Chronic Malnutrition Research Articles

Penyuluhan Stunting di Desa Pattiro Sompe

Stunting is problem of chronic malnutrition caused be a long-term deficiency in nutritional intake, characterized by a child’s height not matching that of children his age. One of the causes of stunting in Pattiro Sompe Village is the mother’s lack of knowledge about dealing with stunting. The aim of carrying out this service is to increase the knowledge of mother’s and the Pattiro Sompe Village community regarding stunting. The method used is lecture and question and answer. And using pre and post test counseling questionnairesto determine the increase in mother’s knowledge before and after the counseling was carried out. The result of community service activities in stunting education is that there is a significant increase in mother’s knowledge about stunting.

Stunting dan Malnutrisi Penyebab Kelainan Email Gigi Anak dan Early Childhood Caries (ECC): Komprehensif Review

Background: Childhood dental health is a vital component of overall well-being, with Early Childhood Caries (ECC) and defect enamel being major concerns. This article explores the intricate connection between stunting, malnutrition, and the development of defect enamel and ECC in children. Methods: Narrative review use Pubmed and Google Scholar databases with article inclusion criteria, namely research articles and reviews that discuss the relationship between enamel defects and malnutrition and ECC with malnutrition Results: Childhood malnutrition, characterized by inadequate intake of essential nutrients, poses a significant global health challenge. Stunting, a manifestation of chronic malnutrition, adversely affects physical growth and cognitive development in children. However, the link between malnutrition and dental health has not received adequate attention. This article examines the mechanisms through which malnutrition, specifically stunting, can contribute to the development of defective enamel in children. Nutritional deficiencies, particularly in calcium, vitamin D, and fluoride, are identified as key culprits in compromising enamel formation and strength. Weakening of the enamel leaves teeth vulnerable to dental caries, including ECC, which can lead to pain and long-term oral health problems. The complex relationship between malnutrition, stunting, defect enamel, and ECC calls for multifaceted solutions. Conclusion: This article highlights the importance of holistic public health initiatives, which encompass nutritional education for caregivers and improved access to dental care services for at-risk children. Interdisciplinary collaboration among healthcare professionals is emphasized to address the synergistic nature of these interconnected health challenges.

NUTRITION COUNSELING AND NUGGET PROCESSING TO PREVENT STUNTING IN TEWANG KARANGAN VILLAGE, KATINGAN

Stunting is a condition of chronic malnutrition in children which can impact children's motor and verbal development as well as affect their cognitive development and productivity in adulthood. The prevalence of stunting in Indonesia in 2021 was 24.4%, while the prevalence rate of stunting in Central Kalimantan in 2021 was 27.4% and decreased in 2022 to 26.9%. There has been a decrease in the stunting prevalence rate of around 0.5%, but this reduction still needs to be improved so that there is an acceleration in the reduction in the stunting rate. The aim of carrying out this activity is to provide education regarding the dangers of stunting in children and efforts to prevent stunting through training in developing potentially nutritious food innovations to prevent stunting, so that it can accelerate the reduction in stunting rates and become a solution for local communities in improving their standard of living. The method used in this activity is a lecture using slide media and practice in making nutritious food for toddlers. The results of the outreach show that the community understands the dangers of stunting on children's growth and development and the community is able to innovate nutritious food for toddlers.

Sosialisasi dan Focus Group Discussion Pencegahan Serta Penanganan Stunting Sejak Dini di Desa Sumberanyar Kabupaten Bondowoso

