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Risk Factors for Stunting at The Lurasik Health Center Eleonora Edeltrudis Nopala; Intje Picauly; Anna H Talahatu
Timorese Journal of Public Health Vol 3 No 1 (2021): March 2021
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/tjph.v2i4.5382

Stunting is a condition of failure to thrive in children under five years old (infants under five years old) due to chronic malnutrition so that the child is too short for his age. This study aims to determine the factors that influence the incidence of stunting in the Lurasik Health Center Work area, North Biboki District, North Central Timor Regency. This type of research is an analytic survey with a case-control study design. The sample of the study was 148 toddlers who were divided into 74 case samples and 74 control samples. The use of data analysis was univariate, bivariate, and multivariate analysis with statistical tests of simple logistic regression and multiple logistic regression. The results of this study indicate that the factor which influences stunting was a history of infectious disease (p= 0.008), energy adequacy level (p= 0.000), protein adequacy level (p = 0.000), history of exclusive breastfeeding (p= 0.000), level of parental income (p= 0.031), while the factor that did not affect the incidence of stunting was level of mother’s work (p= 0.869). The dominant factor which most influence the stunting was the history of gave breastfeeding, the level of energy sufficiency and the level of protein adequacy. It is hoped that with the factors that influence the incidence of stunting in toddlers in the working area of the Lurasik Health Center, it can add information to the public so that stunting prevention is further improved

Determinants Analysis of Nutritional Status of Pregnant Women in the Stunting Locus Area of North Middle East District Renty Alfany Zena Senduk; Intje Picauly; Enjelita M. Ndoen
Lontar : Journal of Community Health Vol 4 No 3 (2022): September 2022
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v4i2.4891

The nutritional status of pregnant women greatly affects the growth of the fetus is conceived. Pregnant women will give birth to a healthy baby at full term with a normal weight if they have good nutritional status before and during pregnancy. However, the nutritional status of pregnant women in the North Middle East District stunting locus is still not good. This study aimed to determine the effects of income levels, education levels, consumption patterns of pregnant women, and personal hygiene on the nutritional status of pregnant women in the North Middle East Regency stunting locus. This type of research is a quantitative study using a cross-sectional design. The sample consists of 45 pregnant women with a total sampling technique. The data analysis was performed using univariate and bivariate analysis with the chi-square test. The results showed that factors moreover influenced the nutritional status of pregnant women were the consumption pattern of pregnant women (p-value= 0,015), and personal hygiene (p-value= 0,023), while the factors that did not affect were income level (p-value= 0,931) and education level (p-value= 0,365). Lastly, pregnant women are expected to pay more attention to nutritional status and consumption patterns by consuming balanced nutritious foods and maintaining personal hygiene during pregnancy to prevent the occurrence of malnutrition status in mother's pregnancy.

Determinants Analysis of Nutritional Status of Pregnant Women in the Stunting Locus Area of North Middle East District Renty Alfany Zena Senduk; Intje Picauly; Enjelita M. Ndoen
Lontar : Journal of Community Health Vol 4 No 3 (2022): September 2022
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v4i2.4891

The nutritional status of pregnant women greatly affects the growth of the fetus is conceived. Pregnant women will give birth to a healthy baby at full term with a normal weight if they have good nutritional status before and during pregnancy. However, the nutritional status of pregnant women in the North Middle East District stunting locus is still not good. This study aimed to determine the effects of income levels, education levels, consumption patterns of pregnant women, and personal hygiene on the nutritional status of pregnant women in the North Middle East Regency stunting locus. This type of research is a quantitative study using a cross-sectional design. The sample consists of 45 pregnant women with a total sampling technique. The data analysis was performed using univariate and bivariate analysis with the chi-square test. The results showed that factors moreover influenced the nutritional status of pregnant women were the consumption pattern of pregnant women (p-value= 0,015), and personal hygiene (p-value= 0,023), while the factors that did not affect were income level (p-value= 0,931) and education level (p-value= 0,365). Lastly, pregnant women are expected to pay more attention to nutritional status and consumption patterns by consuming balanced nutritious foods and maintaining personal hygiene during pregnancy to prevent the occurrence of malnutrition status in mother's pregnancy.

