Knowledge and skills in combating stunting in toddlers in Aceh Besar regency (a comparative study of BKKBN cadres with Integrated Service Post cadres)
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Mar 26, 2024
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Abstract
Stunting is a critical issue with irreversible consequences on children's growth and development. In Ingin Jaya and Indrapuri districts, stunting is a significant concern. This research examined the knowledge and skills of TPK and Posyandu cadres in tackling stunting in Aceh Besar Regency. The study included 50 TPK cadres and 50 Integrated Service Post cadres actively engaged in Want Jaya and Indrapuri districts in 2022. Analysis revealed no significant differences in knowledge (P=0.562) and skills (P=0.445) between the cadres. Cadres' motivation level emerged as the most influential factor impacting stunting prevalence, with lower motivation associated with a 4.67% increase in stunting village score (P=0.030). These findings offer valuable insights for addressing stunting and inform effective management strategies in rural areas. While no significant differences were found in knowledge, skills, education, and occupation between TPK and Integrated Service Post cadres in Aceh Besar District, variations were observed in the distance from the village to the district capital. Inadequate knowledge and motivation in both cadre groups significantly affect efforts to combat toddler stunting.
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How to Cite
Majid, A., Hermansyah, H., Zahara, M., Abdullah, A. and Hafnidar, H. (2024) “Knowledge and skills in combating stunting in toddlers in Aceh Besar regency (a comparative study of BKKBN cadres with Integrated Service Post cadres)”, Science Midwifery, 12(1), pp. 187-196. doi: 10.35335/midwifery.v12i1.1436.
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Hastuti, Hadju, V., Citrakesumasari, & Maddeppungeng, M. (2020). Stunting prevalence and its relationship to birth length of 18–23 months old infants in Indonesia. Enfermeria Clinica, 30, 205–209. https://doi.org/10.1016/j.enfcli.2019.10.069
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Megawati, G., & Wiramihardja, S. (2019). PENINGKATAN KAPASITAS KADER POSYANDU DALAM MENDETEKSI DAN MENCEGAH STUNTING. Dharmakarya, 8(3), 154. https://doi.org/10.24198/DHARMAKARYA.V8I3.20726
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Utami, R. A., Setiawan, A., & Fitriyani, P. (2019). Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia. Enfermería Clínica, 29, 606–611. https://doi.org/10.1016/J.ENFCLI.2019.04.093
Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: an overview of global burden, trends, determinants, and drivers of decline. The American Journal of Clinical Nutrition, 112(Suppl 2), 777S. https://doi.org/10.1093/AJCN/NQAA159
Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2008). Maternal and child undernutrition: consequences for adult health and human capital. Lancet (London, England), 371(9609), 340–357. https://doi.org/10.1016/S0140-6736(07)61692-4
Afifa, I. (2019). Kinerja Kader dalam Pencegahan Stunting: Peran Lama Kerja sebagai Kader, Pengetahuan dan Motivasi. Jurnal Kedokteran Brawijaya, 30(4), 336–341. https://doi.org/10.21776/UB.JKB.2019.030.04.19
