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Risk Factors Causing Stunting in Toddlers: A Literature Review Shofiyah, Alya; Windarti, Siti Wahyu
Journal of Diverse Medical Research: Medicosphere Vol. 1 No. 3 (2024): J Divers Med Res 2024
Publisher : Faculty of Medical - UPN Veteran Jawa Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33005/jdiversemedres.v1i3.130

Abstract

Stunting is a condition in which a child experiences a lack of nutritional intake for a long period of time, causing growth disorders in toddlers (infants under five years old). Stunting in toddlers is a global health problem that is influenced by various social, economic, and policy factors. Objective. This study aims to conduct a systematic review of the available literature to identify risk factors for stunting and examine the challenges faced in handling it, especially in developing countries such as Indonesia and South Africa. In addition, this study also focuses on the role of social policy and health interventions in preventing stunting. Methods. A literature search was conducted on several reputable scientific databases, such as PubMed, Web of Science, and Google Scholar with a span of 2019-2024. Keywords used include "stunting", "socioeconomic risk factors", "health policy", and "stunting management". Articles that meet the inclusion criteria are analyzed to extract data related to study design, population, intervention, outcomes, and conclusions relevant to stunting management in children under five. Results. The review shows that social and economic factors play an important role in stunting, especially in areas with low socioeconomic conditions. Health interventions and social policies have helped reduce stunting rates, but challenges such as lack of access to adequate nutrition and policies that are not fully integrated in some countries remain major obstacles. Conclusions: Although various policies and interventions have yielded positive results in reducing stunting rates, major challenges remain, especially related to access to nutrition and sustainable policy implementation. Future research needs to focus on developing more integrated and personalized policies to reduce stunting rates in developing countries. Keywords: Stunting, Children Under Five, Socioeconomic Risk Factors, Health Policy, Health Interventions, Systematic Review.
Effectiveness of The Newborn Behavioral Observation (NBO) System in Improving Mother and Infant Interaction Windarti, Siti Wahyu; Suryawan, Ahmad
Folia Medica Indonesiana Vol. 57, No. 2
Publisher : Folia Medica Indonesiana

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Abstract

The interaction of mother and infant is a fundamental basis for the development of the infant. It can also determine the success of the baby in the future. About 4 out of 10 infants experience problems interacting with their parents. The NBO system was created to sensitize parents on their infant's competencies to help them understand their infant's behavior, and promote positive interactions between parents and their new infant. This study aimed to evaluate the effectiveness of the NBO system to improve mother-infant interactions and find out the mothers' knowledge about their infant's behavior when participating in this observation. This study was a cross-sectional study consisting of all the newborns and their mothers admitted to the Dr. Soetomo General Academic Hospital Surabaya from May 2019 to January 2020 who met the inclusion criteria. Mothers and infants participated in the NBO within 1-3 days after delivering their infants and one month postpartum for the second NBO. The NBO was carried out with 35 mothers and infants. The mothers' age was on average 28.5±5.98 years old, multiparous mothers accounted for 71.4%, most infants were male (65.7%), the median gestational age was 38 weeks with the median birth weight 2900 grams. The median score of mothers' knowledge about their infants before the NBO session was 2 (1-6). After the session, these median scores increased to 7 (5–10) significantly (p<0.001). The NBO system was significant to strengthen mother-infant interaction and increased the mothers' knowledge about their infants' behavior.