scholarly journals Pencegahan Stunting melalui Pelatihan Pemberian ASI Eksklusif dan Makanan Pendamping ASI (MP ASI)

2020 ◽  
Vol 5 (1) ◽  
pp. 133-140
Author(s):  
Khoiriyah Isni ◽  
Siti Muthia Dinni

PREVENTION OF STUNTING THROUGH EXCLUSIVE BREASTFEEDING TRAINING AND ASI COMPLEMENTARY FOOD (MP ASI). Randugunting Hamlet is one of the hamlets that have the highest number of children under five in the area of Tamanmartani Village, Kalasan, Sleman, DIY. Meanwhile, parenting patterns that are less responsive and supportive in breastfeeding and breastfeeding are suspected to be factors that trigger nutritional health problems of children under five. It is due to the ignorance of parents and caregivers in providing exclusive breastfeeding and complementary feeding according to WHO standards. This situation is very high-risk accounts for the number of stunting cases in Indonesia. Especially in Sleman Regency, so that the Community Partnership Program Proposal Team conducts community empowerment activities. It is the form of training in the context of stunting prevention. The targets of this activity are pregnant women, mothers who have toddlers, and health cadres. The method of activities used includes the provision of health education, simulations, and training or practice through the MP ASI cooking competition and process evaluation. Increased knowledge and target skills in exclusive breastfeeding and MP ASI standard WHO is the output of this empowerment activity. Besides, the dissemination of events in the form of scientific publication products and training modules. In general, this empowerment activity can increase target knowledge and skills. The evaluation of the process shows the enthusiasm of the target in implementing the knowledge that the Proponent Team provided through health education and simulations. It hoped that this activity could be continue in other hamlets located in the Tamanmartani village area. It can contribute to preventing and reducing the number of stunting cases in Indonesia.

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
Rokhaidah Rokhaidah ◽  
Herlina Herlina ◽  
Riadinni Alita

Community empowerment is an effort to give empowerment or strengthening to the community to find new alternatives to be a better community. Serang Regency is one of the districts that is locus of stunting. The stunting rate in Serang Regency in 2019 is still quite high, 32%. The four districts in Serang are included in the ten districts which are the locus of stunting, namely Serang, Lebak, Pandegelang and Tangerang districts. The problem found in Baros village is that the growth of children under five is not optimal by the mother and there has never been any training on child growth. Based on this, the service team from the Faculty of Health Sciences at UPN Veteran Jakarta conducted community service in the form of health education on stunting and child growth training with the aim of fostering awareness, willingness, and the ability of mothers to prevent and protect children from stunting. The method of implementing this community service is carried out in several stages, namely: area potential survey, dialogue program activities through FGDs, health promotion, child growth training, and monitoring evaluation. 30 mothers were participating in health promotion and child growth training. The results of this activity obtained data that mothers who have good knowledge of 83.3% and sufficient knowledge of 26.7% and skills of mothers in the environment of child growth 46.7% have good skills and 53.3% of sufficient skills. Continuous efforts are needed to increase children's growth independently so that the incidence of stunting can be detected early. ABSTRAK:Pemberdayaan masyarakat adalah upaya memberikan daya (empowerment) atau penguatan (strengthening) kepada masyarakat untuk menemukan alternatif-alternatif baru dalam pembangunan masyarakat sehingga terwujud kehidupan masyarakat yang lebih baik. Kabupaten serang adalah salah satu kabupaten yang menjadi lokus stunting. Angka stunting di Kabupaten Serang pada tahun 2019 masih cukup tinggi yaitu 32%. Empat kabupaten di Serang masuk dalam sepuluh kabupaten di seluruh Indonesia yang menjadi lokus stunting yaitu kabupaten Serang, Lebak, Pandegelang dan Tangerang. Hasil observasi yang dilakukan diketahui bahwa permasalahan di desa Baros adalah belum optimalnya pemantauan pertumbuhan balita secara mandiri oleh ibu dan belum pernah dilakukan pelatihan pemantauan pertumbuhan anak. Berdasarkan hal tersebut maka tim pengabdi dari Fakultas Ilmu Kesehatan UPN Veteran Jakarta melakukan pengabdian kepada masyarakat berupa pendidikan kesehatan tentang stunting dan pelatihan pemantauan pertumbuhan anak dengan tujuan untuk menumbuhkan kesadaran, kemauan, dan kemampuan ibu dalam mengenali, mencegah dan melindungi anak dari penyakit stunting. Metode pelaksanaan pengabdian masyarakat ini dilakukan melalui beberapa tahap yaitu: Survei potensi wilayah, dialog program kegiatan melalui FGD, promosi kesehatan, pelatihan pemantauan pertumbuhan anak, dan monitoring evaluasi. Kegiatan promosi kesehatan dan pelatihan pemantauan pertumbuhan anak diikuti oleh 30 ibu balita. Hasil dari kegiatan ini diperoleh data bahwa ibu yang memiliki pengetahuan baik 83% dan pengetahuan cukup 27% dan keterampilan ibu dalam pemantauan pertumbuhan anak 47% berketerampilan baik dan 53% keterampilan cukup. Diperlukan upaya berkelanjutan berupa pendampingan ibu balita untuk tetap meningkatan keterampilan pemantauan pertumbuhan anak secara mandiri sehingga kejadian stunting dapat dideteksi secara dini. 


