Perbedaan proporsi stunting pada anak usia 12-24 bulan berdasarkan pemanfaatan pelayanan posyandu di Kabupaten Jayapura, Papua

https://doi.org/10.22146/ijcn.23305

Yulia Nuradha Kartosiana Wasaraka(1*), Endy Paryanto Prawirohartono(2), Yati Soenarto(3)

(1) Minat Utama Gizi dan Kesehatan, Program Studi S2 Ilmu Kesehatan Masyarakat Fakultas Kedokteran Universitas Gadjah Mada
(2) Instalasi Kesehatan Anak Rumah Sakit Umum Pusat Dr. Sardjito/Fakultas Kedokteran Universitas Gadjah Mada
(3) Pediatric Research Office, Rumah Sakit Umum Pusat Dr. Sardjito/Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Stunting according to World Health Organization’s standard is a linear growth failure identified by the Z-score value of proportioned height by age (Body Height/Age) that less than -2 of standard deviation. Indonesia has the fifth largest number of stunted children in the world right after India, Nigeria, Pakistan and China. Posyandu service utilization is one of stunting determinants. A number of visits and the activity of infants in using Posyandu services will help the observation of children’s health and nutrition status. Through thoroughly observation chronically malnourished and stunting could be earlier identified, thus the growth failure could be prevented.

Objective: to identify the stunting proportion difference of 12-24 months children according to Posyandu services use.

Method: Study was conducted by using an observational method and cross-sectional research design. Subjects of study are 12-24 month children in Jayapura Regency. Cluster random sampling method was used to identify 313 children as samples. Observation data was analyzed by using chi-square test and fisher exact test due to a not normally distributed population.

Results: There are 19.8% samples identified as stunted children. Chi-square test and fisher exact test showed that there is no significant difference in stunting proportion according to Posyandu service utilization (p>0.05). Meanwhile, there is a significant difference between a number of stunting and number of ISPA (p=0.017) and mothers nutrition knowledge (p=0.025).

Conclusion: There is not any difference in stunting number proportion according to Posyandu services utilization.

Keywords


posyandu; posyandu service utilization; stunting

Full Text:

