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Abstrak :
ABSTRAK
Seribu Hari Pertama Kehidupan (1000 HPK) merupakan masa penting bagi tumbuh kembang seorang anak, dimana apabila terjadi masalah gizi pada saat ini dapat menimbulkan akibat baik jangka pendek maupun jangka panjang di masa yang akan datang bahkan kepada generasi selanjutnya. Tujuan dari penelitian ini adalah untuk mengetahui prevalensi gagal tumbuh berdasarkan Composite Index of Anthropometric Failure (CIAF), dan untuk mengetahui perbedaan proporsi gagal tumbuh pada anak balita berdasarkan karakteristik anak balita. lima, riwayat penyakit menular, karakteristik sosial ekonomi, ketahanan pangan rumah tangga, dan asupan makanan. . Penelitian dilaksanakan di Desa Jatinegara dan Pulo Gebang, Kecamatan Cakung, Jakarta Timur, pada bulan April sampai Juni 2019. Desain penelitian yang digunakan adalah cross sectional. Sampel penelitian ini adalah 163 anak usia 6-23 bulan yang datang ke 8 Posyandu terpilih. Data diperoleh melalui pengukuran berat badan dan panjang baduta, wawancara, dan recall 1x24 jam. Analisis univariat menunjukkan bahwa prevalensi gagal tumbuh pada anak balita adalah 31,9%. Prevalensi masing-masing kategori gagal tumbuh hanya wasting, wasting & underweight, wasting, stunting, & underweight, stunting & underweight, dan stunting saja, yaitu 13,5%; 8,0%; 3,1%; 3,1%, dan 4,3%. Analisis bivariat menunjukkan bahwa variabel yang memberikan perbedaan proporsi gagal tumbuh pada balita adalah variabel panjang lahir (p-value = 0,039; OR = 2,266), asupan energi (p-value = 0,000; OR = 9,979), dan asupan protein (p-value = 0,027; OR = 2,240).
ABSTRACT
The First Thousand Days of Life (1000 HPK) is an important period for the growth and development of a child, where if there is a nutritional problem at this time it can have both short-term and long-term consequences in the future, even to the next generation The purpose of this study was to determine the prevalence of failure to thrive based on the Composite Index of Anthropometric Failure (CIAF), and to determine differences in the proportion of failure to thrive in children under five based on the characteristics of children under five. five, history of infectious diseases, socio-economic characteristics, household food security, and food intake. . The research was conducted in Jatinegara and Pulo Gebang Villages, Cakung District, East Jakarta, from April to June 2019. The research design used was cross sectional. The sample of this study was 163 children aged 6-23 months who came to 8 selected Posyandu. Data were obtained through measurements of body weight and length of the baduta, interviews, and 1x24 hour recall. Univariate analysis showed that the prevalence of failure to thrive in children under five was 31.9%. The prevalence of each category of failure to thrive is only wasting, wasting & underweight, wasting, stunting, & underweight, stunting & underweight, and stunting only, which is 13.5%; 8.0%; 3.1%; 3.1%, and 4.3%. Bivariate analysis showed that the variables that provided differences in the proportion of failure to thrive in children under five were birth length (p-value = 0.039; OR = 2.266), energy intake (p-value = 0.000; OR = 9.979), and protein intake (p-value). = 0.027; OR = 2.240).

Abstrak :
Gagal tumbuh selama ini menggunakan pengukuran antropometri menurut indeks konvensional yang diukur terpisah, sementara kekurangan gizi tidak dapat berdiri sendiri. Pengukuran gagal tumbuh menggunakan CIAF diperlukan untuk melengkapi kegagalan antropometri yang lebih komprehensif. Penelitian ini bertujuan untuk mengetahui hubungan gagal tumbuh dengan perkembangan anak usia 24-59 bulan di desa lokus stunting wilayah kerja Puskesmas Sungai Limau. Menggunakan desain studi cross sectional dengan teknik simple random sampling, analisis chisquare dan regresi logistik model faktor risiko dengan sampel 105 anak usia 24-59 bulan. Anak mengalami perkembangan meragukan sebanyak 31,4%, perkembangan sesuai 68,6%, gagal tumbuh sebanyak 29,5% dan normal 70,5%. Hasil bivariat menunjukkan terdapat hubungan antara gagal tumbuh dengan perkembangan anak(p=0,028), gagal tumbuh berhubungan dengan perkembangan motorik kasar (p=0,002) dan kemampuan bicara bahasa (p=0,050).Variabel lain yang berhubungan dengan perkembangan anak yaitu pendidikan ibu (p=0,002), pekerjaan ibu (p=0,003), pendapatan(p=0,003), ASI ekslusif (p=0,0034), dan stimulasi (p=0,0005). Analisis multivariat menunjukkan gagal tumbuh tetap konsisten berhubungan dengan perkembangan anak (p=0,002). Gagal tumbuh berhubungan dengan perkembangan meragukan setelah dikontrol beberapa variabel kovariat. Pelaksanaan program deteksi dini tumbuh kembang anak memerlukan kerjasama dan komitmen lintas sektor kesehatan dan