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"ABSTRAKTaman Penitipan Anak (TPA) dapat menggantikan peran pengasuhan anak bagi pekerja perempuan saat jam kerja. TPA diharapkan mendukung pertumbuhan dan perkembangan anak selama penggantian pengasuhan untuk mencegah risiko terhambatnya pertumbuhan dan perkembangan anak yang ditiitpkan. Penelitian ini bertujuan mengetahui gambaran pengasuhan pengganti untuk pemenuhan kebutuhan pertumbuhan dan perkembangan anak di TPA kota Depok. Penelitian deskriptif dengan desain cross sectional menggunakan teknik sampling sensus pada semua lembaga TPA (n=26) di Kota Depok dengan uji proporsi. Sebesar 88,46 % TPA mendukung pemenuhan kebutuhan pertumbuhan dan 96,15 % mendukung pemenuhan kebutuhan perkembangan anak. Perawat anak diharapkan dapat bekerja sama untuk mengoptimakan penyelenggaraan pelayanan TPA dalam mendukung pemenuhan kebutuhan pertumbuhan dan perkembangan anak.

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ABSTRACTDaycare can substitute the role of caring and educating from mother to during working hours. Daycare is expected to support the growth and development of children to prevent the risk of growth and development delayed. This study aims to determine the profile of substiute parenting for growth and development at daycare in Depok. Descriptive study with cross sectional design using census sampling techniques at all institutions of daycare (n = 26) in Depok with proportion test. The study showed that 88.46% daycare in Depok support the fulfillment of a child's growth. While 96.15% TPA in Depok support the fulfillment of the child's developmental needs. Pediatric nurses are expected to collaborate with daycare to optimalize fulfilling the growth and development needs of children."

"Gagal tumbuh selama ini menggunakan pengukuran antropometri menurut indeks konvensional yang diukur terpisah, sementara kekurangan gizi tidak dapat berdiri sendiri. Pengukuran gagal tumbuh menggunakan CIAF diperlukan untuk melengkapi kegagalan antropometri yang lebih komprehensif. Penelitian ini bertujuan untuk mengetahui hubungan gagal tumbuh dengan perkembangan anak usia 24-59 bulan di desa lokus stunting wilayah kerja Puskesmas Sungai Limau. Menggunakan desain studi cross sectional dengan teknik simple random sampling, analisis chisquare dan regresi logistik model faktor risiko dengan sampel 105 anak usia 24-59 bulan. Anak mengalami perkembangan meragukan sebanyak 31,4%, perkembangan sesuai 68,6%, gagal tumbuh sebanyak 29,5% dan normal 70,5%. Hasil bivariat menunjukkan terdapat hubungan antara gagal tumbuh dengan perkembangan anak(p=0,028), gagal tumbuh berhubungan dengan perkembangan motorik kasar (p=0,002) dan kemampuan bicara bahasa (p=0,050).Variabel lain yang berhubungan dengan perkembangan anak yaitu pendidikan ibu (p=0,002), pekerjaan ibu (p=0,003), pendapatan(p=0,003), ASI ekslusif (p=0,0034), dan stimulasi (p=0,0005). Analisis multivariat menunjukkan gagal tumbuh tetap konsisten berhubungan dengan perkembangan anak (p=0,002). Gagal tumbuh berhubungan dengan perkembangan meragukan setelah dikontrol beberapa variabel kovariat. Pelaksanaan program deteksi dini tumbuh kembang anak memerlukan kerjasama dan komitmen lintas sektor kesehatan dan pendidikan yaitu mengintegrasikan kegiatan posyandu dan Pendidikan Anak Usia Dini.

