Intervention of Development Stimulation and Nutrition Education of Complementary Feeding on The Growth and Development of Stunting Under-Free Children

Authors

  • Asep Suryana Abdurrahmat Program Studi Kesehatan Masyarakat, Universitas Siliwangi, Tasikmalaya, Indonesia
  • Andi Eka Yunianto Program Studi Kedokteran, Universitas Lampung, Lampung, Indonesia
  • Dika Betaditya Program Studi Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia
  • Yana Listyawardhani Program Studi Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia
  • Yusrima Syamsina Wardani Program Studi Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia

DOI:

https://doi.org/10.36590/jika.v5i3.569

Keywords:

toddler, stunting, growth, development

Abstract

The incidence of stunting under five is also related to the low level of knowledge in providing food intake that can meet children's needs. Appropriate intervention is expected to be able to deal with stunting incidents which can be irreversible at a later stage This study aimed to determine the effect of developmental stimulation interventions and providing MP-ASI nutrition education on stunted children under five. The design of this study was experimental with pre and post design. This study used educational media MP-ASI modules and stimulation, detection, early intervention of child growth and development (SDIDTK) by first conducting developmental screening using a developmental pre-screening questionnaire (KPSP). The intervention is carried out for 1 month. The subjects in this study were 44 stunted toddlers in Condong Village using a purposive sampling method. For data that were not normally distributed, the Wilcoxon test was used to determine the significance of the effect of the intervention, and for normally distributed data, a paired t-test was used. There were significant differences in the variables of weight, height, nutritional status, height/age, and energy intake of stunting toddlers before and after the intervention (p-value<0,05). However, there were no significant differences in the variables of protein, fat intake and child development (p-value>0,05). It is necessary to carry out further research related to the duration of providing child development stimulus to stunting toddlers, so that the results of changes in child development can occur significantly.

Downloads

Download data is not yet available.

Author Biographies

Asep Suryana Abdurrahmat, Program Studi Kesehatan Masyarakat, Universitas Siliwangi, Tasikmalaya, Indonesia

Program Studi Kesehatan Masyarakat, Universitas Siliwangi, Tasikmalaya, Indonesia

https://scholar.google.co.id

Andi Eka Yunianto, Program Studi Kedokteran, Universitas Lampung, Lampung, Indonesia

Program Studi Kedokteran, Universitas Lampung, Lampung, Indonesia

https://scholar.google.co.id

Dika Betaditya, Program Studi Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia

Program Studi Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia

https://scholar.google.co.id

Yana Listyawardhani, Program Studi Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia

Program Studi Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia

Yusrima Syamsina Wardani, Program Studi Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia

Program Studi Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia

https://scholar.google.com

References

Akbar Z, Awalludin. 2020. Motoric Stimulation on Early Childhood Development. [Prosiding]. Icest 2019, 481: 88-92. https://doi.org/10.2991/assehr.k.201027.019.

Apriliyani D, Noviardhi A, Subandriani DN. 2022. Effect of Education with E-Booklets on Exclusive Breast Milk. Jurnal Riset Gizi , 10(1): 1-7.

Banowo AS, Hidayat Y. 2021. Pengaruh Edukasi Gizi terhadap Praktik Pemberian Makan pada Baduta Stunting di Kabupaten Bengkulu Utara. Jurnal Ilmiah Universitas Batanghari Jambi, 21(2): 765-771. https://doi.org/10.33087/jiubj.v21i2.1539.

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. 2018. A Review of Child Stunting Determinants in Indonesia. Maternal and Child Nutrition, 14: e12617. https://doi.org/10.1111/mcn.12617.

Belsky J, De Haan M. 2011. Parenting and Children’s Brain Development: the End of the Beginning. Journal of Child Psychology and Psychiatry, 52(4): 409-428. https://doi.org/10.1111/j.1469-7610.2010.02281.x.

Berhe K, Seid O, Gebremariam Y, Berhe A, Etsay N. 2019. Risk Factors of Stunting (Chronic Undernutrition) of Children Aged 6 to 24 Months in Mekelle City, Tigray Region, North Ethiopia: An Unmatched Case-Control Study. Plos One, 14(6): 1-11. https://doi.org/10.1371/journal.pone.0217736.

Chidumwa G, Said Mohamed R, Nyati LH, Mpondo F, Chikowore T, Prioreschi A, Kagura J, Ware LJ, Micklesfield LK, Norris SA. 2021. Stunting in Infancy, Pubertal Trajectories and Adult Body Composition: the Birth to Twenty Plus Cohort, South Africa. European Journal of Clinical Nutrition, 75(1): 189-197. https://doi.org/10.1038/s41430-020-00716-1.

De Onis M, Branca F. 2016. Childhood Stunting: A global Perspective. Maternal and Child Nutrition, 12: 12-26. https://doi.org/10.1111/mcn.12231.

