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RIWAYAT IMUNISASI DAN KONSUMSI GIZI RUMAH TANGGA SEBAGAI FAKTOR RISIKO STUNTING PADA MASYARAKAT PERBATASAN KOTA DI KABUPATEN KUBU RAYA Harzuna, Amanda; Trisnawati, Elly; Budiastutik, Indah
Avicenna: Jurnal Ilmiah Vol. 19 No. 3 (2024): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v19i3.7318

Abstract

Background : Stunting remains a significant public health problem in Indonesia, particularly in Kubu Raya Regency, which had the highest stunting prevalence in West Kalimantan at 40.35% in 2021. This study aimed to analyze the influence of complete basic immunization history and household nutritional consumption on stunting incidence among children under five. Method : The research employed a case-control design with a sample of 120 children under five, consisting of 60 stunted children (cases) and 60 normal children (controls) in Mega Timur and Sungai Malaya Villages, Sungai Ambawang District. Data collection used random sampling technique and data analysis used chi-square test. Results: The results showed significant relationships between complete basic immunization history (p=0.015; OR=2.704) and household nutritional consumption (p=0.040; OR=2.333) with stunting incidence. Children with incomplete immunization history had 2.7 times greater risk of experiencing stunting, while children from food-insecure households had 2.3 times greater risk of stunting. Conclusion: Basic immunization history and household nutritional consumption were identified as contributing factors to stunting incidence among under-five children. The study findings revealed significant associations between complete basic immunization history (p=0.015; OR=2.704) and household nutritional consumption (p=0.040; OR=2.333) with stunting risk in under-five children. Keywords: Food Expenditure Blood glucose, Immunization, Nutrition, Stunting.
Edukasi Menu Bergizi Terhadap Perilaku Menyuapi Aktif Ibu Balita Safira, Nadyah Noora; Budiastutik, Indah; Marlenywati; Trisnawati, Elly
Avicenna: Jurnal Ilmiah Vol. 19 No. 3 (2024): Avicenna: Jurnal Ilmiah
Publisher : Public Health Department, Faculty of Health Science University Muhammadiyah Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36085/avicenna.v19i3.7321

