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The Role of Management In Improving The Nutritional Status of Children Under Five in Pekalongan City Rasnasuri, Dita; Kartini, Apoina; Suyatno, Suyatno
Eduvest - Journal of Universal Studies Vol. 5 No. 5 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i5.51211

Abstract

Malnutrition among children under five remains a significant public health issue in Pekalongan City, affecting their growth, development, and long-term quality of life. In response, the local government has implemented a Supplementary Feeding Program (PMT) using locally sourced, high-nutrient food ingredients that are affordable and accessible. This study aims to analyze the implementation of local food-based PMT and its impact on improving the nutritional status of malnourished children under five. Employing a mixed methods approach, the study combined quantitative research using a case control design with qualitative data from in-depth interviews. A total of 280 malnourished children were selected through purposive sampling. Key variables measured included nutritional status (based on weight-for-age) and the type and frequency of PMT provided. Data were collected via anthropometric assessments and direct observation, and analyzed using the Wilcoxon test. The findings revealed a statistically significant improvement in the nutritional status of the children following a 30-day local food-based PMT intervention (p < 0.05). The PMT menus—featuring ingredients such as tempeh, eggs, sweet potatoes, and local vegetables—were shown to meet daily energy and macronutrient requirements. The study concludes that local food-based PMT is an effective, sustainable strategy to address childhood malnutrition and can serve as a model for community-based nutrition interventions.
Scoping Review: The Impact of Local Supplementary Feeding Management Policy on Improving Nutritional Status of Children Under Five Rasnasuri, Dita; Kartini, Apoina; Suyatno, Suyatno
Indonesian Journal of Global Health Research Vol 7 No 1 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i1.4862

Abstract

Malnutrition among children under five remains a significant public health challenge worldwide, particularly in regions with limited access to adequate nutrition. Local supplementary feeding programs have been widely implemented as a strategy to address this issue. However, the effectiveness of these programs is highly dependent on the management policies governing their implementation. Despite the importance of this topic, the literature on the specific impact of these management policies on improving the nutritional status of children under five is fragmented and lacks comprehensive analysis. This study aims to map the literature related to the impact of local supplementary feeding management policies on improving the nutritional status of children under five. The first thousand days of life (1000 HPK) is a critical period that can permanently affect a child’s health and development. Despite ongoing efforts to address nutritional issues, such as stunting, challenges remain in the implementation of effective policies. A scoping review method was applied to explore various studies and related literature, focusing on the impact of nutritional interventions, policies, and local supplementary feeding management. This research was conducted through a systematic literature review, analyzing peer-reviewed articles, reports, and case studies on local supplementary feeding programs. The study focused on identifying the key management policies and their influence on the nutritional outcomes of children under five. Data were synthesized to uncover trends, effective strategies, and gaps in the existing research. The findings underscore the critical need for an integrated approach in nutrition programs, combining effective policy management, community involvement, and sustained resource allocation. Such an approach is essential to optimize the impact of supplementary feeding programs and ensure sustainable improvements in the nutritional status of young children. Future research and policy development should prioritize multi-sectoral collaboration and evidence-based interventions to address persistent challenges in child nutrition.