Factors Related to The Incidence of Stunting at The Watukawula Puskesmas, Southwest Sumba Regency Dorce Bulu; Intje Picauly; Amelya B. Sir
Lontar : Journal of Community Health Vol 4 No 3 (2022): September 2022
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v4i3.5042

Stunting is still an important health problem to pay attention to. At the Watukawula Puskesmas, the number of stunting toddlers in 2019 was 25,4%, if not addressed, it could have an impact on the growth and development of toddlers. This study aims to determine the factors associated with the incidence of stunting in the working area of Watukawula Puskesmas. The type of research used is a case-control study design. The sample consisted of 130 children under five consisting of 65 case samples and 65 control samples. The sampling of cases and control samples used a simple random sampling technique. The data analysis used was univariate, bivariate, and multivariate analysis using the chi-square test with a significance level of =0.05. The results showed that knowledge of maternal nutrition (p=0.000), exclusive breastfeeding (p=0.004), history of infectious disease (p=0.001), energy adequacy level (p=0.000), and protein adequacy level (p=0.000) were associated with stunting incidents. Therefore, it is recommended for mothers of toddlers to be able to provide nutritionally balanced food and sufficient energy and protein for their children to achieve optimal child development. Keywords:stunting, knowledge, disease, energy, protein

Factors Related to The Utilization of Integrated Healthcare Center by Mothers of Toddlers in Camplong I,Kupang Ardila M Langata; Intje Picauly; Daniela L. A. Boeky
Lontar : Journal of Community Health Vol 4 No 4 (2022): Desember 2022
Publisher : Universitas Nusa Cendana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35508/ljch.v4i4.5113

The integrated healthcare center is one of the health facilities established as an effort by the government to suppress MMR, IMR, AKABA, and improve nutrition. Through integrated healthcare centers, intensive monitoring of the growth and development of toddlers can be carried out as well as early detection of cases of malnutrition in children under five through routine weighing every month. This study aims to determine the factors related to the use of integrated healthcare centers by mothers of toddlers in Camplong I Village, Camplong Health Center Work Area, Fatuleu District, Kupang Regency. This cross-sectional study consisted of 121 respondents who were selected using a total sampling technique. Data were analyzed using chi-square and multiple logistic regression. Based on the results of the study, the variables related to the use of integrated healthcare centers by mothers of toddlers were work variables (p = 0.001), integrated healthcare center cadre support (p = 0.007), family support (p = 0.000) and distance (p = 0.040). The logistic regression analysis results showed that the family support variable was the dominant variable associated with the use of integrated healthcare centers by mothers of children under five. Meanwhile, knowledge and perception variables have no relationship with the help of integrated healthcare centers by mothers of children under five.

PEMANFAATAN BISKUIT PMT LOKAL DALAM UPAYA PENANGGULANGAN MASALAH GIZI BURUK DI WILAYAH LAHAN KERING KEPULAUAN ROTE NDAO Intje Picauly; Marselinus Laga Nur; Diana Aipipidely; Grouse Oematan; Mega Liufeto; Welresna Rupiasa
Jurnal Pengabdian pada Masyarakat Kepulauan Lahan Kering Vol. 3 No. 2 (2022): Volume 3 Nomor 2 Edisi Oktober 2022
Publisher : Pergizi Pangan DPD NTT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51556/jpkmkelaker.v3i2.210

