Improving nutrition of underweight and stunting children through “DIGIDAU" innovation in Pesanggrahan District Health Centre

https://doi.org/10.22146/jcoemph.100134

Ika Agustin Atika Putri(1*)

(1) Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Introduction: The World Health Organization Nutrition Guidelines recommend that exclusive breastfeeding can be given until 6 months, continuing breastfeeding until 2 years of age, and add complementary foods for their child. This Community Empowerment was held from May to July 2023 in Pesanggrahan District to reduce Stunting rates. Nutrition Diary in Overcoming Stunting (DIGIDAU) is an innovation to improve toddler nutrition by recording 24-hour food recalls every day for 5 weeks by mothers of toddlers. To aim the impact of "DIGIDAU" to reduce the incidence of malnutrition & stunting in children under five years by recording dietary patterns and improving parenting knowledge in Pesanggrahan.

Method: A quantitative experimental research using a pre-experimental design study. One Group Pretest Posttest Design was used. The experimental group received treatment using the "DIGIDAU", where respondents' nutritional status was assessed before (pretest) and after (posttest) the treatment. The respondents for this research were 20 toddlers living in Pesanggrahan who met the research criteria. Data including toddlers’ weight and height and parents’ knowledge were collected and analyzed using paired sample t-tests.

Results: Before the intervention, the respondents had poor knowledge around 17 mothers (85%). After the intervention, 20 mothers (100%) increased in knowledge. So that there was an impact of the counseling and training interventions on parents’ knowledge of parenting with P value =0.00 (< 0.05). Meanwhile, by recording dietary patterns & weight monitoring, there were 4 toddlers who experienced an increase in weight status according to age (Weight/age) from Underweight to Normal Weight. During the 5 weeks of the program, there was an increase in weight and height.

Conclusion: The innovation of the Nutrition Diary in Overcoming Stunting “DIGIDAU” Program significantly increased the mother’s knowledge and the nutritional status of malnutrition and stunted toddlers.


Keywords


Stunted; nutritional status; toddlers; parenting knowledge

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References

  1. Kozioł-Kozakowska A. Adequate nutrition in early childhood. Children [Internet] 2023;10:1155. Available from: https://doi.org/10.3390/children10071155
  2. Fewtrell M, Bronsky J, Campoy C, Domellöf M, Embleton N, Mis NF, et al. Complementary Feeding. Journal of Pediatric Gastroenterology and Nutrition [Internet] 2016;64:119–32. Available from: https://doi.org/10.1097/mpg.0000000000001454
  3. Nurliyana AR, Shariff ZM, Taib MNM, Gan WY, Tan KA. Early nutrition, growth and cognitive development of infants from birth to 2 years in Malaysia: a study protocol. BMC Pediatrics [Internet] 2016;16. Available from: https://doi.org/10.1186/s12887-016-0700-0
  4. Cusick SE, Georgieff MK. The Role of Nutrition in Brain Development: The Golden Opportunity of the “First 1000 Days.” The Journal of Pediatrics [Internet] 2016;175:16–21. Available from: https://doi.org/10.1016/j.jpeds.2016.05.013
  5. Liu J, Sun J, Huang J, Huo J. Prevalence of Malnutrition and Associated Factors of Stunting among 6–23-Month-Old Infants in Central Rural China in 2019. International Journal of Environmental Research and Public Health [Internet] 2021;18:8165. Available from: https://doi.org/10.3390/ijerph18158165
  6. Yani DI, Rahayuwati L, Sari CWM, Komariah M, Fauziah SR. Family Household Characteristics and Stunting: An Update Scoping Review. Nutrients [Internet] 2023;15:233. Available from: https://doi.org/10.3390/nu15010233
  7. De Onis M, Branca F. Childhood stunting: a global perspective. Maternal and Child Nutrition [Internet] 2016;12:12–26. Available from: https://doi.org/10.1111/mcn.12231
  8. Suratri MAL, Putro G, Rachmat B, Nurhayati N, Ristrini N, Pracoyo NE, et al. Risk Factors for Stunting among Children under Five Years in the Province of East Nusa Tenggara (NTT), Indonesia. International Journal of Environmental Research and Public Health [Internet] 2023;20:1640. Available from: https://doi.org/10.3390/ijerph20021640
  9. Badan Kebijakan Pembangunan Kesehatan Kementerian Kesehatan Republik Indonesia. Buku Saku hasil Survei Status Gizi Indonesia (SSGI) 2022. 2022
  10. Berhe K, Seid O, Gebremariam Y, Berhe A, Etsay N. 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 [Internet] 2019;14:e0217736. Available from: https://doi.org/10.1371/journal.pone.0217736
  11. Ekholuenetale M, Barrow A, Ekholuenetale CE, Tudeme G. Impact of stunting on early childhood cognitive development in Benin: evidence from Demographic and Health Survey. Egyptian Pediatric Association Gazette [Internet] 2020;68. Available from: https://doi.org/10.1186/s43054-020-00043-x
  12. Sjarif, Yuliarti, Lestari, Sidiartha, Nasar, Mexitalia. Rekomendasi praktik pemberian makan berbasis bukti pada bayi dan batita di Indonesia untuk mencegah malnutrisi. 1st ed. Unit Kerja Koordinasi Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia; 2015
  13. Benelam B, Gibson‐Moore H, Stanner S. Healthy eating for 1–3 year‐olds: A food‐based guide. Nutrition Bulletin [Internet] 2015;40:107–17. Available from: https://doi.org/10.1111/nbu.12134
  14. Faizan U, Rouster AS. Nutrition and Hydration Requirements In Children and Adults [Internet]. StatPearls - NCBI Bookshelf2023;Available from: https://www.ncbi.nlm.nih.gov/books/NBK562207/
  15. Patel JK, Rouster AS. Infant Nutrition Requirements and Options [Internet]. StatPearls - NCBI Bookshelf2023;Available from: https://www.ncbi.nlm.nih.gov/books/NBK560758/
  16. Sharma S, Kolahdooz F, Butler L, Budd N, Rushovich B, Mukhina GL, et al. Assessing dietary intake among infants and toddlers 0–24 months of age in Baltimore, Maryland, USA. Nutrition Journal [Internet] 2013;12. Available from: https://doi.org/10.1186/1475-2891-12-52
  17. Kustiawan TC, Nadhiroh SR, Ramli R, Butryee C. Use of mobile app to monitoring growth outcome of children: A systematic literature review. Digital Health [Internet] 2022;8:205520762211386. Available from: https://doi.org/10.1177/20552076221138641



DOI: https://doi.org/10.22146/jcoemph.100134

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