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"ABSTRACTThis study was conducted for the purpose to obtain valuable information onhow far health center had done its role on improving children nutritional status. This study did not attempt to evaluate health program implemented byhealth center, but only differentiated the two extremes of health centerperformance (low and high performance) and their contribution to improvingchildren nutritional status. This research report has been presented in three parts. Part 1. Introductionconsisted of background of the study, problem statement and rationale of thestudy, literature review, causal model, hypotheses, objectives of the study,variables and indicators. Part 2. Manuscript for publication was presentedaccording to Food and Nutrition Bulletin's format, there were abstract,introduction, subjects and methods, results, discussion, conclusion,references, and appendices. Part 3. Appendices consisted of questionnaires,methodology, ethical consideration, operational definition, detailed results,recommendations, instruction for the contributors of Food and NutritionBulletin, references and curriculum vitae."

"The purpose of the study was to compare the nutritional status of children receiving supplementary food from the high and low performing health centers in East Sumba District, Indonesia.

Assessment of all 15 health centers was the first stage to determine the performance level using input output process approach, and 568 selected households from two performance categories was the second stage to investigate nutritional status. A Scoring system was used to determine the performance level, and anthropometry was used to assess nutritional status. SPSS 10.0 and Epilnfo 6.04b were used for data analyses. The study was conducted from February to March 2001.

All input-process-output and personnel capability variables between the two performance levels were significantly different. The supplementary feeding package fulfilled optimally the standard requirement, but the method and frequency of distribution did not The prevalence of malnutrition was significantly different between the two performance levels.

Lack of transportation and small number of personnel might have influenced the improper nutrition service management."

"The objectives of this study was to determine whether different health center performance was related to children nutritional status. The study was cross-sectional. Two sampling technique were used. The first stage used simple random sampling of finite population, which selected 37 out of 100 health centers. The second stage used comparing of two proportion, where 254 children between 6-36 months were selected from 3 health centers in upper level and other 3 health centers in lower level.Health center performance in Bandung district were low. Staff capability was the most influencing factor for health center performance and nutrition service quality. Different performance scores in two groups of health center (205.5± 2.1 for low group vs. 273.01- 3.7 for high group) was not positively related to children nutritional status (p>.05). Mother's knowledge as an outcome of health center performance has strategic role on the improvement of children nutritional status."

"Status gizi berperan dalam menentukan sukses tidaknya upaya peningkatan sumberdaya manusia. Prevalensi gizi kurang BB/U di Kabupaten Tangerang meningkat dari tahun 2007 sampai 2010 yaitu 7,2% menjadi 9,12%. Tujuan penelitian adalah dianalisisnya hubungan antara perilaku KADARZI, karakteristik keluarga dan balita dengan status gizi balita (12-59 bulan) di Kabupaten Tangerang tahun 2011. Penilitian kuantitatif ini menggunakan desain cross sectional. Penelitian ini menggunakan data sekuder hasil survey PSG KADARZI Kabupaten Tangerang tahun 2011. Prevalensi balita gizi kurang (termasuk gizi buruk) 17,9%, pendek (termasuk sangat pendek) 32,9%, kurus (termasuk sangat kurus) 11,8%. Variabel yang berhubungan secara bermakna dengan status gizi balita BB/U adalah menimbang balita secara teratur, riwayat ASI Eksklusif, menggunakan garam beryodium, pendidikan ayah, pendidikan ibu, usia ibu, besar keluarga, dan umur balita. Variabel yang berhubungan bermakna dengan status gizi PB/U atau TB/U sama dengan BB/U ditambah variabel konsumsi kapsul vitamin A. Berdasarkan indeks BB/PB atau BB/TB adalah riwayat ASI Eksklusif, dan pendidikan ibu. Hasil uji multivariat menunjukkan faktor dominan BB/U adalah pendidikan ibu, PB/U atau TB/U adalah pendidikan ayah. Sedangkan BB/PB atau BB/TB adalah riwayat ASI Eksklusif. Perlu adanya pendidikan gizi bagi keluarga.