Abstract

ABSTRACT Background: Linear growth failure caused by lack of nutritional intake, infection, and inadequate parenting patterns is a stunting event. This condition has an impact on increasing mortality and morbidity rates, and inhibits children's cognitive, psychomotor, and mental development. Responsive feeding is an important step for stunted toddlers to increase food acceptance and support optimal cognitive, psychomotor, and mental growth and development. This study is needed to identify behavioral features related to stunting and the factors that influence it. Methods: This study is a quantitative descriptive study, with a Quasi-Experiment One Group without Control design, and data collection techniques are carried out through direct observation. The sample was selected by purposive sampling from a population of 379 and a sample of 30 according to the criteria of families at risk of stunting and children under five years of age. Results: The results of the study obtained a p-value = 0.000. This shows that the intervention carried out has a significant effect on increasing active feeding behavior in mothers of toddlers from the early stage to the active stage. This difference can be interpreted as the success of the intervention in improving mothers' skills or consistency in active feeding, which can have a positive impact on their children's eating behavior. Conclusion: Education about nutritious menus has a significant effect on active feeding behavior in mothers of toddlers. Increasing mothers' knowledge about the importance of balanced nutritional intake has a positive impact on their ability to choose and prepare nutritious food for children. Keywords: Nutritional Menu Education, Active Feeding Behavior, Stunting, Mother, Toddler ABSTRAK Latar Belakang : Kegagalan pertumbuhan linier yang disebabkan oleh kurangnya asupan gizi, infeksi, dan pola pengasuhan yang tidak memadai merupakan kejadian stunting. Kondisi ini berdampak pada meningkatnya angka mortalitas dan morbiditas, serta menghambat perkembangan kognitif, psikomotorik, dan mental anak. Pemberian makan yang responsif merupakan langkah penting untuk balita stunting guna meningkatkan penerimaan makanan dan mendukung tercapainya pertumbuhan serta perkembangan kognitif, psikomotorik, dan mental secara optimal. Penelitian ini diperlukan untuk mengidentifikasi gambaran perilaku yang terkait dengan stunting dan faktor-faktor yang memengaruhinya. Metode : Penelitian ini merupakan penelitian deskriptif kuantitaif, dengan desain Quasi-Experiment One Group without Control, dan teknik pengumpulan data dilakukan melalui pengamatan secara langsung. Sampel dipilih secara purposive sampling dari populasi sebanyak 379 dan sampel sebanyak 30 responden dengan kriteria meliputi keluarga berisiko stunting dan anak usia di bawah lima tahun. Hasil : Hasil penelitian diperoleh p-value = 0,000. Hal ini menunjukkan bahwa intervensi yang dilakukan memiliki pengaruh signifikan terhadap peningkatan perilaku menyuapi aktif pada ibu balita dari tahap awal ke tahap aktif. Perbedaan ini dapat diartikan sebagai keberhasilan intervensi dalam meningkatkan keterampilan atau konsistensi ibu dalam menyuapi aktif, yang dapat berdampak positif pada perilaku makan anak-anak mereka. Kesimpulan : Edukasi mengenai menu bergizi memiliki pengaruh signifikan terhadap perilaku menyuapi aktif pada ibu balita. Peningkatan pengetahuan ibu tentang pentingnya asupan nutrisi yang seimbang berdampak positif pada kemampuan mereka dalam memilih dan menyiapkan makanan yang bergizi bagi anak. Kata Kunci : Edukasi Menu Bergizi, Perilaku Menyuapi Aktif, Stunting, Ibu, Balita
Indicators Of The Home Environment In Families At Risk Of Stunting In The Murai Valley Of Pontianak City Widya Eka Lestari; Elly Trisnawati; Indah Budiastutik; Marlenywati, Marlenywati
Jurnal EduHealth Vol. 15 No. 04 (2024): Jurnal EduHealt (inpres), Year 2024
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Stunting is a serious nutritional problem that Indonesia is still facing. One of the cities in West Kalimantan Province that still contributes to stunting cases is Pontianak City, which is the provincial capital. The condition of environmental factors that are not optimal, supported by the characteristics of slum and densely populated areas, makes Pontianak City, especially the Murai Valley, an area that is vulnerable to stunting risks. This study aims to analyze the indicators of the home environment in families at risk of stunting in the Murai Valley, Pontianak City. The research design used is descriptive observational with a cross-sectional approach, the number of samples is 58 respondents who are categorized as Families at Risk of Stunting. Sampling was carried out by simple random sampling. The location of the research is in the Murai Valley Quality Family Village, Mariana Village, Pontianak City. Data were collected through interviews and direct observations, consisting of variables such as personal hygiene, cleanliness of the home environment, and cleanliness of latrines. The data was analyzed univariate and presented in the form of tables and narratives. The results of the study showed that the personal hygiene of families at risk of stunting was mostly 91.4% in the poor category. The cleanliness of the home environment was not clean by 62.1%, and as many as 93.1% of respondents described the cleanliness condition of the latrines as less qualified. There is a need to improve sanitation, cleanliness of the home environment and improvements to family toilet facilities. It is also hoped that there will be awareness of families at risk of stunting related to the implementation of clean and healthy living behaviors in the family order as a form of stunting prevention efforts.
The The Effect of "PENTING" Education on Improving Father's Parenting Role Yuni, Yuni; Budiastutik, Indah; Trisnawati, Elly; Marlenywati, Marlenywati
Miracle Journal of Public Health Vol 7 No 2 (2024): Miracle Journal of Public Health (MJPH)
Publisher : Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/mjph.v7i2.384

Abstract

Stunting remains a serious health problem as it is associated with an increased risk of morbidity and mortality in children under five. Based on the 2023 Indonesian Health Survey (IHS), the prevalence of stunting in Pontianak City reached 16.7%, which still exceeds the national target. Specific interventions are needed to address this issue, especially parenting-related ones. The role of fathers in parenting is very important to improve toddlers' health status and support children's optimal growth and development. This study evaluates the effect of "PENTING" education on improving fathers' parenting role in stunting prevention. The research design was a quasi-experiment, with a sample of 30 toddlers and mothers from families at risk of stunting selected by purposive sampling. The research was conducted in Kampung KB Lembah Murai, Pontianak City. The educational intervention was conducted six times using the flip sheet media, with data measurement before and after the intervention. Data were analyzed using paired t-tests. The results showed a significant increase in the role of parenting by fathers after the intervention. This finding suggests that the "PENTING" educational program effectively strengthens fathers' role as part of stunting prevention efforts.
The Effect of Nutrition Status Assessment Training on Cadres' Knowledge in Early Stunting Detection A'in, Nurul; Budiastutik, Indah; Trisnawati, Elly; Marlenywati, Marlenywati
Journal of Midwifery and Nursing Vol. 7 No. 1 (2025): January: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v7i1.5890