Dewi M, Aminah M. 2016. Pengaruh Edukasi Gizi terhadap Feeding Practice Ibu Balita Stunting Usia 6-24 Bulan. Indonesian Journal of Human Nutrition, 3(1): 1-8.

Fitri Y, Yunianto AE, Wagustina S, Mulyani NS, Lusiana SA. 2021. Energy Deficiency and Protein Intake Related to Stunting and Motor Development in Children Aged Under 5 Years?: Cross-Sectional Study In Kaway XVI District, West Aceh District. Annals of Tropical Medicine and Public Health, 7(5): 1-8.

Handayani Y, Makful MR. 2019. Effect of Nutrition Improvement Program Implementation on Stunting in Children Under Two Years Old. Berita Kedokteran Masyarakat, 35(1): 23-28.

Harahap H, Budiman B, Widodo Y. 2018. Gangguan Pertumbuhan dan Perkembangan pada Anak Usia 0,5-1,9 Tahun Terkait dengan Asupan Makanan dan Pengasuhan yang Kurang. Gizi Indonesia, 41(1): 49-58. https://doi.org/10.36457/gizindo.v41i1.247.

Hartinger SM, Lanata CF, Hattendorf J, Wolf J, Gil AI, Obando MO, Noblega M, Verastegui H, Mäusezahl D. 2017. Impact of A Child Stimulation Intervention on Early Child Development in Rural Peru: A Cluster Randomised Trial Using a Reciprocal Control Design. Journal of Epidemiology and Community Health, 71(3): 217-224. https://doi.org/10.1136/jech-2015-206536.

Hasanah EN. 2023. Hubungan Perkembangan Motorik Halus, Perkembangan Motorik Kasar dan Sosial Emosional terhadap Kejadian Stunting pada Usia 24 - 59 Bulan di Puskesmas Karet Kuningan Kecamatan Setiabudi Tahun 2022. Journal of Health Sciences, 2(4): 681-687. https://doi.org/10.53801/oajjhs.v2i4.128.

Himaz R. 2018. Stunting Later in Childhood and Outcomes as A Young Adult: Evidence From India. World Development, 104: 344-357. https://doi.org/10.1016/j.worlddev.2017.12.019.

Karuppannan A, Ramamoorthy T, Rammmamoorthi A, Ravichandran L. 2020. Mother’s Knowledge on Child’s Developmental Milestones and Parenting Skills in Kanchipuram District, Tamilnadu. International Journal of Health Sciences and Research, 10(2): 242-247.

Kemenkes. 2016. Stimulasi dan Intervensi Dini Tumbuh Kembang Anak. Jakarta: Kementerian Kesehatan.

Kustanto A. 2021. The Prevalence of Stunting, Poverty, and Economic Growth in Indonesia: a Panel Data Dynamic Causality Analysis. Journal of Developing Economies, 6(2): 150-173. https://doi.org/10.20473/jde.v6i2.22358.

Laksono AD, Wulandari RD, Amaliah N, Wisnuwardani RW. 2022. Stunting Among Children Under Two Years in Indonesia: Does Maternal Education Matter?. Plos One, 17(7): 1-11. https://doi.org/10.1371/journal.pone.0271509.

Martorell R. 2017. Improved Nutrition in The First 1000 Days and Adult Human Capital and Health. American Journal of Human Biology, 29(2): e22952. https://doi.org/10.1002/ajhb.22952.

McGovern ME, Krishna A, Aguayo VM, Subramanian S V. 2017. A Review of the Evidence Linking Child Stunting to Economic Outcomes. International Journal of Epidemiology, 46(4): 1171-1191. https://doi.org/10.1093/ije/dyx017.

Nahar B, Hossain M, Mahfuz M, Islam MM, Hossain MI, Murray?Kolb LE, Seidman JC, Ahmed T. 2020. Early Childhood Development and Stunting: Findings From the MAL?ED Birth Cohort Study in Bangladesh. Maternal & Child Nutrition, 16(1). 1-12. https://doi.org/10.1111/mcn.12864.

Nshimyiryo A, Hedt-Gauthier B, Mutaganzwa C, Kirk CM, Beck K, Ndayisaba A, Mubiligi J, Kateera F, El-Khatib Z. 2019. Risk Factors for Stunting Among Children Under Five Years: A Cross-Sectional Population-Based Study in Rwanda Using the 2015 Demographic and Health Survey. BMC Public Health, 19(1): 1-10. https://doi.org/10.1186/s12889-019-6504-z.

Pangesti SR. 2021. Stunting Relationship with Development of Children Age 12-36 Months in the Region of the Sambong Blora Puskesmas Keja. Journal of Applied Health Management and Technology, 1(1): 32-39. https://doi.org/10.31983/jahmt.v1i1.6631.

Prendergast AJ, Humphrey JH. 2014. The Stunting Syndrome in Developing Countries. Paediatrics and International Child Health, 34(4): 250-265. https://doi.org/10.1179/2046905514Y.0000000158.

