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Akurasi Mid Upper Arm Circumference (MUAC) dalam Mendeteksi Malnutrisi Akut pada Anak di bawah 5 Tahun : A Literature Review: Tinjauan Literatur : Akurasi MUAC dalam Mendeteksi Malnutrisi Akut Ariza, Nahya Rahmatul; Siti Rahayu; Willmart, Auresa Caesarputriaulya
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.328-335

Abstract

Background: Fast and accurate detection of acute malnutrition is important to prevent death. The use of Mid Upper Arm Circumference (MUAC) can be an alternative but its accuracy is still being explored because many differences in research results are found. Objectives: This literature aimed to identify the accuracy (sensitivity and specificity) and optimal MUAC cut-off in detecting acute malnutrition in children under 5 years. Methods: Search for articles using Google Scholar and Pubmed with the keywords "MUAC” "children” "acute malnutrition”. Selection based on the question "How is the sensitivity and specificity of MUAC in detecting acute malnutrition in children under 5 years” with inclusion criteria articles for the last 10 years, fully accessible and free of charge. Excluding non-English articles and type review articles. Six articles were found that further review. Discussion: The sensitivity of the MUAC indicator by World Health Organization in detecting acute malnutrition is smaller than its specificity. The lowest sensitivity of MUAC in detecting severe (<11.5 cm) and moderate (11.5-12.5 cm) acute malnutrition is in Nepal, namely 13.6% and 21% respectively. Based on the results of analysis using the ROC curve in each article, it was found that the optimal MUAC cut-off varied in detecting cases of acute malnutrition. Conclusions: The MUAC cut-off accuracy recommended by the World Health Organization to identify severe and moderate acute malnutrition is not optimal. Therefore, further studies are needed in each country to determine the optimal cut-off that is appropriate for the region according to the age group and problem classification.
Edukasi Gizi sebagai Upaya Peningkatan Pengetahuan Pencegahan Stunting pada Kader Posyandu dalam Program “Desa Emas: Percepatan Penurunan Stunting” Willmart, Auresa Caesarputriaulya; Krissandiani, Fransisca Nimas Restu; Nadhiroh, Siti Rahayu
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.43-50

Abstract

Background: One form of promotive and preventive efforts to accelerate the reduction of stunting is active role of posyandu cadres in carrying out nutrition counseling to mothers of toddlers to increase knowledge related to nutrition so as to achieve optimal public health status. Therefore, efforts are needed to increase the knowledge of posyandu cadres, one of which can be done through nutrition education. Objective: This study aims to provide nutrition education as an effort to increase posyandu cadres' knowledge regarding stunting prevention as a form of integrated community service in the "Golden Village: Accelerating Stunting Reduction" program in 2022. Methods: This study used the one group pre-test and post-test method. design with 13 posyandu cadres as respondents. Nutrition education is provided using interactive presentation methods and animated videos. Results: The results of the study showed that the average posyandu cadre’s knowledge score increased from 40.77 ± 9.5 before education to 41.54 ± 12.8 after education. The results of the study were analyzed using the paired T-test showing that the average score of knowledge of cadres before (40.77 ± 9.5) and after (41.54 ± 12.8) education did not increase significantly (p-value = 0.721). Conclusion: Nutrition education using interactive presentation methods and educational video exposure which was carried out for 60 minutes for posyandu cadres showed an increase in the level of knowledge before compared to after education. However, the increase in knowledge of posyandu cadres did not occur significantly. Thus, nutrition education using interactive presentation methods and animated videos is considered less effective in increasing the knowledge of posyandu cadres, so it is advisable to provide nutrition education using simulation techniques and practices which are carried out in stages in several meetings as an effort to increase the knowledge of posyandu cadres to get significant results.