Masa balita merupakan periode penting dalam proses pembentukan dan perkembangan manusia yang ditandai dengan tumbuh kembang yang sangat pesat. Periode ini merupakan periode yang kritis bagi anak-anak dimana terjadi pertumbuhan yang akan berpengaruh pada perkembangan periode berikutnya. Kebutuhan zat gizi pada masa ini sangat tinggi untuk mendukung proses pertumbuhan dan perkembangan balita selama kehidupan janin dan 2 tahun pertama setelah lahir. Gizi kurang dan kesehatan yang buruk pada balita selama periode tersebut akan memberikan dampak buruk kehidupan bayi di masa mendatang yang bersifat permanen dan tidak dapat dikoreksi, sehingga diperlukan pemenuhan gizi yang adekuat pada rentang usia ini. Pola asuh ibu dalam mengatur konsumsi pangan keluarga sangat menentukan kecukupan asupan gizi seorang anak. Kegiatan pengabdian ini bertemakan : peningkatan pengetahuan ibu rumah tangga melalui kegiatan pelatihan pengolahan biskuit PMT lokal dalam mendukung upaya preventif masalah gizi buruk di wilayah lahan kering kepulauan Rote Ndao. Kegiatan dilaksanakan di Desa Helebeik Puskesmas Baa Kabupaten Rote Ndao dengan tujuan untuk memberikan dukungan pengetahuan ibu rumah tangga tentang memanfaatkan pangan local menjadi produk biscuit bergizi sebagai makanan selingan kaya gizi. Target atau Sasaran kegiatan ini adalah : Kelompok Ibu hamil dan ibu-ibu yang mempunyai anak balita. Kegiatan dilaksanakan pada 7-8 Oktober 2022 dengan jumlah peserta penyuluhan sebanyak 35 orang ibu (Ibu hamil dan ibu balita). Adapun informasi yang akan diberikan adalah informasi tentang langkah penting dalam menyiapkan makanan selingan yang beragam, bergizi, seimbang, dan aman dari cemaran mikroba untuk anggota keluarga terutama anak balita. Sehingga, diharapkan dari kegiatan ini semua ibu balita mengetahui cara memilih dan menyiapkan makanan termasuk mengolah biscuit menjadi makanan bergizi bagi keluarga. Metode pelaksanaan kagiatan ini adalah “Penyuluhan Masyarakat” berbentuk penyuluhan yang bertujuan meningkatkan pemahaman dalam bidang kesehatan dan lingkup terkait didalamnya sehingga menyadarkan masyarakat akan pentingnya memelihara kesehatan dan hidup sehat. Menurut Wahjuti (2014) bahwa metode penyuluhan yang dilakukan dengan pendekatan kelompok seperti : Ceramah dan Demonstrasi Cara/Hasil. Hasil yang diperoleh adalah ibu balita dan ibu hamil dapat mengetahui cara mengolah pangan lokal menjadi makanan selingan (biscuit) yang bergizi; terjadinya perubahan pengetahuan, presepsi dan tindakan dari ibu rumah tangga tentang pemanfaatan dan pemberian makanan beragam, bergizi, sehat, dan aman berbasis pangan lokal.

Factors Influencing the Role of Religious Leaders in the Process Accelerate Stunting Response in East Nusa Tenggara Province Picauly, Intje; Adi, Anak Agung Ayu Mirah; Meiyetriani, Eflita; Mading, Majematang; Weraman, Pius; Nashriyah, Siti Fadhilatun; Hidayat, Ahmad Thohir; Boeky, Daniela L. Adeline; Lobo, Varry; Saleh, Asmulyati S.; Peni, Jane A.
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Stunting was the impact of chronic malnutrition in the long term and has an impact on children's growth and development disorders. Stunting has become a priority for the Indonesian government, including in the Province of East Nusa Tenggara with a stunting reduction target of 14% in 2024. The Indonesian governments have made many efforts to overcome stunting. Religious leaders are parties suspected of being able to play a role in the process. This study was aimed to determine the factors that influence the role of religious leaders in supporting the process of accelerating stunting reduction in the dry land area in East Nusa Tenggara. Subjects and Method: This was a mixed-method study. This study was conducted in May 2022 using the focus group discussion (FGD) method and involved 13 religious leaders who were taken purposively. The data collected were analyzed qualitatively (making interview transcripts) and quantitatively. The independent variables were level of understanding about stunting, support for policies/programs related to stunting, stunting program budget support, national program support: CATIN facilitation, and cross-sectoral cooperation support. The statistical analysis used is multiple logistic regression analysis. Results: Factors that significantly influence the role of religious leaders are the level of understanding of religious leaders about stunting (aOR= 3.50; 95% CI= 0.12 to 12.3; p= 0.010) and support factors for cross-sectoral cooperation (aOR= 2.00; 95% CI= 1.22 to 21.10; p= 0.007). Budget support for stunting related policies/ program (aOR= 2.40; 95% CI= 1.76 to 12.32; p= 0.621), support policy/ program related to stunting (aOR= 1.70; 95% CI= 1.27 to 7.32; p= 0.387), and national program, support “CATIN Mentoring” (aOR= 1.10; 95% CI= 0.37 to 21.02; p= 0.621) were statistically non-significant. Conclusion: Factors that influence the role of religious leaders were the level of understanding of religious leaders about stunting, support factors for cross-sectoral cooperation, budget support for stunting related policies, support policy related to stunting national program, and support “CATIN Mentoring”. Keywords: the role of religious leaders, acceleration of stunting prevention, chronic malnutrition. Correspondence:Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana. Jl. Adi Sucipto Penfui, Kupang, East Nusa Tenggara, Indonesia. Mobile: +62822-3714-5517. Email: intjepicauly@staf.undana.ac.id.

