Interactive Support in The Tambak Wedi Village Area of Surabaya City to Avoid Stunting
DOI:
https://doi.org/10.35882/ficse.v3i3.74Abstract
ABSTRACT Stunting remains a serious challenge for Indonesian society. The 2018 basic health research reported that the prevalence of stunting among toddlers reached 30.8%. The impact of stunting is not only on physical growth but also on cognitive development and the risk of diseases in adulthood. Community service plays a crucial role in supporting government efforts to address stunting through nutrition education, infant and child feeding practices, sanitation, hygiene, and family economic empowerment. Based on this, the involvement of higher education institutions is necessary to improve public health through an approach of interprofessional collaboration and interprofessional education designed in community service activities that focus on empowering communities through integrative assistance. This community service is carried out in 2024, located in Tambak Wedi Village, Surabaya. The activities conducted include training and assistance in the production of processed foods based on moringa leaves and fish, health education on healthy living behaviors, guidance on parenting and breastfeeding/MPASI, training for early detection of high-risk pregnancies for families, and checking hemoglobin and protein levels for pregnant women in a state of chronic energy deficiency who receive supplementary feeding based on moringa leaves and fish. At the beginning of the community service activities, the results of health and laboratory examinations were as follows: several mothers were found to have a mid-upper arm circumference (MUAC) below 23.5 cm, which may indicate a risk of chronic energy deficiency (CED). Pregnant women were still found with hemoglobin levels below 11 g/dL, indicating anemia during pregnancy. Additionally, protein levels in pregnant women were found to be 6.2 g/dL, and there was one stunted child and seven children in a pre-stunting condition. Following up on the results of the initial health examination, interventions were carried out for pregnant women with chronic energy deficiency and toddlers at risk of stunting by providing snacks made from moringa and fish for two weeks. The Surabaya Hebat cadres also received a refresher on early detection screening for high-risk pregnant women
INDEX TERMS Stunting, Moringa leaves and fish, Tambak Wedi
References
Kementerian PPN/Bappenas. Pedoman Pelaksanaan Intervensi Penurunan Stunting Terintegrasi di Kabupaten/Kota [Internet]. Rencana Aksi Nasional Dalam Rangka Penurunan Stunting: Rembuk Stunting. 2018 [cited 2022 Mar 16]. p. 1–51. Available from: https://www.bappenas.go.id
Kemenkes. Situasi Balita Pendek (Stunting) di Indonesia [Internet]. Buletin Jendela Data dan Informasi Kesehatan. 2018 [cited 2021 Jun 12]. Available from: https://pusdatin.kemkes.go.id/resources/download/pusdatin/buletin/Buletin-Stunting2018.pdf
Puspitadewi, T. R., & Nugraheni, W. T. The Impact of the Health Belief Model Booklet Intervention on Behavior about Preventing High Risk of Pregnancy. Health Notions, 2020:4(3), 89-93.
Astuti, N. I., Martanti, L. E., & Ariyanti, I. The Maternal Nutrition and Knowledge
Level in Stunting Children. Journal of Midwifery Science: Basic and Applied Research, 2020:2(2), 33-37.
Rabbani RZ, Savero RR, Sasmita KH. Sustainabilitas Dalam Perkembangan Permukiman Nelayan Di Kelurahan Tambak Wedi, Surabaya. RUSTIC: Jurnal Arsitektur. 2022;2(1):20-33.
Taufiqurrahman, J. Christyaningsih, The Effect of Moringa oleifera L. Against Serum Protein And Tissue In Pregnancy, Pharmacophore, 2021:12(6), Pages: 55-6.
Nafadza, R. F., Buanasita, A., & Nindya, T. S. Perbedaan Praktik Pemberian Makan dan Status Ketahanan Pangan Rumah Tangga pada Balita Status Gizi Kurang dan Normal. Amerta Nutrition, 2019:3(1), 63-70.
Buanasita, A., Jawawi, Utami, S. B., & Andriyanto. Education on Balanced Diet Recommendation to Improve Mother's Compliance in Better Diet and Nutrient Intake for Stunted Children in Surabaya, Indonesia. In Annals of Nutrition And Metabolism. 2019: 75, Pp. 87-87. Allschwilerstrasse 10, Ch-4009 Basel, Switzerland: Karger.
Suyanto, B., & Indraswati, D. Development of Solar Chlorinator for Clean Water Disinfection for Communities. Aloha International Journal of Health Advancement (AIJHA), 2021: 4(2), 40-44.
Sharma R, Biedenharn KR, Fedor JM, Agarwal A. Lifestyle factors and reproductive health: taking control of your fertility. Reprod Biol Endocrinol. 2013;11:66
Rasmussen KM, Yaktine AL, editors. Weight Gain During Pregnancy: Reexamining the Guidelines. Washington (DC): National Academies Press (US); 2009.
Kementerian Kesehatan RI. Pedoman Gizi Seimbang. Jakarta: Kementerian Kesehatan RI; 2014.
Black RE, Victora CG, Walker SP, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-451.
World Health Organization. Hemoglobin concentrations for the diagnosis of anemia and assessment of severity. Geneva: World Health Organization; 2011.
Kassa GM, Muche AA, Berhe AK, Fekadu GA. Prevalence and determinants of anemia among pregnant women in Ethiopia; a systematic review and meta-analysis. BMC Hematol. 2017;17:17.
Stephens TV, Payne M, Ball RO, Pencharz PB, Elango R. Protein requirements of healthy pregnant women during early and late gestation are higher than current recommendations. J Nutr. 2015;145(1):73-78.
Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., & Webb, P. (2013). Evidence-based interventions for improving maternal and child nutrition: What can be done and at what cost? Lancet, 382(9890), 452-477. doi:10.1016/S0140-6736(13)60996-4
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., & Ezzati, M. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet, 382(9890), 427-451. doi:10.1016/S0140-6736(13)60937-X
Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2010). Maternal and child undernutrition: Consequences for adult health and human capital. Lancet, 371(9609), 340-357. doi:10.1016/S0140-6736(07)61692-4
Jadhav, A., & Rao, P. S. (2020). The Impact of Maternal Nutrition on Stunting: A Case Study from India and Nigeria. Global Health Action, 13(1), 1848887. doi:10.1080/16549716.2020.1848887
Ruel, M. T., & Alderman, H. (2013). Nutrition-sensitive interventions and programs: How can they help to accelerate progress in improving maternal and child nutrition? Lancet, 382(9891), 536-551. doi:10.1016/S0140-6736(13)60843-0
Shankar, A. H., & Prasad, A. S. (1998). Zinc and immune function: The biological basis of altered resistance to infection. The American Journal of Clinical Nutrition, 68(2 Suppl), 447S-463S. doi:10.1093/ajcn/68.2.447S
Nguyen, P. H., & Frongillo, E. A. (2014). Maternal and child nutrition programs and policies in low and middle-income countries: A review of the evidence. Food and Nutrition Bulletin, 35(4), 567-580. doi:10.1177/156482651403500410
Haddad, L., & Hawkes, C. (2016). Shaping the future: How to achieve food security and improve nutrition. World Development, 78, 160-174. doi:10.1016/j.worlddev.2015.10.002
Downloads
Published
Issue
Section
License
Copyright (c) 2024 museyaroh museyaroh

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.