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Failure to thrive so far using anthropometric measurements according to conventional indices measured separately, while malnutrition cannot stand alone. Measurement of failure to thrive using CIAF is needed to complement more comprehensive anthropometric failures. This study aims to determine the relationship between failure to thrive and the development of children aged 24-59 months in the stunting locus village of the Sungai Limau Health Center work area. Using a cross-sectional study design with simple random sampling techniques, chisquare analysis and logistic regression risk factor models with a sample of 105 children aged 24-59 months. Children experienced dubious development as much as 31.4%, corresponding development 68.6%, failure to grow as much as 29.5% and normal 70.5%. Bivariate results showed an association between failure to thrive with child development (p = 0.028), failure to thrive was associated with gross motor development (p = 0.002) and speech skills (p = 0.050). Other variables related to child development were maternal education (p = 0.002), maternal employment (p = 0.003), income (p = 0.003), exclusive breastfeeding (p = 0.0034), and stimulation (p = 0.0005). Multivariate analysis showed failure to thrive remained consistently associated with child development (p = 0.002). Failure to thrive was associated with dubious development after controlling for several covariate variables. The implementation of early detection programs for child growth and development requires cooperation and commitment across the health and education sectors, namely integrating posyandu and Early Childhood Education activities."

"Stunting merupakan pertumbuhan tinggi badan anak yang tidak normal yang disebabkan karena kekurangan gizi kronis dan infeksi berulang yang terlihat sejak balita usia 24 bulan. Angka prevalensi kasus stunting di Provinsi Banten menurut Survei Status Gizi Balita Indonesia (2021) mencapai 294.862 balita dan masuk lima besar daerah dengan angka stunting tertinggi di Indonesia. Tujuan dari penelitian ini adalah untuk mengetahui distribusi frekuensi, hubungan, interaksi dan colinearitas ASI eksklusif dengan kejadian stunting dikontrol oleh factor determinan stunting. Disain studi penelitian yaitu cross sectional dengan mengambil data Riskesdas 2018 mengenai stunting dan faktor determinan stunting. Dari hasil penelitian diperoleh kasus stunting di Provinsi Banten pada baduta usia 6-23 bulan sebanyak 29,2%. Baduta yang tidak mendapatkan ASI secara eksklusif 1,2 kali lebih berisiko mengalami stunting dibandingkan dengan balita yang mendapatkan ASI secara eksklusif setelah dikontrol oleh BBLR, MP-ASI dan panjang badan lahir. Berdasarkan penelitian ini program pemeriksaan kesehatan pra-menikah bekerjasama dengan KUA dan fasilitas kesehatan setempat perlu dilakukan guna mencegah terjadinya BBLR dan panjang badan lahir tidak normal. Serta melakukan penyuluhan berupa praktik pemberian ASI eksklusif dan MP-ASI pada calon orang tua bayi dan keluarga besar bayi (nenek, kakek, paman, bibi), supaya pengaruh budaya tidak mempengaruhi dalam pemberian ASI eksklusif.

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Stunting is an abnormal growth in children's height caused by chronic malnutrition and recurrent infections that have been seen since the age of 24 months. The prevalence rate of stunting cases in Banten Province according to the Indonesian Toddler Nutrition Status Survey (2021) reached 294,862 toddlers and is included in the top five regions with the highest stunting rate in Indonesia. The purpose of this study was to determine the frequency distribution, relationship, interaction and colinearity of exclusive breastfeeding with the incidence of stunting being controlled by the determinants of stunting. The research study design is cross sectional by taking the 2018 Riskesdas data regarding stunting and the determinants of stunting. From the results of the study, it was found that stunting cases in Banten Province in children aged 6-23 months were 29.2%. Under-fives who are not exclusively breastfed are 1.2 times more at risk of experiencing stunting compared to toddlers who are exclusively breastfed after being controlled by low birth weight, complementary foods, and birth length. Based on this research, a pre-marital health check-up program in collaboration with the Office of Religious Affairs and local health facilities needs to be carried out to prevent low birth weight and abnormal birth length. As well as conducting counseling in the form of the practice of exclusive breastfeeding and complementary foods for prospective baby parents and the baby's extended family (grandmothers, grandparents, uncles, aunts), so that cultural influences do not affect exclusive breastfeeding."