Relationships between Exclusive Breastfeeding, and History of Illness, and Stunting in Children Under Five Picauly, Intje
Journal of Maternal and Child Health Vol. 8 No. 1 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Exclusive breastfeeding can affect a child's immune system against infectious diseases and malnutrition. Children under five who experience repeated infectious diseases and malnutrition will have the opportunity to experience stunting problems. Riskesdas (2018) shows that the prevalence of stunting under five in the Province of East Nusa Tenggara (NTT) is higher (42.6%) than the average prevalence of stunting in Indonesia (30.8%). The results of the initial survey found that the coverage of exclusive breastfeeding was very low and the morbidity rate for children under five was still high in the Working Area of the Kokar Health Center, Alor Barat Laut District, Alor Regency, NTT. Subjects and Method: A case control study conducted in Adang Village, the work area of the Kokar Health Center, Alor Barat Laut District, Alor Regency in October-November 2021. The size of the study sample was 132 toddlers with 66 case samples and 66 control samples taken by simple random sampling. The dependent variable was the incidence of stunting. The independent variables were the history of exclusive breastfeeding and the history of illness. The analysis used is simple logistic regression analysis and followed by Odd Ratio (OR) analysis. Results: The history of exclusive breastfeeding (OR=4.57; CI95%= 1.58 to 13.21; p= 0.003) and the history of illness (OR=5.33; CI95%= 2.53 to 11.24; p <0.001) were associated with the incidence of stunting. Further test results showed that every child under five who had a history of bad exclusive breastfeeding had a 4.5 times greater risk of experiencing stunting and a child under five who had a history of illness more often had a 5.3 times greater risk of experiencing stunting. Conclusion: The incidence of stunting in the Northwest Alor District, Alor Regency, NTT Province is influenced by a history of exclusive breastfeeding and a history of infectious diseases or illness. Keywords: history of exclusive breastfeeding, history of illness, incidence of stunting, infectious diseases, nutritional intake Correspondence: Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana, Kupang City, East Nusa Tenggara, Indonesia, Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, Nusa Tenggara Timur.

