Practice Overview Care and Health Standards
Abstract
Stunting, a condition of chronic malnutrition, impairs the physical and cognitive development of toddlers. This condition is often influenced by maternal health during pregnancy, inadequate nutrition, and recurrent illnesses in children. Despite improvements, Karanganyar Regency remains one of the regions in Central Java with high stunting prevalence, necessitating effective prevention strategies.Objective: This study aims to explore family roles and parenting practices in addressing stunting in toddlers in Gebyog Village, Mojogedang District. Methods: A qualitative phenomenological approach was employed using purposive sampling of 10 households with stunted children in Gebyog Village. Data collection involved in-depth interviews and field notes conducted in October-November 2024. Analysis followed the Colaizzi method to explore parental experiences, perspectives, and practices related to stunting prevention.Results: Most parents (70%) practice appropriate parenting aligned with health standards, such as providing exclusive breastfeeding, balanced complementary feeding, maintaining a clean environment, ensuring proper sanitation, participating in health education, and engaging in integrated health service posts. However, 30% of parents demonstrated inadequate care practices due to limited knowledge and resources. Conclusion: Strengthening parental education and support systems is crucial for improving parenting practices and reducing stunting prevalence. Integrated efforts involving health professionals and community initiatives are essential to ensure sustainable impact.
References
Denzin, N. K., & Lincoln, Y. S. (2018). The discipline and practice of qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), The Sage handbook of qualitative research (5th ed., pp. 29–71). Thousand Oaks, CA: Sage Publications Inc.
Dewi, H. P., & Mardiana, M. (2021). Faktor Risiko Yang Mempengaruhi Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Nusawungu Ii Cilacap.Journal of Nutrition College, 10(4), 285-296.https://doi.org/10.14710/jnc.v10i4.31642
Dr. Indra,(2022), Kajian Kontribusi Dana Alokasi Khusus Fisik Terhadap Penurunan Stunting, Bappenas.diakses 15 Desember 2024.
Effendy, D.S., Prangthip, P., Soonthornworasiri, N., Winichagoon, P., Kwanbunjan, K. (2020). Nutrition education in Southeast Sulawesi Province, Indonesia: A cluster randomized controlled study. Maternal & Child Nutrition, 16 (4). https://doi.org/10.1111/mcn.13030
Guo S, Fu X, Scherpbier RW, Wang Y, Zhou H, Wang X, Hipgrave DB. Breastfeeding rates in central and western China in 2010: implications for child and population health. Bull World Health Organ. 2013;91(5):322–331. doi: 10.2471/BLT.12.111310. - DOI - PMC – PubMed
Handayani, S. (2023). Selamatkan Generasi Bangsa dari Bahaya Stunting. Journal of Midwifery Science and Women's Health, 3(2), 87-92. https://doi.org/10.36082/jmswh.v3i2.1082
Herawati, H., Anwar, A., & Setyowati, D. L. (2020). Hubungan Sarana Sanitasi, Perilaku Penghuni, dan Kebiasaan Cuci Tangan Pakai Sabun (CTPS) oleh Ibu dengan Kejadian endek (Stunting) pada Batita Usia 6-24 Bulan di Wilayah Kerja Puskesmas Harapan Baru, Samarinda. Jurnal Kesehatan Lingkungan Indonesia, 19(1), 7. https://doi.org/10.14710/jkli.19.1.7-15
Hidayati, N. (2022). Hubungan Pengetahuan Ibu Dan Pemberian Makanan Pendamping Asi (MP-ASI) Dini Dengan Kejadian Diare Pada Bayi 6-12 Bulan Di Wilayah Kerja Puskesmas Pekauman Banjarmasin Tahun 2021. Universitas Islam Kalimantan MAB https://www.niehs.nih.gov/research/resources/bioethics/whatis/index.cfm
Kemenkes RI. 2021. Profil Kesehatan Indonesia 2020. Jakarta: Kemenkes RI
Kementerian Kesehatan RI. 2022.“Tiga Upaya Kemenkes Turunkan Stunting di Indonesia”,sehatnegeriku.kemkes.go.id, 12 Agustus 2022, https://sehatnegeriku.kemkes.go.id/baca/umum/20220811/4640923/tiga-upaya-kemenkes-turunkan-stunting-di-indonesiaCreswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches. Thousand Oaks, CA: SAGE Publications, diakses 15 Desember 202
Kementerian PPN/ Bappenas. (2018). Pedoman Pelaksanaan Intervensi Penurunan Stunting
Khoeroh, H., Handayani, O.W.K., Indriyanti,D.R. (2017). Evaluasi Penatalaksanaan Gizi Balita Stunting di Wilayah Kerja Puskesmas Sirampog. Unnes Journal of Public Health,6 (3): 189-195. https://doi.org/10.15294/ujph. v6i3.11723
Kusumawati, R., & Hartono, B. (2021). Literasi kesehatan dan pengaruhnya terhadap perilaku kesehatan di masyarakat pedesaan. Jurnal Kesehatan Masyarakat, 12(2), 120-130
Mardiana, N., Subakti, A., & Yusuf, H. (2021). Community-driven total sanitation (STBM) program: A case study of its impact on hygiene behavior in rural Indonesia. Public Health Indonesia Journal, 10(2), 125-133.
