ABSTRACT Improper complementary feeding practice practice is one of the problems that often occurs in developing countries. This problem can lead to inadequate nutrient intake, especially protein intake which is associated with physical growth problems in children under five years, including stunting. This study was an observational analytic study with a cross-sectional design which aims to determine the association between complementary feeding practice and stunting incidence among children aged 6-12 months in Central Lombok. A total of 206 children with a mean age of 9,3 months was selected for this study by cluster sampling. Most of them were female. In this study, we analyzed 4 parameters of complementary feeding practice, namely age of indroduction of complementary foods, texture of complementary foods given, frequency of complementary feeding, and amount of complementary foods given. This study found that there was a significant association between frequency of complementary feeding (p = 0.047, 95% CI) and amount of complementary foods given (p = 0.020, 95% CI) with stunting incidence. Meanwhile, other parameters namely age of indroduction of complementary food and texture of complementary foods given did not have a significant association with stunting incidence. Keywords: complementary feeding practice, short stature, stunting     ABSTRAK Praktik pemberian makanan pendamping ASI (MPASI) yang tidak tepat merupakan salah satu masalah yang sering terjadi di negara berkembang. Hal tersebut dapat menyebabkan asupan zat gizi yang tidak adekuat, terutama dari protein yang berhubungan dengan masalah gangguan pertumbuhan fisik pada anak balita, termasuk stunting. Penelitian ini merupakan penelitian analitik observasional dengan rancangan cross-sectional yang bertujuan untuk mengetahui hubungan praktik pemberian MPASI terhadap kejadian stunting pada anak usia 6-12 bulan di Lombok Tengah. Sebanyak 206 anak dengan rerata usia 9,3 bulan terpolih menjadi subjek penelitian ini menggunakan cluster sampling. Sebagian besar berjenis kelamin perempuan. Pada penelitian ini, kami menganalisa 4 parameter praktik pemberian MPASI, yaitu usia pertama mendapatkan MPASI, bentuk MPASI yang diberikan, frekuensi MPASI, dan jumlah MPASI yang diberikan. Penelitian ini menemukan adanya hubungan yang signifikan antara frekuensi MPASI (p=0,047, 95% CI) dan jumlah MPASI yang diberikan (p=0,020, 95% CI) dengan kejadian stunting pada anak. Sedangkan parameter lainnya seperti usia memulai MPASI dan tekstur MPASI, tidak memiliki hubungan yang signifikan terhadap kejadian stunting. Kata Kunci: perawakan pendek, praktik pemberian MPASI, stunting

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Background and Aims: Monitoring child growth, including measurement of weight, height or length, and head circumference, plays an important role in detecting a child's growth abnormalities and monitoring a child's nutritional adequacy. This study aimed to measure the completeness of growth chart in maternal and child health handbook (MCHH) and identify cadres' practices on child growth monitoring. Methods: This is a cross-sectional survey conducted in three stunting villages in Lombok Tengah, Indonesia, between June and July 2019. We evaluated 59 cadres and nutritionists using questionnaire and reviewed 205 MCHHs. Results: We found 100% (205 out of 205) of the World Health Organization (WHO) growth charts, including weight for height/length, height/length for age, and head circumference for age graphs in MCHH were not filled. Out of 59 participants, 23.7% (14 people) never participated in height/length measurement, and only 13.6% (8 people) did a head circumference measurement at least once. 94.9% (56 people) never filled or plotted WHO curves in the MCHH with the most reasons are did not know how to fill (64.4%), and 28.8% did not know that the growth chart can be filled and plotted. Implication: Routine child growth monitoring should be done especially for children under two years of age. As child growth and development screening and monitoring are important and could affect children in reaching their potentials, we suggest that government should socialize more about the importance and the urgency about child growth and development awareness to all parents and healthcare practitioners.

Objectives. To compare the performance of ACR and SLICC criteria and assess agreement between SLICC and ACR criteria for diagnosing SLE in children. Methods. We performed a cross-sectional study on SLE patient at pediatric department Sardjito hospital in period from January 2009-Juni 2015. Total sampling was obtained. Data were collected to establish the ACR and SLICC criteria at the time patients were diagnosed. Agreement between those two diagnostic criterion was measured and agreement index including cohen κ was calculated to infer accuracy of SLICC as diagnostic criteria for juvenile SLE. Results. Among 64 juvenile SLE patients were identified, 46 (71,9%) met ACR criteria and 39 (60,9%) met SLICC criteria. There was good overall agreement (ρ0=0,70) but only fair chance-corrected agreement (κ=0,33) that might be due to prevalence effect. Conclusions. SLICC criteria have fair agreement with ACR criteria for diagnosing SLE in children. This study support that SLICC criteria can be used as alternative methods to diagnose SLE in pediatric patients, but possibility to replacement for the ACR criteria still need further research. Sari Pediatri 2016;18(4):299-303

To improve the human capacity in West Nusa Tenggara (WNT) province, a community-based intervention called Generasi Emas NTB (GEN) has been implemented in 2014. One of the programs is to ensure children’s nutritional and developmental wellbeing. However, there remains limited information regarding the situation of nutritional and developmental status of the children living in the GEN villages. This study aimed to assess the nutritional and developmental situation of under-fi ve years old children living in Tanjung Karang district, WNT. A cross-sectional study was conducted in Tanjung Karang district, one of the GEN villages in WNT, through integrated post service (posyandu). Children who met the sampling criteria were screened for their nutritional status using anthropometric measurement and developmental status using a prescreening developmental questionnaire (KPSP). A total of 638 children completed the demographic baseline assessment and were enrolled as participants. Most of the children were in the age group 7-12 months (19.1%) and 25-36 months (19.4%). The proportion of children who were underweight, stunting, and wasting were 19.4%, 32.2%, and 8.0%, respectively. The fi ndings for developmental screening showed that 12.2% children had dubious development and 3.1% (20/638) children were suspect of having a developmental delay. The proportion of under-fi ve years old children in Tanjung Karang district who were underweight, stunting, and wasting were still high but lower than the provincial average prevalence in 2017. Children who were found to have a doubtful result and suspect to have a developmental delay need to be evaluated further.