2021 ◽  
Vol 15 (2) ◽  
pp. 256-266
Author(s):  
Yunani Yunani ◽  
Yuniastini Yuniastini

Factors related to  the occurrence of stunting in the first 1000 days of lifeBackground: Stunting is a problem that occurs in children under five and is a condition of failure to thrive in children under five which is a form of chronic malnutrition, repeated infections, and inadequate psychosocial stimulation, especially in the First 1000 Days of Life, from fetus to child. two years old. The percentage of stunting under five in Indonesia is 30.8% in 2018. In Lampung Province, Pesawaran Regency is the second-highest in Lampung, which is 33.5% in the very short category and 17.3% in the short category.Purpose: To find out the factors related to  the occurrence of stunting in the first 1000 days of lifeMethod: The research method uses a descriptive method. The research sample is children in the first 1000 days of life in the Working Area of UPT Puskesmas Kota Dalam Pesawaran Regency in 2020. The number of samples is 266 consisting of 133 stunted children and 133 non-stunted children. Data collection uses a questionnaire.Results: Logistics Regression test found several variables related to stunting, namely the father's height (p=0.008) and the mother's knowledge (p=0.004). Meanwhile, the variables of maternal height, increased weight of pregnant women, birth weight, number of children, breastfeeding, maternal illness during pregnancy, income, distance to health facilities, were not associated with stunting.Conclusion: Descriptively, the data obtained are: The average father's height is 162.72 cm, the average height of the mother is 153.08 cm, the average weight gain during pregnancy is 8.49 kg, the average birth weight is 3114 g, the average knowledge value is 8.77 good category), the number of children is mostly 2 people, breastfeeding is mostly over 12 months, (59.4%), most of the mothers during pregnancy do not suffer from infectious diseases (worms, pulmonary TB, diarrhea), most of the family income is low (93.7%), most of the knowledge is sufficient.Suggestion: The management of the Public health center should improve health education for pre-pregnant women and provide to prevent stunting in their working area. As well as increasing community independence in nutritional adequacy.Keywords: Stunting; First 1000 days of life; Fetus; Weight of pregnancy; Number of children, Family income.Pendahuluan : Stunting merupakan masalah yang terjadi pada anak balita dan merupakan kondisi gagal  tumbuh  pada  anak  balita  yang  merupakan  salah  satu  bentuk  dari  malnutrisi kronis, infeksi berulang, dan stimulasi psikososial yang tidak memadai terutama dalam 1000 Hari Pertama Kehidupan (HPK) yaitu sejak janin hingga anak berusia dua tahun. Persentase balita stunting di Indonesia 30.8 % pada tahun 2018. Di Propinsi Lampung, Kabupaten Pesawaran adalah nomor dua tertinggi di Lampung yakni sebesar 33,5% dalam kategori sangat pendek dan 17,3% dalam kategori pendek.Tujuan: Mengetahui factor yang berhubungan dengan kejadian Stunting pada balita di Wilayah kerja UPT Puskesmas Kota Dalam Tahun 2020.Metode: Penelitian menggunakan metode deskriptif, Sampel penelitian adalah anak  1000 hari  pertama kehidupan di Wilayah Kerja UPT Puskesmas Kota Dalam Kab.Pesawaran Tahun 2020. Jumlah  sampel 266 terdiri dari anak stunting 133 dan  anak tidak stunting 133.  Pengumpulan data menggunakan kuesioner.Hasil: Regresi Logistik menemukan beberapa variabel yang berhubungan dengan stunting yaitu tinggi badan ayah (p=0,000), usia ayah (p=0,000) usia ibu (p=0,009), pertambahan berat badan ibu hamil (p=0,029, jumlah anak (p =0,009) p=0,000), pendapatan keluarga (p=0,000).), weight gain of pregnant women (p=0.029, number of children (p=0.009) p=0.000), family income (p=0.000).Simpulan: Secara deskritif beberapa factor berkaitan erat dengan kejadian stunting dan beberapa factor dapat dicegah terjadinya stunting dengan peningkatan gizi dan nutrisi selama kehamilan.Saran: Manajemen Puskesmas supaya lebih peningkatan health education kepada ibu prahamil dan pendampingan untuk mencegah terjadinya stunting diwilayah kerjanya. Serta peningkatan kemandirian masyarakat dalam kecukupan nutrisi melalui  pemanfaatan halaman rumah.


