Association of Maternal and Child Health Center (Posyandu) Availability with Child Weight Status in Indonesia: A National Study

Abstract

Little is known about the childhood obesity prevention and treatment practices of Maternal and Child Health services (Posyandu) in Indonesia or in other countries. The present study aims to assess the association of the availability of Posyandu with overweight and obesity in children of different household wealth levels. This was a secondary analysis of data collected in the 2013 Riskesdas (or Basic Health Research) survey, a cross-sectional study, representative population-based data. Height and weight, the availability of Posyandu, and basic characteristics of the study population were collected from parents with children aged 0 to 5 years (n = 63,237). Non-availability of Posyandu significantly raised the odds of being obese (OR = 1.13, 95% CI: 1.06–1.21) and did not show a significant relationship in the odds for overweight (OR = 0.99, 95% CI: 0.93–1.07). This relationship persisted after a full adjustment (OR = 1.16, 95% CI: 1.07–1.25 and OR = 1.04, 95% CI: 0.96–1.13, respectively). There was effect modification by household wealth, which was stronger for obese children. The availability of Posyandu has a protective association with childhood obesity in Indonesia. Posyandu services are well placed to play an important role in obesity prevention and treatment in early life.

Local-food-based complementary feeding for the nutritional status of children ages 6–36 months in rural areas of Indonesia

“…Affordable, available, and locally contextual CF recommendations that take into account cultural diversity and food availability are more likely to result in long-term improvements in CF practices than are general recommendations 9) . In the Indonesian context, an Integrated Health Service Post (Posyandu) has become the central program for improving Maternal and Child Health 10) . Posyandu is a community-based effort; it must be carried out by, from, and for the community.…”

Integrated Health Post for Child Health (Posyandu) As A Community-Based Program in Indonesia: An Exploratory Study

“…Nevertheless, an integrated maternal and child health care has not been provided by all posyandu being surveyed, which may hinder the effectiveness of the program itself. Previous studies shown the positive association between posyandu activities and child nutrition status (Andriani, et al, 2016;Anwar, et al, 2010). The availability and participation in posyandu's activities have been indicated to positively impact on child nutrition status, in both reducing underweight (Anwar, et al, 2010) and odds for childhood obesity (Andriani, et al, 2016).…”

“…Implemented Activities. Community-based health service implementation in limited resource setting has shown a promising result in improving child health outcomes (Andriani, Liao, & Kuo, 2016;Anwar, Khomsan, Sukandar, Riyadi, & Mudjajanto, 2010;Besada, et al, 2016;Boone, et al, 2017;Brault, et al, 2017;Cofie, et al, 2014;Kipp, et al, 2017; . Among other factors, it is related to an increased access to child health care resulted from the program implementation (Brault, et al, 2017;Cofie et al, 2014).…”

Key factors influencing the prescribing of statins: a qualitative study among physicians working in primary healthcare facilities in Indonesia

“…Posyandu is supervised by Puskesmas. 52 CVD, illustrates that underprescribing will substantially reduce quality-adjusted life years gained over a 9-year period (2006-2014) and overprescribing will certainly increase the cost burden of prescription between £80 million and £117 million annually without certainty whether the benefit of prevented CVD events outweighs the adverse drug reaction. 17 Factors influencing physicians' prescribing behaviour, regardless of the medication being prescribed, have been investigated since 1950s.…”