Media Gizi Indonesia Vol. 18 No. 1 (2023): Hubungan Tingkat Kecukupan Asupan Zat Gizi, Status Hidrasi, dan Kelelahan Kerja dengan Produktivitas Kerja Karyawan PT. PAL Indonesia (Persero) Universitas Airlangga 28-37
Muliawati, D., Sulistyawati, N. (2019). Pemberian Ekstrak Moringa Oleifera sebagai Upaya Preventif Kejadian Stunting Pada Balita. Jurnal Kesehatan Madani Medika, 10 (2): 123–131
Muthia, G., Edison, Yantri, E. (2019). Evaluasi Pelaksanaan Program Pencegahan Stunting Ditinjau dari Intervensi Gizi Spesifik Gerakan 1000 HPK Di Puskesmas Pegang Baru Kabupaten Pasaman. Jurnal Kesehatan Andalas, 8 (4): 100–108.
Oslida M. (2023) Stunting Di Indonesia: Tantangan Dan Solusi Di Era Modern, Jurnal Of Talenursing (JOTING), Politeknik Kesehatan Kemenkes Medan, https://pdfs.semanticscholar.org/37e6/d62df0ac20fdbe9219c3f0db21dace99f25c.pdf. Diakses 15 Desember 2024.
Rahayuwati, L., Nurhidayah, I.,Hidayati, N. O., Hendrawati, S.,Agustina, H. S., Ekawati, R., & Setiawan, A. S. (2020). Analysis of factors affecting the prevalence of stunting on children under five years. J Biosci, 14(December), 6565–6575.
Resnik, D. B. (2020). What Is Ethics in Research & Why Is It Important? National Institute of Environmental Health Sciences.
Rusdianah, E., Widiarini, R. (2019). Evaluasi Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK): Studi Kasus di Tingkat Puskesmas. Jurnal Kebijakan Kesehatan Indonesia: JKKI, 8(4): 175–183.
S. Nurkomala, N. Nuryanto, and B. Panunggal,(2018) "Praktik Pemberian MPASI (Makanan Pendamping Air Susu Ibu) Pada Anak Stunting Dan Tidak Stunting Usia 6-24 Bulan," Journal of Nutrition College, vol. 7, no. 2, pp. 45-53, May. 2018. https://doi.org/10.14710/jnc.v7i2.20822
Sakaran, U., & Bougie, R. (2016). Research Methods for Business: A Skill Building Approach. Wiley.
Satriawan, E. (2018). Strategi Nasional Percepatan Pencegahan Stunting 2018-2024. Tim Nasional Percepatan Penanggulangan Kemiskinan (TNP2K), Jakarta.
Setiawan, A. S., Indriyanti, R., Suryanti,N., Rahayuwati, L., & Juniarti, N.(2022). Neonatal stunting and early childhood caries: A mini-review.Frontiers in Pediatrics, 10(4). https://doi.org/10.3389/fped.2022.871862
Setiawan, R. (2022). Pendidikan ibu dan praktik pemberian gizi serta kebersihan keluarga. Jurnal Ilmu Kesehatan, 15(1), 45-52
Sumiyati. Berat bayi lahir rendah dan ASI eksklusif terhadap kejadian stunting pada balita. Jurnal Riset Kebidanan Indonesia [Internet]. 2022;6(1):1–5.Available from: http://www.ejournal-aipkema.or.id/index.php/jrki/article/view/204/pdf
Taufik, H., Kusuma, A. P., & Wahyudi, A. (2022). The impact of sanitation and hygiene practices on reducing diarrhea prevalence in Indonesian communities. International Journal of Environmental Health Research, 19(3), 1617. https://doi.org/10.3390/ijerph19031617
Terintegrasi di Kabupaten/Kota. Rencana Aksi Nasional Dalam Rangka Penurunan Stunting: Rembuk Stunting, (November), 1–51. Retrieved from https://www.bappenas.go.id
UNICEF, WHO, World Bank. Levels and trends in child malnutrition; UNICEF/WHO/World Bank Group-Joint child malnutrition estimstes 2021 edition. World Heal Organ [Internet]. 2021;1–32. Available from: https://data.unicef.org/resources/jme-report-2021
UNICEF. (2020). State of the World’s Children 2020.
WHO. (2021). Nutrition for Health and Development.
WHO. Nutrition Landscape Information System: Stunting, Wasting, Overweight and Underw eight. 2018. Diunduh dari: https://apps.who.int/nutrition/landscape/help.aspx?menu=0&helpid=391&lang=EN, tanggal 15 Desember 2024
World Health Organization (WHO). (2021). Stunting and Nutrition. Retrieved from WHO Official Website.
World Health Organization and UNICEF. Global strategy for infant and young child feeding. 2003, World Health Organization; Geneva.