2020 ◽  
Vol 18 (1) ◽  
pp. 1-8
Author(s):  
Hijrianti Rumalean ◽  
Yanuarita Tursinawati ◽  
Galuh Ramaningrum

Developmental disorders can affect one or more areas of development such as gross motor, fine motor, speaking/using language, and social personality/independence. Factors that influence the development in children can come from internal factors (exclusive breastfeeding, and maternal gestational age) and external factors (maternal age and number of children under five in the family). Early detection of development is very important using the Developmental Pre-Screening Questionnaire or DENVER II. The objective of the study is to identify risk factors that influence delays in the development of children aged 3-36 months. This research is an analytic observational with case control approach. The research location was at Integrated Healthcare Unit, Primary Health Center of Rowosari, Semarang. The total sample of this study was 62 in children aged 3-36 months whose development was analyzed using the Developmental Pre-Screening Questionnaire instrument. The sampling technique used purposive sampling. The variables of this study were exclusive breastfeeding, gestational age, maternal age and the number of children under five in the family. Statistical tests used Chi-Square to analyze the relationship between internal and external factors with the delay in child development. The results show that exclusive breastfeeding (p=0.042) and gestational age (p=0.042) have a significant relationship with the development of children aged 3-36 months, while maternal age factors during pregnancy (p=0.425) and number of children under five (p=0,353) have no significant relationship. Thus, internal factors such as exclusive breastfeeding and maternal gestational age affect the developmental delay of children aged 3-36 months.


2020 ◽  
Vol 1 (1) ◽  
pp. 125-131
Author(s):  
Sulastry Pakpahan

National data according to the Indonesian Ministry of Health in 2015, 11.5% of children under five in growth and development of abnormalities. Knowledge and awareness of the importance of stimulation of growth and development during the 1000 HPK period is needed so that parents can take advantage of this period to form children who have intellectual, emotional, language, creative and positive character. Activities carried out by providing counseling to pregnant women, mothers or husbands with toddlers and training to health cadres. The implementation of the activity lasts 3 days, divided into 2 stages, namely day 1-2 is the implementation of health education  and day 3 is the implementation of training. The number of health education participants was 57 people and training participants were 48 people. Each participant was given a questionnaire to measure the increase in knowledge after the implementation of the activity. The results of this activity was obtained that the participants' knowledge increased by 24.56% in very good categories, 22.8% in good categories, and 43.38% in adequate categories. The increase in the knowledge of the training participants in the very good category increased by 27.1%, the good category was 20.8% and the moderate category was 47.9%. Health education and training about growth and development stimulation during the 1000 HPK period can increase knowledge and awareness of mothers, families and health cadres so they are expected to be able to apply the knowledge received during the training in everyday life and to the surrounding community.


