Strategi Peningkatan Pengetahuan, Sikap, dan Praktik Responsive Feeding untuk Pencegahan Stunting pada Balita

Authors

  • Rachma Purwanti Universitas Diponegoro
  • Ani Margawati Universitas Diponegoro
  • Hartanti Sandi Wijayanti Universitas Diponegoro
  • Ayu Rahadiyanti Universitas Diponegoro
  • Dewi Marfu'ah Kurniawati Universitas Diponegoro
  • Deny Yudi Fitranti Universitas Diponegoro

DOI:

https://doi.org/10.30656/jpmwp.v7i2.5874

Keywords:

Balita, Komunikasi Informasi Edukasi, Responsive Feeding, Stunting

Abstract

Salah satu faktor risiko utama dari stunting yaitu asupan gizi yang kurang dalam waktu cukup lama akibat pemberian makanan yang tidak sesuai. Pemenuhan kebutuhan gizi balita dapat dioptimalkan salah satunya dengan pemberian makan yang responsif. Saat ini pengetahuan, sikap dan praktik Responsive Feeding di Indonesia masih sangat rendah (≤30%), demikian pula di Kota Semarang. Upaya peningkatan pengetahuan, sikap, dan praktik Responsive Feeding pada balita perlu dilakukan melalui strategi Komunikasi Informasi Edukasi (KIE) terpadu meliputi edukasi dan Small Group Discussion (SGD). Program dilaksanakan selama 8 bulan (April-November 2022) di wilayah Puskesmas Lamper Tengah, Kota Semarang. Media yang digunakan yaitu modul edukasi, power point presentation, dan kartu edukasi. Kartu edukasi Responsive Feeding terdiri dari 5 kartu yang menggambarkan praktik pemberian makan Responsive Feeding. Sasaran program adalah ibu balita. Edukasi berjalan dengan lancar dan diakhiri dengan diskusi dan tanya jawab antar peserta dan pelaksana pengabdian masyarakat. Hasil dari program menunjukkan bahwa terdapat peningkatan rerata skor pengetahuan, sikap, dan praktik responsive feeding setelah program dilaksanakan. Rerata skor pengetahuan sebelum intervensi sebesar 18,72 meningkat menjadi 20,15. Rerata skor sikap sebelum intervensi sebesar 91,2 meningkat menjadi 94,2. Rerata skor praktik sebelum intervensi sebesar 10,22 meningkat menjadi 10,5. Sebelum dilaksanakannya program, praktik Responsive Feeding dilaksanakan secara lengkap (meliputi 5 indikator) oleh 22% ibu balita. Setelah program dilaksanakan, praktik Responsive Feeding secara lengkap dilaksanakan oleh 27% ibu balita. 

Downloads

Download data is not yet available.

References

Aboud, F. E., Moore, A. C., & Akhter, S. (2008). Effectiveness of a community-based responsive feeding programme in rural Bangladesh: a cluster randomized field trial. Maternal & Child Nutrition, 4(4), 275–286. https://doi.org/10.1111/j.1740-8709.2008.00146.x

Aboud, F. E., Shafique, S., & Akhter, S. (2009). A Responsive Feeding Intervention Increases Children’s Self-Feeding and Maternal Responsiveness but Not Weight Gain ,. The Journal of Nutrition, 139(9), 1738–1743. https://doi.org/10.3945/jn.109.104885

Allen, K. L., Gibson, L. Y., McLean, N. J., Davis, E. A., Byrne, S. M., Argenti, M., Birch, L. L. L., Savage, J. J. S., Ventura, A., Fisher, J. O. J. J. O., Black, M. M., Hurley, K. M., Brown, R., Co-investigator, N., Coon, K. A., Goldberg, J., Rogers, B. L., Tucker, K. L., Craemer, M. D. E., … Children, U. N. (2011). Responsive Feeding and Child Undernutrition in Low- and Middle-Income Countries. International Journal of Behavioral Nutrition and Physical Activity, 100(1), 1–10. https://doi.org/10.3945/jn.110.130005

Black, M. M., & Aboud, F. E. (2011). Responsive Feeding Is Embedded in a Theoretical Framework of Responsive Parenting. The Journal of Nutrition, 141(3), 490–494. https://doi.org/10.3945/jn.110.129973

