Pengaruh integrasi intervensi gizi dan stimulasi tumbuh kembang terhadap peningkatan berat badan dan perkembangan balita kurus

https://doi.org/10.22146/ijcn.31259

Bunga Astria Paramashanti(1*), Sulistyawati Sulistyawati(2)

(1) Program Studi Gizi, Universitas Alma Ata, Yogyakarta
(2) Program Studi Ners, Universitas Alma Ata, Yogyakarta
(*) Corresponding Author

Abstract


Background: Indonesia has faced the problem where double burden malnutrition increasing. On the other hand, malnutrition in children may affect the development both in early childhood and the quality of human capital in later life.

Objective: This study aimed to examine the effect of integration of nutrition intervention and development stimulation on weight gain and development of wasted children.

Method: Design used in this study was quasi-experimental with pre- and post-test control group. Subjects were 38 children under-five resided in Sedayu Subdistrict. Sampels were selected by using total sampling of children under-five in community feeding center, meanwhile controls were children under-five selected from integrated health posts in another villages with the ratio of 1:1. Interventions given were education, development stimulation and food supplementation package distributed by the community health workers whom were given capacity building. Analysis used were Mann-Whitney U and Wilcoxon Signed Rank tests at the level of significance 0,05.

Results: Children in intervention groups gained their weight significantly from before (9.17±1.89) and after (9.27±1.79) intervention (p=0.04). Meanwhile, development impairment score decreased from 1.32±0.75 to 0.42±0.61 significantly (p=0.00).

Conclusion: Intervention package containing nutrition and development education, development stimulation and supplementary food through community feeding center (CFC) sucessfully increased body weight and development of wasted children significantly.


Keywords


body weight; children under-five; development stimulation; nutrition intervention; supplementary food

Full Text:

