Association between Maternal Nutrition Awareness and The Risk of Stunting among Children Under Five in Tapanuli, North Sumatera

ABSTRAK Pencegahan stunting merupakan program prioritas pembangunan di Indonesia sampai tahun 2024. Nutrisi pada periode 1000 Hari Pertama Kehidupan (HPK), yaitu sejak janin berada dalam kandungan sampai usia 2 tahun kelahiran sangat penting diperhatikan sebagai upaya pencegahan resiko stunting. Kader kesehatan berperan penting dalam self-care management nutrisi ibu selama kehamilan sebagai upaya pencegahan stunting. Permasalahan yang dihadapi kader Kesehatan di Desa Talang Benuang dan Lokasi Baru Kecamatan Air Priukan sebagai desa dari 20 desa lokasi khusus (lokus) stunting di Kabupaten Seluma tahun 2020 adalah kurangnya pengetahuan tentang stunting dan 1000 HPK sehingga belum memiliki bekal yang cukup untuk melaksanakan perannya sebagai pelaku penggerak masyarakat dalam mewujudkan kesehatan termasuk dalam pencegahan dan penanganan stunting. Tujuan PKM adalah memberdayakan kader sebagai garda terdepan dalam meningkatkan self-care management nutrisi ibu hamil untuk meminimalisir risiko stunting pada anak balita. Peserta pelatihan sebanyak 11 (sebelas) orang kader. Metode kegiatan adalah melakukan sosialisasi, pelatihan, dan pendampingan kader dalam self-care management nutrisi ibu hamil. Hasil kegiatan adalah adanya peningkatan pengetahuan, keterampilan serta kemandirian kader dalam memberikan edukasi dan pendampingan pada ibu hamil dalam self-care management nutrisi. Kader diharapkan mengaplikasikan pengetahuan dan kemampuan yang telah diperoleh untuk memberikan edukasi dan pendampingan terhadap ibu hamil di wilayahnya. Kata Kunci : Kader kesehatan, Self-care management nutrisi, Stunting ABSTRACT Prevention of stunting is a priority development program in Indonesia until 2024. Nutrition in the first 1000 days of life (HPK), which is from the fetus is in the womb until 2 years old, is very important to consider as an effort to prevent the risk of stunting. Health cadres play an important role in the self-care management of maternal nutrition during pregnancy as an effort to prevent stunting. The problem faced by health cadres in Talang Benuang Village and Lokasi Baru Village of Air Priukan Subdistrict as a village of 20 special locations (locus) for stunting in Seluma Regency in 2020 is a lack of knowledge about stunting and 1000 HPK so that they do not have sufficient provisions to carry out their role as perpetrators driving the community in realizing health, including the prevention and management of stunting. The goal of PKM is to empower cadres as the front guard in improving nutrition self-care management for pregnant women to minimize the risk of stunting in children under five. The participants were 11 cadres. The method was to conduct socialization, training, and mentoring cadres in self-care management of nutrition for pregnant women. The result of the activity was an increase in knowledge, skills, and independence of cadres in providing education and assistance to pregnant women in nutrition management self-care. Cadres were expected to apply the knowledge and abilities they have acquired to provide education and assistance to pregnant women in their area. Keywords: Health cadres, Self-care management nutrition, Stunting

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Maternal Characteristics Determine Stunting in Children of Less than Five Years of Age Results from a National Probabilistic Survey

Clinical medicine Pediatrics ◽

10.4137/cmped.s1019 ◽

2008 ◽

Vol 1 ◽

pp. CMPed.S1019 ◽

Cited By ~ 1

Author(s):

Teresa Shamah-Levy ◽

Lucia Cuevas Nasu ◽

Hortensia Moreno-Macias ◽

Eric Monterrubio-Flores ◽

Marco Antonio Avila-Arcos

Keyword(s):

