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Factors Influencing Supplementary Feeding Program Success among Stunted Children Under Five Nur Fardian; Alma Lucyati; Ivan Adrian Montolalu
Mandalika Journal of Medical and Health Studies Vol 4 No 2 (2026): Mandalika Journal of Medical and Health Studies
Publisher : Mandalika Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59613/mjmh.v4i2.438

Abstract

Background: Stunting remains a major public health challenge among children under five, particularly in low- and middle-income countries. Supplementary feeding programs have been widely implemented to improve nutritional status and reduce stunting; however, their effectiveness varies across contexts. Objective: This review aimed to identify and synthesize the factors influencing the success of supplementary feeding programs among stunted children under five. Methods: A Traditional Literature Review (TLR) was conducted using studies published between 2018 and 2026. Relevant literature was retrieved from Google Scholar, PubMed, Scopus-indexed sources, ScienceDirect, and publications from international organizations. The selected studies included systematic reviews, intervention studies, observational studies, qualitative investigations, implementation evaluations, and policy reports. Data were analyzed using thematic content analysis. Results: Four major determinants of program success were identified. Nutritional determinants included dietary diversity, micronutrient adequacy, feeding quality, and the nutritional composition of supplementary foods. Socioeconomic and environmental determinants comprised household food security, maternal education, sanitation, and healthcare access. Caregiver and family determinants involved nutrition knowledge, parental compliance, responsive feeding practices, and family support. Program implementation determinants included monitoring and evaluation systems, funding, community participation, resource availability, and implementation quality. Conclusion: The success of supplementary feeding programs among stunted children under five is influenced by interconnected nutritional, socioeconomic, caregiver-related, and implementation factors. Comprehensive and context-specific interventions are required to maximize program effectiveness and support sustainable stunting reduction.
Relationship between animal protein intake and hemoglobin levels among medical students at Pasundan University Andromeda Andromeda; Fitri Destianis Sudaryat; Alma Lucyati
Science Midwifery Vol 14 No 3 (2026): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i3.2255

Abstract

Background: Modern lifestyle changes characterized by high-fat dietary intake and reduced physical activity have increased the prevalence of obesity and lipid abnormalities among young adults. Visceral fat is considered metabolically active and has been associated with dyslipidemia and cardiovascular risk. However, findings regarding the relationship between visceral fat and total cholesterol levels in young adult populations remain inconsistent. Previous studies have predominantly involved older or metabolically compromised populations and frequently relied on advanced imaging methods such as CT scan or MRI, while evidence among apparently healthy university students using practical field-based measurements remains limited. Objective: Therefore, this study aimed to determine the relationship between visceral fat level and total blood cholesterol among medical students at the Faculty of Medicine, Pasundan University (2024/2025). Methods: This correlational analytical study employed a cross-sectional design involving 111 eligible medical students. Visceral fat level was measured using Bioelectrical Impedance Analysis (BIA) with the Omron HBF-375 device, while total cholesterol level was assessed using a portable rapid cholesterol test device. Data were analyzed using Spearman’s correlation test. Results: The results showed that most respondents had normal visceral fat levels (79.3%) and normal total cholesterol levels (67.6%). Spearman correlation analysis demonstrated no statistically significant association between visceral fat level and total cholesterol (r = −0.060; p = 0.529). Conclusion: In conclusion, visceral fat accumulation was not significantly associated with total blood cholesterol levels among medical students. These findings suggest that cholesterol status in young adults may be influenced more by overall lifestyle and metabolic factors than by visceral fat accumulation alone. This study highlights the importance of early lifestyle-based prevention strategies to reduce future cardiometabolic risk.