PDF


References

  1. Shrimpton R, Rokx C. The double burden of malnutrition in Indonesia. [series online] 2013 [cited 2017 Dec 13]. Available from: URL: http://documents.worldbank.org/curated/en/955671468049836790/pdf/761920WP0P12640Box0379884B00PUBLIC0.pdf
  2. Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 2013;382(13):427–51.
  3. Jones AD, Ickes SB, Smith LE, Mbuya MNN, Chasekwa B, Heidkamp RA, et al. World Health Organization infant and young child feeding indicators and their associations with child anthropometry: a synthesis of recent findings. Matern Child Nutr 2014;10:1–17.
  4. World Health Organization (WHO). Proposed global targets for maternal, infant and young child nutrition. [series online] 2012 [cited 2017 Dec 13]. Available from: URL: http://www.who.int/nutrition/events/2012_proposed_globaltargets_backgroundpaper.pdf
  5. Kementrian Kesehatan RI. Laporan riset kesehatan dasar 2013. [series online] 2013 [cited 2017 Sep 11]. Available from: URL: http://www.depkes.go.id/resources/download/general/Hasil Riskesdas 2013.pdf
  6. Yousafzai AK, Rasheed MA, Rizvi A, Armstrong R, Qar Z, Bhutta A. Effect of integrated responsive stimulation and nutrition interventions in the Lady Health Worker programme in Pakistan on child development, growth, and health outcomes: a cluster-randomised factorial effectiveness trial. Lancet [series online] 2014 [cited 2017 Oct 24];384(9950):1282-93. Available from: URL: http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(14)60455-4.pdf
  7. Fernandez-Rao S, Hurley KM, Nair KM, Balakrishna N, Radhakrishna K V, Black MM, et al. Integrating nutrition and early child-development interventions among infants and preschoolers in rural India. Ann N Y Acad Sci 2014;1308:218–31.
  8. Dinas Kesehatan Kabupaten Bantul. Profil kesehatan Kabupaten Bantul 2016. [series online] 2016 [cited 2017 Oct 9]. Available from: URL: http://dinkes.bantulkab.go.id/filestorage/dokumen/2016/08/narasi profil 2016.pdf
  9. Pantaleon MG, Hadi H, Gamayanti IL. Stunting berhubungan dengan perkembangan motorik anak di Kecamatan Sedayu, Bantul, Yogyakarta. J Gizi dan Dietetik Indones 2015;3(1):10–21.
  10. PAHO/WHO. Guiding principle for complementary feeding of the breastfed children. [series online] 2003 [cited 2017 Oct 9]. Available from: URL: https://www.who.int/nutrition/publications/guiding_principles_compfeeding_breastfed.pdf
  11. Ditjen Bina Gizi dan Kesehatan Ibu dan Anak. Panduan penyelenggaraan pemberian makanan tambahan pemulihan bagi balita gizi kurang (bantuan operasional kesehatan). [series online] 2011 [cited 2017 Dec 19]. Available from: URL: http://gizi.depkes.go.id/wp-content/uploads/2011/11/Panduan-PMT-BOK.pdf
  12. Kementerian Kesehatan RI. Ayo ke POSYANDU. [series online] 2012 [cited 2018 Dec 18]. Available from: URL: http://www.promkes.depkes.go.id
  13. Kementerian Kesehatan RI. Pedoman pelaksanaan stimulasi, deteksi dan intervensi dini tumbuh kembang anak. Jakarta: Kemenkes RI; 2016.
  14. Lassi ZS, Das JK, Zahid G, Imdad A, Bhutta ZA. Impact of education and provision of complementary feeding on growth and morbidity in children less than 2 years of age in developing countries: a systematic review. BMC Public Health 2013;13(Suppl 3):S13.
  15. Osei A, Pandey P, Spiro D, Nielson J, Shrestha R, Talukder Z, et al. Household food insecurity and nutritional status of children aged 6 to 23 months in Kailali District of Nepal. Food Nutr Bull [series online] 2010 [cited 2017 Dec 19];31(4):483–94. Available from: URL: http://www.ingentaconnect.com/content/nsinf/fnb/2010/00000031/00000004/art00002
  16. Aboud FE, Akhter S. A cluster-randomized evaluation of a responsive stimulation and feeding intervention in Bangladesh. Pediatrics [series online] 2011 [cited 2017 Sep 8];127(5):e1191–7. Available from: URL: http://pediatrics.aappublications.org/cgi/doi/10.1542/peds.2010-2160
  17. Maalouf-Manasseh Z, Oot L, Sethuraman K. Giving children the best start in life: integrating nutrition and early childhood development programming within the first 1,000 days. [series online] 2016 [cited 2017 Sep 8]. Available from: URL: https://www.fantaproject.org/sites/default/files/resources/Nutrition-Early-Childhood-Development-Technical-Brief-Jan2016.pdf
  18. Paramashanti BA, Rakhman A, Endriyani L. Dukungan keluarga berhubungan dengan asupan energi anak retardasi mental di SLB Negeri 01 Kabupaten Bantul. J Ners dan Kebidanan Indones 2016;4(3):163–8.
  19. Black MM, Perez-Escamilla R, Fernandez Rao S. Integrating nutrition and child development interventions: scientific basis, evidence of impact, and implementation considerations. Adv Nutr An Int Rev J [series online] 2015 [cited 2017 Sep 8];6(6):852–9. Available from: URL: http://advances.nutrition.org/cgi/doi/10.3945/an.115.010348
  20. Gowani S, Yousafzai AK, Armstrong R, Bhutta ZA. Cost effectiveness of responsive stimulation and nutrition interventions on early child development outcomes in Pakistan. Ann N Y Acad Sci. 2014;1308(1):149–61.
  21. Vazir S, Engle P, Balakrishna N, Griffiths PL, Johnson SL, Creed-Kanashiro H, et al. Cluster-randomized trial on complementary and responsive feeding education to caregivers found improved dietary intake, growth, and development among rural Indian toddlers. Matern Child Nutr [series online] 2013 [cited 2017 Oct 10];9(1):99–117. Available from: URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3434308/pdf/nihms365899.pdf



DOI: https://doi.org/10.22146/ijcn.31259

Article Metrics

Abstract views : 14000 | views : 8646

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2018 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