Pola asuh ibu sebagai faktor risiko kejadian kurang energi protein (KEP) pada anak balita
Adni Abdul Razak(1*), I Made Alit Gunawan(2), R Dwi Budiningsari(3)
(1) Dinas Kesehatan Kabupaten Morowali Sulawesi Tengah
(2) Jurusan Gizi Politeknik Kesehatan Departemen Kesehatan RI Yogyakarta
(3) Magister Gizi Kesehatan UGM
(*) Corresponding Author
Abstract
Background: Protein energy deficiency (PED) is one of nutrition disorders which happen to children under-five years. According to data of nutritional status examination result 2005 and 2006, the prevalence of PED at the Province of Sulawesi Tengah was 30.61% and 30.84%, whereas at District of Morowali was 11% and 11.6%. Lots of factors cause malnutrition among children under five, among others is imbalanced nutrient intake, infection, and rearing pattern of mothers comprising care and food supply.
Objective: To identify rearing pattern of mothers as risk factor for the prevalence of PED in children under five.
Method: This was an observational study with case control study design. Population and samples of the study were children under five suffering from PED as indicated from anthropometric standard weight for age according to standard of WHO National Child Health Standard (NCHS), i.e. < -2 elementary school to ≥ -3 elementary school. The controls were children under five who did not suffer from PED. Respondents consisted of mothers of children who had PED and did not have PED that fulfilled inclusion and exclusion criteria. The variables observed were rearing pattern, infection as confounding variable and nutritional status. Nutritional status of children with PED and without PED was processed using index of weight for age against standard of WHO-NCHS. Chi-square and odds ratio were used to identify rearing pattern as risk factor for PED.
Results: The result of the study showed that there were 23 mothers (57.5%) practicing poor rearing pattern in children with PED and there were 35 mothers (87.5%) practicing good rearing pattern in children without PED. The result of statistical test showed p < 0.05, i.e. p = 0.001, so there was significant difference in rearing pattern of mothers which consisted of knowledge, attitude and practice in the care and food supply of children under five.
Conclusion: Poor rearing pattern of mothers brought greater risk for children with PED than good rearing pattern in the care and food supply of children under-five.Keywords
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Collins S, Dent N, Binns P, Bahwere P, Sadler K, Hallam A. Management of Severe Acute Malnutrition in Children [serial online] 2006 [cited 2007 August 12]. Available from: www.thelancet.com.
Departemen Kesehatan RI. Rencana Aksi Nasional Pencegahan dan Penanggulangan Gizi Buruk 2005-2009. Jakarta: Bakti Husada; 2005.
Dinas Kesehatan Propinsi Sulawesi Tengah. Profil Kesehatan Propinsi Sulawesi Tengah. Palu: Dinkes Sulawesi Tengah; 2006.
Dinas Kesehatan Kabupaten Morowali. Profil Kesehatan Kabupaten Morowali. Bungku: Dinkes Morowali; 2006.
World Health Organisation. Impact of Women Health and Nutrition Entrepreneurs and Mobilizers on Health and Nutrition of Rural Children and Mathers Knowledge and Health–related Practices. New York: WHO; 2004.
Suharsih. Hubungan Pola Asuh dan Penyakit Infeksi dengan Anak Balita Kurang Energi Protein di Kabupaten Demak Propinsi Jawa Tengah [tesis]. Yogyakarta: UGM; 2001.
Widayanti. Hubungan antara Pola Asuh dengan Status Gizi Anak Balita pada Rumah Tangga Petani di Kabupaten Bogor Jawa Barat [tesis]. Yogyakarta: UGM; 2001.
Murti B. Desain dan Ukuran Sampel Untuk Penelitian Kuantitatif dan Kualitatif di Bidang Kesehatan. Yogyakarta: Gadjah Mada University Press; 2006.
Lemeshow S, Hosmer D, Klar J. 1990. Adequacy of Sample Size in Health Studies. (Terjemahan) Pramono D. Yogyakarta: UGM Press; 1997.
Slamet Y. Analisis Kuantitatif untuk Data Sosial. Solo: Dabara Publisher; 1993.
