1000HPK Training For Cadres and Pregnant Women To Prevent Stunting In The Bungursari Health Center Work Area Of Tasikmalaya City In 2020

Bungursari Health Center in 2018 had stunting toddlers as many as 219 out of 1140 toddlers (19%). In 2018 there were 28 stunted toddlers with chronic malnutrition conditions, as well as pregnant women who experienced KEK as many as 23 people, as many as 56% of mothers who breastfeed exclusively and mothers as much as 74% have provided complementary breast milk since the age of 4 months and many mothers provide breast milk companion food with a menu that does not meet the STANDARD 4 quadrant WHO. This community service aims to carry out 1000 HPK mentoring training for cadres so that there is an increase in the knowledge and skills of cadres in escorting 1000 HPK so as to prevent stunting. Community Service training of 1000 HPK followed by 30 cadres for 2 days involving expert sources in their fields, namely the Head of Health Center, Midwife Coordinator, Nutritionist and Promkes and Midwife with the expertise of breastfeeding counselors, training is carried out face-to-face question and answer discussion methods and practicums. The results of the activities obtained are in the improvement of the knowledge and skills of cadres in controlling 1000 HPK.

Severe Hypernatremia in a Significantly Underweight Female Child

In this study, we present the case of a 5-year-old female who presented for evaluation of dehydration with labs that revealed significant hypernatremia concerning for diabetes insipidus (DI). Further evaluation revealed that she had underlying chronic malnutrition. Her diagnostic work up for DI produced some evidence consistent with DI while other data indicated otherwise, bringing up the possibility of partial DI. She was ultimately diagnosed with sporadic vasopressin release secondary to her chronic malnutrition. This case illustrates another effect chronic malnutrition can have on pediatric patients along with the importance of a broad differential for patients with severe hypernatremia.

A Comparative Study to Assess the Nutritional Status of Urban and Rural Pre-school Children

Background of the Study: Stunting, wasting, and underweight are the important nutritional status indicators for children. “While stunting is caused by long-term insufficient nutrient intake and repeated infections, wasting is a result of acute food shortage and illness. Wasting, on the other hand, is a strong predictor of mortality and requires urgent response. Underweight combines information about linear growth obstruction and weight for length/height” [7]. Understanding differences in the determinants of childhood malnutrition between urban and rural areas is important to design appropriate, relevant program and policy implementation. Aims & Objectives: The aim of the study is to assess and compare the prevalence of underweight, stunting and wasting among pre-school children in rural and urban area. Methodology: Convenient random sampling technique was used to gather data in 100 samples, 50 each from rural and urban population. Data was collected by using structured interview and anthropometric assessment. The questionnaire consisted of two parts, i.e., demographic data and questions regarding anthropometric assessment, age, height, weight etc. The three nutritional status indicators, HAZ - z-score for height-for-age, (Stunting), WAZ - z-score for weight for age (Underweight), WHZ- z – score weight for height (Wasting) were calculated using WHO Anthro survey application. Results: This study revealed that Prevalence of acute malnutrition (stunting) among rural pre-school children is 28% which was higher than the prevalence of acute malnutrition in urban pre-school children which was only 18 %. Prevalence of Underweight among rural pre-school children is 36% which was higher than the prevalence of underweight in urban pre-school children which was only 34 %. Prevalence of chronic malnutrition (wasting) among rural pre-school children is 32% which was lower than the prevalence of chronic malnutrition in urban pre-school children in which it was 46%. There is no significant association between the nutritional status of the rural and urban pre-school children with the selected demographic variables. This indicates even though there was a significant difference between the rural and urban pre-school children, both group of children are at the risk of one or other malnutrition related problems. Conclusion: This study suggests that even though there was a significant difference between the rural and urban pre-school children, both group of children are at the risk of one or other malnutrition problem.

Developing “My Plate” Poster as a Nutrition Education Media of Pregnant Women in Efforts to Prevent Stunting

One of nutritional problems experienced by toddlers is stunting, which is a short or very short body condition in children due to chronic malnutrition that occurs from pregnant women to children aged 2 years. Nutrition education is a method and effort to increase knowledge of nutrition and eating behavior in order to create optimal nutritional status. Education for the “My Plate” poster is important for pregnant women to implement a healthy diet and to meet daily nutritional needs as an effort to prevent stunting. This research was conducted by interview method. From the result of this research, a poster of “My Plate-Pregnant Women” has been designed as a nutrition education media. Keywords: Nutriotion Education Poster, Pregnant Women, Stunting

Modelling chronic malnutrition in Zambia: A Bayesian distributional regression approach

Background The burden of child under-nutrition still remains a global challenge, with greater severity being faced by low- and middle-income countries, despite the strategies in the Sustainable Development Goals (SDGs). Globally, malnutrition is the one of the most important risk factors associated with illness and death, affecting hundreds of millions of pregnant women and young children. Sub-Saharan Africa is one of the regions in the world struggling with the burden of chronic malnutrition. The 2018 Zambia Demographic and Health Survey (ZDHS) report estimated that 35% of the children under five years of age are stunted. The objective of this study was to analyse the distribution, and associated factors of stunting in Zambia. Methods We analysed the relationships between socio-economic, and remote sensed characteristics and anthropometric outcomes in under five children, using Bayesian distributional regression. Georeferenced data was available for 25,852 children from two waves of the ZDHS, 31% observation were from the 2007 and 69% were from the 2013/14. We assessed the linear, non-linear and spatial effects of covariates on the height-for-age z-score. Results Stunting decreased between 2007 and 2013/14 from a mean z-score of 1.59 (credible interval (CI): -1.63; -1.55) to -1.47 (CI: -1.49; -1.44). We found a strong non-linear relationship for the education of the mother and the wealth of the household on the height-for-age z-score. Moreover, increasing levels of maternal education above the eighth grade were associated with a reduced variation of stunting. Our study finds that remote sensed covariates alone explain little of the variation of the height-for-age z-score, which highlights the importance to collect socio-economic characteristics, and to control for socio-economic characteristics of the individual and the household. Conclusions While stunting still remains unacceptably high in Zambia with remarkable regional inequalities, the decline is lagging behind goal two of the SDGs. This emphasises the need for policies that help to reduce the share of chronic malnourished children within Zambia.

The Use of Growth Mattress and Stunting Early Detection in Toddlers Aged 3-24 Month

Indonesia is the third Southeast Asia country that has the highest prevalence of stunting toddler. Stunting is a chronic malnutrition condition that can start within the first thousand days of life and detectable up to two years of age by height. However, the measurement of the toddler's height can be influenced by the skills of Posyandu cadres using existing tools, so that the growth mattress is launched which is easier and faster to use detect stunting. The purpose of this study was to determine the effectiveness of using growth mattress for stunting early detection in toddlers aged 3-24 months. This research is a descriptive study with a cross sectional approach which is carried out at Posyandu of Siwalankerto Community Health Center working area. Respondents involved in this study were 42 toddlers aged 3-24 months and 54.8% of them were male. Data were obtained through questionnaires and observation sheets which were filled in by Posyandu cadres independently. The results showed that the effectiveness of using growth mattress was in the range of 80.9% and could detect the presence of stunting by 7.2%. The conclusion of this study is that the use of growth mattress as a medium for early detection of stunting is mostly effective