Stunting Determinant Analysis in the East Mainland Province of East Nusa Tenggara for the Period of 2017-2021 Picauly, Intje; P Manongga, Stefanus; Adar, Damianus; CH Liufeto, Franchy
Journal of Maternal and Child Health Vol. 7 No. 6 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: The Mainland of Timor, East Nusa Tenggara Province (NTT) has a diverse regional topography with a high prevalence of stunting (>20%). The local government has taken preventive measures. However, the results show a very small reduction in the prevalence of stunting (±2-3%/year). This study aimed to determine the factors that influence the incidence of stunting in the Eastern Mainland Region, NTT Subjects and Method: This data was a cross-sectional study conducted in NTT, from in June to August 2022. A sample of 28 informants who were selected with the following considerations: officials from the Health Office, PUPR Service, Agriculture Service, and Regency/ City BPS data managers for the Eastern mainland region of NTT. The dependent variable was stunting. The independent variables were Availability of Public Health Workers, Infectious infectious diseases, Open defecation behavior, Family income level, Availability of clean water and proper sanitation, Exclusive breastfeeding, Posyandu visits, Program for giving iron tablets to young women, and Administration of Vitamin A. The data were analyzed by linear regression analysis. Results: Factors that influence the incidence of stunting were sanitation factors (b= -2.22; 95% CI= -3.52 to -0.91; p= 0.012), factor of pneumonia infection (b= 0.07; 95% CI= 0.01 to 0.13; p= 0.038), open defecation behavior factor (b= 2.60; 95% CI= 0.99 to 4.21; p= 0.014), and family income level factor (p= -1.21; 95% CI= -1.80 to -5.70; p= 0.009). Conclusion: The incidence of stunting in the East Mainland Region, NTT is influenced by factors: sanitation, pneumonia infection, open defecation behavior; and family income level. Keywords: stunting incidence, eastern mainland, sanitation factors, infectious diseases, pneumonia, open defecation. Correspondence:Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana, Kupang, Nusa Tenggara Timur, Indonesia, Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, Nusa Tenggara Timur. Mobile: +62822-3714-5517. Email: intjepicauly@staf.undana.ac.id.

PENTINGYA PERAN TOKOH AGAMA DALAM MENCEGAH STUNTING PADA ANAK di KECAMATAN KUPANG BARAT KABUPATEN KUPANG Marni; Intje Picauly
Jurnal Pengabdian pada Masyarakat Kepulauan Lahan Kering Vol. 4 No. 1 (2023): Volume 4 Nomor 1 Edisi April 2023
Publisher : Pergizi Pangan DPD NTT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51556/jpkmkelaker.v4i1.233

Stunting masih menjadi masalah kesehatan masyarakat yang cukup serius di Indonesia, terutama di wilayah-wilayah pedesaan dan terpencil di Kabupaten Kupang. Provinsi Nusa Tenggara Timur, angka prevalensi stunting mencapai 40,6% pada tahun 2018. Oleh karena itu, perlu dilakukan upaya pencegahan dan penanganan stunting di wilayah tersebut. Salah satu cara yang dapat dilakukan adalah melalui kegiatan pengabdian kepada masyarakat. Tokoh agama diharapkan dapat berperan aktif dalam mengedukasi masyarakat tentang pentingnya mencegah stunting pada anak. Kegiatan pelatihan dilaksanakan selama 1 hari dengan materi utama tentang masalah stunting pada anak. Pelatihan dihadiri oleh 15 tokoh agama dari berbagai agama yang ada di Kecamatan Kupang Barat. Pelatihan dilaksanakan secara tatap muka dengan memperhatikan protokol kesehatan yang telah ditetapkan. Pelatihan berhasil memberikan pemahaman yang cukup mendalam mengenai stunting pada anak kepada para peserta. Selain itu, para peserta juga memahami perbedaan antara anak stunting dan kerdil, penyebab stunting, dampak stunting pada anak, serta cara-cara mencegah stunting pada anak. Dalam pelatihan ini juga dihadirkan praktisi kesehatan sebagai narasumber yang memberikan wawasan mengenai stunting dan cara mencegahnya. Hasil evaluasi menunjukkan bahwa pelatihan ini berhasil memberikan dampak positif pada para peserta, terlihat dari peningkatan pemahaman mereka tentang stunting pada anak. Kegiatan pelatihan tokoh agama tentang stunting pada anak di Kupang Barat, Nusa Tenggara Timur, berhasil memberikan pemahaman yang cukup mendalam kepada para peserta mengenai stunting pada anak, perbedaannya dengan anak kerdil, penyebab, dampak, dan cara-cara mencegahnya. Pelatihan ini juga berhasil meningkatkan pemahaman dan kesadaran para tokoh agama dalam memainkan peran mereka dalam mencegah stunting pada anak di masyarakat.

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