Stunting is a condition where children under 5 years of age cannot grow due to chronic malnutrition, causing them to be shorter than their age. The aim of this socialization is to identify the stunting problem in Sumberanyar village as well as present material on preventing and handling stunting in Sumberanyar village. The implementation method gathered midwives, 10 posyandu cadres, posyandu members in the PKK room at the Sumberanyar village hall. Next was the presentation of material about preventing and handling stunting, then conducting a Focus Group Discussion (FGD). In this activity, the results of the formulation of the stunting problem in Sumberanyar Village were obtained, namely, cigarette smoke, mother's knowledge, snack food, and the habit of defecating in the river. Meanwhile, activities that have been carried out by midwives and Posyandu cadres to prevent stunting include giving worm medicine, giving supplementary food (PMT), latrine building programs, classes for pregnant women and measuring children's height and weight. Based on the activities that have been carried out, it is known that 60% of posyandu cadres and posyandu members have a good level of knowledge and 40% have sufficient abilities before participating in socialization activities. Furthermore, after carrying out socialization regarding the prevention and handling of stunting, the number of posyandu cadres and posyandu members who had a good level of knowledge increased to 80% and the level of sufficient knowledge became 20%. This activity can also help posyandu cadres and members get better information that focuses on preventing and handling stunting.

THE INFLUENCE OF EDUCATION ABOUT STUNTING ON MOTHER'S KNOWLEDGE

Stunting is a chronic malnutrition problem caused by a lack of nutritional intake in children over a long period which can result in growth disorders in children. Education can increase parents' knowledge and attitudes in providing children with nutrition so that it can become an alternative intervention to improve health behavior in dealing with stunting. In the research area, there are 71 stunted children. This research aims to determine the effect of education about stunting on mothers' knowledge in Pallantikang village, Jeneponto Regency. This research is quantitative research using a quasi-experimental method with a one-group pre-post test design approach and using the Wilcoxon test. In this research design, before the intervention is given, a pre-test is first given which aims to assess the mother's knowledge about stunting. After the intervention is given, a post-test will be given. The intervention that will be carried out in this research is education about stunting using lecture methods and poster media. The results of the research show the p-value = 0.000 and the median pre-test is 9.00 while the post-test value is 13.00. From the results of the research conducted, it can be concluded that there is an influence of education about stunting on the knowledge of mothers in Pallantikang Village, Jeneponto district, before and after being given education about stunting. Future research needs to examine further the behavior of mothers in providing nutrition for toddlers after receiving nutrition education. Providing health education through poster media can increase knowledge and can be a good health education technique for the community.

Clinicoepidemiological Profile of Short Stature at A Tertiary Care Centre in Bangladesh

Background: Short stature (SS) is a common pediatric problem, which can cause psychosocial disturbances both in parents and children. The goal of the evaluation of a child with SS is to identify the subset of children with pathologic causes so that appropriate timely intervention can be made. Objective: The aim of the study was to study the clinical, epidemiological, and etiological profile of SS at a tertiary hospital of Bangladesh. Methods: This was a cross-sectional study and was conducted in the department of pediatric endocrinology, over a period of 1 year (January 2021-December 2021). A total of 100 children aged 3-14 years, with height <-2SD below the mean height for age and sex were studied. Clinical history, examination, and laboratory evaluations were done to assess the cause of SS and the data were analyzed using appropriate statistical methods. Results: About 55% were female and 45% were male. The causes of SS were found to be familial SS (36%), constitutional growth delay of growth and puberty (12%), hypothyroidism (11%), growth hormone deficiency (8%), malnutrition (10%), chronic diseases (9%), genetic syndromes and skeletal problem (8%). Conclusion: The majority of short stature in children had normal variation of growth. Along with endocrine causes, chronic systemic illnesses and malnutrition still form a major bulk in the etiological profile of SS in Bangladesh. DS (Child) H J 2022; 38(2): 79-83

Intervensi Keperawatan Coaching Support pada keluarga terhadap upaya pemenuhan nutrisi Balita Stunting di desa Klungkung Sukorambi Jember

Background and Aim: The state of malnutrition or chronic malnutrition that occurs in toddlers aged between 0-60 months, characterized by short stature and delays in growth and development is called stunting. The reported stunting rate is generally global, not differentiated by age range, so the exact number for each of these age ranges cannot be known. However, the average cases discussed were cases in groups of children or toddlers that received less attention. This condition causes toddlers to be very vulnerable to stunting. Toddlers who have experienced stunting are of particular concern, especially in fulfilling their nutrition. The family Coaching Support nursing intervention program is very important to increase the nutritional adequacy of these toddlers Methods: The research design uses a correlational design through a cross sectional model. The population used by the researchers was 64 children with a sample of 52 children using a proportional stratified random sampling technique. Bivariate analysis using the Spearman Rank correlation test. Results: The results of the study obtained a p value of 0.0005 <α 0.05 with a correlation of 0.3244 which means that the study has a moderate relationship between the coaching support nursing intervention model and the fulfillment of nutritional needs in children. Conclusion: The role of nurses, especially in community and family nursing, can be as a counselor assistant and as an educator related to understanding the form of family coaching support to preventing stunting or malnutrition in children according to family expectations in achieving the appropriate stages of child and family development
 
