Effectiveness of F75 and Positive Deviance Towards Weight Increase in Children Under Five With Malnutrition

Author(s):  
Indria Nuraini ◽  
Nyna Puspita Ningrum ◽  
Setiawandari Setiawandari
Author(s):  
Gita Rizki Amaliya

Nutrition is one of the things that is still a global problem, including in Indonesia. Inadequate nutrition from in the womb to birth can cause various health problems for both mother and baby. One of the health problems that can occur in children under five due to malnutrition is stunting. This community service activity was held in Mojosari Village, Kalitidu, Bojonegoro. Undernutrition of children under five is one of the problems that must be addressed by the village government of Mojosari because based on Posyandu data, it was noted that in 2019 there were 38 underfives who were malnourished. The purpose of this community service is as an effort to improve nutrition for malnourished toddlers in Mojosari Village. The community service stages started from problem identification by obtaining primary and secondary data from observations, FGD, indept interviews and questionnaires as well as data from posyandu, ponkesdes and puskesmas. The data then obtained several lists of problems which were then prioritized using the CARL method so that the priority problem was obtained, namely malnutrition. After that, look for the root of the problem using the problem tree diagram, then prioritize alternative solutions using the MEER method. The results of the calculation of the MEER method found the priority alternative solutions, namely the development of the positive deviance (PD) program. So that the community service program carried out is the BOHLAM HATI Program (Providing Processed Healthy Nutritious Food) which contains a series of activities, namely the provision of nutritious food, the innovation of the RAZIA (Children's Nutrition Report) book, socialization in the form of talk shows, cooking demonstrations, and food decoration competitions. This series of activities is expected to increase the participation of mothers and toddlers in the PD program so that it can improve nutrition and reduce the number of under-five malnutrition.


2017 ◽  
Vol 1 (1) ◽  
pp. 26
Author(s):  
Ade Kartikasari Sebba ◽  
Baning Rahayujati ◽  
Isa Dharmawidjaja

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.


2020 ◽  
Author(s):  
Diana Raj ◽  
Norliza Ahmad ◽  
Nor Afiah Mohd. Zulkefli ◽  
Zalilah Mohd Shariff

BACKGROUND Excessive screen time is detrimental to the child’s health. However, screen time situation among Malaysian children is poorly understood. OBJECTIVE This study aims to identify the prevalence and determinants of screen time among children under five years old using the latest WHO guidelines. METHODS A cross sectional design was used to randomly select 489 children from nine government health clinics. Total screen time and factors were assessed using validated self-administered questionnaires and analyzed using multiple logistic regression. RESULTS Results show an overall prevalence of 91.4% with a median of 3.00 hours (IQR: 1.36-5.04). Majority of children watched television (66%), followed by mobile phones (30%) and computers (4%). The determinants of screen time were Malay ethnicity, (AOR 3.56, 95% CI: 1.65-7.68), parental age of 30 years or more (AOR 3.12, 95% CI: 1.58-6.16), parental screen time exceeding 2 hours a day (AOR 2.42, 95% CI: 1.24-4.73), parent’s moderate self-efficacy to influence child’s physical activity (AOR 2.29, 95% CI: 1.01-5.20) and parent’s positive perception on influence of screen time on child’s cognitive well-being (AOR 1.15, 95% CI:1.01-1.32). CONCLUSIONS Parents played an important role in determining their child’s screen time. Future interventions that focus on the parents may ensure age appropriate screen time for their children.


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