Social Services ◽

Maternal Nutrition ◽

Marginal Effect ◽

Sociodemographic Characteristics ◽

Maternal Height ◽

Nutrition Survey ◽

Maternal Characteristics ◽

Children Under Five ◽

Under Five ◽

Mother And Child

Background Maternal nutrition and some variables are the main determining factors of birthweight and delayed intrauterine growth of children. Objective To explore the association between the mothers’ biological and sociodemographic characteristics, and the anthropometry status in children under five years of age. Design The population consisted of a sub-sample of 1,047 mother-and-child selected pairs from the probabilistic National Nutrition Survey, carried out in Mexico. Mother-and-child pairs included mothers aged 12 to 49 years, with children under five years of age. Data on sociodemographic characteristics, obstetric history, 24-hour recall dietary intake, and the women and children's anthropometry were collected. The association between maternal characteristics and children's anthropometry status was assessed using multiple logistic regression models. Result Nearly 16.7% of the children <5y of age were stunted (13.5% ≤ 2y and 18.8% > 2y). The height/age of the children was severely affected by maternal height and birth order. In addition, the interaction between socioeconomic level and maternal schooling had a marginal effect (p = 0.09) in the ≤2y group. On the other hand, whether the family received social services and the interaction between maternal height and a dichotomy urbanism variable were significant (p = 0.05) and (p < 0.01) respectively in >2y group. Conclusion Some biological and socioeconomic characteristics among mothers have a negative effect on their children's attained size, especially in the period between 2 and 5 years of age.

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Anemia and Nutritional Status of Syrian Refugee Mothers and Their Children under Five Years in Greater Beirut, Lebanon

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18136894 ◽

2021 ◽

Vol 18 (13) ◽

pp. 6894

Author(s):

Joana Abou-Rizk ◽

Theresa Jeremias ◽

Lara Nasreddine ◽

Lamis Jomaa ◽

Nahla Hwalla ◽

...

Keyword(s):

Nutritional Status ◽

Maternal Nutrition ◽

Nutritional Deficiencies ◽

Cross Sectional ◽

Children Under Five ◽

Under Five ◽

Health Lifestyle ◽

Syrian Refugee ◽

Mild Anemia ◽

Prevalence Of Anemia

The objective was to assess the prevalence of anemia and nutritional status of mothers and children under five years among Syrian refugees in Lebanon and to identify nutritional deficiencies among pregnant, lactating, and non-pregnant non-lactating (NPNLM) mothers. A cross-sectional study was conducted among Syrian refugee mothers with children under five years in Greater Beirut, Lebanon (n = 433). Data on socio-economic status, maternal health, lifestyle characteristics, dietary intake, anthropometric measurements, and hemoglobin concentrations were collected. The prevalence of anemia was 21.7% among mothers and 30.5% among children. NPNLM with overweight/obesity and an at-risk waist circumference (WC) had 14.7-times and 10.9-times higher odds of anemia than mothers with normal WC and weight. Children of anemic mothers had 2.7-times and 4.4-times higher odds of total and mild anemia than those of non-anemic. Higher odds of mild anemia were found among children of lactating mothers than of NPNLM. A high percent energy intake of total fat and sugar was found among all mothers. Nutritional inadequacy was identified in higher proportions of lactating and pregnant mothers than NPNLM. Our findings highlighted the co-existence of overnutrition and anemia among Syrian refugee mothers and undernutrition among children from the same household. Culture-specific interventions are needed to support maternal nutrition, to ensure the health and wellbeing of their offspring.

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Family's Role on Stunting among Children in Bojong Jaya Village, Tangerang, Banten

Childhood Stunting, Wasting, and Obesity, as the Critical Global Health Issues: Forging Cross-Sectoral Solutions ◽

10.26911/the7thicph.02.07 ◽

2020 ◽

Author(s):

Roichatul Djannah ◽

◽

Siti Maisaroh ◽

Keyword(s):

