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OBJECTIVE: In Indonesia, stunting is a nutritional problem that is a threat to the growth and development of toddlers since the beginning of life. The total stunting of children under-five in 2018 in Palu city was 30.8%. Hence, it is necessary to strengthen the system that supports the determination of continued government policies in achieving a reduction in the incidence of stunting. METHODS: A case control with research subjects totaling 520 toddlers. The sampling technique used was proportional stratified random sampling at all Puskesmas Kota Palu. RESULTS: There is a multifactorial relationship between knowledge variables (p = 0.019), children have been sick (p = 0.000), mother’s height (p = 0.050), and mother’s education (p = 0.000) against the incidence of stunting. Low knowledge has a chance of 1.581 times and the status of the child having been sick has a chance of 9.166 times the incidence of stunting. CONCLUSION: Multiple factors play a role in causing stunting in the city of Palu. Analysis of factors related to the incidence of stunting in children under-five in the working area of the Palu City Health Center is considered necessary in supporting the government in determining policies to tackle stunting problems.

Background: The government has made provisions to improve the nutrition of stunted children under the age of five nationally by providing iron folic acid (IFA) tablet since conception. However, these drugs were not able to reduce the incidence of stunted growth. The aim of this study is to assess the effect of moringa intervention during pregnancy on the incidence of stunted growth in children between the ages of 36 to 42 months.Design and Methods: This study is a follow-up to an experimental RCT-DB study during pregnancy. The interventions given were PG (Moringa Flour), EG (Moringa Extract) and IG (IFA) which was used as control.Results: The highest number of children that had stunted growth after taking the PG by IG and EG extracts were 66 (41.5%), 53 (33.3%) and 40 (25.2%), respectively. The stunted risk factor analysis did not show a significant relationship to the stunted incidence. Furthermore, the consumption and dietary patterns of children were based on only fat consumption which was associated with stunted incidence (p<0.05). The results of multivariate analysis showed that the EG extract was effective in reducing the incidence of stunted growth (p<0.005) and as a protective factor of 0.431 times the incidence of stunted growth (LL-UL=0.246-0.754).Conclusions: The administration of Moringa oleifera extract during pregnancy prevents the incidence of stunted growth in children.

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BACKGROUND: Moringa oleifera is a nutritional food supplement that can save lives, particularly in countries with malnourished community. Such supplement can also be provided to breastfeeding mothers so that they can produce more breast milk. AIM: This study investigated the effect of M. oleifera on pregnant and breastfeeding mothers on their breast milk’s docosahexaenoic acid (DHA) and arachidonic acid (AA) concentration. METHODS: This was a longitudinal study which was the continuity from the previous experimental study. The research sample was 64 breastfeeding mothers given Moringa leaves powder (MLP), Moringa leaves extract (MLE), or iron-folic acid (IFA). The data were analyzed using Kruskal–Wallis test with the significance level of 95% aiming to assess the difference between the breast milk’s DHA and AA level on MLP, MLE, and IFA groups. RESULTS: This research indicated that most mothers had low education level (71.9 %) and did not work (89.1%). There was no significant difference between the DHA level (p = 0.215) and AA (p = 0.914) of the breast milk among the MLP, MLE, and IFA groups. CONCLUSION: The intervention might contribute a little effect on DHA and AA level in the breast milk.