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Nutritional status is one of the important indicator for human resources. From 2007 to 2010, prevalence of undernutrition increased from 7,2% to 9,12%. General objective of this study was to determine the relationship between family nutrition awareness (KADARZI), family and children under five characteristics with nutritional status of children under five (12-59 months) at Tangerang District in 2011. This quantitative study using cross sectional study design. The data were result from family nutrition awareness and nutritional status survey at Tangerang district in 2011. The analysis showed that the prevalence of underweight was found at 17,9%. stunted was found at 32,9%, wasted was found at 11,8%. Chi square test result showed that there was a significant association (p≤0.05) between growth monitoring, exclusive breastfeeding history, the use of iodized salt, father?s level of education, mother?s level of education, mother?s age, number of family members, and child?s age with nutritional status based on BB/U index. PB/U or TB/U index were the same as BB/U but added by vitamin A capsule intake. BB/PB or BB/TB Index were exclusive breastfeeding history and mother's level of education. Multivariate test results showed that mother's level of education is the most dominant factor associated with nutritional status (BB/U). PB/U or TB/U index was father?s level of education. BB/PB or BB/TB index was exclusive breastfeeding history. The following need famiy nutritional education."

"A cross-sectional study was conducted to investigate the problem of nutritional status and intestinal helminthiasis among underfive children in three selected refugee centers in Kupang District, East Nusa Tenggara and to identify possible relationship between intestinal helminthiasis and nutritional status. A number of 188 children 12-59 months of age were involved in this study. All three refugee centers showed that Ascaris lumbricoides was most common (29.0% in Naibonat, 28.8% in Noelbaki and 23.4% in Tuapukan), followed by hookworm (25.8% in Naibonat, 10.0% in Noelbaki and 3.9% in Tuapukan) and the least common was Trichuris trichiura (6.3% in Noelbaki, 3.2% in Noelbaki and 0% in Tuapukan). Based on the WHO?s criteria the intensity of intestinalhelminthiasis in all three refugee centers were low. Nutritional status was characterized by high of prevalence of underweight, stunting and wasting in all three refugee centers. The prevalence of underweight was 28.6% in Tuapukan, 25.8% in Naibonat, and 18.8% in Noelbaki. The prevalence of stunting was 29.0% in Naibonat, 20% in Noelbaki and23.4% in Tuapukan. While the prevalence of wasting was 8.8% in Noelbaki, 6.5% in Naibonat and 3.9% in Tuapukan. For anemia, 75% of children in Noelbaki, 71.4% in Tuapukan and 45.2% in Naibonat had haemoglobin level less than 11 g/dl. There was no significant association between the prevalence of Ascaris lumbricoides and nutritional status of children also between the intensity of Ascaris Iumbricoides and nutritional status."

"Tahapan perkembangan yang paling penting pada masa balita adalah periode usia bawah tiga tahun. Pada masa ini perilaku ibu dalam memenuhi kebutuhan nutrisi akan berpengaruh terhadap status gizi balita. Tujuan dari penelitian adaiah teridentifikasinya hubungan antara perilaku ibu dcngan status gizi balita.Desain yang digunakan adalah potong lintang, dengan besar sampel yang diteliti 100 orang. Pengumpulan data mcngenai status gizi dilakukan dengan penimbangan berat badan anak kemudian membandingkan dengan indeks BB/U. Sedangkan untuk perilaku ibu melalui kuesioner dan penilaian asupan makanan balita. Analisa statistik dilakukan dengan uji Chi Square, dan untuk melihat faktor yang paling dominan mempengaruhi status gizi batita digunakan uji regresi logistik ganda pemodelan faktor resiko dengan metode enter. Hasil penelitian menunjukkan terdapat hubungan yang bermakna antara perilaku ibu dengan status gizi balita (p value = 0,050).Hasil analisis multivariat mcnunjukkan bahwa variabei tingkat pendidikan sebagai faktor confounding dalam hubungan antara periiaku ibu dalam memenuhi kebutuhan gizi dan status gizi balita. Variabel yang paling dominan mempengaruhi status gizi balita adalah tingkat pendidikan ibu. Saran yang diajukan adalah agar dilakukan peningkatan pengetahuan gizi khususnya mengenai perilaku ibu dalam memenuhi kebutuhan gizi kepada para ibu dari para kader dengan melakukan berbagai pelatihan.

