Effect of nutrition improvement program implementation on stunting in children under two years old

https://doi.org/10.22146/bkm.42023

Yolanda Handayani(1*), Martya Rahmaniati Makful(2)

(1) Departemen Biostatistik dan Kependudukan, Fakultas Kesehatan Masyarakat, Universitas Indonesia
(2) Departemen Biostatistik dan Kependudukan, Fakultas Kesehatan Masyarakat, Universitas Indonesia
(*) Corresponding Author

Abstract


Purpose

The first thousand days of life is a critical momentum where children from the age of 2 years need the best nutrition for brain development. This study examined the effect of appropriate timing of supplementary feeding and vitamin A consumption on nutritional status of children below age of two

Method

The design of this study is cross sectional. The sample in this study is based on data of the Nutritional Status Monitoring 2017 which is amounted to 27.208, consisting of pregnant women who took iron folate supplementation (TTD); mother gave early breastfeeding initiation, exclusive breastfeeding, and supplementary food; children who received vitamin A; and children who get height measurement by age.

Results

The odds of mothers not providing supplementary feeding to children aged 7-23 months have a short nutritional status 1,137 times greater than mothers who provide supplementary feeding. While the Vitamin A variable has odds ratio 0,659 significantly, the odds of children not getting Vitamin A have short nutritional status 0, 659 times greater than children who received Vitamin A. 

Conclusion: The risk of stunting occurs in a period of 6 to 24 months due to the period for growth in height. Health workers at the primary health care should inform mothers to provide supplementary food and vitamin A at the 6-24 month of age.


Keywords


stunting; supplementary food; vitamin A

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References

  1. Trisnawati Y, Purwanti S, Retnowati M. Studi Deskriptif Pengetahuan Dan Sikap Ibu Hamil Tentang Gizi 1000 Hari Pertama Kehidupan Di Puskesmas. Jurnal Kebidanan. 2016;VIII(02):175–82.
  2. Prado E, Dewey K. Nutrition and Brain Development in Early Life. A&T Technical Brief. 2012;(4).
  3. Christian P, Murray-kolb LE, Katz J, Schaefer BA, Cole PM, Leclerq SC, et al. and Intellectual and Motor Function in Early School-aged Children in Nepal. JAMA. 2010;304(24):2716–23.
  4. Mardianis. Analisis Implementasi Kebijakan Program 1000 Hari Awal Kehidupan Manusia oleh Dinas Kesehatan Kota Tanjungpinang. Universitas Maritim Raja Ali Haji; 2016.
  5. UNICEF. Nutrition in the First 1 , 000 Days: State of the World’s Mothers 2012. New York: Save the Children International; 2012.
  6. Kemenkes RI. Hasil Pemantauan Status Gizi (PSG) 2017. Direktorat Gizi Masyarakat Direktorat Jenderal Kesehatan Masyarakat Kementerian Kesehatan. Jakarta; 2018.
  7. Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS. How Many Child Deaths Can We Prevent This Year? The Lancet. 2003;362(9377):65–71.
  8. Simanjuntak BY, Haya M, Suryani D, Ahmad CA. Early Inititation of Breastfeeding and Vitamin A Supplementation with Nutritional Status of Children Aged 6-59 Months. Kesmas: National Public Health Journal. 2018;12(3):107–13.
  9. Hadi H, Stoltzfus RJ, Dibley MJ, Moulton LH, West KP, Kjolhede CL, et al. Vitamin A supplementation selectively improves the linear growth of indonesian preschool children: results from a randomized controlled trial. The American journal of clinical nutrition. 2000;71(2):507–13.
  10. UNICEF. Improving child nutrition: The achievable imperative for global progress. New York: UNICEF; 2013.
  11. Hijra H, Fatimah-Muis S, Kartasurya MI. Inappropriate complementary feeding practice increases risk of stunting in children aged 12-24 months. Universa Medicina. 2016;35(3):146.
  12. Udoh EE, Amodu OK. Complementary feeding practices among mothers and nutritional status of infants in Akpabuyo Area, Cross River State Nigeria. SpringerPlus. 2016;5(2073):1–19.
  13. Awogbenja MD, Ugwuona FU. Feeding Practices and Nutritional Status of Under- Five Children In Nasarawa State, Nigeria. PAT. 2010;6(1):23–35.
  14. Onyango AW, Borghi E, De Onis M, Del Carmen Casanovas M, Garza C. Complementary feeding and attained linear growth among 6-23-month-old children. Public Health Nutrition. 2014;17(9):1975–83.
  15. Imdad A, Yakoob MY, Bhutta ZA. Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health. 2011;11(S25):1–14.
  16. Black RE, Allen LH, Bhutta ZA, Caulfield LE, Onis M de, Ezzati M, et al. Maternal and Child Undernutrition: Global and Regional Exposures and Health Consequences. The Lancet. 2008;371(9608):243–60.
  17. World Vision. Improving the Health and Nutrition Status of Women and Children Promising Practices from East Africa. 2013.
  18. UNICEF. Programming Guide Infant and Young Child Feeding. New York: UNICEF; 2011.
  19. WHO. Complementary feeding. Switzerland: WHO; 2001.
  20. Dewey KG. Reducing stunting by improving maternal, infant and young child nutrition in regions such as South Asia: Evidence, challenges and opportunities. Maternal and Child Nutrition. 2016;12:27–38.
  21. Huffman SL, Schofield D. Consequences of malnutrition in early life and strategies to improve maternal and child diets through targeted fortified products. Maternal and Child Nutrition. 2011;7(SUPPL. 3):1–4.
  22. Zhou H, Wang X-L, Ye F, Zeng XL, Wang Y. Relationship between child feeding practices and malnutrition in 7 remote and poor counties, P R China. Asia Pacific journal of clinical nutrition. 2012;21(2):234–40.
  23. Last JM. A Dictionary of Epidemiology: Fourth Edition. New York: Oxford University Press; 2001.



DOI: https://doi.org/10.22146/bkm.42023

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