Chronic Nutritional Problem Research Articles

STRATEGIES FOR IMPROVING CHILD WELFARE THROUGH MULTIFACTOR INTERVENTIONS TO ADDRESS STUNTING IN MAKASSAR CITY, SOUTH SULAWESI

ABSTRACTStunting is a chronic nutritional problem frequently occurring in children, with factors such asfood access, nutritional intake, social factors, and economic conditions playing significant rolesin its manifestation. This study aims to identify effective strategies to reduce stunting ratesamong children in Makassar City, South Sulawesi. Utilizing a quantitative approach, the studyconducted household surveys with structured questionnaires involving 180 respondents, whowere parents of children under five experiencing stunting. Data analysis was performed usingstructural path analysis with SmartPLS4. The findings indicate that strengthening socialprotection systems, improving access to quality food, nutrition education, health educationprograms, and family empowerment are crucial factors in preventing stunting. These resultsprovide significant contributions to the development of targeted and sustainableinterventions to address chronic nutritional issues in South Sulawesi, particularly in Makassar City.

Literature Study: The Role of Health Cadres in Stunting Prevention to Support the Realisation of Sustainable Development Goals (SDG's)

Introduction: Stunting is one of the chronic nutritional problems of global concern, including in the Sustainable Development Goals (SDG's) agenda. In Indonesia, stunting is still a major health problem and contributor to child morbidity and mortality. To overcome this problem, prevention efforts are needed that involve various parties, including health cadres at the community level. This study aims to analyze the role of health cadres in stunting prevention to support the realization of the Sustainable Development Goals (SDG's). Methods: This study used a literature study by collecting and reviewing previous research, especially looking for information about the involvement of the role of health cadres in stunting prevention. Results: Health cadres have a role and function as the main driver at the community level to provide education, monitor children's nutritional status, and conduct nutrition intervention activities. Through increased capacity and knowledge, health cadres can help reduce the prevalence of stunting and support the achievement of the SDGs, namely ending hunger and ensuring healthy lives and well-being for all. Conclusion: Support and commitment from all parties are needed to strengthen the role of health cadres in supporting the realization of the SDGs. With the right support and good collaboration, this program can have a significant impact in improving the health and welfare of the community.

The Effect of Keluwih (Artocarpus camansi) Leaves Extract On Pro-Inflammatory Expression, Growth Factors and Bodies in Zebrafish Larvae (Danio rerio) Stunting Model

Stunting is a chronic nutritional problem that occurs during the first 1000 days of life which is considered a golden window of opportunity. Indonesia has the highest prevalence compared to other middle-income countries. Keluwih (Artocarpus camansi) is known to have various compounds that are beneficial for the body such as anti-inflammatory and antioxidant. This study was conducted to determine the potential of the ethanol extract of Keluwih leaves (Artocarpus camansi) zebrafish stunting model against inflammatory markers, growth factors and body size. Artocarpus camansi leaves were extracted using the maceration method for 3x24 hours with 96% ethanol solvent. Zebrafish larvae were obtained from male and female broodstock (2:1), then induced using rotenone and ethanol extract of Artocarpus camansi leaves, then immunohistochemical staining was performed using growh factor (VEGF and TGF-β), inflammation (IL-6 and TNF-α) and body length measurements on day 9 dpf. The results showed that rotenone can provide a picture of stunting in zebrafish larvae from observations of growth factors, inflammation and body length, by administering ethanol extract of Artocarpus camansi leaves this can improve stunting conditions due to administration of rotenone, the concentration of ethanol extract of Artocarpus camansi leaves 2.5 ppm is the optimal concentration in improve stunting conditions. The ethanol extract of Artocarpus camansi leaves can improve stunting conditions by increasing the expression of growth factors, decreasing pro-inflammatory cytokines and improving body length in zebrafish larvae.

Community empowerment in stunting prevention and control to build a healthy and productive generation

Stunting is a chronic nutritional problem that significantly impacts children's physical and cognitive development, as well as a long-term effect on the quality of the next generation. This community service aims to empower the community in efforts to prevent and overcome stunting to build a healthy and productive generation. This program is carried out through balanced nutrition education, promotion of exclusive breastfeeding, increased access to good sanitation, and monitoring children's growth and development. The methods used include training Posyandu cadres, counselling pregnant and lactating women, and collaborating with local governments to strengthen health facilities at the village level. The service results showed increased community knowledge and skills in identifying and preventing stunting risk factors. In addition, this program also encourages active community participation in maintaining children's health and the environment. With sustainable empowerment, it is hoped that the stunting rate can be suppressed to create a healthy and productive generation

Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Balita Usia 6-59 Bulan di Wilayah Kerja Puskesmas Benu-Benua Kota Kendari Tahun 2024

Toddler Stunting is included in chronic nutritional problems caused by various factors such as socioeconomic conditions, maternal nutrition during pregnancy, lack of nutritional intake in infants and pain in infants, this study aims to find out the factors related to the incidence of stunting in toddlers aged 6-59 months in the BLUD UPTD Benu-Benua Health Center in Kendari City in 2024, This study uses a case control method with purposive sampling techniques. The results of the study were that family income was a risk factor for stunting with p values (0.015) and OR (2.153), parenting style was a factor for stunting with p values (0.004) and OR (3.125) and infectious diseases were not risk factors for stunting with p values (1,000) and OR (1,071)

Upaya Pencegahan Stunting Melalui Kegiatan Gasting (Garahan Bebas Stunting) di Desa Garahan, Kecamatan Silo

Stunting is a chronic nutritional problem that occurs worldwide caused by suboptimal nutritional intake from pregnancy to 24 months or 2 years of age. Stunting in childhood is associated with delays in motor development and lower intelligence levels. Symptoms shown by stunting sufferers include a child's height that is shorter than children of the same age, the child looks smaller for his age, low body weight, and delayed bone growth (Laska et al., 2024). Stunting has short-term and long-term impacts. In the short term, stunting causes depression of immune function, metabolic changes, decreased motor development, low cognitive values, and low academic values (Widjayatri et al., 2020). Meanwhile, the long-term impacts of children with stunting include, when they grow up, they will be at risk of obesity, coronary heart disease, hypertension, osteoporosis, decreased work performance, and productivity (Dekasari & Gunawan, 2024)

Menumbuhkan Kesadaran Orang Tua dalam Deteksi dan Intervensi Stunting Anak Sejak Dini

Stunting is a chronic nutritional problem in children that occurs since in the womb and will have an impact on the child's growth and development in the future. The purpose of this community service activity is to raise public awareness and knowledge in detecting and intervening stunting in children as early as possible. The method used is the delivery of information related to stunting and demonstration of early detection of stunting. The targets of this community service activity are pregnant mothers and mothers who have toddlers in Tembong Village, Carita. The results showed a significant change between before and after participating in the counseling program, namely increasing knowledge and building commitment in mothers to continuously monitor the nutritional status and growth of toddlers at Posyandu.

Pendekatan Sinergis dalam Penurunan Stunting di Desa Tumbang Baringei Melalui Pemanfaatan Ikan Patin Lokal

Stunting is a chronic nutritional problem that has serious impacts on children's physical, cognitive, and socio-emotional development, especially in Indonesia. This study aims to increase public awareness about stunting prevention through a socialization and intervention program in Tumbang Baringei Village, Gunung Mas Regency. This program involves KKN students, health workers, and educational institutions in various activities, including stunting socialization, cooking demonstrations of Supplementary Feeding (PMT) made from patin fish, and implementation of nutritious food provision in Kindergartens (TK). The results of the activities showed a significant increase in the knowledge and awareness of young mothers regarding the importance of balanced nutritional intake, as well as behavioral changes in maintaining children's health and nutrition. This intervention succeeded in building healthy eating habits from an early age and is expected to significantly reduce stunting rates in the village. In conclusion, cross-sector collaboration and empowerment of local communities are effective strategies in preventing stunting in Indonesia.

Effectiveness of Rumoh Gizi Gampong and positive deviance in improving the nutritional status of toddlers in Aceh

Stunting is a chronic nutritional problem that is a priority to address because it can affect the quality of children. Fulfilling the nutritional needs of children under five through positive family habits, including through family improvement and Rumoh Gizi Gampong (RGG), can significantly reduce stunting rates. The purpose of the study was to identify the effectiveness of Rumoh Gampong Nutrition and positive deviance in efforts to improve the nutritional status of toddlers in Aceh, with a quasi experimental design conducted in Merduati village, Kutaradja sub-district, Banda Aceh with 50 samples (25 intervention groups and 25 controls) using purposive sampling technique carried out on October 15, 2020-15 January 2021. Data collection using questionnaires with interview techniques, food record documentation studies and weight measurements using Dacin and height using microtoise. Data processing with paired T test, the results showed a significant difference in the intervention group on how to fulfill toddler food (p = 0.000), food intake (p = 0.000), and nutritional status (p = 0.000), there were differences in how to fulfill food in the intervention and control groups (p = 0.00), there were differences in food intake in the intervention and control groups (p = 0.001) and there were differences in body weight in the intervention and control groups (p = 0.001). It is recommended to support the positive deviance program and Rumoh Gampong Nutrition for all posyandu in their working area.

