The Perspective of Community Health Center Workers toward Stunting Prevention Program during the COVID-19 Pandemic

Authors

  • Ika Sumiyarsi Sukamto Department of Public Health, Graduate Faculty, Universitas Sebelas Maret, Surakarta, Indonesia https://orcid.org/0000-0002-1244-7753
  • Hartono Hartono Department of Public Health, Graduate Faculty, Universitas Sebelas Maret, Surakarta, Indonesia
  • Retno Setyowati Department of Public Health, Graduate Faculty, Universitas Sebelas Maret, Surakarta, Indonesia
  • Sri Mulyani Department of Public Health, Graduate Faculty, Universitas Sebelas Maret, Surakarta, Indonesia https://orcid.org/0000-0002-7630-0048
  • Dian Nintya Department of Midwifery, Faculty of Medicine, Universitas Muhammadiyah Semarang, Semarang, Indonesia https://orcid.org/0000-0002-9024-3350
  • Hanifah Sarah  Department of Midwifery, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia
  • Hasna Fatin Hanifah  Midwifery Department, Faculty of Medicine, Universitas Sebelas Maret, Indonesia
  • Rufidah Maulina Department of Midwifery, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia https://orcid.org/0000-0002-7630-0048

DOI:

https://doi.org/10.3889/oamjms.2022.9488

Keywords:

Stunting, Children under five, Primary health care, The COVID-19

Abstract

BACKGROUND: Since the COVID-19 outbreak occurred, the stunting prevention program in Indonesia has faced many challenges. Integrated Health Posts as the places where mothers can have their baby’s growth measured were closed and restricted.

AIM: The purpose of this study is to describe stunting prevention program during the COVID-19 pandemic from the perspective of the Community Health Center workers.

METHODS: This research used the qualitative research method. Its primary and secondary data were collected through semi-structured open-ended questionnaire and in-depth interviews with 20 Community Health Center workers and officials of the Health Office of Surakarta City. This study was conducted on April 12, 2021 at Universitas Sebelas Maret, Indonesia. The data of the research were manually analyzed to categorize the thematic analysis based on its objectives. Purposive sampling was used determine the participants for its in-depth interviews. They consisted of 20 health care workers.

RESULTS: During the pandemic, the implementation of stunting prevention activities was hampered due to the government’s focus on the COVID-19 prevention program, the lack of commitment and participation of social workers, the invalid measurement from social workers, the social restrictions, and the fear of community gathering. The health cadres reported the findings using text messages rather than book measurements to follow the social restriction regulation. Some also did home visits to measure the toddlers’ growth. A commitment to tackle stunting and a workflow is therefore in demand so that stunting-related activities are not affected by the pandemic.

CONCLUSION: Obstacles in the stunting prevention program during the pandemic were felt by cadres, health centers, and mothers of toddlers where they could not do the regular weighing. Thus, coordination and collaboration of various sectors are required to handle the stunting management.

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References

2020 Global Nutrition Report: Action on Equity to end Malnutrition. Bristol, UK; 2020 Global Nutrition Report: Action on Equity to end Malnutrition. Bristol, UK; 2020. Available from: https://www. globalnutritionreport.org/reports/2020-globalnutrition-report [Last accessed on 2021 May 23].

Ministry of Health. Situasi Balita Pendek (Stunting) di Indonesia. Buletin Jendela Data dan Informasi Kesehatan. Indonesia: Ministry of Health; 2018.

Kurtz A, Grant K, Marano R, Arrieta A, Feaster W, Steele, C Ehwerhemuepha L. Long-term effects of malnutrition on severity of COVID-19. Sci Rep. 2021;11(1):1-8. https://doi.org/10.1038/s41598-021-94138-z PMid:34294743

Karana KP. Indonesia: Number of Malnourished Children Could Increase Sharply Due to COVID-19 Unless Swift Action is Taken; 2020. Available from: https://www.unicef.org/indonesia/press-releases/number-of-malnourished-children-in-indonesiacould-increase-sharply-due-to-covid-19 [Last accessed 2021 Jun 09].

Haryanto A. Gegara Pandemi, Kasus Stunting di Cimahi Naik Jadi 3.520 Balita; 2021. Available from: https://www.jabar.inews.id/berita/gegara-pandemi-kasus-stunting-di-cimahi-naik-jadi-3520-balita [Last accessed on 2021 Mar 22].

Batiktv. Angka Stunting di Kota Pekalongan Naik 2,5% Saat Pandemi; 2021. Available from: https://www.batiktv.pekalongankota.go.id/berita/angka-stunting-di-kotapekalongan-naik-25-saat-pandemi.html [Last accessed 2021 Apr 30].

Roberton T, Carter ED, Chou VB, Stegmuller AR, Jackson BD, Tam Y, et al. Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in lowincome and middle-income countries: A modelling study. Lancet Glob Health. 2020;8(7):e901-8. https://doi.org/10.1016/S2214-109X(20)30229-1 PMid:32405459

Akseer N, Kandru G, Keats EC, Bhutta Z. COVID-19 pandemic and mitigation strategies: Implications for maternal and child health and nutrition. Am J Clin Nutr. 2020;112(2):251-6. https://doi.org/10.1093/ajcn/nqaa171

Lapor Covid-19. Pusara Digital; 2021. Available from: https://www.nakes.laporcovid19.org/statistik [Last accessed 2021 Apr 10].