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The most important development period at less than five years old is children under three years (toddler). In this period, mother behavior to fulfill requirement of nutrition will give an impact on the-status of nutrition of the toddler. The purpose of this research was to identify the relationship between mother behavior and the status of nutrition of the toddler.

This study used cross sectional design which was the samples of 100 children. Data collection on status of nutrition was examining by scale of child body weight and then compare with the index of BB/U. The mother behavior was by a questioner and assessment of toddler food intake. Chi square was used to examine the relationship between mother behavior and status of nutrition of the toddler. To determine the dominant factor influence status of nutrition of the toddler used double logistic regression test, model of risk factor by enter method. The result of this study was shows that there are significant relation between mother behavior and status of nutrition of the toddler (p value = 0,050).

Multivariate analysis result indicated that the mother education level as a confounding factor on relation between mother behavior to fulfill requirement of nutrition and status of nutrition of the toddler. The conclusion of this study was the mother's education level is dominant variable that influence status of nutrition of the toddler. The suggestion was in order to increase knowledge of nutrition especially regarding mother behavior in fulfill requirement of nutrition by various training for all mothers and health social workers."

"Salah satu upaya agar memperoleh sumber daya manusia (SDM) yang berkualitas di masa datang dengan memperhatikan keadaan gizi balita umumnya dan anak usia 6-17 bulan khususnya. Kemiskinan erat hubungannya dengan keadaan gizi balita, karena keterbatasan dalam memenuhi kebutuhan dasar antara lain makanan. Umumnya anak yang hidup di dalam keluarga miskin menderita gangguan pertumbuhan dan kurang gizi, tetapi kenyataannya dalam keadaan sosial ekonomi miskin masih terdapat anak-anak dengan status gizi baik, sehingga timbul pertanyaan faktor-faktor apakah yang menyebabkan anak keluarga miskin mempunyai status gizi baik. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan status gizi baik anak usia 6-17 bulan pada keluarga miskin di Jakarta Utara, kabupaten Bogor dan kabupaten Lombok Barat. Desain penelitian yang digunakan adalah potong lintang (cross sectional) dengan jumlah sampel yang diolah 479 orang anak dari 540 orang anak yang ada pada studi penyimpangan positif masalah KEP di Jakarta Utara, kabupaten Bogor dan kabupaten Lombok Timur. Hasil penelitian melaporkan proporsi gizi baik pada anak usia 6-17 bulan di Jakarta Utara 64,7%,kabupaten Bogor 63,1%, kabupten Lombok Timur 59,3% dan secara keseluruhannya 62,4%. Hasil uji chi-square menunjukkan ada hubungan yang bermakna (p<0,05) asupan energi dan asupan protein dengan status gizi baik anak usia 6-1.7 bulan di Jakarta Utara, ada hubungan yang bermakna pengetahuan ibu tentang gizi dengan status gizi baik anak usia 6-17 bulan di kabupaten Bogor, ada hubungan yang bermakna pola asuh anak dengan status gizi baik anak usia 6-17 bulan di kabupaten Lombok Timur dan ada hubungan yang bermakna pengetahuan ibu tentang gizi dan keadaan rumah dengan status gizi basi anak usia 6-17 bulan pada total di tiga lokasi penelitian. Hasil analisis multivariat regresi logistik ganda juga menunjukkan bahwa faktor yang paling dominan berhubungan dengan status gizi baik anak usia 6-17 bulan adalah asupan protein di Jakarta Utara, pengetahuan ibu tentang gizi di kabupaten Bogor, pola asuh anak di kabupaten Lombok Timur dan keadaan rumah pada total di tiga lokasi penelitian. Dan hasil penelitian dapat disimpulkan bahwa proporsi gizi baik masih rendah dan adanya variasi faktor dominan yang berhubungan dengan status gizi baik anak usia 6-17 bulan di daerah miskin. Untuk itu Dinas Kesehatan kabupaten/kota dalam perencanaan perbaikan status gizi anak usia 6-17 bulan di daerah miskin tidak disamakan di semua lokasi tetapi dibedakan dengan melihat faktor dominan dimasing-masing lokasi dan perlunya perbaikan lingkungan perumahan yang disertai dengan penyuluhan perilaku hidup sehat. Untuk Puskemas perlu meningkatkan pengetahuan ibu tentang gizi melalui program promosi gizi seimbang di masyarakat.