 Keywords ; nursing intervention, Coaching support, family, toddlers
 
 

Comparison of Indicators of Families at Risk of Stunting in High-Income Regencies and Low-Income Regencies in East Nusa Tenggara Province

Stunting is a condition of failure to thrive in children due to chronic malnutrition. Early detection of various indicators of families at risk of stunting is an important effort in preventing stunting in the community. This research aims to analyze the comparison of indicators of families at risk of stunting in districts with high per capita income and districts with low per capita income. The Method is secondary data research. The data source is the results of the 2021 National Population and Family Planning Agency (BKKBN) Survey of East Nusa Tenggara Province. The sample size is 878 families divided into 439 families at risk of stunting from high-income districts per capita, and 439 families at risk of stunting from low-income districts. Sampling was carried out by stratification sampling technique or layered sampling. The independent variable is an indicator of a family at risk of stunting, namely the age of the mother, education, fixed income, number of children, sources of drinking water, proper latrines, and habitable houses, and the dependent variable is income per capita in the district where the family lives. The data were identified and statistically analyzed using bivariate Chi-Square test and multivariate logistic regression with a significant p-value <0.05. The result show that the chi-square test mother's age (p = 0.31), mother's education (p=0.77), fixed family income (p=0.00), number of children (p=0.17), availability of water sources clean (p=0.67), healthy latrine ownership (p=0.82), and healthy home ownership (p=0.03). Logistic regression test results for family fixed income (p=0.00), healthy home (p=0.07). The Conclusion is mother's age, mother's education, number of children, availability of clean water sources, ownership of latrines, and healthy homes are the main indicators of the risk of stunting in families. This indicator has no difference between families living in areas with low per capita income, and families living in areas with high incomes.

Childish malnutrition, inequity and access to healthcare in Eugenio Espejo

This study addresses child malnutrition in Parroquia Eugenio Espejo, Ecuador, highlighting the relationship between malnutrition, inequity and access to health services. Through a descriptive, quantitative, correlational and cross-sectional approach, a non-probabilistic sample of 81 children aged 0 to 60 months, selected from a population of 508, was analyzed. Three instruments were used: a registry of anthropometric data analyzed with the WHO Anthro program to evaluate growth patterns; a questionnaire on inequity, adapted from INEGI (ENSANUT) Mexico 2019, which collected sociodemographic data of the child and his caregiver; and a survey on perception of access to health, also adapted from INEGI. The findings revealed that 47% of caregivers, predominantly young parents with incomes below minimum wage and primary education, reported acute malnutrition in 1.23% of cases, chronic malnutrition or stunting in 34.57%, and low weight for age in 6.17%. Inequity was manifested in economic difficulties and lack of knowledge, with a diet deficient in protein and micronutrients, and non-compliance with the recommended five meal times. However, protective practices such as breastfeeding, limiting salt and sugar in meals, and supplementation promoted by the Ministry of Public Health of Ecuador were identified. It is concluded that there is dissatisfaction with the care received in the health units, although satisfaction with the needs covered by the health system and the perception of timely health care is recognized

Influence of Nutritional Coaching (in the Network) on the Level of Nutritional Knowledge of Mothers of Stunting Toddler