Souza DO. Health of nursing professionals: Workload during the COVID-19 pandemic. Rev Bras Med do Trab. 2021;18(4):464-471. https://doi.org/10.47626/1679-4435-2020-600 PMid:33688329

Wright A, Salazar A, Mirica M, Volk LA, Schiff GD. The invisible epidemic: Neglected chronic disease management during COVID-19. J Gen Intern Med. 2020;35(9):2816-7. https://doi.org/10.1007/s11606-020-06025-4 PMid:32666485

Hadi S. Managing the Acceleration for Stunting Reduction in Indonesia. Human Capital Project Global Forum – Investing in People and Building Resilience for Recovery 02 March 2021. 2021. Available from: https://olc.worldbank.org/system/files/Day%202%20-%20Session%201%20-%20Dr%20Suprayoga%20Hadi%20-%20Indonesia.pdf [Last accessed 2021 May 5].

World Health Organization. Maternal, Infant and Young Child Nutrition. Geneva, Switzerland: World Health Organization; 2012. Available from: https://www.apps.who.int/gb/ebwha/pdf_files/EB142/B142_22-en.pdf [Last accessed 2021 Apr 10].

Central Bureau of Statistic. Stunting Prevalence of Children Under 5 Years Old; 2018. Available from: https://www.bps.go.id/indikator/indikator/view_data/0000/data/1325/sdgs_2/1 [Last accessed 2021 Aug 13].

Smeru Institute. Undernutrition in the Time of Pandemic Crisis in Indonesia; 2020. Available from: https://www.smeru.or.id/sites/default/files/events/fkp_14okt_tnp2k.pdf [Last accessed 2021 Aug 16].

French S, Tangney C, Crane M, Wang Y, Appelhans BM. Nutrition quality of food purchases varies by household income: The SHoPPER study. BMC Public Health. 2019;19(1):1-7. https://doi.org/10.1186/s12889-019-6546-2 PMid:30808311

Turrell G, Kavanagh AM. Socio-economic pathways to diet: Modelling the association between socio-economic position and food purchasing behaviour. Public Health Nutr. 2006;9(3):375-83. https://doi.org/10.1079/phn2006850 PMid:16684390

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;14(4):e12617. https://doi.org/10.1111/mcn.12617 PMid:29770565

Harnack L, Oakes JM, Elbel B, Beatty T, Rydell S, French S. Effects of subsidies and prohibitions on nutrition in a food benefit program: A randomized clinical trial. JAMA Intern Med. 2016;176(11):1610-9. https://doi.org/10.1001/jamainternmed.2016.5633 PMid:27653735

Moynihan R, Sanders S, Michaleff ZA, Scott AM, Clark J, To EJ, et al. Impact of COVID-19 pandemic on utilisation of healthcare services: A systematic review. BMJ Open. 2021;11(3):e045343. http://doi.org/10.1136/bmjopen-2020-045343 PMid:33727273

Williams GA, Maier CB, Scarpetti G, de Belvis AG, Fattore G, Morsella A, et al. What strategies are countries using to expand health workforce surge capacity during covid-19 pandemic? Eurohealth (Lond). 2020;26(2):51.

Traube DE, Hsiao HY, Rau A, Hunt-O’Brien D, Lu L, Islam N. Advancing home based parenting programs through the use of telehealth technology. J Child Fam Stud. 2020;29(1):44-53.

Nguyen PH, Scott S, Neupane S, Tran LM, Menon P. Social, biological, and programmatic factors linking adolescent pregnancy and early childhood undernutrition: A path analysis of India’s 2016 national family and health survey. Lancet Child Adolesc Health. 2019;3(7):463-73. https://doi.org/10.1016/S2352-4642(19)30110-5

Tran NT, Nguyen LT, Berde Y, Low YL, Tey SL, Huynh DT. Maternal nutritional adequacy and gestational weight gain and their associations with birth outcomes among Vietnamese women. BMC Pregnancy Childbirth. 2019;19(1):1-10. https://doi.org/10.1186/s12884-019-2643-6

King JC. The risk of maternal nutritional depletion and poor outcomes increases in early or closely spaced pregnancies. J Nutr. 2003;133(5):1732S-6S. https://doi.org/10.1093/jn/133.5.1732S PMid:12730491

Tampake R, Arianty R, Mangundap SA, Emy B, Sasmita H. The effectiveness of training on improving the ability of health cadres in early detection of stunting in toddlers. Open Access Maced J Med Sci. 2021;9(E):373-7.

Feroz AS, Khoja A, Saleem S. Equipping community health workers with digital tools for pandemic response in LMICs. Arch Public Health. 2021;79(1):1. https://doi.org/10.1186/s13690-020-00513-z PMid:33390163

Seboka B, Yilma T, Birhanu A. Factors influencing healthcare providers’ attitude and willingness to use information technology in diabetes management. BMC Med Inform Decis Mak. 2021;21(1):1-10. https://doi.org/10.1186/s12911-021-01398-w PMid:33478502

Feroz A, Jabeen R, Saleem S. Using mobile phones to improve community health workers performance in low-and-middleincome countries. BMC Public Health. 2020;20(1):1-6. https://doi.org/10.1186/s12889-020-8173-3

Talukder A, Haselow NJ, Osei AK, Villate E, Reario D, Kroeun H, et al. Homestead food production model contributes to improved household food security and nutrition status of young children and women in poor populations. Lessons learned from scaling-up programs in Asia (Bangladesh, Cambodia, Nepal and Philippines). Field Act. J F Actions. 2010;1:1-16.

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Published

2022-01-03

How to Cite

1.
Sukamto IS, Hartono H, Setyowati R, Mulyani S, Nintya D, Sarah H, Hanifah HF, Maulina R. The Perspective of Community Health Center Workers toward Stunting Prevention Program during the COVID-19 Pandemic. Open Access Maced J Med Sci [Internet]. 2022 Jan. 3 [cited 2022 Jul. 1];10(T8):149-54. Available from: https://oamjms.eu/index.php/mjms/article/view/9488