" ABSTRAKPemberian stimulasi merupakan salah satu upaya yang dapat dilakukan orang tua dalam mendukung pertumbuhan dan perkembangan anak. Pijat bayi telah umum diterapkan pada anak secara turun-temurun. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan, sikap, dan perilaku ibu mengenai pijat bayi dan hubungannya terhadap pertumbuhan dan perkembangan anak usia 6-24 bulan. Studi ini menggunakan desain penelitian cross sectional pada subjek yang memenuhi kriteria inklusi dan eksklusi penelitian. Pengumpulan data dilakukan di Kelurahan Kampung Melayu yang meliputi pengambilan data kuesioner pijat bayi, pengukuran berat badan dan panjang badan, serta pengisian kuesioner pra skrining perkembangan KPSP . Pada data pertumbuhan, dilakukan plotting ke kurva WHO. Dari sembilan puluh lima subjek penelitian, tidak ditemukan hubungan signifikan secara statistik antara pengetahuan RP=0,852 [95 CI 0,097-7,487], p=1,000 , sikap p=0,590 , dan perilaku RP=0,160 [95 CI 0,019-1,314], p=0,089 ibu mengenai pijat bayi dengan kurva pertumbuhan panjang badan terhadap usia WHO. Selain itu, tidak ditemukan pula hubungan yang secara statistik bernilai signifikan antara pengetahuan RP=1,352 [95 CI 0,255-7,164], p=0,661 , sikap RP=1,600 [95 CI 0,294-8,708], p=0,631 , dan perilaku RP=0,371 [95 CI 0,097-1,418], p=0,230 terhadap kurva pertumbuhan panjang badan terhadap berat badan WHO. Demikian pula, tidak ditemukan hubungan yang bermakna secara statistik antara pengetahuan RP=0,738 [95 CI 0,143-3,807], p=1,000 , sikap RP=1,670 [95 CI 0,369-7,547], p=0,679 , dan perilaku RP=1,497 [95 CI 0,571-3,923], p=0,567 ibu mengenai pijat bayi dengan tingkat perkembangan yang dinilai berdasarkan KPSP. Jumlah subjek penelitian yang memiliki tingkat pengetahuan, sikap, dan perilaku yang tinggi adalah sebanyak 86 90,5 , 87 91,6 , dan 58 65,2 , dengan hubungan antara pengetahuan, sikap, dan perilaku ibu mengenai pijat bayi terhadap pertumbuhan dan perkembangan anak usia 6-24 bulan yang tidak bermakna secara statistik.

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ABSTRAKStimulation is given by parents to support their children rsquo s growth and development. Baby massage has been applied in common practice for generations. This research aims to discover mothers rsquo knowledge, attitude, and practice on baby massage and its rsquo association with the growth and development of 6 24 months old chlidren. This study adapted cross sectional study design on subjects that fulfilled the inclusion and exclusion criterias. Data collection, including filling in questionaires on baby massage, weight and height measurements, and KPSP, was done at Kelurahan Kampung Melayu. Growth measurment data were plotted on WHO growth charts. From ninety five subjects, there were no statistically significant association found between knowledge RP 0.852 95 CI 0.097 7.487 , p 1.000 , attitude p 0.590 , and practice RP 0.160 95 CI 0.019 1.314 , p 0.089 on baby massage with height for age WHO growth chart. There was also no statistically significant association found between knowledge RP 1.352 95 CI 0.255 7.164 , p 0.661 , attitude RP 1.600 95 CI 0.294 8.708 , p 0.631 , and practice RP 0.371 95 CI 0.097 1.418 , p 0.230 on baby massage with weight for height WHO growth chart. Lastly, we found no statistically significant association between knowledge RP 0.738 95 CI 0.143 3.807 , p 1.000 , attitude RP 1.670 95 CI 0.369 7.547 , p 0.679 , and practice RP 1.497 95 CI 0.571 3.923 , p 0.567 on baby massage with level of development, represented with KPSP data. Total subjects with high level of knowledge, attitude, and practice on baby massage are 86 90.5 , 87 91.6 , and 58 65.2 , with no statistically significant association between knowledge, attitude, and practice on baby massage with growth and development. "

