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EVALUATION OF THE ACTIVITY OF GIVING READY-TO-USE THERAPEUTIC FOOD PLUMPY NUTS TO MALNOURISHED CHILDREN IN TANGERANG CITY Amir, Chindy; Susetyowati, Susetyowati; Arjuna, Tony
International Journal of Multidisciplinary Research and Literature Vol. 3 No. 5 (2024): INTERNATIONAL JOURNAL OF MULTIDISCIPLINARY RESEARCH AND LITERATURE
Publisher : Yayasan Education and Social Center

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53067/ijomral.v3i5.320

Abstract

Background: RUTF is a high-energy lipid-based food used for the treatment of Severe Acute Malnutrition (SAM) children. RUTF is given to SAM children under five years old who are entering the rehabilitation and outpatient phase at the public health centre. RUTF plumpy nut (eeZeePaste) as a nutrition intervention for treatment SAM in Tangerang City. The implementation provision of RUTF has been going on for one year in Tangerang City. but in practice there are variations in its use. Objective: This study aim to evaluation of provision RUTF plumpy nut to SAM children in Tangerang City. Methods: A qualitative study with a case study approach aim to  evaluation of provision RUTF plumpy nut to SAM children in Tangerang City. Results: The provision of RUTF Plumpy Nut in Kota Tangerang has not been well implemented. There is no specific SOP regarding the provision of RUTF Plumpy Nut, which has led to the suboptimal provision of RUTF Plumpy Nut. RUTF Plumpy Nut is not ideally given to malnourished children in Tangerang City because the RUTF Plumpy Nut given to malnourished toddlers is not well received in terms of taste, portion size and ingredients that are not in accordance with the habits and tastes of children in the Tangerang City area. Conclusion: The provision of RUTF Plumpy Nut to malnourished children has not gone well and malnourished children in Tangerang City don’t like RUTF Plumpy Nut
Laksa Gurih web application in strengthening surveillance and assistance for malnourished children in Tangerang City Amir, Chindy; Fitri, Yuni Pradilla; Arjuna, Tony
BKM Public Health and Community Medicine PHS8 Accepted Abstracts
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Objective: e-Laksa Gurih is present as an innovation of the Tangerang City Health Office in reducing malnutrition rates. This application innovation is related to strengthening the mentoring and surveillance of malnutrition in the City of Tangerang. Content: Laksa Gurih is a program to overcome malnutrition in the City of Tangerang. The Tangerang City Health Office developed the book into a web-based application starting as a pocketbook for Laksa Gurih cadres. The Health Office cooperated with the Tangerang City Communications and Information Office to make applications targetting the Health Office, nutritionists at the puskesmas, and cadres to accompany malnourished children in Tangerang City. It has been introduced to cadres through a training program for managing malnutrition at the Health Office. Its web application contains a dashboard for the development of malnutrition data, daily data entry for malnourished children, cohort reports, and readable and downloadable reference guidebooks. One companion cadre accompanies one malnourished child. They make home visits to toddlers every day and record the results of these visits into the e-Laksa Gurih application, which are weight, height, upper arm circumference, children's eating diaries, children's activities, other children's activities, and children's conditions. The cadres are very enthusiastic about the application because it makes it easier for them to assist and record during monitoring of malnourished children. The advantages are that monitoring and condition of malnourished children are known faster, more accurately, and more precisely. Health center nutritionists and the Tangerang City Health Office no longer wait for the end of the month to get data on malnourished children to take the next step quickly. The drawback of this application is that access to Laksa Gurih via cellphone is still too complicated, so further development is needed. Objective: e-Laksa Gurih hadir sebagai inovasi Dinas Kesehatan Kota Tangerang dalam menurunkan angka gizi buruk. Inovasi aplikasi ini berkaitan dengan penguatan pendampingan dan surveilans gizi buruk di Kota Tangerang. Content: Laksa gurih merupakan sebuah program penanggulangan gizi buruk di Kota Tangerang. Berawal dari sebuah buku saku kader pendamping laksa gurih, Dinas Kesehatan Kota Tangerang mengembangkan buku tersebut menjadi sebuah aplikasi webbased. Dinas Kesehatan bekerjasama dengan Dinas Kominfo Kota Tangerang dalam pembuatan aplikasi. Sasaran pengguna aplikasi ini yaitu Dinas Kesehatan, ahli gizi puskesmas dan kader pendamping anak gizi buruk di Kota Tangerang. Aplikasi web Laksa Gurih berisi dashboard perkembangan data gizi buruk, entry data harian anak gizi buruk, laporan kohort dan referensi buku-buku panduan yang bisa dibaca serta di download. Satu anak gizi buruk didampingi satu orang kader pendamping. Kader pendamping melakukan kunjungan rumah balita setiap hari dan mencatat hasil kunjungan tersebut kedalam aplikasi e-Laksa Gurih. Data yang harus diinput kader kedalam aplikasi tersebut berupa berat badan, tinggi badan, LLA, catatan harian makan anak, kegiatan anak, kegiatan lain anak dan kondisi anak. Aplikasi ini sudah diperkenalkan kepada kader-kader melalui acara pelatihan tatalaksana gizi buruk di Dinas Kesehatan Kota Tangerang. Para kader sangat antusias terhadap aplikasi tersebut karena memudahkan mereka dalam pendampingan dan pencatatan selama pemantauan anak gizi buruk. Kelebihan aplikasi ini yaitu pemantauan dan keadaan anak gizi buruk lebih cepat diketahui, lebih akurat dan lebih spesifik. Ahli gizi puskesmas dan Dinas Kesehatan Kota Tangerang tidak lagi menunggu akhir bulan untuk mendapatkan data anak gizi buruk sehingga bisa dengan cepat mengambil langkah selanjutnya. Kekurangan aplikasi ini yaitu akses Laksa Gurih melalui handphone masih terlalu rumit, sehingga dibutuhkan pengembangan lebih lanjut.
Perbandingan Metode Pengolahan Kukus, Rebus, dan Goreng Terhadap Nilai Indeks Glikemik Singkong Sebagai Alternatif Karbohidrat Pengganti Nasi Putih Ihsani, Arina Nurul; Amir, Chindy; Afriani, Conita
Indonesian Journal of Thousand Literacies Vol. 2 No. 12 (2024): Indonesian Journal of a Thousand Literacy
Publisher : Nindikayla Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57254/ijtl.v2i12.73