PMT Puding Buah Naga pada Bayi Sebagai Upaya Pencegahan Stunting di Desa Sambau Kepulauan Riau

Stunting is a chronic nutritional problem commonly occurring in children under five in developing countries, including Indonesia. Providing additional food to babies is the main strategy to prevent stunting from an early age. This activity aims to explore the practice and impact of providing additional food to babies as part of efforts to prevent stunting. The methods used were literature studies, location surveys, lectures, and demonstrations on making dragon fruit PMT. All community service activities have been carried out according to the schedule and planning. Community service activities were carried out in Sambau Village, Riau Islands, which were attended by cadres and several parents of toddlers and parents of stunted babies. Cadres and parents can find out what types of food can improve family nutrition, especially babies aged 6 monts-2 years who are malnourished or malnourished. By carrying out this activity, it is hoped that cadres and parents can practice what is taught to meet the nutritional value of babies at home.

Sosialisasi Gizi dan Penyuluhan Keluarga Berencana Sebagai Upaya Menurunkan Angka Stunting di Desa Kemiri

Stunting is a chronic nutritional problem in young children that has serious implications for physical growth, cognitive development, and individual productivity. This condition is caused by a range of complex factors, including poor maternal nutrition and environmental conditions affecting quality of nutrition. The first 1,000 days of life represent a critical period for stunting prevention, as children's brain growth and development are particularly rapid during this time. Socialization regarding the importance of balanced nutrition and Family Planning programs is a strategic step to support optimal child growth and prevent stunting. This program begins with obtaining permits and coordinating with the Head of Kemiri Village to identify appropriate targets, as well as involving local neighborhood association in surveying facilities and infrastructure. The initiative aims to raise awareness in Kemiri Village about stunting and its prevention, and to educate the importance of balanced nutrition for supporting optimal child growth. Through socialization and counseling, it is hoped that the community will be able to recognize signs of stunting and take appropriate actions. This aligns with the village’s sustainable development goals (SDGs), particularly in achieving the target of a hunger-free village. By reducing the prevalence of stunting, the quality of life for the community can be significantly improved.

Bolu Kukus Ubi Ungu sebagai Inovasi MPASI: Langkah Awal dalam Program Pencegahan Stunting di Kelurahan Jakatan Raya

Stunting is a chronic nutritional problem that has a significant impact on children's physical and cognitive growth. In Jakatan Raya Village, Rungan District, Gunung Mas Regency, the stunting rate is still high, mainly due to the lack of balanced nutritional intake in early life. This article discusses community service aimed at introducing purple sweet potato steamed cake as an innovation for Complementary Breast Milk (MPASI) to prevent stunting. This activity includes training, mentoring, and evaluation of the effectiveness of purple sweet potato steamed cake in increasing children's nutritional intake. The results showed an increase in mothers' knowledge about the importance of MPASI, positive acceptance of this innovation, and an increase in nutritional intake in children. Although effective, challenges related to access to raw materials and variations in presentation still need to be overcome for the sustainability of the program.

Sistem Deteksi Stunting Sebagai Program Intervensi Gizi di Kelurahan Teluk Pucung

The prevalence of stunting in Indonesia is currently at 21.6%, which is down from the initial value of 24.4% in 2022. There is a failure in the process of improving nutritional status that causes babies and toddlers to indicate stunting. Stunting is a condition where children experience growth disorders, so that their height is not in accordance with their age as a result of chronic nutritional problems, namely lack of nutritional intake for a long time. Data shows that stunting in children can have a long-term impact on their health and development, creating serious challenges in achieving the full potential of future generations. Insufficient intake of adequate nutrition, unequal access to quality health services, and supported by healthy eating practices and lack of a supportive environment are the main factors that trigger high stunting rates, demanding integrated interventions to address the root of the problem. Bhayangkara University of Greater Jakarta as a private sector that should collaborate in efforts to improve the nutritional status of the Indonesian people carried out real lecture work (KKN) in one of the villages in Bekasi City, namely Teluk Pucung village. A holistic approach that considers social, economic, and educational factors in efforts to improve nutritional status is essential. Intervention programs should not only focus on providing nutritious food, but also on family economic empowerment, increasing mothers' knowledge about nutrition and child health and improving access to quality health services.