"Stunting merupakan permasalahan serius yang dapat memberikan dampak jangka panjang kepada balita. Stunting pada anak adalah salah satu hambatan paling signifikan bagi perkembangan manusia, secara global mempengaruhi sekitar 162 juta anak di bawah usia 5 tahun. Saat ini provinsi Jawa Barat berada dalam kategori tinggi dalam permasalahan stunting. Berdasarkan Riskesdas tahun 2018, prevalensi bayi stunting di Kota Depok sebesar 23.8%. Di wilayah Puskesmas Depok Jaya masih terdapat bayi stunting dan gizi buruk. Berdasarkan data Bulan Penimbangan Balita (BPB) pada Februari 2022, ada sebanyak 34 balita stunting di Kelurahan Depok Jaya. Data ini menunjukkan angka yang lumayan tinggi untuk kasus stunting tingkat kelurahan. Penelitian ini bertujuan untuk mendapatkan evaluasi mengenai pelaksanaan strategi promosi kesehatan dalam penanganan stunting pada masa pandemi berdasarkan sudut pandang penerima program yakni ibu balita stunting. Penelitian ini menggunakan metode kualitatif deskriptif dengan wawancara mendalam kepada 3 ibu balita stunting sebagai informan utama, 3 kader sebagai informan pendukung, dan 1 ahli gizi selaku penanggung jawab program sebagai informan kunci. Kerangka konsep yang digunakan ialah Logic Model untuk melihat berbagai aspek, mulai dari sumber daya yang digunakan, proses keberlangsungannya, hasil, sampai dampak jangka panjang dari program. Hasil yang didapatkan dari sisi input, pengelola program sudah diterima dengan baik oleh ibu balita stunting, serta kebijakan pemerintah belum dipahami. Dari sisi aktivitas, program sudah tersampaikan dengan baik melalui kader dan WhatsApp, dukungan sosial juga sudah diberikan dengan baik, tetapi intervensi dan pemberdayaan belum berjalan maksimal. Dari sisi output, seluruh balita yang terdata stunting sudah mendapatkan penanganan serta ibu balita stunting sudah mendapatkan dukungan sosial yang baik, tetapi intervensi belum berjalan maksimal. Dari sisi outcome, terdapat peningkatan pengetahuan, sikap, dan perilaku positif ibu balita stunting terkait penanganan stunting pada anaknya, tetapi masih ada ibu balita stunting yang merasa tidak penting akan hal tersebut. Perlu adanya rencana rutin untuk pengadaan intervensi dan pemberdayaan, serta keberlanjutan dari program Ocan Bananas.

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Stunting is a serious problem that can have a long-term impact on under five years children. Child stunting is one of the most significant barriers to human development, affecting an estimated 162 million children under five years. Currently, West Java province is in the high category of stunting problems. Based on Riskesdas 2018, the prevalence of stunting in Depok City was 23.8%. In the Depok Jaya Health Center area, there are still stunted and malnourished babies. Based on data from the Under five years children Weighing Month (BPB) in February 2022, there were 34 stunting under-five years children in Depok Jaya Village. This data shows a high number of stunting cases at the sub-district level. This study aims to obtain an evaluation of the implementation of health promotion strategies in handling stunting during the pandemic based on the perspective of the program recipients, namely mothers of under five years of stunting children. This study used a descriptive qualitative method with in-depth interviews with three mothers of stunting in under five years of children as the primary informants, three cadres as supporting informants, and one nutritionist as the person in charge of the program as key informants. The conceptual framework used was the Logic Model to see various aspects, ranging from the resources used, the process of sustainability, and results, to the long-term impact of the program. The results obtained in terms of input, program managers had been well-received by mothers of under five years stunting children, and government policies had not been understood. In terms of activities, the program had been delivered well through cadres and WhatsApp, and social support had also been provided well, but intervention and empowerment had not run optimally. In terms of output, all under five years children who are recorded as stunting received treatment, and mothers of under five years stunting children had received good social support, but the intervention had not run optimally. In terms of outcomes, there was an increase in knowledge, attitudes, and positive behaviors about mothers of under five years stunting children related to handling stunting in their children. However, there were mothers of under five years stunting children who feel unimportant about this. There needs to be a regular plan for the implementation, both interventions and empowerment, as well as the sustainability of the Ocan Bananas program."

