Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency

Abstract

The community nutrition improvement with main focus on pregnant women and children up to the age of 2 years old need to be done by a cooperation across sectors. Multilevel promotion is a comprehensive intervention and modify the determinant factors. We used multilevel promotion with MATCH (Multilevel Approach to Community Health) to modify determinant factors in various levels i.e. mother, family, community, and policy that related to nutritional status of children. This research was conducted in Banyumas and Kembaran II Community Health Center working area because the nutritional problems in this area were complex, such as low exclusive breastfeeding coverage, low birth weight, and underweight children problems. This study used a quantitative analytic design with cross sectional approach. The population used for this research were pregnant women, toddlers mother, and their family. The number of sample in this research was 100 people of each population. The data was analyzed by univariate analysis to determine the intervention model of children nutrition improvement in mothers level. The effectiveness of intervention model was tested by bivariate analysis using dependent t-test. The result of this research were formulated into nutrition improvement model for mother and children through facility identification, approach, media, and information needed. There was a significant difference in knowledge of mother before and after intervention.

Community Understanding of 13 General Messages of Balanced Nutrition

“…There are two messages indicated to have significant contribution to malnutrition in East Lombok area, namely eating iron-containing food (message 6) and drinking safe and sufficient amount of water (message 9). This was in line with research published by Kusumawati et al (2017) who found that there was a significant difference in mothers' knowledge towards community nutrition improvement through health promotion. In addition, it is known that there was a significant relationship between malnutrition and maternal knowledge about malnutrition as reported by Mardani et al in his findings in West Nusa Tenggara in 2015 (Mardani et al, 2015).…”

Health, Food Consumption, Social Economy, and Stunting Incidency in Timor Leste

“…Mothers with low socioeconomic are 4.6 times more likely to breastfeed than those with higher socioeconomic. In giving exclusive breastfeeding, although there were tendencies of high monthly average expenditure, high average foods expenditure, and high net income from the main employment, those seemed not to directly affect exclusive breastfeeding (Erna, 2017). Other evidence showed a non-significant association between exclusive breastfeeding and stunting variable.…”

Study of the utilization of Azolla microphylla as alternative feed by Tilapia farmers in Panjalu Ciamis, West Java Province, Indonesia

“…Break-even Point (Sales in dollars) = Fixed Costs / (Sales Price per Unit x BEP in Units) (5) Return Cash Ratio (R/C) is the total revenue ratio to the total amount of costs incurred during a period. A business is considered profitable if the R/C ratio > 1.…”

“…The demand for tilapia's fish consumption in Ciamis Regency is as much as 10 tons/year. The lack of feed availability causes the low production of tilapia So, it impacts the number of cost production incurred [5] A. microphylla is a nail plant that floats on the water surface (Figure 2). This plant has tiny leaves overlapping, the surface of the leaves is soft, it is bright green, and it has many spores.…”