Rahmadi A, Nugroho A, Tamim R, Yunianto AE. 2022. Penyuluhan Partisipatif oleh Pendakwah Lokal terhadap Pengetahuan, Sikap Ibu dan Asupan Gizi Anak Balita. Jurnal Ilmiah Ilmu Kebidanan & Kandungan, 4(2): 220-231.

Rosalinna R, Sulsitianingsih A. 2019. Pengaruh Penerapan Booklet Menu Seimbang terhadap Peningkatan Berat Badan Bayi Usia 6-12 Bulan. Jurnal Kebidanan dan Kesehatan Tradisional, 4(1): 12-19. https://doi.org/10.37341/jkkt.v4i1.94.

Sasube LM, Luntungan AH. 2017. Asupan Gizi pada 1000 Hari Pertama Kehidupan. Jurnal Ilmu dan Teknologi Pangan, 5(2): 1-5.

Scott JA. 2020. The First 1000 Days: A critical Period of Nutritional Opportunity and Vulnerability. Nutrition and Dietetics, 77(3): 295-297. https://doi.org/10.1111/1747-0080.12617.

Sguassero Y, Booker D, Dennis JA, Orellano A, Abalos E. 2017. Supplementary Feeding with Nutritional Education for Caregivers for Promoting Growth and Development in Young Children in Developing Countries. Cochrane Database of Systematic Reviews, 1(2): 1–7. https://doi.org/10.1002/14651858.CD006509.pub2.

Soliman A, De Sanctis V, Alaaraj N, Ahmed S, Alyafei F, Hamed N, Soliman N. 2021. Early and Long-term Consequences of Nutritional Stunting: From Childhood to Adulthood. Acta Biomedica, 92(1): 1-12. https://doi.org/10.23750/abm.v92i1.11346.

Supriatin E, Sudrajat DA, Annisa RF, Lindayani L. 2020. The Effect of Stunting on Cognitive and Motor Development in Toddler Children?: Literature Review. Jurnal Ilmu Keperawatan Anak, 3(2): 31-41. https://doi.org/10.32584/jika.v3i2.782.

Suryana S, Fitri Y. 2019. Pengaruh Riwayat Pemberian Asi dan Mp-ASI terhadap Pertumbuhan dan Perkembangan Anak (Usia 12-24 Bulan) di Kota Banda Aceh. Jurnal Penelitian Kesehatan, 6(1): 25-34. https://doi.org/10.22435/sel.v6i1.1723.

Suryana S, Fitri Y, Yunianto AE, Bustami B, Lusiana SA. 2022. Nutritional Education to the Nutritional Maternal Knowledge and Iron Intake Among Toddlers with Anemia. Open Access Macedonian Journal of Medical Sciences, 10(E): 1434-1439. https://doi.org/https://doi.org/10.3889/oamjms.2022.7017.

Tucker-Drob EM, Harden KP. 2012. Early Childhood Cognitive Development and Parental Cognitive Stimulation: Evidence for Reciprocal Gene-Environment Transactions. Developmental Science, 15(2): 250-259. https://doi.org/10.1111/j.1467-7687.2011.01121.x.

Umiatin U, Indrasari W, Taryudi T, Dendi AF. 2022. Development of a Multisensor-Based Non-Contact Anthropometric System for Early Stunting Detection. Journal of Sensor and Actuator Networks, 11(69): 1-17. https://doi.org/10.3390/jsan11040069.

WHO. 2018. Reducing Stunting in Children: Equity Considerations for Achieving the Global Nutrition Targets 2025. World Health Organization.

WHO. 2021. Levels and Trends in Child Malnutrition. UNICEF, WHO and the World Bank Group. World Health Organization.

Wicaksono RA, Arto KS, Mutiara E, Deliana M, Lubis M, Batubara JRL. 2021. Risk Factors of Stunting in Indonesian Children Aged 1 to 60 Months. Paediatrica Indonesiana, 61(1): 12-19. https://doi.org/10.14238/pi61.1.2021.12-9.

Yunianto AE, Fitri Y, Wagustina S, Fitrianingsih E, Mulyani NS. 2020. Mother’s Height and Calcium Intake Against Stunting among Children Aged 3-5 Years and the Impact on Child Development. Sys Rev Pharm, 11(10): 606-611.

Zaenab S, Indryanai DDIR. 2020. Mindful Parenting Based on Development Brain Children in PAUD Fortune. Atlantis Press, 397: 97-105. https://doi.org/10.2991/assehr.k.200129.013.

Downloads

Published

2023-12-31

How to Cite

Abdurrahmat, A. S., Yunianto, A. E., Betaditya, D., Listyawardhani, Y., & Wardani, Y. S. (2023). Intervention of Development Stimulation and Nutrition Education of Complementary Feeding on The Growth and Development of Stunting Under-Free Children . Jurnal Ilmiah Kesehatan (JIKA), 5(3), 460–472. https://doi.org/10.36590/jika.v5i3.569

Most read articles by the same author(s)

Similar Articles

You may also start an advanced similarity search for this article.