Parenting Style ◽

Maternal Education ◽

Family Income ◽

Maternal Nutrition ◽

Chi Square ◽

Cross Sectional ◽

Children Under Five ◽

Under Five ◽

Chi Square Test ◽

Families With Children

Background: In 2015, the prevalence of stunting among children under five years old in Indonesia was 36.4%. It means that more than a third or around 8.8 million children under five years old height is below the standard for their age. This stunting is above the threshold set by WHO of 20%. The prevalence of stunting / stunting for Indonesian under five is the second largest in the Southeast Asia region after Laos, which reached 43.8%. This study aimed to determine the effect of family role on stunting among children under five years old. Subjects and Method: A cross-sectional was enrolled by 242 of 615 families with children under five years old in Bojong Jaya Village, Karawaci, Tangerang, Banten. The dependent variable was stunting. The independent variables were knowledge, family income and parenting style. The data collection was carried out by measuring height, in-depth interview, and questionnaire. The data were analyzed using Chi-square test. Results: The percentage of the stunting incidence was 20.2%. Family income (OR= 2.31; 95% CI= 1.19 to 4.47; p= 0.012) and parenting style (OR= 2.68; 95% CI= 1.36 to 5.31; p= 0.004) were associated with stunting incidence and they were statistically significant. There was a significant relationship between knowledge on the incidence of stunting (OR= 2.80; 95% CI 1.41 to 5.53; p= 0.002), and it was statistically significant. Conclusion: There is a relationship between family income, parenting style, and knowledge on the incidence of stunting among children under five years old. There needs to be a comprehensive program in building family resilience and multisector empowerment to increase family income, maternal education and knowledge of maternal nutrition to reduce the incidence of stunting. Keywords: empowerment, family, stunting Correspondence: Roichatul Djannah. Academy of midwifery Karya Bunda Husada. Jl. Imam Bonjol No 77 RT02 / RW01, Bojong Jaya Village, Karawaci District, Tangerang City, Banten, Indonesia, Email: [email protected]. Mobile: 081290257780 DOI: https://doi.org/10.26911/the7thicph.02.07

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Hepatocellular Carcinoma in Ten Children Under Five Years of Age With Bile Salt Export Pump Deficiency

Yearbook of Pathology and Laboratory Medicine ◽

10.1016/s1077-9108(08)70715-1 ◽

2008 ◽

Vol 2008 ◽

pp. 292-293

Author(s):

R. Jaffe

Keyword(s):

Hepatocellular Carcinoma ◽

Bile Salt ◽

Bile Salt Export Pump ◽

Children Under Five ◽

Under Five

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Why is the Coverage of Pneumonia Case Detection on Children under Five Years-Old Still Considered as Low in Sleman?

European Journal of Medicine and Natural Sciences ◽

10.26417/ejmn.v1i1.p26-35 ◽

2017 ◽

Vol 1 (1) ◽

pp. 26

Author(s):

Ade Kartikasari Sebba ◽

Baning Rahayujati ◽

Isa Dharmawidjaja

Keyword(s):

Community Health ◽

Community Health Centers ◽

Sampling Technique ◽

Health Centers ◽

Case Detection ◽

Upper Respiratory Infection ◽

Children Under Five ◽

Under Five ◽

Pneumonia Case ◽

Case Investigation

Pneumonia is one of the deadliest diseases for children under five years-old throughout the world. In Indonesia, pneumonia is the second deadliest disease after diarrhea. In 2015-2016, the Coverage of pneumonia case detection on children under five years-old increased from 22.33% to 36.06% but it had not achieved the detection target (-85%). A program evaluation needs to conduct, consequently. The evaluation aims to observe the implementation of pneumonia investigation program on children under five years-old in Sleman in 2016. The evaluation used a descriptive design performed in June-July 2017. The research subject was the program of Upper Respiratory Infection (ISPA, Infeksi Saluran Pernapasan Akut) implemented in community health centers (puskesmas, pusat kesehatan masyarakat). Twenty respondents as the sample were chosen by using the purposive sampling technique. The surveillance evaluation employed the input, activities, and output. The instruments were structural questionnaires and checklist sheets. The analysis result was presented in forms of tabulation and narration. From the input facet, 100% respondents have not had any special trainings related to pneumonia. 55% respondents have interlocking jobs with the longest service time of three years or more (75%). 70% respondents are able to show ARI Soundtimer. There are only 10% respondents holding the media of communication, information, and education (KIE, Komunikasi, Informasi, dan Edukasi) in forms of flipchart and leaflet; while 100% respondents admit that they have no stamp seal of URI. The proses facet displays that 100% respondents do not arrange any plan. The case investigation is only passive (100%). 80% respondents do socialization of case management and only 15% respondents perform a home visit. 100% respondents have not held trainings for responsible people, alert villages, and private midwives. From the output facet, the scope of case investigation is still low (36.06%).The implementation of pneumonia case investigation program on children under five years-old has been well executed but there are still weaknesses. Hence, public health offices (dinas kesehatan) should improve their human resources by arran ging a training program, equalize the use of breath counting tool and make MoU with all health services to report pneumonia cases. Community health centers are recommended to arrange plans, actively attempt to discover pneumonia cases, and train the responsible people, centers for pre-and postnatal health care (posyandu, pos pelayanan terpadu), or midwives related to the subject of pneumonia.

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