group). The primary outcomes are the prevention and treatment of malaria of children under-five by home caregivers at home. The secondary outcomes comprise the malaria follow-up indicators produce by home caregivers in the intervention group and those produce by CHWs in the control group. Both descriptive and one-way analysis of variance (ANOVA) estimation techniques will be used to compare the mean difference in the two strategies. RESULTS From September to October 2019, all home caregivers with children under five were identified in the intervention and control group by CHWs. Then, 203 home caregivers with their 350 children under five were randomly selected and enrolled in the intervention area, and 225 home caregivers with their 350 under five children in the control group. In the intervention group, 203 home caregivers were trained in November 2019. This home treatment effectively started in December 2019 and will continue until May 2020. CONCLUSIONS Findings from this randomized trial will contribute to resolve the challenges of severe malaria and limit the death of under-five children due to malaria. This will bring benefits to home caregivers who will know how to promptly diagnose and properly treat malaria in their children at home. CLINICALTRIAL Pan African Clinical Trial Registry in South Africa with unique identification number PACTR202003487018009; https://pactr.samrc.ac.za/researcher/managetrials.aspx.

Effectiveness of Educational Communication in Knowledge, Attitude, and Practice to Hand-Foot-Mouth Disease Prevention of Mother Having Children Under 5 Years Old

2021 ◽  
Vol 104 (8) ◽  
pp. 1229-1234
Keyword(s):  
Disease Prevention ◽  
Educational Communication ◽  
Mouth Disease ◽  
Control Group ◽  
Children Under Five ◽  
Under Five ◽  
Attitude And Practice ◽  
Hand Foot Mouth Disease ◽  
The Right ◽  
Knowledge Attitude And Practice

Background: Hand-foot-mouth disease (HFMD) is an infectious disease that mainly occurs in children under five years old. Vietnam is a developing country with high prevalence of the disease outbreak every year. Can Tho City, Co Do District had the highest incidence of children under five years old acquired HFMD. Objective: 1) To determine the factors correlating with knowledge, attitude, and practice in HFMD prevention of mothers having children under five years old, and 2) to evaluate the alteration in knowledge, attitude, and practice in prevention HFMD of mothers having children under five years old after intervention with health educational communication. Materials and Methods: Community intervention study was done in 420 subjects. At first, all the participants would do the questionnaire and practicing assessment. Then, the participants were divided into two groups, the intervened group for educational communication, and the control group with no intervention. The intervention included three steps, 1) training knowledge and skills for medical staffs and collaborators, 2) providing information about HFMD for the mothers, 3) broadcasting information leaflets to the subjects’ house every month. The assessment in awareness, attitude, and practice would be performed again after one month. The present study staff achieved approval from the Science and Educating Council of Can Tho University of Medicine and Pharmacy. In addition, the present study also received the agreement from The People’s Committee of Co Do District. Results: The present study results shows that 23.3% of mothers had the right knowledge, 50.5% of mothers had the right attitude, and 17.4% of mothers with children under five years of age had the right disease prevention practice. There was an association between education level of mothers with children under five years of age with knowledge, attitude, and practice in disease prevention. After intervention, knowledge of the mothers in the intervened group improved more than 2.79 times, right attitude more than 2.84 times, and practice improvement more than 1.83 times in compared with the control group. Conclusion: Educational communication plays an important role in HFMD disease prevention through increasing the awareness, opinion, and disease prevention of the mothers who directly take care of the under five years old children. Keywords: Hand-foot-mouth disease; Knowledge; Attitudes; Practices; Effective intervention

scholarly journals Health Outcomes of an Integrated Behaviour-Centred Water, Sanitation, Hygiene and Food Safety Intervention–A Randomised before and after Trial

2020 ◽  
Vol 17 (8) ◽  
pp. 2648 ◽  
Author(s):  
Tracy Morse ◽  
Elizabeth Tilley ◽  
Kondwani Chidziwisano ◽  
Rossanie Malolo ◽  
Janelisa Musaya
Keyword(s):  
Low Income ◽  
Diarrhoeal Disease ◽  
Control Group ◽  
Food Hygiene ◽  
Children Under Five ◽  
Under Five ◽  
Cluster Group ◽  
Point Reduction ◽  
Before And After ◽  
The Impact

