Stunting merupakan kekurangan gizi kronis atau kegagalan pertumbuhan dimasa lalu dan digunakan sebagai indikator jangka panjang untuk gizi kurang pada anak. Anak-anak yang mengalami stunting selain memiliki pertumbuhan tinggi badan yang terhambat juga beresiko terhadap perkembangan intelektual dan kognitif yang rendah. Salah satu upaya yang dilakukan untuk menurunkan resiko terjadinya stunting adalah dengan memberikan nutrisi yang optimal pada periode 1.000 HPK yang akan mendukung periode kritis pertumbuhan dan perkembangan janin, kesehatan ibu dan juga untuk mendorong pertumbuhan bayi dan balita (hingga usia dua tahun). Tujuan dari penelitian ini adalah untuk melihat tingkat pengetahuan kader Aisyiyah Banguntapan Utara Yogyakarta setelah dilakukan penyuluhan mengenai 1.000 HPK dan dampaknya terhadap resiko stunting. Metode yang digunakan adalah studi cross-sectional dengan desain eksperimen rancangan pretest-posttest. Subjek penelitian adalah 31 orang ibu kader Aisyiyah Banguntapan Utara Yogyakarta. Analisis data menggunakan uji normalitas Shapiro-wilk dan dilanjut dengan uji alternatif Wilcoxon untuk melihat kemaknaan. Hasil penelitian ini didapatkan adanya perbedaan rerata antara pengetahuan sebelum dengan setelah diberikan penyuluhan tentang 1.000 HPK serta dampaknya terhadap resiko stunting dengan nilai p diperoleh 0,001. Penelitian dengan metode seperti ini dapat pula dikembangkan di wilayah yang berbeda dengan jumlah responden yang lebih banyak. Hasil penelitian ini diharapkan dapat menjadi salah satu metode pencegahan dan penanggulangan stunting di wilayah Banguntapan Bantul Yogyakarta khususnya di Desa Wonocatur.
Penyakit yang disebabkan oleh tikus menjadi kekhawatiran tersendiri di wilayah pemukiman penduduk heterogen dan juga padat. Upaya pencegahan dilakukan melalui program penyuluhan yang bertujuan untuk mengantisipasi terjadinya penyakit yang tidak diharapkan yang dapat dibawa oleh tikus. Metode program penyuluhan dilakukan melalui media banner yang berisikan kiat-kiat yang dapat dilakukan oleh masyarakat untuk mencegah terjadinya penyakit yang disebabkan oleh tikus. Dampak dari program yang dilakukan diketahui adanya kesadaran masyarakat yang muncul untuk berupaya menjalankan pesan-pesan yang tercantum didalam banner. Â
Background: UNICEF stated that in 2014, about 66% of children aged less than five years in lower-middle-income countries were stunted. Stunting is a predictor of poor quality of human resources and reduces a nation's productivity in the future. Stunting control in the Kulonprogo District is one of the priority districts in Indonesia. This study aimed to analyze the determinants of stunting in the Kulonprogo District. Methods: This research was conducted in Kuponprogo District. The population was children under five in Kulonprogo District. Analysis was done through a descriptive approach. Descriptive quantitative research was used by employing secondary data from the year 2013. Results: The prevalence of stunting among children under five in the Kulonprogo District was 11.12%, spread across all primary health centers (Puskesmas) in the Kulonprogo District. The three puskesmas with the highest prevalence rate were Puskesmas Girimulyo 2, Puskesmas Samigaluh 2, and Puskesmas Kalibawang. The analysis found that low-income families, maternal education, age at pregnancy, chronic energy deficiency during pregnancy, anemia during pregnancy, early initiation of breastfeeding, exclusive breastfeeding, and parenting mode are the determinant factors of stunting in the Kulonprogo District in 2019. Conclusion: Several determinants of stunting were found, namely low-income families, maternal education, age at pregnancy, chronic energy deficiency during pregnancy, anemia during pregnancy, early initiation of breastfeeding, exclusive breastfeeding, and parenting mode.
Background: COVID-19 pandemic brings a higher risk of malnutrition because of the economic crisis that emphasizes the importance of child nutritional status monitoring during the pandemic. However, nutrition-related care in health care faces several challenges to the social limitation policy for preventing virus spreading. Challenges include delivery, coordination, and follow-up methods. In addition, the mothers' perception concerning the importance of nutritional status monitoring also becomes the determinant of their participation.Objectives: This research aimed to explore the implementation method, challenges, and mothers' perception of the children's nutritional status monitoring process during a pandemic through “posyandu” by applying health protocols.Methods: This research is a descriptive qualitative study in which the data were collected using in-depth interviews. The respondents in this study were mothers of a child aged 0-5 years who lived in Yogyakarta and participated actively in Posyandu. Data triangulation was applied by interviewing the cadres of posyandu and nutritionists in Health Care or Office in Yogyakarta. Results: The posyandu delivered the measurements by adjusting the method with an invitation divided into several measurement sessions or a door-to-door system to minimize crowd. The obstacles faced were the need to procure medical devices and ensure the validity of the data obtained. Conclusions: Child nutritional status monitoring during the COVID-19 pandemic was conducted by applying COVID-19 safety protocols according to the recommendations of the Indonesian Ministry of Health. There should be sufficient support from stakeholders to help posyandu overcome the obstacles: the procurement of medical equipment to meet the health protocol requirements. In addition, there is a need to improve parents' skills in measuring child anthropometric measurements through education and guidelines.
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