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"Pemenuhan kebutuhan gizi pada 1000 Hari pertama kehidupan seorang anak merupakan hal penting yang perlu diperhatikan. Saat anak berusia di bawah dua tahun (baduta) anak mengalami pertumbuhan yang sangat pesat dan tidak dapat terulang. Salah satu faktor yang dinilai efektif dalam memenuhi kebutuhan gizi baduta adalah menerapkan praktik pemberian makan responsif. Penelitian ini bertujuan untuk mengetahui gambaran praktik pemberian makan responsif pada anak usia 6-23 bulan di DKI Jakarta. Metode penelitian yang digunakan adalah cross-sectional, dengan pengambilan data secara daring dan luring. Sampel pada penelitian ini adalah ibu yang memiliki anak usia 6-23 bulan (atau pengasuh yang sudah merawat lebih dari 3 bulan) yang sesuai dengan kriteria inklusi. Teknik sampling yang digunakan adalah proportionate stratified random sampling, dengan jumlah total keseluruhan sampel 445 responden. Peneliti menyebarkan kuesioner yang mencakup data karakteristik anak, karakteristik ibu/ pengasuh, stres pengasuhan, dan praktik pemberian makan responsif. Hasil penelitian secara umum menunjukkan bahwa sebagian besar responden telah menerapkan praktik pemberian makan responsif di tingkat sangat baik (88,1%). Namun, sayangnya masih terdapat 2% responden yang menerapkan praktik pemberian makan responsif dalam tingkat buruk. Tentu angka ini bukanlah angka yang sedikit, mengingat saat ini terdapat lebih dari 100.000 jiwa baduta yang berdomisili di DKI Jakarta. Penelitian ini diharapkan dapat menjadi dasar intervensi preventif untuk meningkatkan kesuksesan praktik pemberian makan responsif pada anak usia 6-23 bulan.

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Fulfilling nutritional needs in the first 1000 days of a child's life is an important thing that needs attention. When a child is under two years old, the child experiences a very rapid growth and it cannot be repeated. One factor that is considered effective in meeting the nutritional needs of under-two years old is implementing responsive feeding practices. This study aims to describe responsive feeding practices in children aged 6-23 months in DKI Jakarta.

The used research method is cross-sectional, with online and offline data collection. The sample in this study were mothers who had children aged 6-23 months (or caregivers who had cared for more than 3 months) who met the inclusion criteria. The sampling technique used was proportionate stratified random sampling, with a total sample of 445 respondents. Researcher distributed questionnaires that included data on child's characteristics, mother's characteristics, parenting stress, and responsive feeding practices.

The results of the study generally showed that the majority of respondents had implemented responsive feeding practices at a very good level (88.1%). However, unfortunately there are still 2% of respondents who apply responsive feeding practices at a poor level. Certainly, this number is not a small number, considering that currently there are more than 100,000 children under two years old living in DKI Jakarta. This research is expected to be the basis for preventive interventions to increase the success of responsive feeding practices in children aged 6-23 months."

"Kejadian malnutrisi pada balita menjadi perhatian besar karena menyangkut investasi sumber daya manusia. Indonesia menghadapi triple burden status gizi balita yang menjadi beban negara. Berbagai upaya dilakukan untuk menurunkan prevalensi kurang gizi balita. Growth faltering sebagai indikator awal risiko terjadinya stunting menjadi titik awal intervensi intensif dilakukan untuk mencegah stunting. Upaya mengatasi growth faltering dilakukan melalui intervensi spesifik terutama pemberian makan bayi dan anak pada baduta. Penelitian ini bertujuan untuk mengidentifikasi efektivitas brief intervention terhadap praktik pemberian makan responsif pada bayi growth faltering usia 6-23 bulan. Desain penelitian ini adalah pre-experimental study dengan sampel 29 responden di kelompok kontrol (mendapatkan intervensi konseling pemberian makan bayi dan anak/PMBA dan 27 responden kelompok intervensi (mendapatkan intervensi konseling PMBA dan brief intervention). Hasil penelitian ini menunjukkan bahwa kelompok yang mendapatkan intervensi cenderung meningkatkan skor total pemberian makan responsif dan skor active feeding, meskipun tidak ditemukan signifikansi (pValue > 0,05); sedangkan pada kelompok kontrol selisih skor menunjukkan penurunan. Hasil ini menunjukkan bahwa tidak ada perbedaan bermakna antara kelompok yang mendapat intervensi konseling PMBA dengan kelompok yang mendapatkan intervensi PMBA dan brief intervention “Mentari”. Rekomendasi pelayanan menunjukkan bahwa konseling PMBA tetap dapat menjadi intervensi mengubah praktik pemberian makan.

