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Association between nutrition intervention program indicators and stunting prevalence among toddlers in Indonesia Arifin, Syuja' Rafiqi; Tanziha, Ikeu; Zuhra, Fatimah; Hadi, Nada Nabilla; Ahmad, Aripin
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i2.1852

Abstract

The prevalence of stunting in Indonesia remains high, reaching 21,6% by 2022. The government has established a stunting reduction strategy using 11 specific nutrition intervention indicators and one sensitive nutrition intervention indicator. However, the implementation of these programmes is suboptimal. This study aimed to identify the nutritional factors that influence the reduction in stunting and evaluate the effectiveness of nutrition intervention programs on the prevalence of stunting. The study utilized a cross-sectional design with Spearman correlation analysis to examine the relationship between intervention indicators and stunting prevalence, and linear regression analysis to assess their impact. The results showed significant indicators (p < 0,05) included antenatal care performed six times (r= -0,666), iron tablet supplementation for pregnant women (r= -0,362), exclusive breastfeeding (r= -0,501), growth monitoring of toddlers (r= -0,386), treatment of malnourished children (r= -0,503), complete basic immunizations (r= -0,404), adolescent health screenings (r= -0,394), adolescent iron tablet supplementation (r= -0,441), and open defecation-free villages (r= -0,448). In conclusion, increased program coverage correlated with a decrease in stunting prevalence, with antenatal care (ANC) interventions showing the strongest correlation.
The impact of a free nutritious meal program on elementary school students' concentration levels Arifin, Syuja' Rafiqi; Tanziha, Ikeu; Ekayanti, Ikeu; Ahmad, Aripin
AcTion: Aceh Nutrition Journal Vol 10, No 3 (2025): September
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i3.2737

Abstract

Nutritional problems among school-aged children negatively affect both physical growth and academic achievement. In Indonesia, approximately 41% of children attend school while hungry, and only 10% habitually consume a nutritionally balanced breakfast. This study aimed to analyze the effect of the “Free Nutritious Meal” (Makan Bergizi Gratis, MBG) program on concentration levels among elementary school students. A quasi-experimental design with pre-test and post-test assessments and a control group was applied. The study was conducted in Banda Aceh, with SD Negeri 50 serving as the intervention group and SD Negeri 20 as the control group. A total of 83 students in the intervention group received free nutritious meals, while 83 students comprised the control group. The study was carried out from April to June 2025. Concentration levels were measured using the Grid Concentration Test, a simple psychological tool to assess focus and attention. Data analysis included descriptive statistics to present respondent characteristics and concentration distribution, and Chi-Square tests to compare within-group and between-group changes. Results demonstrated a significant improvement in concentration among students in the intervention group between baseline and endline (p = 0.020), whereas no significant change was observed in the control group (p = 0.328). The MBG program effectively enhanced student concentration. Strengthening program quality and providing nutrition education to families are recommended to support healthy eating habits and maximize the program’s impact on children’s cognitive function.
Dampak Program Gizi Berbasis Sekolah terhadap Status Gizi, Anemia, dan Pengetahuan Gizi pada Anak Sekolah Dasar di Kabupaten Pidie, Aceh, Indonesia: The impact of School-Based Nutrition Program on Nutritional Status, Anemia, and Nutrition Knowledge Among Elementary School Children in Pidie District, Aceh, Indonesia Ahmad, Aripin; Arifin, Syuja' Rafiqi; Fitrianingsih, Eva; Arnisam, Arnisam
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.23-35

Abstract

Background: School-age children in Aceh are vulnerable to malnutrition, with 24.1% experiencing stunting and 12.3% exhibiting wasting, primarily due to unbalanced diets, skipping breakfast, and unhealthy snacking habits. Objectives: This study evaluates the impact of a School-Based Nutrition Program on nutritional status, anaemia, nutrition knowledge, and Clean and Healthy Behaviour (CHB) among elementary students in Pidie District, Aceh. Methods: A quasi-experimental pre–post study was conducted among 290 elementary students as part of the School-Based Nutrition Program, which included thrice-weekly meal provision, nutrition education, and CHB promotion. Nutritional status (BMI-for-age, height-for-age), anemia (hemoglobin levels), nutrition knowledge, and CHB practices (interviews) were assessed. Data were analyzed using chi-square and t-tests at a 95% confidence level. Results: Anemia prevalence decreased by 4.4%, stunting by 2.0%, and overweight by 4.9%. The height-for-age z-score slightly improved from -1.84±0.93 to -1.78±0.91. Students also showed better nutrition knowledge and CHB practices. While the program had no significant impact on reducing anemia, stunting, and BMI-for-age (p-value=0.120; p-value=0.887; p-value=0.148), it significantly improved nutrition knowledge and CHB behavior (p-value=0.015; and p-value=0.012). Conclusions: The School Based Nutrition Program effectively improved nutrition knowledge and Clean and Healthy Living Behaviour (CHLB). However, the short-term implementation did not yet lead to measurable improvements in nutritional and anemia status. To enhance future program outcomes, structured monitoring is crucial to ensure food adequacy, food safety, and the effective integration of nutrition education.