Stunting is still an unresolved nutritional problem. Stunting in children is the result of chronic malnutrition or impaired growth and development in the past. The stunting rate among toddlers in Mojokerto Regency is 27.4% (2021). This research aims to analyze the influence of nutritional coaching (in the network) on the level of nutritional knowledge of mothers of stunting toddlers in Sooko District, Mojokerto Regency. This research is a quasi-experimental research with a pretest - posttest control group design. The sampling technique used was purposive sampling. The research instrument used a nutritional knowledge questionnaire and a 24-hour recall form. The type of data is primary data with statistical analysis using Paired sample T-test. Online nutritional coaching can increase the difference in the value of the mother's nutritional knowledge level, showing significant changes between before and after treatment with a p value of 0.000. Based on statistical tests between groups, a p-value of 0.005 was obtained. Statistical tests on these differences resulted in p < 0.05, meaning the differences were significant between groups. The conclusion of this research is that online nutritional coaching via leaflets can increase the nutritional knowledge of stunted mothers of toddlers.

Difficult Airway Management of Reconstructive Surgery for Noma (Cancrum oris): A Rare Neglected Disease

Background: Noma is a rare necrotizing gangrenous stomatitis that occurs due to poor oral hygiene and chronic malnutrition. Noma’s survivors usually had significant facial deformities that needed reconstructive surgery as its definitive treatment. However, this facial deformity can result in a difficult airway that is very challenging for anesthesiologists.
 Case presentation: A 22-year-old male patient had a significant deformity on his left face due to Noma. Preoperative evaluation revealed a potentially difficult airway due to deformity of the maxilla and mandible, malocclusion, inadequate mask seal, and incomplete dentition. Nasal fiberoptic intubation was chosen as the management of a difficult airway in this patient. A tracheostomy was prepared as the emergency invasive airway in the event of failed intubation attempts. Intubation attempts were limited to three times, and the nasal fiberoptic intubation in this patient was successful on the third attempt. The patient was stable, and the airway was safely maintained during the surgery.
 Conclusion: Detailed and careful perioperative evaluation had vital role assessing potential difficult airway and planning the optimal airway management for patient with facial deformity. Nasal fiberoptic intubation is still the safest choice with high success rate for Noma patient with significant facial deformity.

Pengaruh Penyuluhan Dengan Media Leaflet Terhadap Pengetahuan Ibu Tentang Pencegahan Stunting Pada Balita Usia 12-36 Bulan Di Wilayah Kerja Puskesmas Ambalawi Kabupaten Bima

Stunting is an indicator of chronic malnutrition due to insufficient food intake for a long time, poor food quality, increased morbidity and an increase in height that does not match the age. Stunting data at the Ambalawi Health Center in 2022 in February were 260 and in August there were 8,431 (22.5%) of 1295 toddlers. To determine the effect of leaflet media counseling on mothers' knowledge about stunting prevention in toddlers aged 12-36 months in the Working Area of the Ambalawi Health Center. This research is a quantitative method with a Two Group Pre-Post Test design. The population is mothers who have toddlers aged 12-36 months in the Working Area of the Ambalawi Health Center in October-November as many as 100 people. Sampling used purposive sampling so that a total sample of 50 people was obtained. The instrument uses a questionnaire with the Wilcoxon chi test. Knowledge of mothers who have toddlers aged 12-36 months before counseling is carried out using leaflet media about stunting prevention in toddlers in the Working Area of the Ambalawi Health Center, Bima Regency, most of them are in the less category as many as 24 people (48.0%) and after being given some counseling 35 people (70.0%) were in the good category and there was an effect of counseling using leaflet media on mothers' knowledge about stunting prevention in toddlers aged 12-36 months in the Working Area of the Ambalawi Health Center (p value = 0.000 <0.05). Providing counseling using leaflet media can increase mother's knowledge about stunting prevention. The more actively the mother participates in counselling activities, the better her knowledge will be.

Outcome of Malnourished Children Admitted in the Nutritional Rehabilitation Home.

