The Given of Fermented Drink Fortified with Fe-Zn (INTAKE) for Under-5-Year-Old Children as Integration of Research Products and Stunting Prevention Program: An Action Research

Siti Helmyati; Setyo Utami Wisnusanti; Maria Wigati; Lintang Aryanti; Suseno Suseno; Bambang Suwignyo

doi:10.3889/oamjms.2022.8346

Authors

Siti Helmyati Department of Nutrition and Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Center of Health and Human Nutrition, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Setyo Utami Wisnusanti Department of Nutrition and Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Center of Health and Human Nutrition, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Maria Wigati Center of Health and Human Nutrition, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia https://orcid.org/0000-0002-8458-9697
Lintang Aryanti Center of Health and Human Nutrition, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia https://orcid.org/0000-0001-8905-650X
Suseno Suseno Public Health Office, Yogyakarta Special District Province, Indonesia
Bambang Suwignyo Department of Animal Nutrition and Feed Science, Faculty of Animal Science, Universitas Gadjah Mada, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8346

Keywords:

Action research, Stunted children, Child growth

Abstract

INTRODUCTION: Stunting is one priority for nutritional and health problems in Indonesia.

AIM: This research was action research aimed at improving the nutritional status of the community, especially in supporting stunting reduction programs through specific nutrition interventions using local functional foods and determine, whether the program can be implemented in a proper setting.

METHODS: The research was conducted in the working area of Tempel 2 Public Health Center (PHC Tempel 2), Sleman Regency, DI Yogyakarta using an action research approach. This study was involved 26 children aged 12–59 months who were living in the PHC Tempel 2, Sleman, Yogyakarta Special District Province. This product was given every day for 3 months with a daily dosage of 100 mL/day. The consumption was monitored using food diary to identify the compliance rate of the products.

RESULTS: The consumption of INTAKE significantly increased the growth of the subjects which included height (91.94 vs. 95.13 cm), weight (12.75 vs. 13.63 kg), and nutritional status of height for age z-score (−1.348 vs. −0.933) 3 months after the intervention.

DISCUSSION: Although several factors such as eating behavior can affect the nutritional status of children, the INTAKE intervention can provide an alternative food supplement for children besides the programs that have been provided by the government.

CONCLUSION: The provision of fermented milk with iron-zinc fortification (INTAKE) had a positive intake for the growth of children under 5 years old. The intervention was feasible to be carried out over a longer period. However, considering the nutrition-related behaviors of the children, it should be considered administering different supplementary food while maintaining consistent nutrition education to enhance the success of the programs. Collaboration between academicians, health offices, and industry also proposed a good impact.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Kemenkes RI. Hasil Riset Kesehatan Dasar Tahun 2018. Vol. 53. Kementrian Kesehat RI; 2018. p. 1689-99.

Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatr Int Child Health. 2014;34(4):250-65. https://doi.org/10.1179/2046905514Y.0000000158 PMid:25310000 DOI: https://doi.org/10.1179/2046905514Y.0000000158

Leroy JL, Ruel M, Habicht JP. Critical Windows for Nutritional Interventions against Stunting. Am J Clin Nutr. 2013;98(3):854-5. https://doi.org/10.3945/ajcn.112.052332 PMid:23553163 DOI: https://doi.org/10.3945/ajcn.113.066647

Bhutta ZA, Ahmed T, Black RE, Cousens S, Dewey K, Giugliani E, et al. What works? Interventions for maternal and child undernutrition and survival. Lancet. 2008;371(9610):417-40. https://doi.org/10.1016/S0140-6736(07)61693-6 PMid:18206226 DOI: https://doi.org/10.1016/S0140-6736(07)61693-6

Helmyati S, Sudargo T, Kandarina I, Yuliati E, Wisnusanti SU, Puspitaningrum VA, et al. Tempeh extract fortified with iron and synbiotic as a strategy against anemia. Int Food Res J. 2016;23(5):2296-9.

Helmyati S, Shanti KM, Sari FT, Sari MP, Atmaka DR, Pratama RA, et al. Synbiotic fermented milk with double fortification (Fe-zn) as a strategy to address stunting: A randomized controlled trial among children under five in Yogyakarta, Indonesia. Processes. 2021;9(3):543. https://doi.org/10.3390/pr9030543 DOI: https://doi.org/10.3390/pr9030543

Nurlita AN, Wigati M, Hasanbasri M, Jumarko J, Helmyati S. Development of stunting early detection kit for children under two years: Validity and reliability. J Gizi Pangan. 2021;16(1):39-46. DOI: https://doi.org/10.25182/jgp.2021.16.1.39-46

Stringer ET. Action Research. 3rd ed. California, USA: SAGE Publications; 2007. p. 305.

UNICEF. Programming Guides Infant and Young Child Feeding. New York: UNICEF; 2011.

Kähkönen K, Sandell M, Rönkä A, Hujo M, Nuutinen O. Children’s fruit and vegetable preferences are associated with their mothers’ and fathers’ preferences. Foods. 2021;10(2):261. https://doi.org/10.3390/foods10020261 PMid:33513828 DOI: https://doi.org/10.3390/foods10020261

Chou WP, Wang PW, Chen SL, Chang YP, Wu CF, Lu WH, et al. Voluntary reduction of social interaction during the covid‐19 pandemic in taiwan: Related factors and association with perceived social support. Int J Environ Res Public Health. 2020;17(21):1-12. DOI: https://doi.org/10.3390/ijerph17218039

World Health Organization. Reducing Stunting in Children: Equity Considerations for Achieving Global Nutrition Target 2025. Geneva: World Health Organization; 2018.

Muhyi HA, Chan A. The penta helix collaboration model in developing centers of flagship industry in Bandung city. Rev Integr Bus Econ Res. 2017;6(1):412-7.

Kemenkes RI. Petunjuk Teknis Pemberian Makanan Tambahan. Kemenkes RI; 2017. p. 1-44.

Muthia G, Edison E, Yantri E. The evaluation of the implementation of stunting prevention program was reviewed from the specific nutritional intervention of the 1000 HPK Movement in Public Health Care Pegang Baru Pasaman District. Andalas J Health. 2020;8(4):1125. https://doi.org/10.25077/jka.v8i4.1125 DOI: https://doi.org/10.25077/jka.v8i4.1125

Putri AS, Mahmudiono T. Effectiveness of Recovery supplementary feeding program on nutritional status of children under five in a work area of Simomulyo Public Health Center, Surabaya. Am Nutr. 2020;4(1):58.