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Journal : Amerta Nutrition

Faktor Maternal, Keragaman Pangan dan Kelengkapan Imunisasi sebagai Determinan Stunting Baduta di Kecamatan Kalinyamatan Kabupaten Jepara: The Maternal, Dietary Diversity, and Immunization Completeness Factors as the Determinants of Two-Year-Old Toddler Stunting in Kalinyamatan District Jepara Regency Hayuningsih, Akmaliya; Kartasurya, Martha Irene; Suhartono, Suhartono; Sutiningsih, Dwi; Adi, Mateus Sakundarno
Amerta Nutrition Vol. 8 No. 1SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i1SP.2024.45-54

Abstract

Background: Stunting affects the quality of a country's human resources so it is important to prevent and overcome it. Stunting cases in Kalinyamatan Jepara District have increased from 12.4% in 2021 to 18.9% in 2022 and to 19.05% in 2023. Objectives: This research analyzed the stunting risk factors of two-year-old toddlers in Kalinyamatan district, Jepara Regency. Methods: This case-control study involved 77 stunting children and 77 normal children. The researchers selected the subjects at the integrated health care service with the highest number of visitors of two-year-old toddlers from 12 villages in Kalinyamatan district, Jepara regency, based on the inclusion and exclusion criteria. The research lasted from March to April 2024. The researchers collected the primary data with a questionnaire and the dietary diversity with a food recall questionnaire for 2x24 hours. Secondary data was collected from the mother-child health book (KIA). Results: The results showed no differences in terms of ages and sex types from both stunting and normal children. The multivariate analysis with logistic regression test found a correlation between the anemia history during pregnancy (OR:2.75; 95% CI:1.31 – 5.78; p:0.007), career woman status (OR: 2.81; 95% CI: 1.24-6.37; p:0.014), low birth weight (OR: 3.98; 95% CI: 1.54-10.27; p:0.004), low dietary diversity (OR: 3.71; 95% CI: 1.63-8.44; p:0.002), and incomplete immunization (OR: 4.02; 95% CI: 1.66-9.74; p:0.002) with the stunting prevalence. Conclusions: Maternal (the anemia history during the pregnancy, career woman status, and low birth weight), lack of dietary diversity, and incomplete immunization become the simultaneous determinants of stunting risk factors for two-year-old toddlers in Kalinyamatan district, Jepara Regency.
Model Pelatihan Berjenjang untuk Meningkatkan Kemampuan Kader Posyandu dalam Mengukur Antropometri Anak di Kabupaten Demak, Indonesia: Tiered Training Model to Improve the Skills of Posyandu Cadres in Measuring Child Anthropometry in Demak Regency, Indonesia Suyatno, Suyatno; Kartasurya, Martha Irene; Susanto, Henry Setyawan
Amerta Nutrition Vol. 8 No. 1SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i1SP.2024.9-18

Abstract

Background: Posyandu cadres still lack the skills to measure anthropometry. Not all cadres received regular training.  Objectives: This study aims to develop a training model to improve the skills of Posyandu cadres in conducting anthropometric measurements. Methods: This study used a research and development approach with two main stages. The first stage was the development of the training model. The second stage was field testing of the new training model, using a pretest-posttest control group design. The training model in the form of Training of trainers (ToT) was tested to 49 cadres in the treatment and control groups with expert resource persons, followed by grassroots training with 142 cadres in the treatment group and 146 cadres in the control group with resource persons from the ToT participants. The intervention lasted three months. The effect of applying the training model on changes in the ability of cadres in anthropometric measurements was analyzed using the General Linear Model with a significant p-value <0.05. Results: The developed anthropometry training model is tiered training, including ToT followed by grassroots training. Through the implementation of this training model, the number of trained cadre participants increased threefold. The results of the tiered anthropometry training model trial proved to improve knowledge, attitude, practice, self-efficacy, as well as the precision and accuracy of measuring the length, height, and weight of children by Posyandu cadres (p<0.05). Conclusions: The implementation of a tiered anthropometry training model can increase cadre participants and improve the capacity of cadres in measuring child anthropometry.
Hubungan antara Perilaku Enam Pesan Kunci dengan Kejadian Stunting pada Anak dibawah Dua Tahun di Provinsi Jawa Tengah: Association between Six Key Messages Behaviour and Incidence of Stunting in Under-Two-Year-Old Children in Central Java Province Kartasurya, Martha Irene; Asna, Alfi Fairuz; Denny, Hanifa Maher; Nuridzin, Dion Zein; Dharmawan, Ligar Tresna
Amerta Nutrition Vol. 8 No. 1SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i1SP.2024.83-95