Globally, the burden of malnutrition, especially undernutrition, as well as the consequences of malnutrition is of the rise which is especially of significant concern for underdeveloped countries. Countries like Nepal are also facing a similar problem of malnutrition. In Madhesh province, among the under 5 children the incidence of chronic malnutrition is 29.3%. Our aim is to assess the malnourishment in the children of Madhesh province in Nepal. This cross-sectional quantitative study was carried out among 409 malnourished children who were admitted from July 17, 2018 to July 16, 2022 at NRH in Gajendra Narayan Singh Hospital. Collected data were fed into Microsoft-excel and analyzed using SPSS software, version-2016. As data were normally distributed, frequency, percentage, mean and standard deviation were calculated for descriptive analysis. To find out the association of categorical variables, the Chi-square test or Fisher's Exact test was used where appropriate. P-value <0.05 was significant. Out of 409 malnourished cases, 145 cases were SAM (SD<-3) and 264 cases were MAM (-2 to -3SD) at the time of admission. The mean increment in the weight was 1.14±0.44 kg. The average length of stay was 19.82±8.73 days. There is a significant difference (p<0.001) in the length of stay among the SAM and MAM cases of our study and a difference in the increment of weight in comparison to mean weight gain (1.14±0.44 kg) with respect to the length of stay of the malnourished child who stayed for more than 28 days and less. There is significant weight gain in malnourished children after management at the Nutritional Rehabilitation Center.

Knowledge of Young Women Regarding the Components of 'My Plate' as a Strategy for Stunting Prevention

Introduction: Stunting represents a chronic malnutrition process with significant implications for life productivity. Adolescents, especially young women, wield considerable influence in stunting prevention. Nutritional education stands out as a key strategy in addressing stunting, especially among teenagers. Enhancing nutritional education for adolescents holds promise for shaping their future dietary patterns and behaviors, with knowledge serving as a pivotal catalyst for attitude change. Objective: This research aims to assess the knowledge of young women at SMPN 1 Ciamis regarding the components of 'My Plate' as a preventive measure against stunting. Method: The research methodology employed is descriptive research. The study population comprises young women at SMPN 1 Ciamis, with a sample size of 214 individuals selected through accidental sampling. The questionnaire serves as the primary measuring instrument, and univariate analysis is applied for data analysis. Result: The research findings reveal that the majority of young women exhibit sufficient knowledge, accounting for 91.1%, while the second-largest group demonstrates a lower level of knowledge at 6.1%. Conclusion: There remains a need for increased awareness and socialization regarding the contents of 'My Plate' as a preventative measure against stunting. Collaborative efforts between schools and healthcare providers are encouraged to implement regular programs, including counseling specifically addressing 'My Plate' components and broader initiatives focused on stunting prevention.

Literature Review: pola makan dan kualitas diet pada remaja dan dewasa dengan HIV/AIDS

Background: Human Immunodeficiency Virus (HIV) infection remains an unresolved health problem in Brazil. Diet plays an important role in the immune system of HIV/AIDS patients because adequate amounts of macronutrients and micronutrients are important. Food quality has also been used as a proxy for predicting the risk of death and chronic diseases. Measuring diet quality is an indicator that can describe a person's dietary practices in accordance with the dietary recommendations set out to be able to live healthily.Objective: This study aimed to analyze the dietary patterns and diet quality of adolescents and adults with HIV/AIDS.Methods: This study was a systematic literature review. The protocol used in the systematic literature review of this study used the PRISMA method. The SLR protocol and evaluation were performed using the PRISMA method to select research articles that had been found. The PRISMA method collects articles from PubMed, Google Scholar, Research Gate, SINTA, Garuda, and Scopus databases. The search terms used were Indonesian and English. The search terms used in Indonesian were "Diet and HIV/AIDS" OR "Diet Quality and HIV/AIDS". The search terms in English were "dietary habit and HIV/AIDS" OR "diet quality and HIV/AIDS". The articles collected were published between 2014 and 2022.Results: According to the findings of a systematic literature review, consumption patterns that do not meet the needs of HIV infection will lead to chronic malnutrition and AIDS, resulting in a drastic decrease in resistance to other infections. Diet plays an important role in the immune system of HIV/AIDS patients, because adequate intake of macro-and micronutrients is essential for normal functioning. Diet quality is influenced by the diversity of food ingredients and food security, which remains low. Diet quality in HIV/AIDS patients affects their body weight, mental health status, physical health status, CD4 count, and other health problems.Conclusion: Dietary habits do not meet intake requirements due to HIV infection, which causes chronic malnutrition and, at the AIDS stage, results in a drastic decrease in resistance to other infections. Diet quality in HIV/AIDS patients affects their body weight, mental health status, physical health status, CD4 count, and other health problems.