Sosialisasi Cegah Pernikahan Usia Dini Untuk Generasi Bebas Stunting Di SMA Negeri 4 Pandeglang

Stunting is a chronic nutritional problem caused by multiple factors, one of which is early marriage. Early marriage is still common, especially in rural areas, households with a low economy and low education. The aim of this service is through the promotion of early marriage to provide education about the dangers of early marriage as an effort to prevent stunting. By using a pre-test and post-test questionnaire, the researchers were able to determine the average number of respondents who understood the information before and after being socialized on the topics of early marriage through 3M, stunting, and reproductive health. After calculating the average, the researchers found that students at SMA Negeri 4 Pandeglang, before being given counseling had an average score of 54% and after being given counseling had an average score of 92%.

Healthy Environment As A Human Right: Law Enforcement To Overcome Stunting In Children

Stunting is a chronic nutritional problem that has an impact on children’s health and the country’s economy. The government has tried to reduce stunting as a mandate of the constitution, but Indonesia is still among the third countries with the highest prevalence of stunting in the world. This study aims to analyze the views of human rights for children with stunting and formulate efforts to uphold human rights against the problem of stunting. The type of research used is normative legal research. The legal materials collected was analyzed qualitatively by explaining the existing theories logically, systematically to get significant and scientific results. The results of the study showed that the high prevalence of stunting as evidence of government failure in law enforcement against the problem of malnutrition. Ignoring children’srightsis a form of human rights violations committed by the state. Another factor that has an influence on stunting is the environment, where if the environment where the child lives does not implement healthy living behavior, then automatically the child's health condition will be disturbed, including nutritional problems and stunting. Need to regulate the law related to stunting as a manifestation of state responsibility in upholding children’s rights. Prevention and handling of stunting is carried out holistically in various sectors with commitment and synergy between the central/regional government, parents, family and community.

Comparative Analysis of Machine Learning Algorithm Performance in Predicting Stunting in Toddlers

Stunting is a condition where the growth of children and toddlers is stunted, which causes children to be shorter than they should be. In the long term, stunting can reduce reproductive health, study concentration, and work productivity, thereby causing significant state losses. The prevalence of stunting in Indonesia, which is still above 20 percent, shows that there are still chronic nutritional problems among toddlers. To prevent this from happening, identification as early as possible can be done using machine learning for predictions. The aim of this research is to conduct a comparative analysis of the performance of machine learning algorithms for predicting stunting in toddlers. Random Forest, K-Nearest Neighbors, and Extreme Gradient Boosting are the algorithms that are compared for their performance. The performance of each algorithm is measured using evaluation matrices such as accuracy, precision, recall, and f1-score. The research method starts with data collection, data preprocessing, data splitting, application of machine learning algorithms, evaluation of algorithm performance, and comparison of results. The performance evaluation matrix measurement results show that Random Forest has an accuracy of 99.95%, precision of 99.89%, recall of 99.94%, and f1-score of 99.91%. K-Nearest Neighbors has an accuracy of 99.93%, precision of 99.87%, recall of 99.88%, and f1-score of 99.88%. Meanwhile, Extreme Gradient Boosting has an accuracy of 99.36%, precision of 98.86%, recall of 98.95%, and f1-score of 98.90%. From the results of all performance evaluation matrices, it can be concluded that the random forest algorithm is the best algorithm for predicting stunting in toddlers.

The Influence of Parenting Style and Stimulation on Social-Emotional Development: Study of Stunting and Not Stunting Toddlers in Bogor Regency

Stunting is a chronic nutritional problem that can disrupt children's growth and development, one of which is social-emotional development. This research generally aims to analyze the influence of parenting style and social-emotional stimulation on children's social-emotional development. The research design uses explanatory survey methods. The research involved 41 stunting toddlers and 41 non-stunting toddlers aged 2-3 years and their mothers as main caregivers who were selected purposively and lived in Cibodas Village, Rumpin District, Bogor Regency, West Java on July 2023. Data were processed and analyzed using Microsoft Excel 2016 software and IBM Statistical Package for Social Science (SPSS) Statistics 26 software. The results show that stunting toddlers are more commonly found in boys, families with low-educated mothers and fathers, and low incomes. Even so, in this study no significant different test results were found. The results of the correlation test show that age of father and mother is significantly positively related to authoritative parenting style. It can be interpreted that as father and mother get older, the authoritative parenting style is possibly applied more frequently. The results of the regression test show that authoritative parenting styles and social-emotional stimulation have a significant positive effect on social-emotional development. The application of good authoritative parenting style and social-emotional stimulation will improve social-emotional development in both stunting and non-stunting children.

