Maternal Nutrition Education Based on Maternal and Child Health (MCH) Book: Its Effect on Knowledge and Nutritional Status in Children Under Five Years of Age

  • Asysyifa Riana Institut Kesehatan Immanuel
    (ID)
  • Iriyanti Harun Program Studi Ilmu Gizi, Fakultas Kesehatan, Institut Kesehatan Immanuel Bandung
    (ID)
  • Galuh Chandra Irawan Program Studi Ilmu Gizi, Fakultas Kesehatan, Institut Kesehatan Immanuel Bandung
    (ID)
  • Elly Amalia Program Studi Ilmu Gizi, Fakultas Kesehatan, Institut Kesehatan Immanuel Bandung
    (ID)
Keywords: toddler, under nutrition, maternal knowledge, nutritional status

Abstract

SSGI data for 2022 shows that the prevalence of malnourished children under five is 7.7% and in Banten province it has increased from 5.8% to 9.8%. Malnutrition in toddlers is the main cause of growth and development disorders. One of the government programs in dealing with malnourished toddlers is an education class for mothers of toddlers based on MCH books which is expected to be able to improve the nutritional status of malnourished toddlers. This research aims to determine the effect of nutritional education through classes for mothers of toddlers based on MCH books on the nutritional status of malnourished toddlers. Experimental research method with a one group pretest posttest design. The sample for this research was 60 malnourished toddlers using a purposive sampling technique. Primary data includes sample characteristics, maternal nutritional knowledge collected through interviews using questionnaires and anthropometric measurements. Research data was processed using Microsoft Excel and SPSS, analyzed using the Paired Sample T-Test statistical test. The results showed that the majority of toddlers (71.7%) were male, 66.7% of mothers had an elementary school educational background and the majority did not work (76.7%) and came from families with monthly income below the minimum wage. (53.3%). Research data shows that there is a positive change in the mother's nutritional knowledge score, namely 30% to 75% in the good category and 70% to 25% in the poor category. Most toddlers experience an increase in average body weight, body length and z-score value of BB/PB or BB/TB. The results of the Paired Sample T-Test statistical test showed that there was an influence of maternal classroom nutrition education on maternal nutritional knowledge (p=0.000) and nutritional status of toddlers (p=0.000). It is hoped that this class program for mothers of toddlers can be continued, considering the impact felt by the target group.

References

Akombi BJ, Agho K.E, Hall JJ, Wali N, Renzaho AMN, Merom D. (2017). Stunting, Wasting and Underweight in Sub-Saharan Africa: A Systematic Review. Int. J. Environ. Res. Public Health 2017, 14, 863. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5580567/

Aryanti, F. A. (2021). Door To Door Edukasi, Pemantauan Status Gizi Dan Program Mama Keren Untuk Pencegahan Gizi Kurang Pada Balita Di Masa Pandemi Covid 19. Jurnal UMJ, 2714-6286. https://jurnal.umj.ac.id/index.php/semnaskat/article/download/10945/6231

Badan Kebijakan Pembangunan Kesehatan. (2021). Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tahun 2021. Jakarta: Kementrian Kesehatan Republik Indonsia; 2021. https://www.badankebijakan.kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/

Eriga F, Gulom G, Alege JB. (2024). Predictors of under-weight among children younger than 24 months in Nimule Border Town, Eastern Equatoria State, South Sudan: a community-based cross sectional study. BMC Public Health 24, 1400 (2024). https://doi.org/10.1186/s12889-024-18836-9

Erlina, S. (2023). Hubungan Keikutsertaan Ibu Dalam Kelas Ibu Balita Dengan Status Gizi Balita Di Desa Tegalsari Kecamatan Sidareja Tahun 2023. Cilacap. Universitas Al-Irsyad Cilacap. http://repository.universitasalirsyad.ac.id/id/eprint/590/

Indrayani Diyan, Legiati Titi, Hidayanti, Desi. (2024). Kelas Ibu Balita Meningkatkan Pengetahuan dan Keterampilan Ibu dalam Stimulasi Tumbuh Kembang. Jurnal Kesehatan Prima, [S.l.], v. 13, n. 2, p. 115-121, aug. 2019. ISSN 2460-8661. http://jkp.poltekkes-mataram.ac.id/index.php/home/article/view/240

KEMENKES. (2020). Pendekatan Keluarga dengan Kelas Ibu. Jakarta: KEMENKES RI.