"Stunting adalah menurunnya laju pertumbuhan panjang/tinggi badan dibawah minus 2 standar deviasi. Desa Cijeruk Kecamatan Kibin merupakan desa dengan angka kejadian stunting tertinggi di Kab. Serang dimana 233 (77,66%) balita menderita stunting. Tujuan penelitian ini adalah mengidentifikasi gambaran kejadian stunting pada balita di Desa Cijeruk Kecamatan Kibin Kabupaten Serang Banten tahun 2023 dan menganalisis hubungannya dengan Riwayat Penyakit Infeksi. Desain penelitian adalah potong lintang dengan pendekatan kuantitatif. Hasil penelitian didapatkan terdapat hubungan riwayat penyakit infeksi dengan kejadian stunting (p<0,01). Balita dengan riwayat penyakit infeksi berisiko 21,23 kali mengalami stunting (OR=21,23,95% CI 7,15-62,01). Variabel kovariat faktor balita yang berhubungan dengan kejadian stunting adalah jenis kelamin (p=0,038) dan riwayat penyakit infeksi (p=<0,001); faktor keluarga yaitu pendapatan keluarga (p=0,040) dan pola asuh otoriter (p= 0,004); dan faktor lingkungan yaitu stop buang air besar sembarangan (p=0,038) dan pengamanan sampah rumah tangga (p=<0,001). Variabel MP-ASI dan stop buang air besar sembarangan merupakan variabel perancu terhadap hubungan riwayat penyakit infeksi dengan kejadian stunting. Balita yang memiliki riwayat penyakit infeksi berisiko 31,30 kali lebih tinggi mengalami stunting dibanding balita yang tidak memiliki riwayat penyakit infeksi setelah dikontrol oleh variabel perancu (OR=21,28 95% CI 6,088-74,379).

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Stunting is a decrease in the growth rate of length/height below minus 2 standard deviations. Cijeruk Village, Kibin District, is the village with the highest stunting rate in Kab. Serang where 233 (77.66%) toddlers suffer from stunting. The purpose of this study was to identify the description of the incidence of stunting in toddlers in Cijeruk Village, Kibin District, Serang Banten Regency in 2023 and analyze its relationship with a History of Infectious Diseases. The research design is cross-sectional with a quantitative approach. The results of the study found that there was a relationship between a history of infectious diseases and the incidence of stunting (p <0.01). Toddlers with a history of infectious diseases are at risk of 21.23 times experiencing stunting (OR=21.23.95% CI 7.15-62.01). The covariate variables associated with stunting were gender (p=0.038) and history of infectious diseases (p=<0.001); family factors, namely family income (p=0.040) and authoritarian parenting (p=0.004); and environmental factors, namely stopping open defecation (p=0.038) and safeguarding household waste (p=<0.001). The MP-ASI variable and stopping open defecation are confounding variables for the relationship between a history of infectious diseases and the incidence of stunting. Toddlers who have a history of infectious diseases have a 21.28 times higher risk of experiencing stunting than toddlers who do not have a history of infectious diseases after controlling for confounding variables (OR=21.28 95% CI 6.088-74.379)."