pendidikan yaitu mengintegrasikan kegiatan posyandu dan Pendidikan Anak Usia Dini. ...... Failure to thrive so far using anthropometric measurements according to conventional indices measured separately, while malnutrition cannot stand alone. Measurement of failure to thrive using CIAF is needed to complement more comprehensive anthropometric failures. This study aims to determine the relationship between failure to thrive and the development of children aged 24-59 months in the stunting locus village of the Sungai Limau Health Center work area. Using a cross-sectional study design with simple random sampling techniques, chisquare analysis and logistic regression risk factor models with a sample of 105 children aged 24-59 months. Children experienced dubious development as much as 31.4%, corresponding development 68.6%, failure to grow as much as 29.5% and normal 70.5%. Bivariate results showed an association between failure to thrive with child development (p = 0.028), failure to thrive was associated with gross motor development (p = 0.002) and speech skills (p = 0.050). Other variables related to child development were maternal education (p = 0.002), maternal employment (p = 0.003), income (p = 0.003), exclusive breastfeeding (p = 0.0034), and stimulation (p = 0.0005). Multivariate analysis showed failure to thrive remained consistently associated with child development (p = 0.002). Failure to thrive was associated with dubious development after controlling for several covariate variables. The implementation of early detection programs for child growth and development requires cooperation and commitment across the health and education sectors, namely integrating posyandu and Early Childhood Education activities.

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Masalah kurang gizi pada baduta yaitu stunting, wasting dan underweight baik di Sulawesi Barat maupun di tingkat nasional masih menjadi masalah serius. Ditambah lagi kenyataannya terdapat anak-anak yang memiliki dua atau lebih masalah kurang gizi secara bersamaan. Penelitian ini bertujuan untuk mengetahui faktor dominan CIAF (composite index anthropometric failure) pada baduta di Sulawesi Barat. Penelitian ini menggunakan desain penelitian cross sectional yang memanfaatkan data Riskesdas 2018 dengan jumlah sampel sebanyak 395 anak. Analisis dilakukan mengunakan uji chi kuadrat dan regresi logistic ganda. Hasil penelitian didapatkan prevalensi CIAF pada anak usia 0-23 bulan di Sulawesi Barat  tahun 2018 sebesar 47.3 %. ISPA dan berat badan lahir memiliki hubungan signifikan dengan CIAF, dimana ISPA merupakan faktor dominan (OR= 2.13). Namun tidak ada hubungan yang signifikan antara CIAF dengan keanekaragaman konsumsi makanan (MDD), diare, TB Paru, MPASI Dini, imunisasi, status pekerjaan ayah, status pendidikan ibu, status pekerjaan ibu, wilayah tempat tinggal, inisiasi menyusu dini (IMD), cara pembuangan tinja baduta, sumber Air minum dan pemberian kapsul vitamin A. Kesimpulan pada penelitian ini yaitu anak yang mengalami ISPA dalam berisiko 2.1 kali mengalami CIAF sehingga upaya pencegahan penyakit infeksi berulang perlu ditingkatkan agar tidak berdampak pada masalah kurang gizi. ......Undernutrition in children under five especially aged 0-23 months like stunting, wasting, underweight either in West Sulawesi or nationally is still being a serious problem. In addition there are children who have two or more undernutrition problem simultaneously and none of the three conventional indicators are able to provide the overall prevalence burden of undernutrition. This research aims to determine the dominant factor of composite index anthropometric failure aged 0-23 months in West Sulawesi using Riskesdas Data 2018. This research used cross sectional design with a sample total of 395 children aged 0-23 months. Data were analyzed using chi square for bivariate analysis and multiple regression logistic for multiple analysis. The result showed that 47.3% children aged 0-23 months were undernourished by using CIAF. Acute respiratory infection and birth weight were significantly related to CIAF with acute respiratory infection is a dominant factor (OR 2.13). Meanwhile there were no significant relationship between minimum dietary diversity, diarrhea, lung tuberculosis, early complementary feeding, basic immunization, early initiation of breastfeeding, working status of mother, working status of father, education status of mother, area of residence, source of drinking water, feces children disposal, and supplementation of vitamin A. The conclusion of this research was children who have suffered ARI in the last month have a risk 2.3 times of experiencing CIAF. Therefore increasing efforts to prevent repeated ARI is needed. 

