M. Karjono M. Karjono
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Short-Term Changes in Weight-Related Anthropometric Indicators After Locally Based Supplementary Feeding Among Stunted Children Karjono, M.; Murtiananingsih, Murtiananingsih; Zaidah, Una; Rakhmawati, Baiq Fathin Ayu; Mulianingsih, Misroh; Fajriani, Shindy; Gonçalves, Marilia Juvi
Jurnal Penelitian dan Pengkajian Ilmu Pendidikan: e-Saintika Vol. 10 No. 1 (2026): March
Publisher : Lembaga Penelitian dan Pemberdayaan Masyarakat (LITPAM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/e-saintika.v10i1.4005

Abstract

This study examined short-term anthropometric changes associated with locally based supplementary feeding among stunted children aged 6–59 months at Meninting Health Center, West Lombok. The feeding package consisted of mung bean porridge (100 g), egg biscuits (50 g), and sweet potato bars (50 g), providing approximately 350–450 kcal and 12–16 g protein per child per day. Using a one-group pretest-posttest design, 50 stunted children underwent anthropometric assessment at baseline, week 4, and week 8, with weekly monitoring of body weight and body height. Primary outcomes were weight, height, weight-for-age z-score (WAZ), height-for-age z-score (HAZ), and weight-for-height z-score (WHZ). Adherence was high, with 90.0% of participants consuming at least 80% of the planned feeding days. Body weight increased significantly at week 4 (mean difference = 0.15 kg, 95% CI [0.10, 0.20], p < .001) and week 8 (mean difference = 0.48 kg, 95% CI [0.39, 0.56], p < .001). WHZ improved significantly at week 4 (mean difference = 0.08, 95% CI [0.01, 0.15], p = .022) and week 8 (mean difference = 0.29, 95% CI [0.18, 0.40], p < .001), whereas WAZ improved significantly only at week 8 (mean difference = 0.23, 95% CI [0.16, 0.31], p < .001). HAZ did not show a statistically significant change during follow-up. These findings suggest that locally based supplementary feeding was associated with short-term improvement in weight-related anthropometric outcomes, while improvement in linear growth was limited during the observation period. The high adherence observed in this study also supports the feasibility of delivering locally based supplementary feeding through routine community health services.
Pengembangan Modul Edukasi Gizi Seimbang bagi Calon Pengantin untuk Pencegahan Stunting pada 1.000 Hari Pertama Kehidupan Laila Mardiana Rohmatillah; M. Karjono M. Karjono; Fitriana Nugraheni; Nurwahidah Nurwahidah
Malahayati Nursing Journal Vol 8, No 11 (2026): Volume 8 Nomor 11 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i11.26589

Abstract

ABSTRACT The prevalence of stunting in West Nusa Tenggara remains high, reaching 29.8% in 2024 according to the Indonesian Health Survey (SKI), highlighting the need for nutrition interventions beginning in the preconception period. Prospective brides and grooms represent a strategic target group for stunting prevention; however, nutrition education delivered through the Offices of Religious Affairs (KUA) is predominantly focused on religious, psychological, and social aspects, while specific nutrition-related content remains limited. This study aimed to develop a Balanced Nutrition Education Module for Prospective Couples to Prevent Stunting during the First 1,000 Days of Life (1,000 HPK). A Research and Development (RD) approach using the ADDIE model was applied. The study participants included nutrition experts and health promotion media experts as validators, as well as 14 prospective couples from the KUA of Gunung Sari District, West Lombok Regency, who participated in the field trial. Data were collected through interviews, validation and practicality questionnaires, and pre-test and post-test instruments. The expert validation results indicated that the module was highly feasible, with scores of 88.46% from nutrition experts and 95.40% from media experts. The practicality assessment yielded a mean score of 92.11%, indicating a very high level of usability. The effectiveness test demonstrated a significant improvement in participants’ knowledge, with mean scores increasing from 57.14 at pre-test to 80.00 at post-test (p 0.001). In conclusion, the developed module is feasible, practical, and effective, and is recommended as a complementary educational tool in premarital counseling at KUA and primary health centers to strengthen preconception nutrition interventions. Keywords: Prospective Couples, Balanced Nutrition, Educational Module, Stunting, First 1,000 Days of Life (1,000 HPK).  ABSTRAK Prevalensi stunting di Nusa Tenggara Barat masih tinggi, yaitu 29,8% pada tahun 2024 berdasarkan Survei Kesehatan Indonesia (SKI), sehingga diperlukan intervensi gizi sejak masa prakonsepsi. Calon pengantin (catin) merupakan kelompok strategis dalam upaya pencegahan stunting, namun edukasi gizi di kantor Urusan Agama (KUA) saat ini masih di dominasi oleh aspek keagamaan, psikologis dan sosial, sementara materi gizi spesifik masih terbatas.Penelitian ini bertujuan untuk mengembangkan “Modul Edukasi Gizi Seimbang bagi Calon Pengantin untuk Pencegahan Stunting pada 1.000 Hari Pertama Kehidupan (HPK)”. Metode yang digunakan adalah metode Research and Development (RD) dengan model ADDIE. Subjek penelitian terdiri dari pakar gizi dan pakar media promosi kesehatan sebagai validator, serta 14 calon pengantin di KUA Kecamatan Gunung Sari, Kabupaten Lombok Barat sebagai uji coba. Data dikumpulkan melalui wawancara, pengisian kuesioner validasi, kepraktisan serta instrumen pre-test dan post-test. Hasil validasi menunjukkan modul ini “Sangat Layak” dengan skor 88,46% dari pakar gizi dan 95,4% dari pakar media promosi kesehatan. Uji kepraktisan memperoleh skor rata-rata 92,11% “Sangat Praktis”. Uji efektivitas menunjukkan adanya peningkatan pengetahuan yang signifikan, rata-rata skor meningkat dari 57,14 (pre-test) menjadi 80,00 (post-test) dengan nilai signifikansi p0,001. Modul ini dinyatakan layak, praktis, dan efektif serta direkomendasikan sebagai media pendukung dalam bimbingan perkawinan di KUA dan Puskesmas guna memperkuat intervensi gizi sejak masa prakonsepsi. Kata Kunci: Calon Pengantin, Gizi Seimbang, Modul Edukasi, Stunting, 1000 HPK.