Abstract

Background: The stunting prevalence in Central Java Province remains high. Six key messages, i.e. iron tablet supplementation, healthy latrines, exclusive breastfeeding, Integrated Health Care Post (Posyandu) visit, hand washing, and Antenatal Care visit are the efforts to reduce the prevalence of stunting. Objectives: This study aimed to analyse the relationship between the behaviour of the six key messages and the stunting prevalence in four districts of Central Java Province. Methods: This cross-sectional study was conducted in Brebes Regency, Tegal Regency, Banyumas Regency, and Semarang City with 424 mothers who have under two-year-old children randomly selected as sample. Data were collected by interview using a structured questionnaire with the results grouped into attitude and practices categories. The body’s weight and length were measured by a digital scale and infantometer. Data were analysed using the chi-square test. Results: The findings indicated that 21.5% of children under two had stunting. Besides, behaviour regarding six key messages were mostly good. There was no association between mothers' iron tablet consumption behaviour and the nutritional status of under-two children. There was an association between maternal attitudes about exclusive breastfeeding and knowledge about hand washing with length for age index (p=0.004). There was also an association between antenatal care and Posyandu visits practice with weight for age index (p=0.004 and 0.018). There was a relationship between attitude regarding the use of latrines and the weight for length index (p=0.001). Conclusions: Only the key messages of exclusive breastfeeding attitude, antenatal care visit practice, Posyandu visit practice, and hand washing attitude were associated with the nutritional status of under-two children.
Disparitas Regional Gagal Tumbuh pada Balita di Indonesia: Analisis CIAF dan E-CIAF dari SSGI 2022: Regional Disparities of Growth Failure among Children Under Five in Indonesia: Insights from CIAF and E-CIAF Analysis of SSGI 2022 Suyatno, Suyatno; Kartasurya, Martha Irene; Fatimah, Siti; Nugraheni, Sri Achadi; Wijayanti, Lilis; Latifah, Hasna Izdihar
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.8-13