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The incidence of malnutrition in children under five is a big concern because it involves investing in human resources. Indonesia faces a triple burden on the nutritional status of children under five. Various efforts were made to reduce the prevalence of malnutrition. Growth faltering as an early indicator of the risk of stunting is the starting point for intensive interventions to prevent stunting. Efforts to overcome growth faltering are carried out through specific interventions, especially infant and young child feeding practices. This study aims to identify the effectiveness of the brief intervention on responsive feeding practices in growth-faltering infants aged 6-23 months. The design of this study was a pre-experimental study with a sample of 29 respondents in the control group (getting infant and young child feeding counselling interventions/IYCF and 27 respondents in the intervention groups (getting IYCF counselling interventions and brief intervention). The results of this study showed that the group that received the intervention tended to improve the total responsive feeding score and active feeding score, although no significance was found (pValue > 0.05); Meanwhile, in the control group, the difference in scores showed a decrease. These results showed no significant difference between the group that received IYCF counselling intervention and the group that received IYCF intervention and brief intervention. Service recommendations suggest that IYCF counselling can still be an intervention to change feeding practices."

"Stunting ialah kondisi kurang gizi kronis yang disebabkan oleh asupan gizi yang kurang dari kebutuhan tubuh dalam waktu yang cukup lama sehingga anak lebih pendek jika dibandingkan dengan usianya. Faktor-faktor yang dapat mempengaruhi kejadian stunting dan praktik pemberian makan adalah usia ibu, pekerjaan ibu, tingkat pendidikan ibu, berat badan lahir anak.

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Stunting is a condition of chronic malnutrition caused by the lack of nutrient intake of the body needs in a long time so that the child is shorter when compared with his age. Factors that may affect the incidence of stunting and feeding practices are maternal age, maternal employment, maternal education, child birth weight."

"Latar belakang: Dampak malnutrisi seperti stunting, wasting, dan underweight pada 1000 hari pertama kehidupan irreversible, namun dapat dicegah dengan makanan pendamping ASI yang berkualitas. Penelitian ini bertujuan untuk mengetahui hubungan ketercapaian minimum dietary diversity (MDD) dengan status gizi anak usia 6-23 bulan di Jakarta Timur pada pandemi COVID-19 tahun 2020. Metode: Studi cross-sectional ini menggunakan data sekunder penelitian di Jakarta Timur, dengan jumlah sampel 102 subjek berusia 6-23 bulan. Data terkait MDD diperoleh melalui food recall 24 jam yang kemudian dimasukkan ke dalam kuesioner MDD. Data terkait usia, jenis kelamin, tingkat pendidikan ibu, dan pendapatan rumah tangga juga dianalisis dalam penelitian ini. Analisis data dilakukan melalui uji chi square dan regresi logistik menggunakan aplikasi SPSS Statistics versi 25. Hasil: Mayoritas subjek penelitian berusia 12-17 bulan (39,2%) dengan proporsi yang sama antara laki-laki dan perempuan. Sebanyak 52% subjek mencapai MDD pada asupan hari sebelumnya. Stunting merupakan status gizi terbanyak (20,6%) dibandingkan dengan wasting (15,7%) dan underweight (12,7%). Tidak ditemukan hubungan signifikan antara ketercapaian MDD dan status gizi subjek, tetapi jenis kelamin dianggap berhubungan dengan stunting (p=0,003; 95% CI=1,81-19,03) dan underweight (p=0,012; 95% CI =1,54-36,73). Kesimpulan: Dalam menganalisis hubungan kualitas asupan dengan status gizi, aspek lain seperti jumlah asupan juga perlu diperhatikan.