Abstract

Stuntingis one of the major challenges in public health in Indonesia, including in West Kalimantan.Stunting, which is characterized by a condition of failure to thrive due to chronic malnutrition and recurrent infections in early childhood, has long-term impacts on a person's physical, cognitive and productivity development. Based on the 2023 Indonesian Health Survey (SKI) report, the prevalence of stunting at the national level reached around 21.6%. This study aims to determine the Nutritional Status Assessment (PSG) of cadres' knowledge in conducting early detection of stunting in the community. PSG training is expected to improve cadres' knowledge in conducting early detection of stunting. The method used in this study was the Quasi Experiment One Group with a pre-test and post-test design. A total of 30 health cadres from the village were the samples in this study. Before the training, cadres' knowledge in early detection of stunting was tested using observation. The analysis used a paired sample t-test to determine any significant differences between cadres' knowledge before and after education on nutritional status. The results showed that there was a significant increase in cadres' knowledge in conducting early detection of stunting after participating in PSG training, with a p-value of 0.000. This shows that PSG training has a significant effect on increasing cadres' knowledge in detecting stunting. The conclusion of this study is that PSG training is effective in improving cadres' knowledge in early detection of stunting. It is recommended to strengthen the capacity of cadres in overcoming stunting in the community.
PENGARUH EDUKASI PHBS TATANAN KELUARGA TERHADAP PENINGKATAN PENGETAHUAN IBU BALITA DALAM PENCEGAHAN STUNTING Rima Putri, Audila; Trisnawati, Elly; Budiastutik, Indah; Marlenywati, Marlenywati
Jurnal Kesehatan Medika Saintika Vol 15, No 2 (2024): Desember 2024
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v15i2.2927

Abstract

 PHBS di tatanan keluarga adalah upaya untuk menjadikan setiap anggota keluarga tahu, mau dan mampu melaksanakan PHBS. Kecamatan Rasau Jaya khususnya di Kampung KB “Desa Membangun” Desa Umum Rasau Jaya menggambarkan adanya permasalahan yang berkaitan dengan kurangnya pengetahuan ibu balita tentang PHBS. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi PHBS Tatanan Keluarga terhadap peningkatan pengetahuan ibu balita dalam pencegahan stunting. Penelitian ini menggunakan metode Quasi Eksperimental dengan desain one group t-test. Populasi yang diteliti adalah ibu yang memiliki balita berusia 0 hingga 59 bulan. Sampel yang dipilih menggunakan teknik purposive sampling, yang terdiri dari 30 orang responden. Intervensi dilakukan sebanyak 6 kali selama 3 bulan dengan menggunakan buku saku sebagai media. Instrumen penelitian berupa kuesioner, dan data dianalisis menggunakan uji t berpasangan. Hasil penelitian menunjukkan adanya perbedaan signifikan dalam pengetahuan ibu tentang tatanan keluarga PHBS sebelum dan sesudah intervensi. Kesimpulan penelitian ini adalah bahwa edukasi PHBS tatanan keluarga berpengaruh terhadap peningkatan pengetahuan ibu balita dalam pencegahan stunting.
Aloe Vera: Potential to Reduce Fasting Blood Sugar Levels in Prediabetes Indah Budiastutik; Novia Surya Ningsih
JURNAL INFO KESEHATAN Vol 21 No 3 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Politeknik Kesehatan Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss3.1361