Blaney, S., Februhartanty, J., & Sukotjo, S. (2015). Feeding practices among Indonesian children above six months of age: A literature review on their magnitude and quality. Asia Pacific Journal of Clinical Nutrition, 24(1), 16–27. https://doi.org/10.6133/apjcn.2015.24.1.14

Briliantika, F. (2016). Faktor Determinan Perilaku Responsive Feeding pada Balita Stunting Usia 6 - 36 Bulan. Jurnal of Nutrition College, 5(3), 120–129. https://ejournal3.undip.ac.id/index.php/jnc/article/view/16378

Daelmans, B., Darmstadt, G. L., Lombardi, J., Black, M. M., Britto, P. R., Lye, S., Dua, T., Bhutta, Z. A., & Richter, L. M. (2017). Early childhood development: the foundation of sustainable development. The Lancet, 389(10064), 9–11. https://doi.org/10.1016/S0140-6736(16)31659-2

De Onis, M. (2004). Methodology for estimating regional and global trends of child malnutrition. International Journal of Epidemiology, 33(6), 1260–1270. https://doi.org/10.1093/ije/dyh202

Edelstein, S. (2013). Life Cycle Nutrition. In Journal of Chemical Information and Modeling (Vol. 53, Issue 9, pp. 1689–1699). https://doi.org/10.1017/CBO9781107415324.004

Engle, P. L., & Pelto, G. H. (2011). Responsive Feeding: Implications for Policy and Program Implementation. The Journal of Nutrition, 141(3), 508–511. https://doi.org/10.3945/jn.110.130039

Escamilla, P., Rafael, Pérez, S., & Megan, S. (2017). Feeding Patterns, and Weight Status for Infants and Toddlers from Birth to 24 Months. Feeding Guidelines for Infants and Young Toddlers: A Responsive Parenting Appro. Durham, NC: Healthy Eating Research, 7(1), 1–68. https://healthyeatingresearch.org/research/feeding-guidelines-for-infants-and-young-toddlers-a-responsive-parenting-approach/

Kementerian Kesehatan. (2018). Hasil Utama Riset Kesehatan Dasar. In Kementrian Kesehatan Republik Indonesia. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf

Latifah, U., Prastiwi, ratih S., & Barokah, U. (2020). The Responsive Feeding Behavior and Stunting Incidence on Toddlers. Jurnal Kebidanan, 10(2), 143–148. https://ejournal.poltekkes-smg.ac.id/ojs/index.php/jurkeb/article/view/6286

Lewit, E. M., & Kerrebrock, N. (2019). Population-based growth stunting. The Future of Children. Children and Poverty, 7(2), 149–156. https://pubmed.ncbi.nlm.nih.gov/9299843/

Novitasari, P. D., & Wanda, D. (2020). Maternal Feeding Practice and Its Relationship with Stunting in Children. Pediatric Reports, 12(11), 8698. https://doi.org/10.4081/pr.2020.8698

Perez-Escamilla, R., Bermudez, O., Buccini, G. S., Kumanyika, S., Lutter, C. K., Monsivais, P., & Victora, C. (2018). Nutrition disparities and the global burden of malnutrition. BMJ, 361, k2252. https://doi.org/10.1136/bmj.k2252

Pérezâ€Escamilla, R., Seguraâ€Pérez, S., & Hall Moran, V. (2019). Dietary guidelines for children under 2 years of age in the context of nurturing care. Maternal & Child Nutrition, 15(3), 2–4. https://doi.org/10.1111/mcn.12855

Pérez-Escamilla, R., Segura-Pérez, S., & Lott, M. (2017). On behalf of the RWJF HER Expert Panel on Best Practices for Promoting Healthy Nutrition, Feeding Patterns, and Weight Status for Infants and Toddlers from Birth to 24 Months. Feeding Guidelines for Infants and Young Toddlers: A Responsive Parenting Appro. Durham, NC: Healthy Eating Research, February, 68. https://healthyeatingresearch.org/wp-content/uploads/2017/02/her_feeding_guidelines_report_021416-1.pdf

Purwanti, R., Margawati, A., Wijayanti, H. S., Rahadiyanti, A., Kurniawati, D. M., & Fitranti, D. Y. (2022). Self-monitoring book : pemberian makan Responsive Feeding pada balita. Departemen Ilmu Gizi Fakultas Kedokteran Universitas Diponegoro.

