Kadek Tresna Adhi
Universitas Udayana

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Efektivitas Intervensi Gizi Terpadu Terhadap Penurunan Stunting di Indonesia: Tinjauan Sistematis: Effectiveness of Integrated Nutrition Interventions on Reducing Stunting in Indonesia: A Systematic Review Ni Putu Antawini; Kadek Tresna Adhi
Indonesian Journal of Midwifery (IJM) Vol. 9 No. 2 (2026): September 2026
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v9i2.5041

Abstract

Stunting remains a significant public health problem in Indonesia and is influenced by various factors, such as inadequate nutritional intake, suboptimal parenting practices, and limited access to food and health services. Integrated nutrition interventions that integrate nutrition education, supplementary feeding, health behavior changes, and increased family food security are considered an important strategy to comprehensively address the determinants of stunting. This systematic review used the PRISMA method, searching articles from Science Direct, Semantic Scholar, and PubMed databases published between 2015 and 2025. Nine scientific articles were analyzed out of 745 found to understand the effectiveness of integrated nutrition interventions on stunting in Indonesia. The review results indicate that integrated nutrition interventions improve energy and protein adequacy, dietary diversity, and parental nutrition knowledge and practices. Several studies also reported improvements in anthropometric indicators such as the Height-for-Age Z-score (HAZ) and a reduction in stunting prevalence, although the impact on linear growth was not always significant in the short term. Integrated nutrition interventions are effective in improving the main determinants of stunting and have the potential to support accelerated stunting reduction in Indonesia.   Abstrak Stunting masih menjadi masalah kesehatan masyarakat yang signifikan di Indonesia dan dipengaruhi oleh berbagai faktor seperti asupan gizi yang tidak adekuat, praktik pengasuhan yang kurang optimal, serta keterbatasan akses pangan dan layanan kesehatan. Intervensi gizi terpadu yang mengintegrasikan edukasi gizi, pemberian makanan tambahan, perubahan perilaku kesehatan, dan peningkatan ketahanan pangan keluarga dipandang sebagai strategi penting untuk mengatasi determinan stunting secara komprehensif. Tinjauan sistematis ini menggunakan metode PRISMA dengan melakukan pencarian artikel dari database Science Direct, Semantic Scholar, dan PubMed, yang diterbitkan antara tahun 2015 hingga 2025. sebanyak 9 artikel ilmiah dianalisis dari 745 artikel yang ditemui untuk memahami efektivitas intervensi gizi terpadu terhadap stunting di Indonesia. Hasil tinjauan menunjukkan bahwa intervensi gizi terpadu meningkatkan kecukupan energi dan protein, keragaman pangan, serta pengetahuan dan praktik pengasuhan gizi pada orang tua. Beberapa studi juga melaporkan peningkatan indikator antropometri seperti Height-for-Age Z-score (HAZ) dan penurunan prevalensi stunting, meskipun dampak terhadap pertumbuhan linear tidak selalu signifikan dalam jangka pendek. Intervensi gizi terpadu efektif dalam memperbaiki determinan utama stunting dan berpotensi mendukung percepatan penurunan stunting di Indonesia.
MENTAL HEALTH SCREENING AMONG PREGNANT WOMEN: A LITERATURE REVIEW Luh Desia Ridayanti; Ni Putu Widarini; Kadek Tresna Adhi
HEARTY Vol 14 No 5 (2026): OKTOBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v14i5.24364

Abstract

Mental health disorders during pregnancy have become a significant public health concern due to their adverse effects on maternal well-being, pregnancy outcomes, and child development. Early identification through systematic mental health screening is essential to facilitate timely intervention and improve maternal and neonatal health outcomes. This literature review aimed to examine the current evidence regarding mental health screening among pregnant women, focusing on screening instruments, implementation strategies, and barriers to their integration into antenatal care services. A literature search was conducted using PubMed, Scopus, ScienceDirect, and Google Scholar databases for articles published between 2019 and 2025. Studies were selected based on predefined inclusion and exclusion criteria, emphasizing original research and systematic reviews related to antenatal mental health screening. The review found that the Edinburgh Postnatal Depression Scale (EPDS), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), and the Whooley Questions were the most frequently used and validated screening instruments. Successful implementation depended on healthcare provider training, integration into routine antenatal care, and adequate referral pathways. However, stigma, limited mental health resources, and insufficient provider competence remained major challenges. Routine mental health screening should be incorporated into antenatal care to promote early detection and comprehensive maternal healthcare.