Abstract

Prediabetes is a continuous spectrum of developmental stages before a person is diagnosed with diabetes mellitus. Considering the long-term effects of pharmacological treatment, other natural-based methods are needed. The purpose of this study was to analyze the effect of Aloe Vera Juice on the reduction of fasting blood glucose levels in patients with prediabetes in Pontianak City. A pre and post-test design study was conducted between March and July 2021 at Alianyang Public Health Center. A total of 12 subjects were identified as prediabetic at the beginning of the study through screening involved in this study. The included subjects were asked to consume 175 ml of Aloe Vera Juice for 15 consecutive days and measured their fasting blood glucose (FBG) levels on the 16th day. A paired t-test was performed to determine the difference in FBG levels before and after the treatment. Present findings revealed that the mean FBG level before intervention was 107.4 mg / dL and 92.1 mg/dL after the intervention. A statistically different FBG reduction significance was found between groups (p<0.001). Consuming Aloe vera juice regularly for 15 days has proven to lower FBG levels among prediabetics. Future studies with better adherence monitor and larger sample sizes might have resulted in better determination of the intervention's effect.  
The Influence of Education on Increasing the Knowledge of Mothers of Toddlers About the 8 Functions of the Family Hawa Cahya Purnama; Indah Budiastutik; Marlenywati Marlenywati; Elly Trisnawati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21985

Abstract

Mother’s knowledge is very important because it is one of the contributing factors to the emergence of stunting in toddlers. Mothers with low knowledge have a higher risk of their children experiencing stunting compared to mothers with sufficient knowledge.The family plays a very important role in efforts to prevent stunting. Preventing stunting in families can be associated with eight family functions that support each other. This study aims to analyze the effect of education on improving the knowledge of mothers with toddlers regarding the 8 family functions. The eight family funtions are the religious function, sosio-cultural function, affection function, protection function, reproduction function, socialization and education function, economic function, and environmental development function. This research method is quantitative, using a quasi-experimental design with a pretest-posttest questionnaire instrument. The sample consists of 30 mothers with toddlers at risk of stunting in the Family Planning Village (Kampung KB), Lembah Murai Village. Data analysis used the Paired T-Test to test the effect of education on the 8 family functions before and after the intervention. The results show an average knowledge score increase of 21.76 after the intervention. The results of the Paired T-Test indicate a p value of 0,000, which signifies a statistically significant difference between the scores before and after the education on the 8 family funtions.Therefore, a good family role is very important in forming healthy living patterns in toddlers, making the active role of the family the key to supporting the optimal growth and development of toddlers. It is recommended that the education program be carried out regularly by involving cadres as active companions to support the understanding of mothers with toddlers in stunting prevention. Keywords: Education, Family Function, Stunting, Knowledge of Mothers of Toddlers
The relationship between use of technology, nutritional knowledge, family support, culture and lifestyle with stunting incidents in toddlers aged 24-59 months in the Kapuas River Bank Area, Pontianak City Rizky, Ayu; Marlenywati, Marlenywati; Yulyati, Yulyati; Budiastutik, Indah
Riset Informasi Kesehatan Vol 14 No 2 (2025): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30644/rik.v14i2.965

Abstract

Background: The prevalence of toddlers with stunting in West Kalimantan province is 31.46% of toddlers who are stunted. One of them is in Pontianak City, 15.8% experienced stunting. Of the 6 sub-districts, East Pontianak District has the highest cases of stunting at 20.8% of toddlers. Objective: To determine the relationship between the use of technology, nutritional knowledge, family support, culture and lifestyle with the incidence of stunting in toddlers aged 24-59 months in the Kapuas River area, Pontianak City. The population in this study was all children aged 24-59 months in the riverside area Kapuas. Method: The research design used case control with a 1:1 sample (92 samples). The sampling technique for the group of cases (Stunting) in this study was carried out using a probability sample, namely simple random Stunting and non-Stunting toddlers aged 24-59 months in the Kapuas River area, Pontianak City (Case) Retrospective (Control) sampling. In this study, the sample was divided into two, namely case samples and control samples, each of which had inclusion and exclusion criteria, consisting of 46 cases and 46 controls. The statistical test used was chi-square with a confidence level of 95%. Results: This research shows that there is a relationship between maternal nutritional knowledge (p value = 0.002 OR = 4.330), family support (p value = 0.011 OR = 3.248), lifestyle (p value = 0.001 OR=4.680) and there is no relationship between utilization technology (p value = 1.000 OR = 1.102), culture (p value = 0.210 OR = 1.852). Conclusion: Increasing mothers' knowledge regarding nutrition is one of the factors that can influence the occurrence of stunting in children under five, both in rural and urban areas. Families also have an important role in shaping culture and health behavior and lifestyle views can influence attitudes, behavior, and the response given by the mother to her child.