Anthropometric Kit Development for Stunted Early Detection among Children Under-two Years Old: Providing a Portable Body Length Measurer

Maria Wigati; Aphrodite N. Nurlita; I Made A. Gunawan; Narendra Y. Hendarta; Mubasysyir Hasanbasri; Siti Helmyati

doi:10.3889/oamjms.2022.8952

Authors

Maria Wigati Department of Nutrition and Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Center for Health and Human Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Aphrodite N. Nurlita Directorate of Public Health and Nutrition, Ministry of National Development Planning, Jakarta, Indonesia
I Made A. Gunawan Study Program of Nutrition, Health Polytechnic of the Ministry of Health Yogyakarta, Yogyakarta, Indonesia
Narendra Y. Hendarta Study Program of Health Analyst, Health Polytechnic of the Ministry of Health Yogyakarta, Yogyakarta, Indonesia
Mubasysyir Hasanbasri Department of Biostatistics, Epidemiology, and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
Siti Helmyati Department of Nutrition and Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia; Center for Health and Human Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8952

Keywords:

Growth and development, Public health, Diffusion of innovation, Qualitative research, Expert testimony

Abstract

BACKGROUND: One of the keys to stunting reduction, a condition of lower height or length compared to their age, is the measurement of children in the community. However, the infantometer as the gold standard is not accessible by all community health workers (CHWs).

AIM: The aim is to develop a stunted early detection tool (SEDT) for Indonesian children under-two years old.

MATERIALS AND METHODS: This qualitative study was conducted as the first phase of the development process and focused on the experts’ judgments of the prototype. Experts’ judgments were recorded qualitatively. There were five in-depth interviews with anthropometric, health promotion, and media design experts. Rogers’ Diffusion of Innovations Theory and thematic content analysis were used to analyze the relative advantages, compatibility, complexity, and observability.

RESULTS: The prototype of the SEDT consists of two tools, including a length mat to measure children’s length and a circular disc that helps CHWs classify the nutritional status of the children according to length for age length-for-age Z-score. Most experts agreed that the SEDT is a good instrument for the early detection of stunting among children under 24 months. The tool is designed to be portable, child-friendly, compatible, and easy to use. Although its development has the potential to help CHWs fulfill their responsibilities, major changes were needed specifically to improve the tool’s stability and design.

CONCLUSIONS: This analysis gives broad information about the SEDT’s potential as a SEDT considering its relative advantages, complexity, compatibility, and observability. Further research is important to validate potential users’ responses in a representative population.

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