Less negative impacts of climate change on crop yields in West Africa in the new CMIP6 climate simulations ensemble

Food insecurity is among one of the greatest risks posed by climate change in Africa, where 90 to 95% of African food production is rainfed and a large proportion of the population already faces chronic hunger and malnutrition. Although, several studies have found robust evidence of future crop yield losses under climate change scenarios, there is wide variation among crops and regions as well as large modeling uncertainties. A large part of this uncertainty stems from climate projections, as climate models may differ in simulating future changes in precipitation and temperature, which could lead to different future crop production scenarios. This work examines the impacts of climate change on crop yields of maize, millet and sorghum in West Africa using climate change projections from the Coupled Model Intercomparison Project 5th Phase (CMIP5) and from the new generation of climate models from the Coupled Model Intercomparison Project 6th Phase (CMIP6). We use the SIMPLACE crop modeling framework to simulate historical and future crop yields, and bootstrap techniques to evaluate projected changes in crop productivity between the CMIP5 and CMIP6 ensembles. Using the new generation of climate models CMIP6, we find that the negative crop yield projections shown by CMIP5 simulations are largely reduced, with even large increases in crop yields when the effect of atmospheric CO2 concentration is considered in the crop model. These differences in crop yield impacts between the CMIP5 and CMIP6 simulations are mainly due to different climate projections of temperature and precipitation in West Africa; CMIP6 projections being significantly wetter and cooler by mid-century and to a lesser extent by the end of the century. Such results highlight the large uncertainties that remain in assessing the impacts of climate change in the region and the consequent difficulty for end-users to anticipate adaptation strategies.

Innovation of the health monitoring system for pregnant and breastfeeding mothers through independent health applications as an effort to reduce stunting

Background: Failure to grow in children or what is often called stunting is one of the focuses of global problems, including Indonesia. Globally, stunting is one of the goals Sustainable Development Goals (SDGs). Stunting is a problem of chronic malnutrition caused by inadequate nutritional intake over a long period of time due to providing food that does not meet nutritional needs. Stunting can occur when the fetus is still in the womb and only appears when the child is two years old. Based on the results of the Indonesian Nutrition Status Survey (SSGI), the stunting prevalence rate in Indonesia fell from 24.4% in 2021 to 21.6% in 2022. This figure is still above the threshold set by the World Health Organization (WHO), namely 20%. The stunting prevalence rate in Demak Regency was ranked seventh highest in Central Java in 2019 at 50.23% and is one of 60 stunting districts. In 2019 in Demak Regency there were 4.25% or 6,129 toddlers out of a total of 97,212 toddlers who had the potential to experience stunting. This situation is a priority for the Demak Regency government to handle by determining 10 locations that will be prioritized in 2020 and 2021Purpose: To produce monitoring and promotion system application for pregnant and postpartum mothers as well as breastfeeding mothers including toddlers can detect early health problems for mothers and toddlers and is named the child stunting preventive application (ASTA).Method: This research uses research and development methods orResearch and Development (R&amp;D). This research method is used to produce certain products and test the effectiveness of a product. This research was conducted in December 2022. The population of this study was pregnant women in Demak Regency with a sample of 24 people who were divided into two, namely 12 people as the intervention group and 12 people as the control group. The influencing variable in this study is ASTA and the influenced variable is health maintenance behavior during pregnancy, postpartum and toddlers. This research is divided into four stages, namely design, analysis, engineering and evaluation.Results: Based on the statistical test output, it is known that Asymp. Sig. (2-tailed) is worth 0.025. From this value it can be concluded that H0 rejected. This means that there are differences in the level of potential stunting in the control group respondents in terms of the pre-post treatment results. Meanwhile, it is known that in the intervention group the value of Asymp. Sig. (2-tailed) namely 0.157. This value is &gt;0.05, so it can be concluded that H0 accepted. This means that there is no difference in the level of potential stunting between pre-post treatments in the intervention group given the ASTA application.Conclusion: There is no significant effect of using the ASTA application on the criteria for potential stunting and there is no significant difference in potential stunting data between the control and intervention groups, either before or after treatment. However, the stunting prevalence ratio is 0.7 (&lt;1) indicating that the ASTA application is a factor that can reduce the potential for stunting.

