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Abstract
Stunting is one of the main nutritional problems that is still common in children under five and has serious health impacts. The results of National Health Research (Riskesdas) in 2018 showed the prevalence of stunting at 30.8%, indicating that 1 out of 3 Indonesian children are still stunted. Probolinggo Regency is a priority area for stunting handling in 2019 with a prevalence of 50.2% according to a report from the National Team for the Acceleration of Poverty Reduction (TNP2K). One of the factors that directly affect the incidence of stunting is low birth weight (LBW), while the mothers' knowledge level of health is an indirect factor that affects the growth conditions of children under five. The purpose of this study was to analyze the effect of providing stunting early detection education on maternal knowledge regarding stunting prevention. This is a pre experimental research study with one group pre-post test design, children aged 0-24 months as the research subjects. The case group consisted of stunted children (BL/A <-2 SD Z-score), while the control group consisted of normal children according to the BL/U indicator. The number of research subjects for the case and control groups was 40 with mothers of the toddlers as research respondents. The samples were selected using total sampling technique. Data were analyzed using dependent T test and linear regression. The results suggested that at the beginning of the session before provided education about early detection of stunting, mothers with stunting toddlers had lower level of knowledge (73.3%) than those with normal toddlers (77%). After provided with education, the knowledge level of mothers with stunted toddlers appreared to be higher (89%) than those with normal children (87.6%), with significant increase in each group (P <0.05). It can be concluded that education on stunting detection can significantly improve mothers' knowledge regarding the prevention of stunting in children aged 0-24 months. Providing regular education, both by nutrition workers at the health center and integrated service post (posyandu) cadres, is necessary as an effort to prevent stunting to the maximum.
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References
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- WHO. Guidelines for Preventing Early Pregnancy and Poor Reproductive Outcome in Adolescents in Developing Countries. (2011).
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References
Andriani, W. O. S., Rezal, F., & Nurzalmariah, WD. ST. (2017). Perbedaan Pengetahuan, Sikap, dan Motivasi Ibu Sesudah Diberikan Program Mother Smart Grounding (MSG) Dalam Pencegahan Stunting. Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat, 2(6), 250-731.
Bishwakarma, R. & Vanneman, R. D. Spatial Inequality in Child Nutrition : Implications of Regional Context and Individual/Household Composition. Disertasi Univ. Maryland, Coll. Park 119–140 (2011).
Budiman & Riyanto. Kapita Selekta Kuesioner Pengetahuan dan Sikap dalam Penelitian Kesehatan. (Salemba, 2013).
Chamilia, D. & Nindya, T. S. Hubungan Riwayat Penyakit Diare dan Praktik Higiene dengan Kejadian Stunting pada Balita Usia 24-59 Bulan di Wilayah Kerja Puskesmas Simolawang, Surabaya. Amerta Nutr. 1, 243–251 (2017).
Crookston B et al. Children Who Recover from Early Stunting and Children Who Are Not Stunted Demonstrate Similar Levels of Cognition. Am Soc Nutr. 2010
EPPGBM, Dinas Kesehatan Jawa Timur, 2019
Hati F. S. & Pratiwi, A. M. (2019). The Effect of Education Giving on the Parent's Behavior about Growth Stimulation in Children with Stunting. NurseLine Journal, 4(1) 12-20
Kementrian Kesehatan. Makanan Sehat untuk Bayo. 2013. Diakses pada depkes.go.id
Kurniasih D, Hilmansyah H, Astuti M, Imam S. Sehat & bugar berkat gizi seimbang. Jakarta: Kompas Gramedia; 2010.
Kosasih, C. E., Isabella, C., & Sriati, A. (2012). Upaya Peningkatan Gizi Balita Mela-lui Pelatihan Kader Kesehatan. Jurnal Media Karya Kesehatan, 1(1), 90–100.
Mubarak, W., Chayatin, N., Rozikin, K. & Supradi. in Graha Ilmu (2007).
Prendergast, A. J. & Humphrey, J. H. The stunting syndrome in developing countries. Paediatr. Int. Child Health 34, 250–265 (2014).
Rahmawati, A., Bahar, B. & Salam, A. in 1–16 (Program Studi Ilmu Gizi Fakultas Kesehatan Mayarakat Universitas Hasanuddin, 2012).
RISET KESEHATAN DASAR, KEMENKES.. Jakarta: Badan Penelitian dan Pengembangan Kesehtan Kementerian Kesehatan RI Tahun 2013; 2013.
Sediaoetama, A. . Ilmu gizi untuk mahasiswa dan profesi. PT.Dian Rakyat, 2010.
Soetjiningsih. Tumbuh kembang anak. Jakarta: Buku Kedokteran EGC, 2012
Soetjiningsih, I G. N. G, Ranuh. Tumbuh Kembang Anak Edisi 2. Jakarta: EGC, 2014
TNP2K. 100 Kabupaten/ Kota Prioritas Untuk Intervensi Anak Kerdil (Stunting). 1st ed. Jakarta: Tim Nasional Percepatan Penanggulangan Kemiskinan; 2017.
Unicef. Gizi Ibu & Anak. Unicef Indonesia. 2012;1–6.
UNICEF. Improving Child Nutrition: The achievable imperative for global progress. 2013;
UNS/SCN. Maternal Nutrition and the Intergenerational Cycle of Growth Failure Sixth Report on the World Nutrition Situation. (2013).
WHO. Guidelines for Preventing Early Pregnancy and Poor Reproductive Outcome in Adolescents in Developing Countries. (2011).
Zaki, I., Farida, F., & Sari, H. P. (2018). Peningkatan Kapasitas Kader Posyandu Melalui Pelatihan Pemantauan Status Gizi Balita. Jurnal Pengabdian Kepada Masyarakat (Indonesian Journal of Community Engagement), Vol. 3, pp. 169–177.