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Factors Related to Good Nutritional Status of Children Age 6-17 Months Old Among Poor Families in Northern Jakarta, Bogor District, and Eastern Lombok District in 1999. (Secondary Data Analysis)Among others, concern on under five nutritional status in general and children age 6-17 months old in particular is one important effort to improve the quality of human resource in the future. Poverty is closely related to the nutritional status of under five due to limitation to fulfill basic needs including food In general, children live within poor families suffered from growth retardation and under nutrition. However, within the poor socioeconomic environment, children with good nutritional status still can be found. This raises questions on what factors contribute to good nutritional status among poor families. The aim of this study is to investigate factors related to good nutritional status of children age 6-17 months old among poor families in Northern Jakarta, Bogor district, and Eastern Lombok district in 1999.

Design of this study is cross sectional with number of sample of analysis 479 out of 540 children who were included in the positive deviance study on protein energy malnutrition in Northern Jakarta, Bogor district, and Eastern Lombok district.

The study shows the proportion of children age 6-17 months old with good nutritional status are 64.7% in Northern Jakarta, 63.1% Bogor district, 59.3% in Eastern Lombok and the overall proportion is 62A%. The chi square test exhibits. significant association (p<0.45) between energy and protein intakes with good nutritional status among children age 6-17 months old in Northern Jakarta, significant association between mother's nutrition knowledge with good nutritional status among children age 6-17 months old in Bogor district, significant association between child care practices and good nutritional status among children age 6-17 months old in Eastern Lombok district, and significant association between mother's nutrition knowledge and house condition with good nutritional status among children age 6-17 months old.

Multiple logistic regression analysis shows that the most dominant factors for good nutritional status among children age 6-17 months old are protein intake in Northern Jakarta, mother's nutrition knowledge in Bogor district, child care practices in Eastern Lombok district, and house condition for overall places.

The study result concludes that the proportion of good nutritional status is still low and there is variation of dominant factors related to good nutritional status among children age 6-17 months old in poor areas. District Health Service have to consider the variation of determinant by making the planning of improvement of nutritional status not similar to the other districts. The planning has to be based on the real situation and the determinants which have been identified as main caused of nutritional status in each districts. There is a need to improve mother's nutrition knowledge through promotion of balance of nutrition and through promotion of nutrition in Posyandu as well as innovation of affordable nutrition balance."