Abstrak :
Composite Index of Antropometric Failure (CIAF) merupakan indikator penilaian status gizi komposit (BB/U, PB/U, BB/PB) untuk menggambarkan seluruh masalah gizi yang dialami balita. Masalah gizi, tingkat pengangguran, dan kemiskinan Provinsi Banten cukup tinggi serta pendapatan penduduknya rendah. Desa Karangkamulyan adalah desa tertinggal dengan wilayah pertambangan. Penelitian bertujuan mengetahui faktor-faktor yang berhubungan dengan status gizi balita berdasarkan CIAF di Desa Karangkamulyan, Kecamatan Cihara, Kabupaten Lebak tahun 2020. Penelitian menggunakan desain studi cross-sectional dengan menganalisis data primer penelitian “Faktor-Faktor yang Berhubungan dengan Kejadian Kecacingan pada Balita di Desa Karangkamulyan Kecamatan Cihara Kabupaten Lebak Tahun 2020”. Sampel penelitian adalah 141 balita berusia 24-59 bulan. Data dianalisis secara univariat dan bivariat menggunakan uji chi- square. Hasil penelitian menemukan balita dengan masalah gizi berdasarkan CIAF berjumlah 36,2%. Variabel yang berhubungan dengan status gizi balita berdasarkan CIAF, yaitu ASI Eksklusif (p-value 0,026), asupan energi (p-value 0,026), dan kebiasaan konsumsi protein nabati (p-value 0,003). Variabel pendidikan ibu, penghasilan keluarga, jenis kelamin, berat lahir, panjang lahir, asupan balita (protein, karbohidrat, lemak) kebiasaan konsumsi (protein hewani, sayur dan buah), dan riwayat penyakit (ISPA, diare) tidak berhubungan dengan status gizi balita. Dengan kondisi ini, pelaksanaan penanggulangan gizi dari orang tua, puskesmas, dan dinas kesehatan diharapkan dilakukan untuk menanggulangi masalah gizi balita ......Composite Index of Anthropometric Failure (CIAF) is an indicator of composite nutritional status assessment (WAZ, HAZ, WHZ) to describe all nutritional problems experienced by toddlers. In 2020, malnutrition, unemployment, poverty in Banten Province is high, and the income of the population tends to be low. Karangkamulyan Village is an underdeveloped village with mining areas. This study aims to determine the factors related to Toddler nutritional status based on CIAF in Karangkamulyan Village, Cihara District, Lebak Regency in 2020. The study used a cross-sectional study design by analyzing primary data from the study "Factors Associated with the Incidence of Worms in Toddlers in Karangkamulyan Village, Cihara District, Lebak Regency in 2020". The research sample was 141 toddlers aged 24-59 months. Data were analyzed by univariate and bivariate using the chi-square test. The results found that toddlers experienced nutritional problems based on CIAF were 36.2%. Variables related to the nutritional status of toddlers, is exclusive breastfeeding (p-value 0.026), energy intake (p- value 0.026), and vegetable protein consumption habits (p-value 0.003). The variables of mother's education, family income, gender, birth weight, birth length, toddler's intake (protein, carbohydrates, fat), consumption habits (animal protein, vegetables, and fruit), and disease history (ARI, diarrhea) were not related to toddler nutritional status. With this condition, the implementation of nutrition control from parents, public health centers, and the health office hoped to be carried out to overcome the toddler nutritional problems.