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the 1000 first days of life are irreversible, but could be prevented by giving high quality complementary feeding practice. This study aims to examine the relationship between achievement of minimum dietary diversity (MDD) with nutritional status among children aged 6-23 months in East Jakarta during the 2020 COVID-19 pandemic. Method: This cross-sectional study used secondary data from a research in Kampung Melayu Village, East Jakarta, with a total sampling of 102 subjects aged 6-23 months. Data related to MDD was obtained through a 24-hour food recall, which was then entered into the MDD achievement questionnaire. Data related to age, gender, mother's education level, and household income were also analyzed in this study. Data analysis was carried out through the chi square test and logistic regression using SPSS Statistics application version 25. Result: Majority of subjects in the study were 12-17 months (39.2%) and with an equal proportion between male and female. A total of 52% of subjects achieved MDD on the previous day's food intake. Stunting is the most prevalent nutritional status (20.6%) compared to wasting (15.7%) and underweight (12.7%). No significant relationship was found between the achievement of MDD and the nutritional status of the subjects, but gender was considered to be related to stunting (p=0.003; 95% CI=1.81-19.03) and underweight (p=0.012; 95% CI=1.54-36.73). Conclusion: In analyzing the relationship between the quality of intake and nutritional status, other aspects such as the amount of intake also need to be taken into account."

"Stunting merefleksikan kondisi kekurangan gizi kronis pada awal kehidupan. Kondisi tersebut dapat diikuti dampak negatif jangka panjang berupa penurunan kapasitas kognitif, rendahnya tingkat kehadiran di sekolah, hingga dapat memicu rendahnya produktivitas dan pendapatan seseorang di masa depan. Studi ini bertujuan untuk mengetahui hubungan antara praktik pemberian kolostrum, status imunisasi dan faktor lainnya dengan kejadian stunting pada anak usia 6-23 bulan di Jakarta Utara. Desain penelitian yang digunakan adalah cross sectional. Pengumpulan data dilakukan pada bulan Mei 2017. Penelitian ini melibatkan sampel sebanyak 210 orang anak usia 6-23 bulan di 11 posyandu terpilih di Jakarta Utara. Data penelitian diperoleh melalui pengukuran panjang badan anak dan wawancara responden. Analisis data yang dilakukan berupa analisis univariat, analisis bivariat dan analisis multivariat.Hasil penelitian menunjukkan bahwa sebesar 20 anak mengalami stunting, serta terdapat hubungan yang bermakna antara praktik pemberian kolostrum dan status imunisasi dengan kejadian stunting. Praktik pemberian kolostrum ditemukan sebagai faktor dominan kejadian stunting pada penelitian ini. Diperlukan peningkatan frekuensi dan cakupan penyuluhan mengenai praktik gizi dan kesehatan untuk anak usia 6-23 bulan, khususnya kepada masyarakat dengan tingkat pendidikan dan pendapatan yang rendah, dan dengan jumlah anak yang banyak serta diperlukan pemantauan tinggi badan anak secara berkala.

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Stunting reflects chronic malnutrition in early childhood. This condition can be followed by long term negative impacts such as decreased cognitive capacity, low attendance rates in schools, and lead to low productivity and income in the future. The aim of this study is to determine the association between colostrum feeding, immunization status and other factors with stunting among children aged 6 23 months in North Jakarta. Cross sectional was used as the research design. Data was conducted in May 2017. This study enrolled 210 children aged 6 23 months in 11 Posyandu in North Jakarta. Research data obtained through measurement of child length and respondents interview. Data analysis included univariate analysis, bivariate analysis and multivariate analysis.