2021 ◽  
pp. 363
Author(s):  
Rokhaidah Rokhaidah ◽  
Chandra Tri Wahyudi ◽  
Lima Florensia

The First 1000 Days of Life is a critical period for children's growth and development, malnutrition in this period can cause stunting problems in children, the government has compiled and implemented the First 1000 Days of Life (HPK) Movement program in an effort to prevent stunting. The prevalence for the West Java region itself is at 26.21%, this figure is still far above the minimum value set by WHO, which is less than 20% or one-fifth of the total number of children under five. The results of the observations made it known that the problem in RT 07 RW 02 Pasir Putih Village, Sawangan District, Depok City was that mothers under five had not yet optimal understanding of how to prevent stunting in children and health education about stunting in children had not been carried out and how to prevent it. Based on this, the service team from the Faculty of Health Sciences UPN Veterans Jakarta carried out community service in the form of health education about stunting and clean and healthy living behavior (PHBS) in household settings. The purpose of this activity is to raise awareness, willingness, and ability of mothers to recognize, prevent and protect children from stunting. This community service implementation method is carried out through several stages, namely: Regional potential surveys, dialogue program activities through FGDs, health promotion regarding stunting in children and clean and healthy living behavior in household settings and evaluation monitoring. The health promotion activities were attended by 10 mothers of children under five and posyandu cadres. The results of this activity obtained data that mothers who have good knowledge of 90% and 10% sufficient knowledge and PHBS behavior in household settings are 30% in perfect health and 70% in primary health. Conclusion: Continuous efforts are needed in the form of mentoring mothers of children under five to improve the behavior of stunting prevention efforts through optimizing 1000 HPK and increasing PHBS behavior towards complete health.1000 Hari Pertama Kehidupan adalah periode kritis bagi pertumbuhan dan perkembangan anak, kekurangan gizi pada periode ini dapat menyebabkan masalah stunting pada anak,  pemerintah telah menyusun dan melaksanakan program Gerakan 1000 Hari Pertama Kehidupan (HPK) dalam upaya mencegah stunting. Prevalensi untuk wilayah Jawa Barat sendiri berada pada angka 26,21%, angka ini masih jauh diatas nilai minimal yang ditetapkan oleh WHO yaitu kurang dari 20% atau seperlima dari jumlah total balita. Hasil observasi yang dilakukan diketahui bahwa permasalahan di RT 07 RW 02 Kelurahan Pasir Putih Kecamatan Sawangan Kota Depok adalah belum optimalnya pemahaman ibu balita mengenai cara pencegahan stunting pada anak dan belum pernah dilakukan pendidikan kesehatan tentang stunting pada anak dan cara menceganya. Berdasarkan hal tersebut maka tim pengabdi dari Fakultas Ilmu Kesehatan UPN Veteran Jakarta melakukan pengabdian kepada masyarakat berupa pendidikan kesehatan tentang stunting dan perilaku hidup bersih dan sehat (PHBS) di tatanan rumah tangga. Tujuan dari kegiatan ini adalah untuk menumbuhkan kesadaran, kemauan, dan kemampuan ibu dalam mengenali, mencegah dan melindungi anak dari penyakit stunting. Metode pelaksanaan pengabdian masyarakat ini dilakukan melalui beberapa tahap yaitu: Survei potensi wilayah, dialog program kegiatan melalui FGD, promosi kesehatan mengenai stunting pada anak dan perilaku hidup bersih dan sehat di tatanan rumah tangga dan monitoring evaluasi. Kegiatan promosi kesehatan diikuti oleh 10 ibu balita dan kader posyandu. Hasil dari kegiatan ini diperoleh data bahwa ibu yang memiliki pengetahuan baik 90% dan pengetahuan cukup 10% dan perilaku PHBS di tatanan rumah tangga yaitu 30 % sehat peripurna dan 70% sehat utama. Kesimpulan: Diperlukan upaya berkelanjutan berupa pendampingan ibu balita untuk meningkatkan perilaku upaya pencegahan stunting melalui optimalisasi 1000 HPK dan meningkatkan perilaku PHBS menuju sehat paripurna.