"ABSTRACTMost poverty prevalence in developing countries is found among people living in rural areas, which depend on agricultural activities as their main source of livelihood (Suryana, 1992, Kuhonta, 1986). This study assessed the overall condition of the rural community in Pasaman (Jambak and Sarik village) and Sawahlunto/Sijunjung (SP I and SP IV village) district regarding to the poverty and nutritional situation by using an adapted Rapid Rural assessment method which was called RAPID: Rapid Nutritional Assessment for Community Based Poverty Alleviation Projects in Developing Countries, developed by GTZ. The method consists of interviewing key persons, focus group discussion, observation and height measurement of school children (6-9 years old). Other method to diagnose and analyze the nutritional situation of risk group is a nutritional survey. Interview and anthropometrics measurement of fewer than five children and the mother were done in this method. A poor state of nutrition and health also leads to lower productivity and reduces the availability of food at the household level, which now forms a vicious cycle. The availability of food can describe the food security status of the household. This study also attempted to look into the main problems of food security on rural community by using food security questionnaire developed by SEARCA (South East Asian Regional Center for Agriculture). The result of interviewing the mothers by this method revealed that current food security status in Jambak and Sarik was better than SP I and SP IV while SP IV was worse than SP I. The similar result was found by other two methods. RAPID method described the overall condition of the study area in a short time. This method also collected preliminary information on the nature and importance of poverty and nutritional problem, and supply of the resources of the study area. However this method insufficient to describe the relationship between nutritional problem and its determinant factor. Baseline survey gave the extent of the nutritional problem in the area, nevertheless this method needed some resources; fund, personnel, equipments and time. Food security method assessed the extent of food security problems in the area, however in this study, it was proved that the questionnaire was not fully applicable, therefore further analyses based on SEARCA method could not be completely applied."

"ABSTRACTSince July 1997. there was a monetary crisis in Indonesia. This condition influences health and nutritional status of the communitv. There was a decrease of purchasing power. due to lack job opportunities. This condition lead to decreasing in quality and quantity of food intake of children under-five in the community.Four cross-sectional surveys were carried out in East Jakarta in September 1993, April 1998, December 1998, and March 1999. There were totally 1859 under five children and 1622 household assessed within the four surveys. Multi stage random sampling was used in the first survey (September 1993) by Susilowati Regardless there were under fives or not the study covered all subdristricts select households having children under the age 60 months from 16 village units of 10 sub-districts. And the next three surveys used the same study area as the first study data on socio-economic, food consumption. environmental situation and nutrition status were collected using pre-coded questionaire and anthropometric measurements. The percentage of fathers without occupation increased in 1999 (7 .3 ~o) as compare to 1993 (2%). The anthropometric status of under-five children in September 1993. April 1998, December 1998 and March 1999 show the prevalence of stunting are as following 22.7%, 16.1%, 25 .4% and 22% (p value < 0.05, Chi Square). While the prevalence of wasting are as following 15%, 17.90/o, 11 .5% and 14.1 % (p value < 0.05, Chi Square). There were no significant difference in nutritional status between boys and girls within the four surveys. During the monetary crisis there were significant difference in prevalence of underweight (April'98 survey) in children from lower strata/percentile of per capitafood expenditure and upper level of strata percentile of per capita food expenditure (p < 0.05, Chi Square). Anthropometric indicators were calculated using growth reference data of the National Center for health Statistics ( 1977 )The prevalence of stunting and wasting were also significantly higher inthcgroup receiving food aid compared to those without food aid. There is no significant difference in prevalence of malnourished mother by using cut-off point BMJ< 18.5. The prevalence of malnourished mother found in September 1993 was 14.7%. in April 1998 was 13.1%': in December 1998 was 16.2%, and in March 1999 was 13%. The same situation also describe ·n BM1>25 which has no changes from 1993 to 1999. The prevalence of overweight (BMI > 25) mother found in September 1993 was 24.2%, April 1998 was 21.3%, December 1998 19.1%, and March 1999 24.6%. It seems that the crisis has no impact on nutritional status of non pregnant mother.The crisis was associated with a clear negative shift in household foodconsumption. The intake of animal prolein sources significantly decreased (p value<0.05.chi-square). as a coping mechanism the plant protein as well as green leafy begetables consumption increased makedly)Based on strata/percentile of per capita food expenditure there were nodifference within the strata in all surveys in eggs consumption in the family but there were diference for poultry, meat, fish and milk (p< 0 05. Chi Square)There was assoaciation between children nutritional starus and frequency of food intake of animal protein, milk, fruit and cooking oil (p value < 0.05 anova). There were also assoctation between nutritional status of under live children with food expenditure number of household member, mother nutrional status (BMI and MUAC). Duration of breast-feeding snack consumption, total expenditure and food and program"