Community-Based Intervention as a Strategy for Overcoming and Preventing Childhood Stunting

Qory Tifani Rahmatika, Sigit Mulyono

Abstract


Stunting is identified as an indicator of growth failure in the first 1000 days of the child and is a major nutritional problem that can affect the productivity and human resources of a nation in the future. Community-based interventions are considered as an effective strategy to overcome the challenges of accelerating stunting reduction and are considered capable of promoting healthy behaviors and having a positive impact on health degrees in a wider population. The purpose of this literature study is to provide an overview of community-based interventions as an effort to prevent and accelerate the decline in stunting rates in Indonesia. The method used was literature studies using online databases sources such as Proquest, Science Direct, and Wiley. From the literature searching, it was obtained 9 research articles which were published in the range of 2011-2021. In general, the results of this literature study classify several community-based interventions that have been successfully implemented into 4 (four) focus intervention objectives; interventions that focus on improving nutrition, interventions that focus on improving adequate care and parenting patterns, interventions to address environmental sanitation problems, and interventions to improve health status. Community-based interventions which were chosen to be implemented in the studies are able to decrease the stunting rates in toddles using different types of strategies. It requires strong involvement and commitment from all elements in the community including health workers, communities, and actors in the community in implementing community-based intervention strategies in overcoming the stunting problem.

Keywords


Community-Based Intervention; Community Health Program; Childhood; Stunting

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References


Ayalew, C. A., & Belachew, T. (2021). Effect of complementary feeding behaviour change communication delivered through community-level actors on infant growth and morbidity in rural communities of West Gojjam Zone, Northwest Ethiopia: A cluster-randomized controlled trial. Maternal and Child Nutrition, (August), 1–13. https://doi.org/10.1111/mcn.13136

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14(4), 1–10. https://doi.org/10.1111/mcn.12617

Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., … Black, R. E. (2013). Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? The Lancet, 382(9890), 452–477. https://doi.org/10.1016/S0140-6736(13)60996-4

de Onis, M., & Branca, F. (2016). Childhood stunting: A global perspective. Maternal and Child Nutrition, 12, 12–26. https://doi.org/10.1111/mcn.12231

Dhaded, S. M., Hambidge, K. M., Ali, S. A., Somannavar, M., Saleem, S., Pasha, O., … Krebs, N. F. (2020). Preconception nutrition intervention improved birth length and reduced stunting and wasting in newborns in South Asia: The Women First Randomized Controlled Trial. PLoS ONE, 15(1), 1–16. https://doi.org/10.1371/journal.pone.0218960

Haselow, N. J., Stormer, A., & Pries, A. (2016). Evidence-based evolution of an integrated nutrition-focused agriculture approach to address the underlying determinants of stunting. Maternal and Child Nutrition, 12, 155–168. https://doi.org/10.1111/mcn.12260

Havemann, K., Pridmore, P., Tomkins, A., & Garn, K. D. (2013). What works and why? Evaluation of a community nutrition programme in Kenya. Public Health Nutrition, 16(9), 1614–1621. https://doi.org/10.1017/S1368980012004880

Hossain, M., Choudhury, N., Abdullah, K. A. B., Mondal, P., Jackson, A. A., Walson, J., & Ahmed, T. (2017). Evidence-based approaches to childhood stunting in low and middle income countries: A systematic review. Archives of Disease in Childhood, 102(10), 903–909. https://doi.org/10.1136/archdischild-2016-311050

Juarez, M., Dionicio, C., Sacuj, N., Lopez, W., Miller, A. C., & Rohloff, P. (2021). Community-based interventions to reduce child stunting in rural guatemala: A quality improvement model. International Journal of Environmental Research and Public Health, 18(2), 1–13. https://doi.org/10.3390/ijerph18020773

Kemenkes RI. (2018). Hasil Utama Riset Kesehatan Dasar (RISKESDAS). https://doi.org/10.1088/1751-8113/44/8/085201

Kosek, M. N., Ahmed, T., Bhutta, Z. A., Caulfield, L., Guerrant, R. L., Houpt, E., … Trigoso, D. R. (2017). Causal Pathways from Enteropathogens to Environmental Enteropathy: Findings from the MAL-ED Birth Cohort Study. E Bio Medicine, 18, 109–117. https://doi.org/10.1016/j.ebiom.2017.02.024

Martorell, R. (2017). Improved Nutrition in the First 1000 Days and Adult Human Capital and Health. American Journal of Human Biology, 29(32), 139–148. https://doi.org/10.1016/j.physbeh.2017.03.040

Mc.Leroy, K. R., Norton, B. L., Kegler, M. C., Burdine, J. N., & Sumaya, C. v. (2003). Community-based interventions. American Journal of Public Health, 93(4), 344–348. https://doi.org/10.1017/CBO9780511543579.075

Pickering, A. J., Djebbari, H., Lopez, C., Coulibaly, M., & Alzua, M. L. (2015). Effect of a community-led sanitation intervention on child diarrhoea and child growth in rural Mali: A cluster-randomised controlled trial. The Lancet Global Health, 3(11), e701–e711. https://doi.org/10.1016/S2214-109X(15)00144-8

Prendergast, A. J., & Humphrey, J. H. (2014). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250–265. https://doi.org/10.1179/2046905514Y.0000000158

Probohastuti, N. F., Rengga, D. A., & Si, M. (2017). Implementasi kebijakan intervensi gizi sensitif penurunan stunting di Kabupaten Blora. Jurnal Administrasi Publik FISIP UNDIP, 1–16.

Reifsnider, E., Shin, C. N., Todd, M., Jeong, M., Gallagher, M., & Moramarco, M. (2016). How Did They Grow: An Intervention to Reduce Stunted Growth in Low-Income Mexican-American Children. Research in Nursing and Health, 39(2), 105–120. https://doi.org/10.1002/nur.21714

Reinbott, A., Schelling, A., Kuchenbecker, J., Jeremias, T., Russell, I., Kevanna, O., … Jordan, I. (2016). Nutrition education linked to agricultural interventions improved child dietary diversity in rural Cambodia. British Journal of Nutrition, 116(8), 1457–1468. https://doi.org/10.1017/S0007114516003433

Rockers, P. C., Zanolini, A., Banda, B., Chipili, M. M., Hughes, R. C., Hamer, D. H., & Fink, G. (2018). Two-year impact of community-based health screening and parenting groups on child development in Zambia: Follow-up to a cluster-randomized controlled trial. PLoS Medicine, 15(4), 1–16. https://doi.org/10.1371/journal.pmed.1002555

UNICEF, WHO, & World Bank. (2020). Levels and trends in child malnutrition: Key findings of the 2020 Edition of the Joint Child Malnutrition Estimates. Geneva: WHO, 24(2), 1–16.

WHO. (2006). Child Growth Standard. Retrieved March 2, 2021, from https://www.who.int/childgrowth/standards/chart_catalogue/en/

Yaya, S., Odusina, E. K., Uthman, O. A., & Bishwajit, G. (2020). What does women’s empowerment have to do with malnutrition in Sub-Saharan Africa? Evidence from demographic and health surveys from 30 countries. Global Health Research and Policy, 5(1), 1–11. https://doi.org/10.1186/s41256-019-0129-8




DOI: http://dx.doi.org/10.46815/jkanwvol8.v10i2.123

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