Pusat Data dan Informasi Kementerian Kesehatan RI. (2018). Situasi balita pendek (stunting) di Indonesia. In Buletin Jendela Data dan Informasi Kesehatan. http://repository.bkpk.kemkes.go.id/3512/1/Pendek %28Stunting%29 di Indonesia.pdf

Ray, M., & Jat, K. R. (2010). Effect of electronic media on children. Indian Pediatrics, 47(7), 561–568. https://doi.org/10.1007/s13312-010-0128-9

Robert, R., Creed-Kanashiro, H., Marin, M., & Penny, M. (2021). Responsive Feeding Is Associated With Minimum Dietary Diversity in Rural Areas of Peru, Nicaragua and Indonesia. Current Developments in Nutrition, 5, 682. https://doi.org/10.1093/cdn/nzab045_064

Septamarini, R. G., Widyastuti, N., & Purwanti, R. (2019). Hubungan pengetahuan dan sikap responsive feeding dengan kejadian stunting pada baduta usia 6-24 bulan di wilayah kerja Puskesmas Bandarharjo, Semarang. Journal of Nutrition College, 8(1), 17–21. https://doi.org/10.14710/jnc.v8i1.23808

Silva, M. B. (2016). Percepção da população assistida sobre a inserção de estudantes de medicina na Unidade Básica de Saúde. Trabalho de Conclusão de Curso, 1(9), 1–10. https://doi.org/10.1017/CBO9781107415324.004

Tim Nasional Percepatan Penanggulangan Kemiskinan. (2017). 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (stunting) (1st ed.). https://www.tnp2k.go.id/images/uploads/downloads/Binder_Volume1.pdf

UNICEF. (2016). Responsive feeding: Supporting families for nurturing care. https://www.unicef.org.uk/babyfriendly/wp-content/uploads/sites/2/2017/12/Responsive-Feeding-Infosheet-Unicef-UK-Baby-Friendly-Initiative.pdf

UNICEF. (2018). Study of Parental Knowledge, Attitudes and Practices Related to Early Childhood Development. https://www.unicef.org/moldova/media/8201/file/Evaluarea cunoştinţelor, atitudinilor şi practicilor familiilor privind îngrijirea și dezvoltarea copiilor.pdf

UNICEF. (2020). Improving Young Children’s Diets During The Complementary Feeding Period. In J. D’Aloisio (Ed.), UNICEF Programming Guidance. https://www.unicef.org/media/93981/file/Complementary-Feeding-Guidance-2020.pdf

Vazir, S., Engle, P., Balakrishna, N., Griffiths, P. L., Johnson, S. L., Creed-Kanashiro, H., Fernandez Rao, S., Shroff, M. R., & Bentley, M. E. (2013). Cluster-randomized trial on complementary and responsive feeding education to caregivers found improved dietary intake, growth and development among rural Indian toddlers. Maternal & Child Nutrition, 9(1), 99–117. https://doi.org/10.1111/j.1740-8709.2012.00413.x

World Health Organization Working Group on Infant Growth. (1995). An evaluation of infant growth : the use and interpretation of anthropometry in infants. WHO Bulletin, 73, 165–174. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2486761/

Downloads

Published

2023-05-30

How to Cite

Purwanti, R., Margawati, A., Wijayanti, H. S., Rahadiyanti, A., Kurniawati, D. M., & Fitranti, D. Y. (2023). Strategi Peningkatan Pengetahuan, Sikap, dan Praktik Responsive Feeding untuk Pencegahan Stunting pada Balita . Wikrama Parahita : Jurnal Pengabdian Masyarakat, 7(2), 270–280. https://doi.org/10.30656/jpmwp.v7i2.5874

Issue

Vol. 7 No. 2 (2023): November 2023

Section

Articles
Crossref
Scopus
Google Scholar
Europe PMC