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All Journal Amerta Nutrition Berita Kedokteran Masyarakat Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Kusuma, Mutiara Tirta Prabandari Lintang
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Health Professions Medicine & Pharmacology Nursing Public Health Other

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Kajian Dampak Program Kampung Keluarga Berkualitas terhadap Percepatan Penurunan Stunting di Kabupaten Sleman: The Impact of the Family Quality Village Program on Accelerating Stunting Reduction Efforts in Sleman Regency Lestari, Lily Arsanti; Helmyati, Siti; Kusuma, Mutiara Tirta Prabandari Lintang; Rachmawati, Yuliana Novita; Suryani, Ita
Amerta Nutrition Vol. 8 No. 3 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3.2024.389-397

Abstract

Background: Stunting is a significant nutrition problem in Indonesia. The current national prevalence is 21.6%, whereas the prevalence in the Yogyakarta Province and Sleman Regency are 16.4% and 15%, respectively. The Family Quality Village Program is initiated to accelerate stunting reduction efforts by empowering families in health, education, and entrepreneurship. Objectives: This study evaluated the implementation and impact of the Family Quality Village Program in Sleman Regency in conjunction with other stunting reduction programs. Methods: This study was a qualitative study with a case study approach. Data collection techniques included document analysis, 4 sessions of focus group discussions, in-depth interviews involving 11 key informants, and reflective journals. Data were analyzed using thematic analysis method. Results: In 2022, there were 34 Family Quality Village in the Sleman Regency. We obtained 3 major themes; program acceptance among stakeholders, synergy with other stunting related programs, and program management. Several local government agencies and community health staff working on stunting reduction efforts were not familiar with the concept of the Family Quality Village Program, thus affecting stakeholder acceptance and synergies with other stunting programs. Additionally, this program experienced significant changes regarding the local governance system which required adjustment in the program management, hence affecting the program effectiveness. Conclusions: It is crucial to increase awareness of the program and coordination to ensure its optimum impact on stunting reduction efforts. The local governance system should also be considered to ensure program acceptance among stakeholders.
Evaluasi Penggunaan Tikar Pertumbuhan Sebagai Alat Deteksi Dini Kejadian Stunting pada Baduta di Kabupaten Kulon Progo, Yogyakarta: Evaluation of the Use of Child Length Mat as A Stunting Early Detection Tool on Children Under Two in Kulon Progo Regency, Yogyakarta Chrisnamurti, Elisabeth Sekar; Kusuma, Mutiara Tirta Prabandari Lintang; Helmyati, Siti
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.454-465

Abstract

Background: Stunting prevention leads to the initiation of child length mats as an early detection tool and the assignment of human development workers as community initiators. There are differences in policy implementation regarding these innovations, particularly in the use of length mats. Objectives: To evaluate the use of a length mat as a stunting early detection tool on children under two in Kulon Progo Regency. Methods: A qualitative research with a case study approach was conducted in two stunting locus villages in Kulon Progo Regency. Data were collected using key informant in-depth interviews, document analysis, and reflective journals. Respondents were recruited using the maximum variation sampling technique, and data were analyzed using thematic analysis in accordance with the theory of diffusion of innovation. Results: Stakeholder acceptance of the length mat was relatively poor. Factors that influenced its adoption in Kulon Progo regency include the pre-existing situation (lack of accurate instruments to measure child length), the easy use of the length mat, and prescribed training. Whereas, factors affecting its rejection include issues related to its relative advantage and validity. This refusal was caused by suboptimal campaigns and a lack of support from the local government. However, the length mat remains in use following its function as a prerequisite for the village fund disbursement. Conclusions: Suboptimal use of the communication channel to introduce the length mat and lack of support from the local government caused the innovation to fail to diffuse at the district level. Hence, strengthening the campaign and inter-stakeholder communication is necessary to improve acceptance and adherence.
Assessing the Impact of the First Feeding Practice on Wasting Risk Among Indonesian Children Under the Age of Five Azrimaidaliza, Azrimaidaliza; Apriliani, Annisa Dwi; Kusuma, Mutiara Tirta Prabandari Lintang
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

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Abstract

The problem of undernutrition among children under the age of five (the under-five) continues to be alarmingly high in Indonesia, including in West Sumatra Province. Various factors contribute to this issue, with studies suggesting a relationship between intergenerational causes and undernutrition. This study analyzed the main risk factors of wasting among children in Padang City. Data were collected from 174 under-five and divided into unmatched cases that were selected randomly and control groups. The mothers were interviewed using a questionnaire regarding their children’s feeding habits, and weight and height data were collected from primary health care. Multiple logistic regression analysis was used to calculate the odds ratio for undernutrition. The findings revealed that 37.6% of the under-five were breastfed, whereas over half received inadequate complementary feeding. Poor breastfeeding practices (p-value = <0.001; OR = 8.389; 95% CI 2.611–14.432) and inadequate complementary feeding (p-value = <0.001; OR = 13.534; 95% CI 6.025–30.400) were identified as major contributors to the increased risk of undernutrition in the under-five. The high prevalence of suboptimal under-five feeding practices in the study area highlights the necessity of enhancing maternal nutrition education to ensure optimal growth and nutrition.
The validity of maternal perceptions on child’s nutrition status: An alternative to growth monitoring method during COVID-19 crisis Fika Ilmiyani, Saskia; Hartriyani, Yayuk; Kusuma, Mutiara Tirta Prabandari Lintang
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

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Abstract

Objective: The purpose of this study were 1) to test the usability of maternal perceptions as method to determine child’s nutrition status and 2) to estimate the preliminary validity of the maternal perceptions questionnaires. Method: A diagnostic test with cross-sectional design among 80 mother and child dyads within the sampling frame of the Sleman Health and Demographic Surveillance System (HDSS Sleman). The maternal perception were assessed using a verbal and visual questionnaire. All anthropometric measurements were conducted by trained community health workers using standardized technique and calibrated tools. Statistical analyses were performed to cross-tabulate child’s nutrition status (Weight/Height) with maternal perceptions. We tested the data for sensitivity, specificity, positive predictive value, negative predictive value, and ROC curve. Results: Most mothers could accurately determine child’s nutrition status using both verbal and visual questionnaires, with 82.5% and 85% respectively. The verbal method has higher sensitivity and negative predictive value than the visual questionnaire. Both questionnaires have similar positive predictive value, yet the specificity was higher in the visual technique The ROC curves of verbal and visual methods were 0,605 and 0,527. Conclusions: Our study found that mothers are generally able to utilize both the verbal and visual questionnaires. Despite the usability of the instruments, the data indicates mothers’ inability to perceive malnutrition in children. It stands to reason that the anthropometric measurements remain the best method to determine nutrition status in children, monitor growth and detect nutrition problems. It is also worth noting that intervention is needed to help promote an accurate perception of children healthy weight among mothers.
Co-Authors Apriliani, Annisa Dwi Azrimaidaliza Chrisnamurti, Elisabeth Sekar Fika Ilmiyani, Saskia Hartriyani, Yayuk Helmyati, Siti Ita Suryani Lily Arsanti Lestari Rachmawati, Yuliana Novita Siti Helmyati