The results showed that 20 of children had stunting, and there was a significant association between colostrum feeding and immunization status with stunting. Colostrum feeding was found as the dominant factor of stunting in this study. Researcher suggests to increase the frequency and coverage area of nutrition and health practices education, especially for people with low levels of education and income, and large number of children, also to monitor of children aged 6 23 months 39 s length periodically."

"Latar belakang: Perkembangan anak yang optimal diperlukan untuk mendukung proses belajar di kemudian hari. Zat besi merupakan salah satu nutrisi yang dibutuhkan dalam perkembangan otak untuk mendukung perkembangan anak, yang masih sangat diperlukan hingga usia 3 tahun. Penelitian ini bertujuan mengetahui hubungan antara status zat besi dengan status perkembangan anak usia 24-36 bulan. Metode: Penelitian dengan desain potong lintang eksplorasi dilakukan di Kampung Melayu, Jakarta pada bulan September sampai Oktober 2020. Subjek yang memenuhi kriteria penelitian didapatkan dengan teknik total population sampling. Data didapatkan dari wawancara karakteristik dan asupan zat besi menggunakan semi quantitative-food frequency questionnaire (SQ-FFQ), pemeriksaan antropometri, status perkembangan berdasarkan Ages and Stages Questionnaire-3 (ASQ-3), dan status zat besi dari pemeriksaan feritin, hemoglobin, dan high sensitivity C-reactive protein(hs-CRP). Analisis data menggunakan uji Chi square/Fisher, Mann-Whitney, dan regresi logistik. Hasil: Dari 80 subjek yang berhasil diperoleh, terdapat status gangguan perkembangan pada 17,5% subjek dan status zat besi kurang pada 41,3% subjek. Tidak terdapat hubungan bermakna antara status zat besi dengan status perkembangan. Dari analisis multivariat regresi logistik didapatkan status zat besi (p = 0,019) dan status gizi (p = 0,018) berkontribusi terhadap gangguan perkembangan, yaitu masing-masing sebesar 7,5 (95% CI 1,397-40,635) dan 11,45 (95% CI 1,518-86,371).Kesimpulan: Status zat besi berkontribusi dalam perkembangan anak usia 24–36 bulan, sehingga dibutuhkan upaya untuk menjaga status zat besi selain juga status gizi anak.

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Background: Optimal child development is needed to support the learning process at a later date. Iron is one of the nutrients needed in brain development to support child development, which is still very needed until the age of 3 years. This study aims to determine the association between iron status and developmental status in children aged 24-36 months.

Methods: An explorative cross-sectional study was conducted in Kampung Melayu, Jakarta, from September to October 2020. Subjects who met the research criteria were obtained using the total population sampling method. Data were obtained from interviews on characteristics and iron intake using semi quantitative-food frequency questionnaire (SQ-FFQ), anthropometric examinations, developmental status based on Ages and Stages Questionnaire-3 (ASQ-3), and iron status from ferritin, hemoglobin, and high sensitivity C-reactive protein (hs-CRP) tests. Data analysis used Chi square/Fisher, Mann-Whitney test, and logistic regression.

Results: Of the 80 subjects that were obtained, there was developmental disorder in 17.5% of subjects and deficient iron status in 41.3% of subjects. There was no significant relationship between iron status and developmental status. From the multivariate logistic regression analysis, it was found that iron status (p = 0.019) and nutritional status (p = 0.018) contributed to developmental disorder, namely 7.5 (95% CI 1.397-40.635) and 11.45 (95% CI 1.518-86.371), respectively.

Conclusion: Iron status contributed to the development of children aged 24–36 months, so efforts are needed to maintain iron status as well as children’s nutritional status."