Kostania, Gita. (2018). Ilmiah Bidan, Vol.Iii, No.3, 2018 | 11 Efektifitas Penyelenggaraan Kelas Ibu Balita Terhadap Pengetahuan Dan Perilaku Ibu Tentang Mp-Asi Usia 6-12 Bulan. http://localhost:8080/xmlui/handle/123456789/1857

Kurnia, Wida. (2018). Pengaruh Program Kelas Ibu Balita Terhadap Pengetahuan Ibu, Pola Asuh, Asupan Zat Gizi, Pola Makan Dan Status Gizi Pada Balita Gizi Buruk (BB/U) Usia 0-59 Bulan Di Wilayah Kerja Puskesmas Picung Tahun 2018. https://digilib.esaunggul.ac.id/pengaruh-program-kelas-ibu-balita-terhadap-pengetahuan-ibu-pola-asuh-asupan-zat-gizi-pola-makan-dan-status-gizi-pada-balita-gizi-buruk-bbu-usia-059-bulan-di-wilayah-kerja-puskesmas-picung-tahun-2018-10488.html

Martorell R, Flores R, Hickey M. (2002). Stunting in Guatemala: Analyses of Change over 15 Years; Abt Associates: Bethesda, MD, USA, 2002. https://pdf.usaid.gov/pdf_docs/pnacx563.pdf

Mbuya, MNN. (2010). Biological, Social, and Environmental Determinants of Low Birth Weight and Stunting among Infants and Young Children in Zimbabwe; Zimbabwe Working Papers, No. 7. Calverton; ICF Macro: Rockville, MD, USA, 2010. 40. https://www.semanticscholar.org/paper/Biological%2C-social%2C-and-environmental-determinants-Mbuya-Chidem/f36414d15d7e8a6f46aea7b465e69e43e642bbdf

Pandeglang, D. (2022). Profil Kesehatan . Pandeglang: Dinkes Pandeglang.

Perdana Rio Cahya, Tirsa Neyatri Bandrang. (2020). Analisis Tingkat Konsumsi Dan Elastisitas Pendapatan Terhadap Pengeluaran Pangan Dan Non Pangan Karyawan Pt Salonok Ladang Mas. MAHATANI Vol. 3, No. 1, Juni 2020. Doi: http://dx.doi.org/10.52434/mja.v3i1.915

Prasad JBahadur, Ali Pezhhan, Sudhirgouda H. Patil. (2021). Effect of wealth, social inequality, Mother's BMI, and education level on child malnutrition in India, Diabetes & Metabolic Syndrome: Clinical Research & Reviews, Volume 15, Issue 6, 2021,102304, ISSN 1871-402. https://doi.org/10.1016/j.dsx.2021.102304

Sianturi O, Nadhiroh SR, Rachmah Q. (2023). Association between Parents’ Education Level and Income and Children’s Nutritional Status: A Literature Review. Media Gizi Kesmas, 12(2), 1070–1075. https://doi.org/10.20473/mgk.v12i2.2023.1070-1075

Thurstans S, Opondo C, Seal A, Wells JC, Khara T, Dolan C, Briend A, Myatt M, Garenne M, Mertens A, Sear R, Kerac M. (2022). Understanding Sex Differences in Childhood Undernutrition: A Narrative Review. Nutrients. 2022 Feb 23;14(5):948. doi: 10.3390/nu14050948. PMID: 35267923; PMCID: PMC8912557. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8912557/pdf/nutrients-14-00948.pdf

United Nations Children’s Fund. (2020). Situasi Anak di Indonesia – Tren, Peluang, dan Tantangan Dalam Memenuhi Hak-Hak Anak. Jakarta: UNICEF Indonesia.

Published
2024-07-29
Section
Volume 4, Issue 2, 2024
Abstract viewed = 118 times