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Nutritional Status Measurement Using CIAF and Its Determinants in Flood-Affected Toodlers in Sidomulyo Village, Bumiaji, Batu Handini, Laksmi Suci; Durry, Fara Disa; Febriawan, Zulfan; Ruswan, Farida Nayla Kholilah; Dzikro, Mir Atudz; Shafira, Aisyah Nur; Pratama, Salsabilla Haya
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol. 14 No. 1 (2025): MARET 2025
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v14i1.4217

Abstract

Background: Flooding often leads to malnutrition among children under five, driven by limited access to nutritious food and unsanitary conditions. Sidomulyo Village in Batu City, prone to flooding due to the Paron River overflow, has faced challenges affecting the nutritional status of children. Objective: this research aims to analyze the nutritional status and its determinants using the CIAF Index for children under 5 years old affected by flooding in Sidomulyo Village, Bumiaji District, Batu City, Indonesia. Methods: This analytical observational study involved 20 pairs of mothers and children under five residing in Sidomulyo Village. Anthropometric measurements were conducted by calculating their z-scores and classifying their nutritional status using the Composite Index of Anthropometric Failure (CIAF). Interviews were conducted to gather data on maternal, child, and sanitation characteristics. Data analysis was performed using SPSS version 23.0, including descriptive analysis and Chi-square tests to examine relationships (P < 0.05). Results: The findings revealed that 68.75% of toddlers in Sidomulyo had a normal nutritional status. Factors influencing nutritional status included maternal characteristics (maternal height, education level, and family income) and child-related factors (frequency of food consumption). Conclusion: The study concluded that most toddlers affected by flooding in Sidomulyo have a normal nutritional status. Also, the determining factors of children’s nutritional status are maternal height, education level, family income and frequency of food consumption. The results of the study can be used as a reference for further research with the aim of maintaining children’s nutritional status in this area. 
The Role of Micronutrients (Zinc, Vitamin A, C, D and Iron) in Preventing Infectious Diseases in Disaster-Affected Populations: A Literature Review Durry, Fara Disa; Sukma Sahadewa; Zulfan Febriawan; Prasetyaning Estu Pratiwi; Lionesya Sukma Winata
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol. 15 No. 1 (2026): March 2026
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/jikw.v15i1.4763

Abstract

Background: Micronutrient deficiencies significantly increase vulnerability to infectious diseases, partiularly among disaster-affected populations with limited access to food and healthcare. Despite this, micronutrient interventions are rarely prioritized in emergency health protocols, especially in countries like Indonesia. Objective: This review aims to examine the role of micronutrients in preventing infectious diseases in populations affected by disasters, based on an analysis of primary research articles. Methods: A narrative thematic literature review was conducted using databases such as PubMed, ScienceDirect, and Google Scholar. Inclusion criteria covered primary studies (both experimental and observational) within disaster settings, published between 2013 and 2023. A total of 25 eligible studies were analyzed. Results: Most studies reported that supplementation with micronutrients particularly vitamin A, vitamin D, zinc, vitamin C, and iron was associated with reduced incidence and severity of respiratory tract infections, diarrhea, and pneumonia. Multi-micronutrient interventions proved more effective than single-nutrient approaches. However, implementation in emergency contexts remains limited, and vulnerable groups beyond young childrensuch as adolescent girls, pregnant women, and the elderlyare often underrepresented in the literature. Conclusion: Micronutrient supplementation has substantial potential to strengthen post-disaster health resilience. Integrating micronutrient strategies into emergency logistics, conducting targeted nutritional screening, and enhancing multi-sectoral training are essential steps toward improving disaster response outcomes.