Diarrhoeal disease in children under five in low income settings has been associated with multiple environmental exposure pathways, including complementary foods. Conducted from February to December 2018 in rural Malawi, this before and after trial with a control used diarrhoeal disease as a primary outcome, to measure the impact of a food hygiene intervention (food hygiene + handwashing) relative to a food hygiene and water, sanitation and hygiene (WASH) intervention (food hygiene + handwashing + faeces management + water management). The 31-week intervention was delivered by community-based coordinators through community events (n = 2), cluster group meetings (n = 17) and household visits (n = 14). Diarrhoeal disease was self-reported and measured through an end line survey, and daily diaries completed by caregivers. Difference-in-differences results show a 13-percentage point reduction in self-reported diarrhoea compared to the control group. There were also significant increases in the presence of proxy measures in each of the treatment groups (e.g., the presence of soap). We conclude that food hygiene interventions (including hand washing with soap) can significantly reduce diarrhoeal disease prevalence in children under five years in a low-income setting. Therefore, the promotion of food hygiene practices using a behaviour-centred approach should be embedded in nutrition and WASH policies and programming.

scholarly journals FAKTOR-FAKTOR YANG MEMPENGARUHI KUNJUNGAN IBU BALITA KE POSYANDU: LITERATUR REVIEW

2021 ◽  
Vol 12 (2) ◽  
pp. 256
Author(s):  
Emilia Yunritati Rehing ◽  
Antono Suryoputro ◽  
Sakundarno Adi
Keyword(s):  
Health Workers ◽  
Active Role ◽  
Community Health Service ◽  
Children Under Five ◽  
Under Five ◽  
Factors Associated ◽  
Service Activity ◽  
Health Related ◽  
Improve Health

AbstrakPosyandu merupakan suatu kegiatan pelayanan kesehatan masyarakat yang dikelola bersama sebagai upaya dalam peningkatan kesehatan. Kegiatan posyandu salah satunya yakni untuk memantau pertumbuhan dan perkembangan balita. Posyandu balita dilakukan secara rutin sesuai dengan yang jadwalkan dan perlunya peran aktif ibu yang memiliki anak balita untuk melakukan kunjungan guna mendapat penyuluhan terkait kesehatan, pemantauan tumbuh kembang anak, pemberian vitamin, dan imunisasi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kunjungan balita ke Posyandu. Hasil penelitian menunjukan factor kunjungan posyandu antara lain pengetahuan, pekerjaan ibu, peran kader dan petugas kesehatan, dukungan keluarga, jarak posyandu, pendidikan ibu, sikap, motivasi, kepemilikan KMS. Penelitian ini dilakukan dengan menggunakan literature riview yaitu sebanyak 10 artikel dan dipublikasikan 5 tahun terakhir yaitu tahun 2017-2021. Pencarian artikel dengan menggunakan google scolar dan science direct. Kata Kunci: Kunjungan Posyandu, Ibu, Balita Abstract Posyandu is a community health service activity that is jointly managed as an effort to improve health. One of the posyandu activities is for the growth and development of children under five. Posyandu for toddlers are carried out regularly as scheduled and the need for an active role for mothers with children under five to make visits to get health-related education, warnings on child development, offer vitamins, and immunization. This study aims to determine the factors associated with under-five visits to Posyandu. The results showed that the posyandu visit factors included knowledge, maternal occupation, the role of cadres and health workers, family support, distance of posyandu, mother's education, attitudes, motivation, ownership of KMS. This research was conducted using a literature review of 10 articles and published in the last 5 years, namely 2017-2021. Search for articles using google scolar and science direct. Keywords: Posyandu visits, mothers, toddlers

scholarly journals PENINGKATAN BERAT BADAN BALITA GIZI KURANG DENGAN PEMBERIAN MAKANAN NUTRISI TINGGI BERBAHAN BAKU TEMPE DAN KEMBANG KOL DI WILAYAH KERJA PUSKESMAS KABERE

