A Qualitative Study on Secondary School Teacher's Perceptions of Stunting in Majene District, West Sulawesi Province
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Background: Stunting remains a major public health problem in Majene, Indonesia. School-based nutrition education is an effective strategy to reduce the prevalence of stunting in all settings. The teachers are the key to implementing the strategy in order to improve the students' behavior and nutritional status.
Purpose: The study aimed to explore the teachers' perceptions about stunting.
Method: A qualitative case-study approach was employed using two focus group discussions in four secondary schools. The study participants were teachers of biology, physical education and health science, and religious subjects or supervisor of school extracurricular activities. A total of 22 teachers were interviewed following the guidelines and were recorded using a camera and tape recorder. The transcription process was done using an inductive-interactive model.
Result: The perceptions of teachers about stunting are varied. It might be due to teachers' knowledge, value, and experiences, which also diverged. One teacher perceived that stunting is a mismatch between the child's weight and age, while another perceived genetics as the main cause. Interestingly, a teacher perceived that stunting is related to religion. Prayer has function as a spirit in creating a mindset towards food and drinks. Likewise, the prevention of stunting is also through worship and prayer during pregnancy. Low cognitive skill and productivity, illness, and detrimental to the state are the common impacts of stunting. In addition, teachers also mentioned that there are several agencies involved in the stunting intervention programs, including BPOM.
Conclusion: There were variations of teacher perceptions about stunting definition, causes, impacts, prevention, and implementers of stunting programs.
Raiten, D. J. & Bremer, A. A. Exploring the nutritional ecology of stunting: new approaches to an old problem. Nutrients 12, 371 (2020).
Fanzo, J. et al. 2018 Global Nutrition Report: Shining a light to spur action on nutrition. (2018).
Seidell, J. C. & Halberstadt, J. The global burden of obesity and the challenges of prevention. Ann. Nutr. Metab. 66, 7–12 (2015).
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D. & Neufeld, L. M. A review of child stunting determinants in Indonesia. Matern. Child Nutr. 14, e12617 (2018).
Organization, W. H. Global nutrition targets 2025: Stunting policy brief. (2014).
FAO, UNICEF, WFP & WHO. Compendium-Final Report Zero Hunger Challenge Working Groups Zero Stunted Children Less Than 2 Years Overall concordance reached by the High level Task Force of Global Food and Nutrition Security entities. 7–10 (2015).
Global Nutritional Report. Global nutrition report: Action on equity to end malnutrition. Bristol, UK Dev. Initiat. (2020).
Hall, C. et al. Maternal knowledge of stunting in rural Indonesia. Int. J. Child Heal. Nutr. 7, 139–145 (2018).
Wicaksono, F. & Harsanti, T. Determinants of stunted children in Indonesia: A multilevel analysis at the individual, household, and community levels. Kesmas J. Kesehat. Masy. Nas. (National Public Heal. Journal) 15, 48–53 (2020).
Sefrina, L. R. & Elvandari, M. Pelatihan Penilaian Status Gizi pada Guru dalam Rangka Deteksi Siswa Stunting di Sekolah Dasar. Dharmakarya 9, 4–7 (2020).
Syihab, S. & Kumalasari, I. Nutrition Education for Preventing Stunting in Elementary Schools: A Systematic Review. TEGAR J. Teach. Phys. Educ. Elem. Sch. 4, 5–10.
Maehara, M. et al. Patterns and risk factors of double burden of malnutrition among adolescent girls and boys in Indonesia. PLoS One 14, e0221273 (2019).
RI, B. K. Hasil Utama RISKESDAS 2018. (2018).
Christian, P. & Smith, E. R. Adolescent undernutrition: global burden, physiology, and nutritional risks. Ann. Nutr. Metab. 72, 316–328 (2018).
Yin, R. K. Case study research design and methods third edition. Appl. Soc. Res. methods Ser. 5, (2003).
O. Nyumba, T., Wilson, K., Derrick, C. J. & Mukherjee, N. The use of focus group discussion methodology: Insights from two decades of application in conservation. Methods Ecol. Evol. 9, 20–32 (2018).
Mishra, L. Focus group discussion in qualitative research. Techno Learn 6, 1 (2016).
Miles, M. B. & Huberman, A. M. Qualitative data analysis: An expanded sourcebook. (sage, 1994).
Liem, S., Panggabean, H. & Farady, R. M. Persepsi sosial tentang stunting di Kabupaten Tangerang. J. Ekol. Kesehat. 18, 37–47 (2019).
Organization, W. H. Reducing stunting in children: equity considerations for achieving the Global Nutrition Targets 2025. (2018).
Organization, W. H. Childhood stunting: context, causes and consequences. WHO Concept. Framew. (2013).
Sarma, H. et al. Factors influencing the prevalence of stunting among children aged below five years in Bangladesh. Food Nutr. Bull. 38, 291–301 (2017).
Suhardin, S., Indarwati, R., Meo, C. M., Sari, N. K. P. M. & Halimatunnisa, M. Social-Cultural Aspect of Stunting: A Systematic Review. Int. J. Psychosoc. Rehabil. 24, (2020).
De Onis, M. & Branca, F. Childhood stunting: a global perspective. Matern. Child Nutr. 12, 12–26 (2016).
Goudet, S. M., Griffiths, P. L., Bogin, B. A. & Madise, N. J. Nutritional interventions for preventing stunting in children (0 to 5 years) living in urban slums in low and middle"income countries (LMIC). Cochrane Database Syst. Rev. 2015, (2015).
Paudel, M., Javanparast, S., Dasvarma, G. & Newman, L. Religio-cultural factors contributing to perinatal mortality and morbidity in mountain villages of Nepal: Implications for future healthcare provision. PLoS One 13, e0194328 (2018).
Démuth, A. Teórie percepcie. (2013).
Qiong, O. U. A brief introduction to perception. Stud. Lit. Lang. 15, 18–28 (2017).
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