Abstract

Background: Growth failure among children under five years remains a key public health issue in Indonesia and requires appropriate measurement indicators. Conventional parameters such as stunting, wasting, or underweight might not adequately address the multidimensionality of malnutrition. Therefore, the Composite Index of Anthropometric Failure (CIAF) and the Extended Composite Index of Anthropometric Failure (E-CIAF) will provide a better, more detailed, and inclusive population-level representation of growth failure. Objectives: To determine the frequency of growth failure among Indonesian children under five based on CIAF and E-CIAF among the population and in a regionalized setting, and to identify the more sensitive indicator. Methods: Secondary data were obtained from the Indonesian Nutrition Status Survey (SSGI) 2022, which included 281,651 children (aged 0–59 months) in 34 provinces. Nutritional status was assessed using anthropometric failure classification by CIAF and E-CIAF. The difference in prevalence in different regions was ascertained by Chi-square testing, and significance was defined as a p-value<0.05. Results: E-CIAF had a higher rate of failure of Indonesian child growth than CIAF (27.0% vs 25.0%). Prevalence of non-Java-Bali kids was high as compared to the Java–Bali region (E-CIAF=28.1%, CIAF=26.9%). In the Eastern region of Indonesia, it had the high prevalence (E-CIAF) (32.0%, CIAF 30.8%). Conclusions: The finding suggested that E-CIAF is more sensitive than CIAF for assessing growth failure. The highest burden of this disease occurs outside Java Bali in Eastern Indonesia, stressing the importance of localized nutrition interventions.
Co-Authors A.A. Ketut Agung Cahyawan W Achadi Nugraheni, Sri Adi, Matheus Sakundarno Adiba, Cholida Adriana Egam Adzika, Alda Alfi Fairuz Asna Ali Rosidi Ana Puji Astuti Andika Rikarno Putra Andini Aridewi Angela Astrid Pramesti, Angela Astrid ANGELINE DEWI SUHENDRO Anggriani Septiana Ani Margawati Ani Margawati Anies Anies Anies Anies Anisatul Khofidzoh Anna Mieke Anneke Suparwati Anneke Suparwati Antono Surjoputro Apoina Kartini Apoina Kartini Kartini Ardiati Setianingsih Ari Suwondo Ariawan Soejoenoes Arie Nugroho, Arie Ariyanti, Lilik Arulita Ika Fibriana Asif Yuliati Astri Praba Shinta Atik Mawarni Awanis Farisa Setyarahma Ayesha, Rebecca Ayun Sriatmi Bagoes Widjanarko Banundari Rahmawati Bintari Fajar Kurnianingtyas Budhi Setianto Cahya Tri Purnami Cahya Tri Purnami Choirun Nissa Choirun Nissa Cholida Adiba Daniati Ristia Ayu, Daniati Ristia Desy Kustiyanti Dewi Susilowati Dewi, Aulia Ulfah Mutiara Dewi, Ria Risti Komala Dharmawan, Ligar Tresna Dharminto Dharminto Diah Krisnansari Diah Retno Wahyuningrum Dian Fajriyah Pangestika Dian Isti Cahyani Dian Ratna Sawitri Dina Mila Aulia Dina Rahayuning Pangestuti, Dina Djauharoh A. Hadie Djoko Tri Hadi Lukmono Dodik Pramukarso Dwi Indah Iswanti Dwi Pudjonarko Dwi Sutiningsih Dyah Umiyarni Purnamasari Eko Wigiantoro Emy Shinta Dewi Endah Purwaningsih Endang Mahati Endang Purwaningsih Erni Yuliastuti Etika Ratna Noer Farid Agushybana Farid Farid Agushybana Faridah Faridah Farinisa, Aliva Nabila FILLAH FITHRA DIENNY Fillah Fithra Dieny Firman Firman Gandha Sunaryo Putra Hagnyonowati Hagnyonowati Hana Sofia Anugraheni Hanifa Maher Denny, Hanifa Maher Hanik Machfudloh Hanin Imtinan Alwina Hapsari, Rani Ayu Hardhono Susanto Hardhono Susanto Hardhono Susanto Harima M Hayuningsih, Akmaliya Hefi Dahlia Henry Setyawan Henry Setyawan Susanto Henry Setyawan Susanto Hernayanti, Munica Rita Hertanto Wahyu Subagio Hijra Hijra, Hijra Hikma Hikma Hilaria Dita Regi