2021 ◽  
Vol 3 (1) ◽  
pp. 55-64
Author(s):  
Salma Salma ◽  
Haniarti Haniarti ◽  
Nurhaeda Nurhaeda
Keyword(s):  
Body Weight ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Control Group ◽  
Control Group Design ◽  
Children Under Five ◽  
Under Five ◽  
Under Nutrition ◽  
Quasi Experimental

Nutritional problems in Indonesia are getting more complex as the epidemiology transition occurs.  According to reports of posyandu weighing activities at Kabere Puskesmas in 2020 there were 28 malnourished toddlers. The purpose of this study was to determine the increase in body weight of malnourished toddlers by providing high nutritional food made from tempeh and cauliflower in the working area of Kabere Public Health Center, Enrekang Regency. This type of research is a quantitative method with a quasi-experimental design with a non-equivalent control group design. The population is malnutrition under five in the working area of Puskesmas Kabere, The samples of this research were children under five who were malnourished, 14 under five who were given treatment and 14 children who were not given treatment for under-nutrition who were in the working area of the Kabere Community Health Center by calculating zcore, Data analysis was performed using the independent sample t-test with the help of the SPSS version 20 program. The location of this research was conducted in the working area of the Kabere Community Health Center. The research was conducted in July-August 2020.The results showed that the provision of high nutritional food made from tempeh and cauliflower could significantly increase body weight in malnourished children under five. So it is recommended that parents of toddlers provide adequate nutritional intake for under-nutrition children so that their nutritional status can continue to improve.

scholarly journals DETERMINAN KEJADIAN ISPA NON PNEUMONIA PADA ANAK BALITA DI KELURAHAN KEDUNG SARI KECAMATAN SUKAJADI KOTA PEKANBARU

2019 ◽  
Vol 1 (2) ◽  
pp. 90-97
Author(s):  
Christine Vita Gloria Purba ◽  
Okta Safryanni ◽  
Al Hidayati ◽  
Zulmeliza Rasyid
Keyword(s):  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Cigarette Smoke ◽  
Health Workers ◽  
Acute Respiratory Tract Infection ◽  
Primary Data ◽  
P Value ◽  
Children Under Five ◽  
Under Five

Non pneumonia Acute Respiratory Tract Infection (ARI) is a respiratory tract disease that is acute with a cough that does not show symptoms of increased respiratory frequency and does not indicate the pull of the lower chest wall inward. The incidence of non pneumonia ARI  in children under five in Kedung Sari Village was recorded at 40.06%. This study aims to determine the description and determinant of the incidence of non-pneumonia ARI  in children under five in Kedung Sari Village, Sukajadi District, Pekanbaru City in 2019. This type of research is quantitative observational analytic with cross sectional design. The study population was all children under five who lived in Kedung Sari Village, Sukajadi District, Pekanbaru City, amounting to 312 people with a sample of 172 respondents. The sampling technique was done by consecutive sampling. The type of data used in this study are primary data and secondary data by means of retrieving data through measurements and questionnaires. Data analysis was done by univariate and bivariate with chi square test. The results showed that there was a correlation between exposure to cigarette smoke (p-value 0,000) and the incidence of non-pneumonia ARI in children under five. It is expected that health workers, especially in the health promotion section of the community health center in implementing control and eradication programs of Acute Respiratory Tract Infection can provide health education, especially regarding the dangers of cigarette smoke for children under five and recommend smokers to smoke in special places so children under five are not exposed cigarettes.

scholarly journals PEMBERDAYAAN IBU DALAM MENGENALI DIARE PADA ANAK DAN CARA PENCEGAHAN DIARE DI POSYANDU KALI KEJAMBON KECAMATAN TEMBELANG KABUPATEN JOMBANG