Stunting Knowledge and Attitudes among Adolescents in Banjar Pande, Sayan Village, Ubud, Gianyar: The Effect of Structured Education

Introduction: Stunting is a chronic nutritional problem that remains a major threat to the quality of human resources. One of the efforts to break the stunting cycle is through the active role of youth. However, many adolescents are still unaware of stunting, so it is necessary to increase adolescent knowledge by providing structured education. The aim of this study was to determine the effect of structured education on adolescents' knowledge and attitudes about stunting. Methods: This study is pre-experimental research with a pretest-posttest one-group design. The sample size was 34 people, selected using a purposive sampling technique. Structured education was provided through modules and video media three times, conducted once a week for 45 minutes. Results: The results of the study showed that the average pretest score for adolescents' knowledge was 11.97, and the posttest score was 16.26. The average pretest score for adolescents' attitudes was 37.68, and the posttest score was 55.21. The results of the Wilcoxon signed-ranks test for knowledge showed a p-value of 0.000 < 0.05, and for attitudes, it also showed a p-value of 0.000 < 0.05, indicating that there was an effect of structured education on adolescents' knowledge and attitudes about stunting. Conclusion: Structured education using modules and video media is an effective method to convey messages in an understandable and engaging way, enabling the target audience to learn the material well, increasing adolescents' knowledge about stunting and encouraging the formation of positive attitudes.

Penyuluhan Program Pemberian Makanan Tambahan Lokal sebagai Penanggulangan Stunting di Kota Kediri

Stunting is a chronic nutritional problem that significantly affects children's growth and development. This community service activity aims to evaluate the impact of education on local Supplementary Feeding (PMT) in combating stunting in Kediri. The method used is education about local PMT as a measure to combat stunting. The study subjects consisted of members of Ibu Persatuan Istri Tentara (Persit) Yonif 521: Dadaha Yodha in Kediri. Data were collected through self-data questionnaires, pretests, and posttests. The results of this activity showed a significant relationship between income, health cadre status, prior knowledge about local PMT and stunting, and the level of knowledge of Ibu Persit members. Moreover, there was an increase in the Ibu Persit member’s knowledge about the role of local PMT in combating stunting and a statistically significant difference in their knowledge levels before and after the education. Education on local PMT has proven effective in enhancing Ibu Persit members' understanding of nutrition and proper dietary practices, contributing to the reduction of stunting prevalence. These findings suggest the need for the widespread implementation of local PMT education programs as a strategy to combat stunting in other areas facing similar problems.

PERUBAHAN PENGETAHUAN IBU SEBELUM DAN SESUDAH MEMBACA MEDIA LEAFLET TENTANG STUNTING PADA IBU ANAK BALITA STUNTING

ABSTRACT Stunting is a condition where a child experiences growth disorders, so that his height does not correspond to his age due to chronic nutritional problems, namely long-lasting malnutrition. Health promotion through the media is one of the efforts made to convey health information messages to mothers of toddlers. One of the most effective ways to convey information about nutrition to mothers of stunted toddlers is by distributing leaflets, which can increase mothers' awareness about nutrition and help them overcome the problem of malnutrition that continues in their stunted children. The aim of this study was to find out how the knowledge of mothers of toddlers suffering from stunting changed before and after receiving the leaflet intervention. Stunting is a condition where a child experiences growth disorders, so that the child's height does not correspond to his age, due to chronic nutritional problems, namely lack of nutritional intake for a long time. Health promotion through the media is one of the efforts made to display health information messages that want to be conveyed to mothers of toddlers, such as leaflets which are the easiest to help with the nutrition education process which is easier to understand in increasing the knowledge of mothers of stunting toddlers. Distributing leaflet media can increase health knowledge and nutritional awareness among mothers to overcome chronic malnutrition in children who are stunted. The aim of this research was to look at changes in the knowledge of mothers of stunting toddlers before and after the leaflet intervention. This research used a "One-group pretest and posttest" design conducted at the Padang City Air Children's Health Center, research time from 25 October 2023 to 15 January 2024. The sample consisted of 27 people. Sampling used the Simple Random Sampling technique via the Random Number Application. Normality test and bivariate analysis used the Kolmogorov-Smirnov Paired t-test (p<0.05). The research results showed that the average value of knowledge before reading the media leaflet showed a p-value/sig = 0.000 <α = 0.05. The conclusion of this study was that there was an increase in knowledge before and after the leaflet intervention. Keywords : Stunting, Media Leaflets