Yusnandar ME, Sejati S. Aplikasi Analisis Khi Kuadrat terhadap Kekurangan Energi Protein pada Anak Balita dan Faktor-faktor yang Berhubungan. Informatika Pertanian 2006;15:17-31.
Foster MG, Anderson GB. Antropologi Kesehatan. Jakarta: Universitas Indonesia; 2005.
Paryanto E. Gizi Dalam Masa Tumbuh Kembang. Jakarta: Buku Kedokteran ECG; 1997.
Akhmadi. Hubungan antara Pola Asuh Keluarga dan Kejadian Kurang Energi Protein Anak Balita di Kecamatan Imogiri Kabupaten Bantul [tesis]. Yogyakarta: UGM; 2004.
Sudiyanto. Pengetahuan dan Perilaku Ibu Rumah Tangga Tentang Pemberian Makanan Pendamping ASI [tesis]. Yogyakarta: UGM; 2003.
Azwar S. Sikap Manusia Teori dan Pengukurannya. Edisi ke-2. Yogyakarta: Pustaka Pelajar; 2003.
Notoatmodjo S. Pendidikan dan Perilaku Kesehatan. Jakarta: PT Rineke Cipta; 2003.
Anwar MH. Peranan Gizi dan Pola Asuh dalam Meningkatkan Tumbuh Kembang Anak [serial online] 2008 [cited 2008 April 9]. Available from: www.whandi.net.
Waterlow JC. Protein Energy Malnutrition. London: London School of Hygiene and Tropical Medicine; 1992.
American Psychological Association (APA). Child Care Mother-Child Interaction in The First 3 Years of Life (NICHD Early Child Care Research Network). Dev Psychol 2001; 35(6): 112-34.
Anwar K, Juffri M, Julia M. Faktor Risiko Kejadian Gizi Buruk. Jurnal Gizi Klinik Indonesia 2006; 2(3): 108-16.
Sandjaja. Penyimpangan Positif (Positive Deviance) Status Gizi Anak Balita dan Faktor-Faktor yang Mempengaruhi. Bogor; Centre for Research and Development of Nutrition and Food NIHRD: 2003.
Soekirman. Therapeutic Feeding Centre (TFC) Kota Depok [serial online] 2008 [cited 2008 April 9]. Available from: www.gizi.net.
Pardede PJ. Gizi Buruk Erat Kaitannya dengan Kemiskinan [serial online] 2006 [cited 2008 April 9]. Available from: http://japarde.multiply.com/journal/ item/12/Gizi_Buruk.
Dinas Kesehatan Jawa Timur. Gizi Buruk, Kwasiorkor atau Marasmik Kwasiorkor [serial online] 2008 [cited 2008 April 23]. Available from: www.dinkesjatim.go.id.
Soekirman. Ilmu Gizi dan Aplikasinya untuk Keluarga dan Masyarakat. Jakarta: Direktorat Jendral Pendidikan Tinggi Departemen Pendidikan Nasional; 2000.
Tomkins. Malnutrition, Morbidity and Mortality in Children and Their Mother. Proc Nutr Soc 2000; 59(1): 135-46.
Johansson. Interaction Effects of Infection and Mal-nutrition on Child Mortality in Scania, Sweden 1766-1894. Conference paper of IUSSP Meeting; 2008 Sep 28-Oct 2; Marrakech, Maroc. Sweden; 2008.
Pelto. Improving Complementary Feeding Practices and Responsive Parenting as a Primary Component of Interventions to Prevent Malnutrition in Infancy and Early Childhood. Pediatr 2000; 106(5): 115-22.
Arisman MB. Gizi dalam Daur Kehidupan. Palembang: Buku Kedokteran ECG; 2000.
Onis dM . Measuring Nutritional Status in Relation to Mortality. Public Health Classics. Bull World Health Organ [serial online] 2000 [cited 2008 April 15]. Available from: http://www.scielosp.org/scielo.php?pid=S0042-96862000001000012&script=sci_arttext.
DOI: https://doi.org/10.22146/ijcn.17717
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