PDF


References

  1. World Health Organization (WHO). Nutrition Landscape Information System (NLIS) Country Profile Indicators: Interpretation Guid. Switzerland : WHO Press; 2010.
  2. United Nations Children’s Fund (UNICEF) Indonesia. Ringkasan Kajian: Gizi Ibu dan Anak; New York: UNICEF; 2012.
  3. United Nations Children’s Fund (UNICEF). Improving Child Nutrition. New York: UNICEF; 2013.
  4. Kemenkes RI. Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Nasional. Jakarta Balai Penelitian dan Pengembangan. Departemen Kesehatan RI; 2013.
  5. Kar BR, Rao SL, Chandramouli BA. Cognitive Development in Children with Chronic Protein Energy Malnutrition. Behavior and Brain Function 2008;4(31).
  6. Santos IS, Matijasevich A, Domingues MR, Barros AJD, Victora CG, Barros FC. Late Preterm Birth is a Risk Factor for Growth Faltering in Early Childhood: a Cohort Study. BMC Pediatrics 2009;9(71).
  7. Kemenkes RI. Panduan Penyelenggaraan Pemberian Makanan Tambahan Pemulihan Bagi Balita Gizi Kurang. Direktorat Jenderal Bina Gizi. Jakarta: Kementerian Kesehatan RI; 2011.
  8. Supariasa, Bakri B, Fajar I. Penilaian Status Gizi. Jakarta: EGC; 2001.
  9. Reyes H, Perez-Cuevas R, Sandoval A, Castillo R, Santos IJ, Doubova SV, Gutierrez G. The Family as a Determinant of Stunting in Children Living in Conditions of Extreme Poverty: a Case Control Study. BMC Pediatrics 2004;4(57).
  10. Shrimpton R, Kachondham Y. Analysing the Causes of Child Stunting in DPRK; UNICEF; 2003.
  11. Semba RD, De Pee S, Berger SG, Martini E, O Ricks M, Bloem MW. Malnutrition and Infectious Disease Morbidity Among Children Missed by The Childhood Immunization Program in Indonesia. Southeast Asian Journal Trop Med Public Health 2007;38(1).
  12. Berger SG, de Pee S, Bloem MW, Halati S, Semba RD. Malnutrition and Morbidity Are Higher in Children Who Are Missed by Periodic Vitamin A Capsule Distribution for Child Survival in Rural Indonesia. J Nutr 2007;137(5):1328-33.
  13. Kemenkes RI. Kinerja Kegiatan Pembinaan Gizi Tahun 2011: Menuju Perbaikan Gizi Perseorangan dan Masyarakat yang Bermutu. Jakarta: Direktorat Jenderal Bina Gizi; 2012.
  14. World Health Organization. Child growth standards: Methods and development. Geneva: Department Nutrition for Health and Development; 2006.
  15. Anwar F, Khomsan A, Sukandar D, Riyadi H, Mudjajanto ES. High participation in the posyandu nutrition program improved children nutritional status. Nutr Res Pract 2010;4(3):208-14.
  16. Kemenkes RI. Laporan hasil riset kesehatan dasar (Riskesdas) Nasional. Jakarta: Balai Penelitian dan Pengembangan. Departemen Kesehatan RI; 2010.
  17. hrimpton R, Kachondham Y. Analysing the causes of child stunting in Democratic Peoples Republic Korea (DPRK). Pyongyang: DPRK; 2003.
  18. Djaali dan Mulyono. Pengukuran dalam Bidang Pendidikan. Jakarta: Universitas Negeri Jakarta; 2004.
  19. Neufeld LM, Haas JD, Grajeda R, Martorell R. Changes in Maternal Weight from the First to Second Trimester of Pregnancy are Associated with Fetal Growth and Infant Length at Birth. Am J Clin Nutr 2004;79(4): 646-52.
  20. Dewey KG, Begum K. Long-term Consequences of Stunting in Early Life. Maternal and Child Nutrition 2011;7(3): 5–18
  21. Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, Sachdev HS. Maternal and Child Undernutrition: Consequences for Adult Health and Human Capital. Lancet 2008;371(9606):340–57.
  22. Allen LH, Gillespie SR. What works? A review of the efficacy and effectiveness of nutrition interventions. Manila: ADB; 2001.
  23. Asrar M, Hadi H, Boediman. Hubungan Pola Asuh, Pola Makan, Asupan Zat Gizi dengan Status Gizi Anak Balita Masyarakat Naulu di Kecamatan Amahai Kabupaten Maluku Tengah Provinsi Maluku. Jurnal Gizi Klinik Indonesia 2009;6(2):84-94.
  24. Umeta M, West Clive E, Verhoef H, Haidar J, Hautvast JGAJ. Factors Associated with Stunting in Infants Aged 5–11 Months In the Dodota-Sire District, Rural Ethiopia. J Nutr 2003;133(4):1064-9.
  25. Zein U, Ginting J, Sagala KH. Diare Akut disebabkan Bakteri. Medan: Fakultas Kedokteran Universitas Sumatera Utara; 2004.
  26. UNICEF. Experts consultation on growth monitoring and promotion strategis: program guidance for a way forward. New York, USA: UNICEF; 2008.
  27. Yuliana, Khomsan A, Patmonodewo S, Riyadi H, Muchtadi D. Pengaruh Penyuluhan Gizi dan Stimulasi Psikososial terhadap Pertumbuhan dan Perkembangan Anak Usia Pra Sekolah. Jurnal Gizi dan Pangan IPB. 2007.
  28. Suhardjo. Berbagai Cara Pendidikan Gizi. Jakarta: Bumi Aksara; 2003.
  29. Khomsan A, Anwar F, Mudjajanto ES. Pengetahuan, Sikap, dan Praktek Gizi Ibu Peserta Posyandu. Jurnal Gizi dan Pangan 2009;4(1):33–41.
  30. Wahdah S. Faktor Resiko Kejadian Stunting pada Anak usia 6-36 bulan di Wilayah Pedalaman Kecamatan Silat Hulu Kabupaten Kapuas Hulu Provinsi Kalimantan Barat [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2012.
  31. Notosiswoyo M, Martomijoyo R, Supardi S, Riyadina W. Pengetahuan, Sikap dan Perilaku Ibu Bayi/Anak Balita serta Persepsi Masyarakat dalam Kaitannya dengan Penyakit ISPA dan Pneumonia. Buletin Penelitian Kesehatan 2003;31(2):60-71.
  32. Katona P, Katona-Apte J. The Interaction between Nutrition and Infection. Clin Infect Dis 2008;46(10):1582–8.



DOI: https://doi.org/10.22146/ijcn.23305

Article Metrics

Abstract views : 5403 | views : 9377

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2017 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats