Efek Pemanfaatan Program Pemantauan dan Promosi Pertumbuhan terhadap Status Gizi Balita di Kota Cirebon

https://doi.org/10.22146/jkr.35434

Lia Nurcahyani(1*), Mohammad Hakimi(2), Toto Sudargo(3)

(1) Kebidanan Poltekes Cirebon
(2) Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
(3) Masters of Health Nutrition, Faculty of Medicine, University of Gadjah Mada
(*) Corresponding Author

Abstract


Background: Undernourishment is a key problem of mortality in underfive, inwhich one of the causes is lack of growth monitoring and promotion program utilization. Cases of undernourishment at Cirebon Municipality exceed the provincial and national figures. In 2008, community participation in growth monitoring and promotion program increased 19% from the previous year, however cases of undernourishment also increased 0.23%

Objective: To assess the effect of growth monitoring and promotion program utilization toward nutritional status of underfives.

Method: The study was observational with retrospective cohort design. Subject consisted of 246 underfives of 17-59 months and mothers that met inclusion and exclusion criteria. Sampling used three stage combined with purposive and random sampling technique. Data consisted of primary and secondary data obtained from questionnaire, growth chard, nutrition registry, monthly report of underfive weighing at Cirebon Municipality 2008, digital scale, length board/ microtoise and WHO anthropometric software. Data analysis used univariate, bivariate with chi square, and multivariate with logistic regression. The study was supported with qualitative data obtained from observation and indepth interview.

Result and Discussion: The utilization of growth monitoring and promotion program affected nutritional status of underfives significantly (p<0.05). Incidence of undernourished underfives that did not utilize the program regularly was 2.7 times greater than in those utilizing the program regularly after considering the contribution of knowledge and attitude of mothers and age of underfives. Input indicator especially role of cadres in the process of growth monitoring and promotion program at Cirebon Municipality was not optimum. Constraints in program utilization consisted of individual (health reason), provider (social reason) and community (geographical reason) factors.

Conclusion: Monthly growth monitoring was prioritized on underfives for the first 24 month.Target of growth monitoring and promotion program could be achieved when there was comprehensive support from demand side (people that received the service), support side (service providers) and policy side (policy makers).

Keywords: nutritional status, underfive, growth monitoring, growth promotion, program utilization


Keywords


nutritional status; underfive; growth monitoring; growth promotion; program utilization

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References

  1. Black, R., Allen, L., Bhutta, Z., Caulfield, L., de Onis, M., Ezzati, M., Mathers, C., Rivera, J. 2008. Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet. 371(9608): 243-60.
  2. Black, R., Moris, S., Bryce, J. 2003. Where and why are 10 million children dying every year? The Lancet. 361:2226-34.
  3. Moris, S., Cogill, B., Uavy, R. 2008. Effective international action against undernutrition: why has it proven so difficult and what can be done to accelerate progress? Lancet. 371(9612): 608-21.
  4. Asworth, A., Shrimpton, R., Jamil, K. 2008. Growth monitoring and promotion: review of evidence of impact. Maternal and Child Nutrition. 4(s1): 86117.
  5. Heikens, G. 2007. How can we improve the care of severely malnourished children in Africa? Plos Med. 4(2): 222-5.
  6. Victoria, C., Adair, L., Fall, C., Hallal, P., Martorell, R., Ritcher, L., Sachdev, H. 2008. Maternal and child
  7. undernutrition: consequences for adult health and human capital. Lancet. 371(9609): 340–57.
  8. Balitbang Depkes RI. 2008. Laporan nasional riset kesehatan dasar (RISKESDAS) 2007, Jakarta: Depkes RI.
  9. Dinkes Kota Cirebon. 2007. Profil Dinas Kesehatan Kota Cirebon tahun 2007, Cirebon.
  10. Dinkes Provinsi Jawa Barat. 2007. Profil Dinas Kesehatan Provinsi Jawa Barat tahun 2007, Jawa Barat.
  11. UNICEF. 1990. Strategy for Improved nutrition of children and women in developing countries. New York: UNICEF.
  12. WHO. 1997. Nutritional and poverty, Papers from the ACC/SCN 24 th Session Symposium, Kathmandu.
  13. Mc.Donald, E., Bailie, R., Rumbold, A., Morris, P., Paterson, B. 2008. Preventing growth faltering among Australian indegenous children. Med J Aust. 188(8): 84-6.
  14. Panpanich, R., Garner, P. 2009. Growth monitoring in children (review). Cochrane Database of Syst Rev (1).
  15. Roberfroid, D., Kolsteren, P., Hoeree, T., Maire, B. 2005. Do growth monitoring and promotion programs answer the performance criteria of a screening program? a critical analysis based on a systematic review. Trop Med Int Health. 10(11):1121-33.
  16. Hossain, S., Duffield, A., Taylor, A. 2005. An evaluation of the impact of a US$60 million nutrition programme in Bangladesh. Health Policy Plan. 20(1): 35-40.
  17. Dinkes Kota Cirebon. 2008. Profil Dinas Kesehatan Kota Cirebon tahun 2008, Cirebon
  18. Lemeshow, S., Hosmer, D.W., Klar, J., Lwanga, S. 1997. Besar sampel dalam penelitian kesehatan. Alih bahasa Pramono, D. dan Kusnanto, H. Yogyakarta: Gadjah Mada University Press.
  19. WHO 2006. WHO child growth standards: length / height-for-age, weight- for-age, weight-for-length, weight-for height and body mass index-for-age. methods and development. Geneva, Switzerland: WHO.
  20. Kleinbaum, D., Sullivan, K., Barker, R. 2007. A Pocket guide to epidemiology.USA : Springer Science+Business Media, LLC.
  21. 49
  22. Dawson,B &Trapp,R.G. 2004. Basic and clinical biostatistic. Boston : Mc. Graw Hill Companies, Inc;.
  23. Oanh,T.T.M. 2009. The Review of Barrier to Acces Helth Services for Groups in Vietnam : A Case Studi.
  24. UNICEF. 2008. Experts consultation on growth monitoring and promotion strategis: program guidance for a way forward, New York, USA.
  25. Roberfroid, D., Pelto, G., Kolsteren, P. 2007. Plot and see! maternal comprehension of growth charts worldwide. Trop Med Int Health. 12(9):1074-86.
  26. Faber, M., Schoeman, S., Smuts. C.M., Adam, V., Ford, N. 2009. Evaluation of community based growth monitoring in rural district of the Eastern Cape and Kwazulu Natal Provinces of Sourth Africa. J Clin Nutr. 22(4) : 185-94.
  27. Hurtado, E., Bixcul, A, Bustamante, R., Santizo, M. 2008. Evaluation of the growth monitoring and promotion component of the integrated care for children and women at the community level (AIEPI AINM-C).
  28. Roy, S.K., Fuchs, G.J., Mahmud, Z., Ara, G., Islam, S., Shafique, S., Akter.S.S., Chakroborty, B. 2005. Intensive nutrition education with or without supplementary feeding Improves the nutritional status of moderately malnourished children in Bangladesh. J.Health Popul Nutr. 23(4) 320-30.
  29. Sguassero, Y., de Onis, M., Carroli, G. 2005. Community based supplementary feeding for promoting the growth of young children in developing countries. Cochrane Database Syst Rev. 19(4).
  30. Tanner, C. 2008. Nutrition and food security early warning in Niger. New York: USAID,
  31. Gragnolati, M., Bredenkamp, C., Gupta, M.D., Lee, Y.K., Shekar, M. 2006. ICDS and persistent undernutrition. Econ Polit Wkly. 41(12): 1193-202.
  32. Joseph, E., Dowsehen, S., Izenberg, N. 2007. Public understanding of growth charts: a review literature. Patient Educ Coun. 65(3):288-95.
  33. Ard El Insan Benevolent Association. 2008. Nutritional health care service for malnourished children under 5 years. Medical Aid for Palestinians.
  34. Phengxay, M., Ali, M., Yagyu, F., Soulivanh, P., Kuroiwa, C., Ushijima. 2007. Risk factor for protein energy malnutrition in children under 5 years: study from Luangprabang province, Laos. Pediatr Int. 49(2): 260-5.
  35. Ogunba, B. 2006. Maternal behavioral feeding practises and under five nutrion.J Appl Sci Res, 2(12):1132-36.
  36. Pongou, R., Ezzati, M., Salamon, J. 2006. Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon. BMC Public Health. 6 (98) :1-19.
  37. Rajaram, S., Zottarelli, L., Sunil, T. 2007. Individual, household, programme and community effects on childhood malnutrition in rural India. Journal compilation. 3(2):129-40.
  38. Reyes, H., Cuevas, R.P., Sandoval, A., Castillo, R., Santos, J., Douboval, S., Gonzalo. 2004. The family as a determinant of stunting in children living in conditions of extreme poverty. BMC Public Health. 4(57):1-10.
  39. Smith, Hadad. 2000. What causes undernutrition in Sri Lanka? available in: http://www.siteresources. worldbank.org. (diakses: 22 Agustus 2009).
  40. Uthman, O. 2009. A multilevel analysis of a individual and community effect on chronic childhood malnutrition in rural Nigeria. J.Trop Pediatr, 55(2): 109 -15
  41. Villers, A., Senekal, M. 2002. Determinants of growth failure in 12-24 month old children in a high density urban slum community in East London, South Africa.EJCN. 56(12):1231-41.
  42. Alasfoor, D., Elsayed, M.K., Al Qasmi, A., Malankar, P., Sheth, M., Prakash, N. 2007. Protein energy malnutrition among preschool children in Oman: result of national survey. Eastern Mediterranean Health. 13 (5): 1022-30.
  43. Bloss, E., Wainaina, F., Bailey, R.C. 2004. Prevalence and predictors of underweight, stunting and wasting among children aged 5 and under in western Kenya. J. Trop Pediatr. 50 (5) : 260-70.
  44. Hasnain, S.F., Hashmi, S.K. 2009. Consanguity among the risk factors for underweight in children under five: a study from rural Sindh. J. Ayub Med Coll Abbottabad. 21 (3) : 111-16.
  45. Sapkota, V.P., Gurung, C.K. 2009. Prevalence and pre-dictors of underweight, stunting and wasting in underfive children. J. Nepal Health Res Counc. 7 (15) : 120-6.
  46. Chaiken, M., Deconinck, Degefie, T. 2006. The promise of a community - based approach to managing severe malnutrions: a case study from Ethiopia. Food Nutr Bull. 27(2):95-104.



DOI: https://doi.org/10.22146/jkr.35434

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