2019 ◽  
Vol 3 (1) ◽  
pp. 07
Author(s):  
Mamik Ratnawati ◽  
Monika Sawitri Prihatini ◽  
Rini Hayu Lestari
Keyword(s):  
Developing Countries ◽  
Community Service ◽  
Health Workers ◽  
Morbidity And Mortality ◽  
Children Under Five ◽  
Under Five ◽  
Global Problem ◽  
Child Morbidity ◽  
The World ◽  
Service Activities

Abstrak: Penyakit    diare    masih    menjadi    masalah  global      dengan      derajat      kesakitan      dan  kematian    yang    tinggi    di    berbagai    negara terutama   di   negara   berkembang,   dan   juga sebagai   salah  satu penyebab  utama  tingginya  angka    kesakitan    dan    kematian    anak    di  dunia. Tujuan dari kegiatan ini adalah untuk memberikan edukasi kepada ibu balita agar mengerti dan paham tentang diare dan pencegahannya di posyandu Desa Kali Kejambon Kecamatan Tembelang kabupaten Jombang. Kegiatan pengabdian masyarakat dengan Pemberdayaan Ibu Dalam Mengenali Diare Pada Anak Dan Cara Pencegahan Diare di Posyandu Kali Kejambon Kecamatan Tembelang Kabupaten Jombang berjalan dengan baik, sebanyak 50 orang ibu balita yang hadir dalam kegiatan ini dan terdapat 80% ibu balita paham dengan materi yang disampaikan oleh tim pelaksana pengabdian masyarakat serta terdapat umpan balik dengan memberikan pertanyaan kepada pelaksana kegiatan untuk pembahasan yang belum dimengerti. Bagi para ibu balita agar selalu waspada dengan kejadian diare pada balita karena diare merupakan bukan kasus yang bisa diremehkan dan bagi tenaga kesehatan agar selalu memberikan edukasi tentang penyakit-penyakit yang sering terjadi pada anak-anak agar tidak terjadi bahaya dan komplikasi.Abstract: Diarrhea is still a global problem with high degrees of illness and death in various countries, especially in developing countries, and also as one of the main causes of high child morbidity and mortality in the world. The purpose of this activity is to provide education to mothers of children under five to understand and understand diarrhea and its prevention at the Posyandu in Kali Kejambon Village, Tembelang District, Jombang Regency. Community service activities with the Empowerment of Mothers in Recognizing Diarrhea in Children and How to Prevent Diarrhea in the Kali Kejambon Posyandu in Tembelang District, Jombang Regency went well, as many as 50 under-five mothers attended this activity and 80% of toddlers understood the material delivered by the team implementing community service and providing feedback by giving questions to the implementers of activities for discussions that have not been understood. For mothers of toddlers to always be aware of the incidence of diarrhea in toddlers because diarrhea is not a case that can be underestimated and for health workers to always provide education about diseases that often occur in children so that there is no danger and complications.

scholarly journals Contribution of Community Health Workers to the treatment of common illnesses among under 5-year-olds in rural Uganda.

2021 ◽  
Author(s):  
Fred Bagenda ◽  
Andrew Christopher Wesuta ◽  
Geren Stone ◽  
Moses Ntaro ◽  
Palka Patel ◽  
...  
Keyword(s):  
Case Management ◽  
Community Health ◽  
Community Health Workers ◽  
Management Strategy ◽  
Health Workers ◽  
Community Case Management ◽  
Integrated Community Case Management ◽  
Children Under Five ◽  
Under Five ◽  
Common Illnesses

Abstract Introduction The control of malaria, pneumonia, and diarrhea is important for the reduction in morbidity and mortality among children under five years. Uganda has adopted the Integrated Community Case Management strategy using Community Health Workers to address this challenge. The extent and trend of these three conditions managed by the Community Health Workers are not well documented. This study was done to document Community Health Workers’ contribution towards treatment and the trends of the three common illnesses in Bugoye Sub-County in rural Uganda.

scholarly journals Assessment of malnutrition by different anthropometric method and effect of poverty and maternal education as a barrier to healthy nutritional status among children under five years of age.

2020 ◽  
Vol 27 (10) ◽  
pp. 2122-2128
Author(s):  
Hassan Ali ◽  
Saadia Khan ◽  
Ibad Ali ◽  
Asad Abbas ◽  
Reema Arshad ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Child Health ◽  
Nutritional Status ◽  
Maternal Education ◽  
Cross Sectional Study ◽  
Double Burden ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Nutritional Status Of Children

Objectives: Pakistan is facing double burden of malnutrition. The purpose of current study was to access the nutritional status by different anthropometric methods and common barriers that affect the nutritional status of children. Study Design: Cross Sectional study. Setting: Children Hospital & Institute of Child Health Multan, Pakistan. Period: From 1st March 2019 to 1ST January 2020. Material & Methods: The study contained of 405 children with 216 boys and 187 girls. The data was collected by trained nutritionist in OPD of Children Hospital & Institute of Child Health and data was analyzed by using SPSS version 21.0. Results: The study showed that malnutrition is caused by poor socioeconomic status and low education level of care giver. The data showed that 318 (78.51%) participants involved in this study were malnourished. Nutritional status mostly affected during first birthday (36.79%). In this study 50.12% participants belonged to poor nutritional status and 47.65% mother were uneducated. Conclusion: The mother education and good socioeconomic status can prevent children from malnutrition. Feeding practices and weaning starting time also play role in defining nutritional status of children. Children under five year of age are at very sensitive of age and more prone to diseases so well balance diet and mother feeding upto-2 years of age can prevent children from chronic diseases and improve nutritional status.

scholarly journals Peer supervision experiences of drug sellers in a rural district in East-Central Uganda: a qualitative study

2020 ◽  
Author(s):  
Arthur Bagonza ◽  
Henry Wamani ◽  
Stefan Peterson ◽  
Andreas Mårtensson ◽  
Milton Mutto ◽  
...  
Keyword(s):  
Sick Child ◽  
Health Workers ◽  
Performance Outcomes ◽  
Drug Shop ◽  
Peer Supervision ◽  
East Central ◽  
Good Relationship ◽  
Children Under Five ◽  
Under Five ◽  
Drug Sellers

Abstract BackgroundSupport supervision improves performance outcomes among health workers. However, the national professional guidelines for new licenses and renewal for class C drug shops in Uganda prescribe self-supervision of licensed private drug sellers.As such, inappropriate treatment of malaria, pneumonia and diarrhoea among children under five years of age continues unabated. This study assessed experiences of drug sellers and peer supervisors at the end of a peer supervision intervention in Luuka district in East Central Uganda.MethodsEightin-depth interviews (IDIs) were held with peer supervisors while five focus group discussions (FGDs) were conducted among registered drug sellersat the end of the peer supervision intervention. The study assessed experiences and challenges of peer supervisors and drug sellers regarding peer supervision.Transcripts were imported into Atlas ti 7 qualitative data management software (ATLAS.ti GmbH, Berlin) where they were analysedusing thematic content analysis.ResultsInitially, peer supervisors were disliked and regarded as another extension of drug inspectors by drug sellers. However, with time a good relationship was established between drug sellers and peer supervisors leading to regular, predictable and supportive peer supervision. This increased confidence of drug sellers in using respiratory timers and rapid diagnostic tests in diagnosing pneumonia symptoms and uncomplicated malaria respectively among children under five years. There was also an improvement in completing the sick child register which was used for self-assessment by drug sellers. The drug shop association was mentioned as a place where peer supervision should be anchored since it was a one-stop center for sharing experiences and continuous professional development. Drug sellers proposed including community health workers in monthly drug shop association meetings so that they mayalso gain from the associated benefits. Untimely completion of the sick child registers by drug sellers and inadequate financial resources were the main peer supervision challenges mentioned.ConclusionDrug sellers benefitted from peer supervision by developing a good relationship with peer supervisors.This relationship guaranteed reliable and predictable supervision ultimately leading to improved treatment practices.There is need to explore the minimum resources needed for peer supervision of drug sellers to further inform practice and policy.

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