Abstract

The increasing prevalence of diabetes mellitus in Indonesia has prompted the need for healthier alternative carbohydrate sources with a lower glycemic index (GI) than white rice. Cassava is a local food with potential as an alternative carbohydrate source. However, processing methods such as boiling, steaming, and frying can affect starch structure and blood glucose response, thus impacting the food's glycemic index.Objective:To compare the glycemic index values ​​of steamed, boiled, and fried cassava as an alternative carbohydrate source to replace white rice.Methods:This was an observational analytical study with a cross-sectional design. The sample consisted of 10 healthy adult respondents aged 17–25 years selected using consecutive sampling. Respondents fasted for 10–12 hours prior to the examination. Blood glucose levels were measured using a finger prick test at 0, 15, 30, 45, 60, 90, and 120 minutes after consuming the test foods (fried, steamed, and boiled cassava) equivalent to 50 g of carbohydrates and a reference food containing 50 g of pure glucose. The glycemic index (GI) was calculated based on the ratio of the area under the curve (IAUC) between the test foods and the reference foods.Results:The results showed that the processing method influenced the blood glucose response and glycemic index of cassava. Fried cassava had a glycemic index of 14.63 (low category), steamed cassava 43 (low category), and boiled cassava 83 (high category). Fried cassava had the lowest GI, while boiled cassava had the highest.Conclusion:Processing method influenced the glycemic index of cassava. Frying and steaming methods resulted in lower glycemic index values ​​than boiling. Therefore, the selection of cassava processing methods needs to be considered in efforts to control blood glucose levels.
MODEL MANAJEMEN PELAYANAN GIZI KOMPLEMENTER TERINTEGRASI DALAM UPAYA PENINGKATAN STATUS GIZI MASYARAKAT Ihsani, Arina Nurul; Amir, Chindy; Afriani, Conita
Indonesian Journal of Thousand Literacies Vol. 1 No. 5 (2023): Indonesian Journal of a Thousand Literacy
Publisher : Nindikayla Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57254/ijtl.v1i5.82

Abstract

Nutritional problems remain a significant public health issue in Indonesia, particularly among vulnerable groups such as infants, toddlers, pregnant women, and breastfeeding mothers. Various nutritional indicators indicate a persistently high burden of malnutrition, despite a downward trend in recent years. The national prevalence of stunting among toddlers was recorded at 19.8% in 2024, although still higher than the national target of <14% at the end of the 2024–2029 National Medium-Term Development Plan (RPJMN). Wasting and underweight also remain challenges, at approximately 7.4% and 16.8%, respectively, in children under five. Furthermore, anemia and chronic energy deficiency in pregnant women continue to contribute to the risk of low birth weight.Complementary nutrition services, as a nutritional intervention strategy, play a crucial role in meeting additional nutritional needs through planning, organizing, implementing, monitoring, and evaluating. The implementation of integrated service management involving cross-sectoral collaboration, community empowerment, and utilization of local food resources increases service effectiveness and program coverage. The use of an integrated approach also significantly increased energy and protein intake in malnourished toddlers in a quasi-experimental study (n=140), showing significant increases in energy (difference-in-differences [DID] = 405.53 kcal; p<0.001) and protein (DID = 4.62 g; p<0.001). This model has the potential to improve the nutritional status of the community sustainably if implemented consistently and in a coordinated manner.
Pemberdayaan Kader Posyandu melalui Sistem Informasi Gizi Komplementer untuk Peningkatan Kualitas MP-ASI Paundrianagari, Meilita Dwi; Amir, Chindy; Pilliang, Marzuki
Ekalaya: Jurnal Pengabdian Kepada Masyarakat Indonesia Vol. 4 No. 3 (2025): Ekalaya Journal
Publisher : Nindikayla Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57254/eka.v4i3.148

Abstract

Indonesia still faces serious challenges related to nutrition problems in children, with the prevalence of stunting still high. Quality Complementary Feeding of Breast Milk (MP-ASI) plays a crucial role in supporting the optimal growth and development of toddlers. However, many mothers have difficulty in providing MP-ASI that meets nutritional standards, due to a lack of knowledge, limited resources, and limited access to information. Posyandu cadres as the spearhead of public health services have a central role in providing education and assistance to mothers under five. However, they often face limited knowledge and access to adequate information related to nutrition. This research aims to empower Posyandu cadres through the implementation of a complementary nutrition information system. The methods used include intensive training, mentoring, and the development of a web-based information system that is easy to access and use. The results of the study showed a significant increase in the knowledge and skills of cadres about nutrition, as well as an improvement in the quality of MP-ASI provided by mothers under five. Information systems have proven to be effective in facilitating knowledge transfer, facilitating access to information, and improving the efficiency of cadres' work. The conclusion of this study is that the empowerment of Posyandu cadres through a complementary nutrition information system is an effective strategy to improve the quality of MP-ASI and ultimately contribute to reducing stunting and improving the quality of human resources in Indonesia. Recommendations include expanding the implementation of information systems in various regions, improving training and mentoring of cadres, and developing more comprehensive information content.