Indarwati, Novi Indarwati, Novi Indra Gunawan Intan Pratama Ismisari, Melly Adya Janet Pandora Jauhanita, Denisa Jauharany, Firdananda Fikri Jayawarsa, A.A. Ketut Joni Periade Judiono Judiono Julia Pertiwi Julia Pertiwi, Julia Jumianti Lestari Thamrin Karina Marcelia, Karina Kartika Nuraini Kasriatun Kasriatun Kis Djamiatun Kudarti Kudarti Kurnia Purwandini Kusmiyati kusmiyati Kusmiyati Kusmiyati Kusmiyati Tjahjono Kusmiyati Tjahjono Kusumastuti, K Lailil Masruron Laksmi Widajanti Laksmi Widajanti Latifah, Hasna Izdihar Layli, Alvia Nur Lazendra, Arien Delfi Lela Hartini Lia Awalia Majida Lia Gustri Maulisazen Basuki Lilis Endang Wijayanti, Lilis Endang Lucia Ratna Kartika Wulan Lucia Ratna Kartika Wulan Lucia Ratna Kartika Wulan, Lucia Ratna Kartika Lukmono, Djoko Tri Hadi M. Zen Rahfiluddin Mahalul Azam Manurung, Togar Hasudungan Marantina Diska Widayani, Marantina Diska Maria Mexitalia Maria Yensiska Siahaan Martini Martini Mateus Sakundarno Mateus Sakundarno Adi, Mateus Sakundarno Matheus Sakundarno Adi Mohammad Z. Rahfiludin Mohammad Zen Rahfiludin Morse, Avery Muchlis Achsan Udji Sofro mufakhhir, Abdulaziez Muhamad Nur Aini Munica Rita Hernayanti Mutiara Dewi, Aulia Ulfah Nadia Hapsari Oktarina Naluri Widyaningsih Syamsiedi Nani Purwati Nico L. Kana Niken Puruhita Ninik Dwi Ambarwati Noer, Etika Noor Pramono Noor Pramono Novi Kardyanti Nugroho P, Priyadi Nunuk Sri Lestari Nurhidayanti, Sitti Nuridzin, Dion Zein Nurjazuli Nurjazuli Nyoman Suci Widyastiti Pamungkas, Motris Paramesti, Hayu Retno Patemah Patemah, Patemah Pujo Semedi Pusaka, Semerdanta Putri Lili Heldawati Putri Sriwulandari Pangestika Putri, Brigadini Ayuning Putri, Ligar Tresna Darmawan Qusna Nur Anisa R. Rizal Isnanto RA Kisdjamiatun RMD, RA Kisdjamiatun Rahayu Widaryanti Rahfiludin , Mohammad Zen Rahmah, Farida Noor Rani Ayu Hapsari Ratmawati Ratmawati Ratnawati Ratnawati Reni Yuli Astutik Retnaningsih Retnaningsih Retnaningsih Retnaningsih Retno Murwani Retno Widyaningsih, Retno Retno Wulandari Revi Rosavika Kinansi Revi Rosavika Kinansi Rhisma Nasita Sianti Riezky Aulia Yulandani Rifatul Masrikhiyah Rika Andriani Rimbun Situmorang Riny Henderawaty Riski, Finia Rismayanti Rismayanti Rita Sariani Saragih Riva Mustika Anugrah Rizka Dwiyovita Rohani Retnauli Simanjuntak Rohma Yuanita Roifatun Nisa Ronny Aruben Rr. Sri Ratna Rahayu Selamat Budijitno Sentha Kusuma PJ Septo Pawelas Arso Sianti, Rhisma Nasita Silitonga, Steward Febrianto Silvia Etika Sari Simamora, Deborah Siti Fatimah Siti Fatimah Siti Fatimah Siti Fatimah Muis Siti Fatimah Pradigdo Siti Fatimah-Muis, Siti Siti Nurul Huda Siti Syofiatul Rohmah Siva Candra Rukmana Solichati Solichati Sri Achadi Nugraheni SRI RAHAYU Sri Rulihari Sri Winarni Stephani Nesya Renamastika Sugeng Maryanto Suhartono Suhartono Suhartono, Suhartono Sulistiyani Sulistiyani SULISTIYANI SULISTIYANI Susanti Lestari Susi Herawati Susilani, Amalina Tri Sutopo Patria Jati Suyatno Suyatno Suyatno Suyatno Suyatno Suyatno Syamsulhuda BM Teguh Ady Nur Cahyo, Teguh Ady Teguh Akbar Budiana Teungku Nih Farisni Thamrin, Jumianti Lestari Thijs Eijsvogels Tjahjono Kuntjoro Togar Hasudungan Manurung Togar Hasudungan Manurung Tresna Darmawan Putri, Ligar Tri Wardhani, Ria Triana Widiastuti Udin Bahrudin Udin Bahrudin, Udin Umaroh Umaroh, Umaroh Ustriyaningsih, Ustriyaningsih Vinna Audinni Putri Warih Respitowati Wati, Erna K. Wellina, Wiwien Fitrie Wening Widjajanti Wening Widjajanti Widjanarko , Bagoes Winda Meirina Yade Kurnia Yasin, Yade Kurnia Yasi Anggasari Yohanes Mario Vianney Yudhy Dharmawan Yuni Atika Sari Yurizka, Berta Zaenab Ismail Zaenal Amirudin Zahroh Shaluhiyah