The synergy of the religious role in supporting the accelerated reduction of stunting in Kutaraja District, Banda Aceh

Background: Stunting is a condition of chronic malnutrition caused by a lack of nutritional intake in the long term, resulting in a decline in the optimal growth and development of a child. In general, the incidence of stunting starts from inadequate nutritional intake during pregnancy until two years of age or more, commonly referred to as the golden period. Therefore, support from community leaders is needed to accelerate the reduction of stunting, a religious role model for the community.Objective: This study aimed to analyze the synergy of the role of religion in accelerating stunting reduction in Kutaraja District, Banda Aceh City.Methods: This was a qualitative study with a descriptive design. The informants in this study were religious and active in the Kutaraja sub-district of Banda Aceh City, with a total of 10 religions, and were selected based on specific criteria. Data were collected for two months through an in-depth interview method using a document study and questionnaires designed by the authors. Instrument validity was tested using the triangulation technique. Thematic data analysis was performed.Result: Religiosity has promoted studies related to parenting, a balanced diet, and a healthy lifestyle by directly becoming speakers in integrated service post activities, being involved in community empowerment activities called village nutrition houses, and being active as marriage counsellors in the office of religious affairs for the bride and groom.Conclusion: The synergy of religion in community activities can support the accelerated reduction of stunting, which the improvement of community participation in nutritional community empowerment activities can see.

Preventing chronic malnutrition in children under 2 years in rural Angola (MuCCUA trial): protocol for the economic evaluation of a three-arm community cluster randomised controlled trial

IntroductionChronic malnutrition is a serious problem in southern Angola with a prevalence of 49.9% and 37.2% in the provinces of Huila and Cunene, respectively. The MuCCUA (Mother and Child Chronic...

Challenges and Stakeholders' Views on Achievements of Multi-Sectoral Governance in Improving Child Nutrition in Buhigwe District, Tanzania.

In recent years, Tanzania has made good progress in addressing the problem of chronic malnutrition in children, but the levels are still unsatisfactory, at almost three in ten of its children are stunted. The government of Tanzania has taken significant measures to establish and strengthen multi-sectoral governance as part of national efforts to reduce the unacceptably high level of malnutrition. However, few studies have qualitatively documented stakeholder's perspectives at sub-national and community level with regards to performance of multi-sectoral governance in improving nutrition status of children in Tanzania. This study aimed to explore the achievements, facilitating factors and challenges of multi-sectoral governance in improving child nutrition in Buhigwe District Council. This was cross-sectional study, which employed qualitative method of data collection whereby semi-structured interviews were used to conduct in-depth interviews with members of the multisectoral steering committee for nutrition in Buhigwe Council and parents/caregivers of under-five children. There is significant improvement in allocating funds for multisectoral governance interventions targeting under five children across sectors, improved inter-sectoral coordination and increased knowledge on feeding practices among parents/caregivers. Strong leadership and political commitment, inter-sectoral linkage and Presence of Non-Governmental Organizations (NGOs) supporting nutrition were identified as factors for improving child nutrition in the context of multisectoral governance. The issue of insufficient funding, inadequate spending of allocated funds, inadequate capacity, lack of cross-sectional financial mechanism and tools to collect nutrition information were raised by stakeholders as factors hindering the implementation of multi-sectoral governance in improving child nutrition. Smooth implementation of multi-sectoral interventions targeting under-five children requires strong multi-sectoral governance, which is supported by adequate spending of the allocated funds, strong leadership and political commitment, presence of NGOs supporting nutrition and inter-sectoral linkage among line sectors. However, key stakeholders including central and local government authorities should address the challenge of insufficient funds, inadequate capacity, lack of cross-sectoral co-financing mechanism and tools to collect nutrition information, which were reported as barriers to the implementation of multi-sectoral governance in improving child nutrition.