Author(s):  
Syifa Agnia Nirmala ◽  
Dede Gantini ◽  
Dita Eka Mardiani

ABSTRACT Hunger and malnutrition cause the highest death rates worldwide. At least 17,289 children die every day due to hunger and malnutrition. Based on data of  the 496 districts / cities in Indonesia, 404 districts / cities have acute-chronic nutritional problems, 20 districts / cities have chronic nutritional problems, 63 regencies / cities have acute nutritional problems and 9 districts / cities that do not found nutritional problems (MOH, 2017). The purpose of this health education is to increase the knowledge of mothers about malnutrition in children under five in Sindangsari Village, Cimerak District, Pangandaran Regency through health education. As well as identifying the mother's knowledge after giving health education about malnutrition to toddlers. The case taking method used is the health education method. According to Notoatmodjo (2012) health education is all activities to provide and increase knowledge, attitudes, practices for individuals, groups or communities in maintaining and improving their own health. From the results of health education, it can be seen that the knowledge of mothers about malnutrition among toddlers in Sindangsari Village, about before health education was implemented, most of them had less knowledge (66.7%). After the implementation of health education, most of them have good knowledge (77.77%). It can be seen the average value before health education (60.5%). and after health education (88%). There was an increase (27.5%).


Author(s):  
Endah Kusuma Wardani ◽  
◽  
Nurul Eko Widiyastuti ◽  
Lutvia Dwi Rofika ◽  
Wahyu Adri Wirawati ◽  
...  

ABSTRACT Background: Stunting, chronic malnutrition, results from the exposure of the fetus and young child to nutritional deficiency and infectious disease. In Indonesia, 30.8% of children were stunted, in which 26.2% was in East Java and 8.1% Banyuwangi Regency. This study aimed to investigate the factors affecting stunting among children under five years of age in Banyuwangi, East Java. Subjects and Method: This was a cross-sectional study conducted at Klatak and Wonosobo Community Health Centers, Central Java. a sample of 60 children under five years of age was selected for this study. The study variables were child’s gender, maternal age at pregnancy, maternal education, maternal work status, iron intake, history of chronic energy deficiency, exclusive breastfeeding, supplementary feeding, and history of infectious disease. The frequency distribution data were reported descriptively. Results: The majority of stunted children under study were male (53.3%). Most of the women were at age 20 to 34 years during pregnancy (58.3%). As many as 73.3% mothers were low educated. Most of the mothers were housewives (85%). 78.3% of women took iron supplement during pregnancy. Most of the children did not have the history of chronic energy deficiency (60%). Most of the children received exclusive breastfeeding (61.7%) and supplementary feeding (65%). Only a few children had the history of infectious disease (6.7%). Conclusion: The characteristics of subjects under study vary with maternal age at pregnancy, maternal education, maternal work status, iron intake, history of chronic energy deficiency, exclusive breastfeeding, supplementary feeding, and history of infectious disease. Keywords: stunting, children under five years of age, factors Correspondence: Endah Kusuma Wardani. Midwifery Program, School of Health Sciences Banyuwangi. Jl. Letkol Istiqlah No. 109, Banyuwangi, East Java, 68422. Email: [email protected]. Mobile: +6282257193736. DOI: https://doi.org/10.26911/the7thicph.03.80


2021 ◽  
Vol 4 (2) ◽  
Author(s):  
Tamara Lubis ◽  
Dwi Rita Anggraini

Diarrhea is a symptom of infection in the intestinal tract with the second death rate in the world in children under five years of age. Risk factors for the incidence of diarrhea in children under five are host factors that increase susceptibility to diarrhea, not giving exclusive breastfeeding (ASI), not giving breastfeeding for 2 years, malnutrition, measles and immunodeficiency. Breastfeeding (ASI) contains the best nutrients that match the needs of the baby and exclusive breastfeeding is carried out from birth to the first six months without any additional food or drink. Several studies have shown that the immunity content of breastfeeding is able to coat the gastrointestinal mucosa and protect the digestive tract from incoming pathogens. The aim of this study is to find out the relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 6-24 months at Puskesmas Aek Parombunan, Sibolga Selatan in 2019. The research design used was observational analytic cross-sectional with the criteria for the research sample of toddlers aged 6-24 months. The sampling technique in this study used total sampling. The research instrument was a medical record and data analysis used the chi-square test. Based on the results of the study, there was a relation between exclusive breastfeeding and the incidence of diarrhea.


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