"Penelitian ini bertujuan untuk mempelajari pengaruh otonomi ibu terhadap praktik pemberian makan bayi dan anak usia 6-23 bulan menggunakan data 4.687 wanita usia subur berusia 15-49 tahun dari data SDKI 2012. Hasil regresi logistik biner menunjukkan bahwa otonomi ibu signifikan mempengaruhi praktik pemberian makan bayi dan anak. Faktor lainnya yang berpengaruh terhadap praktik pemberian makan bayi dan anak adalah umur anak, pendidikan, status kerja, akses ke media, antenatal care, status ekonomi rumah tangga, tempat tinggal, dan paritas. Faktor yang paling kuat berpengaruh terhadap praktik pemberian makan bayi dan anak adalah status ekonomi rumah tangga.

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This research aims to study the effect of mother?s autonomy on feeding practice of infant and young child aged 6-23 months using the data of 4.687 married/cohabiting women from Indonesia DHS 2012. The results of binary logistic regression show that mother?s autonomy has a significant effect on infant and young child feeding practice. Other factors affecting child feeding practice are child age, education, working status, access to media, antenatal care, household economic status, residence, and parity. The strongest factor affecting child feeding practice is the household economic status."

"Pemberian MP-ASI yang berkualitas merupakan salah satu upaya untuk mengatasi masalah stunting. Pemberian MP-ASI yang tidak berkualitas, memiliki efek buruk pada kesehatan dan pertumbuhan anak serta meningkatkan risiko morbiditas dan mortalitas. MAD merupakan salah satu indikator penilaian MP-ASI, namun pada kenyataannya masih banyak anak dengan MAD tercapai yang dengan stunting. Tujuan Penelitian ini untuk mendapatkan gambaran kualitas pemberian MP-ASI pada anak stunting usia 6-23 bulan dengan Minimum Acceptable Diet (MAD) tercapai. Metode penelitian kualitatif dalam bentuk studi kasus, pengumpulan data dengan wawancara mendalam dan observasi, informan utama adalah 6 ibu yang memiliki anak balita stunting usia 6-23 bulan yang MAD tercapai, serta 17 orang informan penting yang terdiri dari anggota keluarga lain, kader Posyandu, penjual bubur MP-ASI/makanan matang dan petugas gizi Puskesmas. Penelitian dilakukan di 4 Kelurahan Jakarta Pusat pada bulan Februari-Maret 2020. Hasil penelitian yaitu MP-ASI dengan indikator MAD tercapai namun kualitasnya belum baik karena tidak memenuhi AKG anak, pengetahuan ibu terkait MP-ASI cukup baik, tidak ada kepercayaan makanan tabu, sebagian besar ibu membeli bubur MP-ASI dan makanan matang untuk MP-ASI anak, sumber rujukan utama ibu dalam praktek pemberian MP-ASI adalah buku KIA, tidak ada hambatan trasnpostasi dalam mendapatkan bahan makanan, penghasilan suami yang tidak tetap menjadi hambatan dalam membeli MP-ASI. Disarankan agar Suku Dinas Kesehatan Kota Administrasi Jakarta Pusat: melakukan Inovasi pembuatan aplikasi mobile, meningkatkan kegiatan penyegaran (refreshing) dan inovasi kegiatan sosialisasi MP-ASI, melakukan kegiatan inovasi dengan membentuk kelompok pendukung MP-ASI berkualitas, melakukan pembinaan, pemantauan, penilaian dan menerbitkan sertifikat laik hygiene sanitasi jasaboga pada penjual bubur MPASI dan makanan matang.