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Kurang gizi pada balita 0-23 bulan masih menjadi masalah kesehatan masyarakat diProvinsi DKI Jakarta. Pada tahun 2017 prevalensi underweight di Provinsi DKI Jakarta tergolong prevalensi medium 14,5, sementara wasting tergolong serius, sedangkanuntuk stunting termasuk rendah 18,1. Tujuan penelitian untuk mengetahui hubungan antara asupan energi, asupan protein, asupan lemak, keragaman jenis makanan, frekuensi pemberian makanan, ASI eksklusif, inisiasi menyusu dini, penimbangaan berat badan, pemberian kapsul vitamin A, riwayat pendidikan formal ibu dan status ibubekerja dengan kurang gizi pada Balita 0-23 bulan di Provinsi DKI Jakarta tahun 2017.Kurang gizi diukur menggunakan Compocite Index of Anthropometric Failure CIAF. Penelitian ini menggunakan desain cross sectional dengan jumlah sampel 658 balita 0-23 bulan. Hasil penelitian menunjukkan prevalensi kurang gizi pada Balita 0-23 bulan dengan indikator CIAF jauh lebih tinggi 31,9 dibandingkan dengan indikator BB/U,PB/U, dan BB/PB. Asupan protein, keragaman jenis makanan, pemberian kapsulvitamin A dan status bekerja ibu berhubungan signifikan dengan kurang gizi. Faktor dominan adalah asupan protein. Balita yang mengkonsumsi protein kurang memiliki risiko sebesar 4,8 kali 95 CI: 0.599-38.746 untuk mengalami kurang gizi dibandingkan Balita yang mengkonsumsi protein cukup. Terdapat interaksi antaraasupan protein dan keragaman jenis makanan. Interaksi tersebut saling melemahkan terhadap kejadian kurang gizi. ......Undernutrition in under five children 0 23 months is still a public health problem in DKI Jakarta Province. In 2017, the prevalence of underweight in DKI Jakarta is classified as medium prevalence 14.5, while wasting is considered serious, meanwhile stunting is low 18.1. The objectives of the study were to investigate the relationship between energy intake, protein intake, fat intake, food diversity, feeding frequency, exclusive breastfeeding, early breastfeeding initiation, weight monitoring,vitamin A capsule supplementation, maternal formal education and maternal working status with undernutrition in under five children 0 23 months. Undernutrition was measured using the Composite Index of Anthropometric Failure CIAF. This research use cross sectional design with number of sample 658. The results showed prevalence of undernutrition using CIAF indicator is much higher 31.9 compared with BB U, PB U, and BB PB indicators. Protein intake, dietary diversity, vitamin A capsule supplementation and maternal working status were significantly associated with undernutrition. The dominant factor is protein intake. Toddlers who consumed less protein had 4.8 times higher risk 95 CI 0.599 38.746 to experience undernutrition compared to toddlers who consumed enough protein. There is an interaction between protein intake and food diversity. The interactions are mutually debilitating to theincidence of undernutrition.

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ABSTRAK
Composite Index of Anthropometric Failure CIAF dengan PendekatanSpasial di KalimantanPembimbing : Dr. Martya Rahmaniati, S.Si., M.SiPendahuluan: Composite Index of Anthropometric Failure CIAF adalah komposit indeksmalnutrisi yang dibagi menjadi tujuh indikator. Faktor risiko kejadian CIAF diantaranya ASIeksklusif, desa/kelurahan Universal Child Immunization UCI , jamban sehat, posyandu aktif,kemiskinan, tingkat pendidikan ibu dan status pekerjaan ibu balita. Penelitian ini dilakukan untukmengetahui variabel yang berpengaruh terhadap secara lokal dan secara global dan mengetahuiperbedaan faktor yang menjadi prediktor CIAF di setiap kabupaten/kota Metode: Penelitian inimenggunakan pendekatan kuantitatif dengan menggunakan desain studi cross sectional. Analisispenelitian menggunakan analisis spasial menggunakan MGWR. Hasil: Hasil analisis F hitung t tabel 0,025;49 = 2,009 . Nilai R-square pemodelanMGWR sebesar 52.56 sehingga model ini cukup dalam menggambarkan variasi CIAFdi Kalimantan. Kesimpulan: Variabel yang berpengaruh secara spasial di kabuaten/kota adalahvariabel tingat pendidikan ibu yang rendah dan posyaandu aktif sedangkan hasil analisis diKalimantan tidak ada variasi spasial. Faktor tingkat pendidikan ibu yang rendah dan posyanduaktif yang menjadi prediktor kejadian CIAF secara lokal. Tingkat pendidikan ibu signifikandiseluruh kabupaten/kota, sedangkan posyandu aktif signifikan di 14 kabupaten/kota.Kata kunci:CIAF, malnutrisi, MGWR, spasial.

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ABSTRACT
Composite Index of Anthropometric Failure CIAF with SpatialAnalysis in KalimantanCounsellor Dr. Martya Rahmaniati, S.Si., M.Si.Background The Composite Index of Anthropometric Failure CIAF is a composite index ofmalnutrition that is divided into seven indicators. Risk factors of CIAF are exclusivebreastfeeding, Universal Child Immunization UCI villages, avaibility of latrines, poverty,maternal education level, active integrated service post, and employment status of toddlermothers. This study was conducted to determine the variables that affect lokally and globally andto know the differences in factors that predict CIAF in each district that affect spatial malnutritionincidence in infants. Method This study used a quantitative approach using cross sectional studydesign. The research analysis used spatial analysis using MGWR. Results The result of F value F table 0,47 t table 0.025 49 2,009 . MGWR analysis for CIAF resulted in a 52.56 so this model is strongto describe the variation of CIAF in Kalimantan Conclusion The variables that have spatialvariability in lokal area are low education maternal education variable and active activeintegrated service post, while analysis result in Kalimantan no spatial variability. Factors of lowlevel of maternal education and active integrated service post, become predictors of CIAFincidence. Maternal education level is significant across districts, while avtive integrated servicepost is significantly active in 14 district municipalities.Keywords CIAF, malnutrition, MGWR, spatial