Agustikawati, N., Studi Kesehatan Masyarakat, P., Tinggi Ilmu Kesehatan Griya Husada Sumbawa, S., Lingkar Kebayan-Sumbawa, J., Tenggara Barat, N., Ilmu Kesehatan Masyarakat, J., Agung Ngurah Ketut Riyadi, A., Putu Yuliastuti, L., Setianingsih, F., & Studi Kebidanan, P. (2023). Efektivitas Penanggulangan Stunting Melalui Pendampingan Kelas Gizi dengan Pendekatan Interprofesional Collaboration (IPC). Jurnal Ilmu Kesehatan Masyarakat, 12(04), 296–303. https://doi.org/10.33221/JIKM.V12I04.2182
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/MCN.12617
Bernike, S., Sitorus, M., Made, N., Nilasanti Parwata, R., & Noya, F. (2021). Pengaruh Pendampingan Terhadap Pengetahuan dan Keterampilan Kader Posyandu dalam Deteksi Dini Stunting. Poltekita : Jurnal Ilmu Kesehatan, 15(3), 283–287. https://doi.org/10.33860/JIK.V15I3.459
Bhutta, Z. A., Ahmed, T., Black, R. E., Cousens, S., Dewey, K., Giugliani, E., Haider, B. A., Kirkwood, B., Morris, S. S., Sachdev, H., & Shekar, M. (2008). What works? Interventions for maternal and child undernutrition and survival. Lancet (London, England), 371(9610), 417–440. https://doi.org/10.1016/S0140-6736(07)61693-6
Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., Webb, P., Lartey, A., & Black, R. E. (2013). Evidence-based interventions for improvement of maternal and child nutrition: what can be done and at what cost? Lancet (London, England), 382(9890), 452–477. https://doi.org/10.1016/S0140-6736(13)60996-4
de Onis, M., & Branca, F. (2016a). Childhood stunting: a global perspective. Maternal & Child Nutrition, 12 Suppl 1(Suppl 1), 12–26. https://doi.org/10.1111/MCN.12231
de Onis, M., & Branca, F. (2016b). Childhood stunting: A global perspective. Maternal and Child Nutrition, 12, 12–26. https://doi.org/10.1111/MCN.12231
Dewey, K. G., & Adu-Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal & Child Nutrition, 4 Suppl 1(Suppl 1), 24–85. https://doi.org/10.1111/J.1740-8709.2007.00124.X
Fadmi, F. R., Kuntoro, Otok, B. W., & Melaniani, S. (2023). Stunting incident prevention: a systematic literature review. Journal of Public Health in Africa, 14(S2). https://doi.org/10.4081/JPHIA.2023.2547
Fernald, L. C. H., Kariger, P., Hidrobo, M., & Gertler, P. J. (2012). Socioeconomic gradients in child development in very young children: Evidence from India, Indonesia, Peru, and Senegal. Proceedings of the National Academy of Sciences of the United States of America, 109(SUPPL.2), 17273–17280. https://doi.org/10.1073/PNAS.1121241109
Giles, J., & Satriawan, E. (2015). Protecting child nutritional status in the aftermath of a financial crisis: Evidence from Indonesia. Journal of Development Economics, 114, 97–106. https://doi.org/10.1016/J.JDEVECO.2014.12.001
Goudet, S. M., Bogin, B. A., Madise, N. J., & Griffiths, P. L. (2019). Nutritional interventions for preventing stunting in children (Birth to 59 months) living in urban slums in low-and middle-income countries (LMIC). Cochrane Database of Systematic Reviews, 2019(6). https://doi.org/10.1002/14651858.CD011695.PUB2
Handayani, T. P., Tarawan, V. M., & Nurihsan, J. (2019). PENINGKATAN PENGETAHUAN DAN SIKAP KADER TENTANG STUNTING PADA BALITA USIA 12 – 36 BULAN MELALUI PENERAPAN APLIKASI ANAK BEBAS STUNTING (ABS). Jurnal Kebidanan Malahayati, 5(4), 357–363. https://doi.org/10.33024/JKM.V5I4.2058
Hastuti, Hadju, V., Citrakesumasari, & Maddeppungeng, M. (2020). Stunting prevalence and its relationship to birth length of 18–23 months old infants in Indonesia. Enfermeria Clinica, 30, 205–209. https://doi.org/10.1016/j.enfcli.2019.10.069