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Quality of complementary feeding practices is an effort to overcome the problem of stunting. Giving a poor quality complementary feeding ptactices, have a bad effect on child‟s health and growth and also increasing morbidity and mortality rate. Minimum Acceptable Diet (MAD) is one of the indicators of complementary feeding assessment, but in reality there are still many children with MAD who have achieved is stunting.The purpose of this study was to represent the relationship between complementary feeding practices with stunting using MAD requirements. Qualitative research is conduct with case studies methods, data collection by in-depth interviews, and observations. Six mothers who had stunting toddlers aged 6-23 months are the main respondent with good MAD requirements. Seventeen respondents support qualitative information of the main respondent. Support respondents are consisting of other family members, community healthcare vanguard, the seller of complementary feeding/cooked food, and nutritionist in the Health community center (PUSKESMAS). The study was conducted in 4 Central Jakarta Sub-districts in February-March 2020. The results of the study are complementary feeding practices with poor quality of MAD requirements proven not to comply with the RDA. Maternal knowledge related to complementary feeding practices is quite good, there is no belief in taboo foods, most of the mother buy breastfeeding complementary food such as porridge and cooked food for children. The basic references for mothers in the practice of giving complementary feeding practices are "mother and children healthcare handbook (KIA handbook)". From the results, there are no obstacles to get the food; the husband's income does not an resistance in buying complementary feeding. Recommendation: for Central Jakarta, Health Office initiative for innovating the creation of mobile mother and children healthcare applications; innovate activities in complementary feeding food socialization; conduct innovation activities by forming quality

complementary feeding food support groups; conducting and coaching, monitoring, and evaluating and issuing sanitation hygiene-concern certificates for complementary feeding catering services (MP-ASI Sellers).

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"Stunting merupakan masalah kesehatan yang dapat mempengaruhi proses tumbuh kembang anak dan bersifat permanen. Penyebab stunting tidak hanya karena faktor gizi, tetapi beberapa faktor lain seperti riwayat kesehatan ibu dan anak, lingkungan dan sosio-ekonomi. Tujuan dari penelitian ini adalah untuk mengetahui hubungan hygiene dan sanitasi dengan kejadian stunting pada anak balita di Kabupaten Sampang. Penelitian ini merupakan studi cross sectional dengan besar sampel sebanyak 207 balita di Sampang dengan pengambilan sampel total sampling. Data bersumber dari Riset Kesehatan Dasar tahun 2018 oleh Badan Penelitian dan Pengembangan Kementerian Kesehatan RI. Analisis data dengan regresi logistik multivariabel. Prevalensi stunting diperoleh sebanyak 49.2%. Hasil menunjukkan bahwa ada hubungan yang signifikan antara hygiene dan sanitasi, yaitu variabel pengelolaan sampah (OR 2.005; 95%CI : 1.037-3.879) dan penggunaan jamban (OR 2.861; 95%CI : 0.973-8.417) Riwayat penyakit ISPA juga berhubungan signifikan dengan kejadian stunting (OR 3.116; 95%CI : 1.071-9.062) Walaupun tidak signifikan, riwayat diare juga menunjukkan adanya risiko terhadap stunting pada balita (OR 1.953; 95% CI 0.694-5.495) Berdasarkan hasil penelitian, disarankan bagi masyarakat Sampang untuk meningkatkan pengetahuan dan kualitas Perilaku Hidup Bersih dan Sehat, kesehatan untuk ibu dan anak, serta peningkatan penyuluhan dan perbaikan sarana prasarana hygiene-sanitasi oleh Dinas Kesehatan Kabupaten Sampang.

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Stunting is a health problem which could affect the childs growth and development permanently. The cause of stunting is not only due to nutritional factors, but also several other factors such as maternal and child health history, environment and socio-economics. The purpose of this study was to determine the relationship of hygiene and sanitation with the incidence of stunting among under five age children in Sampang. This research was a cross sectional study with 207 samples in Sampang using a total sampling technique. Data was from the Riskesdas 2018 by the Indonesian Ministry of Healths Research and Development Agency. The results showed that there is a significant relationship between hygiene and sanitation, namely the variable of waste management (OR 2,005; 95% CI: 1,037-3,879) and the use of latrines (OR 2,861; 95% CI: 0.973-8,417). A history of Upper Respiratory Track Infection was also significantly related to the incidence of stunting (OR 3.116; 95% CI: 1.071-9.062). Even if theres no significant result for diarrhea, it showed that there was a risk by 1.9 times (OR 1.953; 95% CI 0.694-5.495) Based on the results of the study, its recommended to society improving their knowledge and quality of protection of Clean and Healthy Living, health for mothers and children, as well as improving the guidance and improvement of health-sanitation infrastructure by the Sampang District Health Office."

"Latar Belakang : Tingginya prevalensi stunting di Indonesia dipengaruhi oleh kebutuhan gizi yang meningkat disertai kuantitas dan kualitas MPASI yang terbatas. Pemberian protein hewani yang mengandung asam amino esensial lengkap dan berjumlah cukup diharapkan mendukung pertumbuhan linear adekuat. Penelitian mengenai efektivitas PMT protein hewani terhadap pertumbuhan linear pada setting komunitas belum pernah dilakukan di Indonesia.Metode : Penelitian ini merupakan non-randomised controlled trial di Kelurahan Warakas Jakarta Utara pada bulan Agustus-November 2022 dengan subjek antara berusia 6-59 bulan mendapat intervensi PMT protein hewani (telur dan/atau susu) selama 4 bulan serta edukasi, dibandingkan dengan mendapatkan edukasi saja. Analisis dilakukan dengan membandingkan insidens stunting, delta WAZ dan LAZ, weight increment, dan length increment antara kedua kelompok.Hasil : Analisis dilakukan terhadap 56 subjek kelompok intervensi dan 67 subjek kelompok kontrol. Insidensi stunting baru di akhir penelitian ditemukan sebanyak 11,9% pada kelompok kontrol dibandingkan kelompok intervensi 0% memiliki hasil berbeda bermakna (p=0,021, OR IK 95% 1,13). Median delta WAZ kelompok intervensi (0,13 SD) berbeda bermakna (p=0,01) dibandingkan dengan kelompok kontrol (-0,09 SD). Analisis kelompok intervensi delta WAZ menunjukkan perbedaan yang signifikan (p=0,01) dibandingkan dengan kelompok kontrol, namun hasil delta LAZ secara statistik tidak berbeda bermakna tetapi secara klinis intervensi ini bermanfaat. Persentase subjek mencapai weight increment dan length increment adekuat lebih besar pada kelompok intervensi dan berbeda bermakna dibandingkan kelompok kontrol.Kesimpulan : Pemberian edukasi dan PMT protein hewani mampu mencegah terjadinya stunting dengan mendukung tercapainya weight increment dan length increment adekuat dan memberikan efek bermakna terhadap perubahan WAZ.

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Background : The high prevalence of stunting in Indonesia is influenced by increasing nutritional needs and the limited quantity and quality of complementary food. Supplementary feeding of animal proteins containing complete and sufficient amounts of essential amino acids is expected to support adequate linear growth. Research on the effectiveness of animal protein supplementation on linear growth in community settings has never been conducted in Indonesia.

Methods : This study is a non-randomized controlled trial in Warakas, North Jakarta, from August-November 2022. Subjects between 6-59 months in intervention group received supplementary feeding of animal proteins (egg and/or milk) for four months and education, meanwhile the control group received education only. Analysis was conducted by comparing the incidence of stunting, delta WAZ and LAZ, weight increment, and length increment.

Result : Analysis was conducted on 56 subjects of the intervention group and 67 subjects of the control group. The incidence of stunting at the end of the study (11.9%) was found in the control group compared to the intervention group (0%) has significant results (p=0.021, OR CI 95% 1.13). Analysis of the delta WAZ intervention group showed a significant difference (p=0.01) compared to the control group, however, the delta LAZ result was not statistically different but clinically the intervention was beneficial. The average of endline LAZ subjects at risk of stunting in the intervention group (-0.24 SD) differed significantly (p=0.001) compared to the control group (-0.93 SD). The percentage of subjects achieving adequate weight increment and length increment was greater in the intervention group and showed a significant difference from the control group.

Conclusion : The intervention of education and animal protein supplementation can prevent occurrence of stunting by promoting adequate weight increment and length increment and also has a meaningful effect on changes of WAZ. "