Indari, I., Asri, Y., Utami, V. C., Setyowati, I., & Nurwinda, S. (2022). Pembentukan Kader Remaja dan Pelatihan Posyandu Remaja di Desa Sidorahayu Wagir MalangPembentukan Kader Remaja dan Pelatihan Posyandu Remaja di Desa Sidorahayu Wagir Malang. JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM), 5(11), 3737–3748. https://doi.org/10.33024/JKPM.V5I11.7337
Kemenkes RI, 2021). - Google Scholar. (n.d.). Retrieved September 25, 2023, from https://scholar.google.com/scholar?hl=id&as_sdt=0%2C5&q=Kemenkes+RI%2C+2021%29.+&btnG=#d=gs_cit&t=1695659034976&u=%2Fscholar%3Fq%3Dinfo%3Ao2ZMFjL9Cl8J%3Ascholar.google.com%2F%26output%3Dcite%26scirp%3D0%26hl%3Did
Kumala Dewi, E., Patria Jati, S., & Suryoputro Program Magister Kesehatan Masyarakat, A. (2024). Optimalisasi Peran Lintas Sektor dalam Pelaksanaan Posyandu Remaja. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 14(3), 1011–1026. https://doi.org/10.32583/PSKM.V14I3.1935
Megawati, G., & Wiramihardja, S. (2019). PENINGKATAN KAPASITAS KADER POSYANDU DALAM MENDETEKSI DAN MENCEGAH STUNTING. Dharmakarya, 8(3), 154. https://doi.org/10.24198/DHARMAKARYA.V8I3.20726
Onyango, A. W., Borghi, E., de Onis, M., Frongillo, E. A., Victora, C. G., Dewey, K. G., Lartey, A., Bhandari, N., Baerug, A., & Garza, C. (2015). Successive 1-month weight increments in infancy can be used to screen for faltering linear growth. Journal of Nutrition, 145(12), 2725–2731. https://doi.org/10.3945/jn.115.211896
Purnamasari, D. (2019). The Emergence of Non-communicable Disease in Indonesia. Acta Medica Indonesiana, 50(4), 273. https://actamedindones.org/index.php/ijim/article/view/1028
Rohmayanti, Ludin, A. F., Utama, M. R. P., Aminuha, R., & Pradana, A. B. (2022). Pemberdayaan Kader Posyandu Dalam Upaya Pencegahan Stunting Di Desa Tembelang, Candimulyo, Magelang. Jurnal Pengabdian Pada Masyarakat, 7(2), 347–358. https://doi.org/10.30653/002.202272.68
Sullivan, L. M. (2016). Reaching the Global Target to Increase Exclusive Breastfeeding: How Much Will It Cost and How Can We Pay for It? Breastfeeding Medicine, 11(8), 413–415. https://doi.org/10.1089/BFM.2016.0128
Suwarni, L., Selviana, S., Octrisyana, K., & Vidyastuti, V. (2020). PENDAMPINGAN DAN PENINGKATAN KAPASITAS KADER RELAWAN STUNTING DI WILAYAH KERJA PUSKESMAS RASAU JAYA KALIMANTAN BARAT. JMM (Jurnal Masyarakat Mandiri), 4(2), 249–255. https://doi.org/10.31764/JMM.V4I2.2017
Syafrawati, S., Lipoeto, N. I., Masrul, M., Novianti, N., Gusnedi, G., Susilowati, A., Nurdin, A., Purnakarya, I., Andrafikar, A., & Umar, H. B. (2023). Factors driving and inhibiting stunting reduction acceleration programs at district level: A qualitative study in West Sumatra. PLOS ONE, 18(3). https://doi.org/10.1371/JOURNAL.PONE.0283739
Titaley, C. R., Ariawan, I., Hapsari, D., Muasyaroh, A., & Dibley, M. J. (2019). Determinants of the Stunting of Children Under Two Years Old in Indonesia: A Multilevel Analysis of the 2013 Indonesia Basic Health Survey. Nutrients, 11(5). https://doi.org/10.3390/NU11051106
Utami, R. A., Setiawan, A., & Fitriyani, P. (2019). Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia. Enfermería Clínica, 29, 606–611. https://doi.org/10.1016/J.ENFCLI.2019.04.093
Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: an overview of global burden, trends, determinants, and drivers of decline. The American Journal of Clinical Nutrition, 112(Suppl 2), 777S. https://doi.org/10.1093/AJCN/NQAA159
Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2008). Maternal and child undernutrition: consequences for adult health and human capital. Lancet (London, England), 371(9609), 340–357. https://doi.org/10.1016/S0140-6736(07)61692-4