Sirajuddin Sirajuddin

Introduction: Atomic Habits Parenting focuses on small, consistent actions by caregivers to detect and prevent stunting in children. A valid and reliable instrument is essential for early detection and effective prevention. This study aims to evaluate the validity and reliability of the Atomic Habits Parenting instrument and its association with stunting prevention in children under five. This method differs from others as the consistent daily practice of small habits leads to a 37-fold improvement over one year. Methods: A cross-sectional study was conducted in Jeneponto, Barru, and Sinjai Districts of South Sulawesi, Indonesia, involving 900 children aged 0-59 months. Data were collected from February to August 2024. Validity and reliability were assessed using Cronbach's alpha, sensitivity, and specificity with ROC analysis, and the association with stunting was measured using the Chi-Square test. Results: The instrument demonstrated high reliability with Cronbach's alpha values above 0.8 for all parenting practices. ROC analysis showed excellent sensitivity (75.6%) and specificity (82.3%) at a threshold score of 313.5. A significant association was found between Atomic Habits Parenting and stunting prevention (p20%) could support a sustainable stunting reduction roadmap.

Prevalensi stunting di Kota Makassar meningkat dari tahun 2022 ke tahun 2023. Hal ini kontras dengan target pemerintah untuk menurunkan stunting. Pola asuh merupakan praktik pengasuhan yang mempengaruhi pertumbuhan anak. Salah satu bentuk dari pola asuh adalah pola pemberian makan ibu kepada balita. Tujuan dari penelitian ini adalah untuk menganalisis hubungan pola pemberian makan dengan kejadian stunting pada balita 12-59 bulan di wilayah Puskesmas Tamalanrea Makassar. Metode penelitian menggunakan metode kuantitatif dengan desain cross sectional pada 53 sampel balita berusia 12-59 bulan dengan responden ibu dari balita. Sampel diambil dengan teknik purposive sampling sesuai kriteria inklusi yaitu balita yang berdomisili di wilayah kerja Puskesmas Tamalanrea; berusia 12-59 bulan; dan diasuh oleh ibu sebagai pengasuh utama. Kriteria eksklusinya mencakup balita dengan penyakit kronis seperti penyakit jantung bawaan, kelainan genetik, alergi, dan penyakit kronis lainnya yang dapat mempengaruhi pertumbuhan linier; balita dengan autisme atau retardasi mental; dan ibu yang menolak untuk berpartisipasi dalam penelitian. Data status gizi balita dikumpulkan melalui pengukuran panjang badan menggunakan infantometer atau tinggi badan menggunakan stadiometer dan data pola pemberian makan oleh ibu dikumpulkan menggunakan kuisioner FPSQ. Hasil penelitian menunjukkan persentase responden dengan pola pemberian makan rendah sebesar 33%, 20% pada ibu dengan balita stunting dan 13% pada ibu dengan balita normal. Terdapat hubungan yang signifikan antara pola pemberian makan dengan kejadian stunting pada balita (p=0,001) dengan hubungan yang berbanding terbalik dan tingkat keeratan hubungan yang cukup kuat (r=-0,446). Kesimpulan dari penelitian adalah semakin baik pola pemberian makan, semakin rendah resiko stunting pada balita. Hal ini mengimplikasikan pentingnya edukasi pola pemberian makan bagi ibu balita sehingga ibu dapat menerapkan pola pemberian makan yang baik kepada balita dalam kehidupan sehari-hari, khususnya di Wilayah Puskesmas Tamalanrea Makassar, untuk mencegah terjadinya stunting. Kata kunci: Balita; Ibu balita; Pola pemberian makan; Stunting

Kegiatan Pengabdian Kepada Masyarakat (PKM) terintegrasi dengan kegiatan Merdeka Belajar Kampus Merdeka (MBKM), sehingga selain tenaga pengajar, mahasiswa juga aktif terlibat dalam kegiatan pengabdian ini sebagai upaya pencegahan stunting menuju generasi emas. Tujuan kegiatan ini untuk meningkatkan pengetahuan komunitas yang terlibat dalam pencegahan stunting dan mengsosialisasikan MP-ASI Produk Formula Bubur Protein Tinggi untuk anak usia 7-11 bulan. Kegiatan ini menggunakan pendekatan pemasaran pencegahan berbasis masyarakat dan bekerja sama dengan masyarakat setempat sebagai mitra untuk mengembangkan serangkaian intervensi perubahan perilaku guna meningkatkan pengetahuan di masyarakat dalam upaya pencegahan stunting. Tempat pelaksanaan kegiatan ini di Posyandu Bogenville, di Wilayah Kerja Puskesmas Paccerakkang. Responden adalah ibu balita sebanyak 34 orang, staff puskesmas 5 orang dan kader sebanyak 4 orang dan 7 orang mahasiwa Jurusan gizi Poltekkes Makassar Kemenkes. Hasil Kegiatan menunjukkan bahwa rata-rata tingkat pengetahuan responden setelah di beri edukasi gizi dan diperlihatkan isi media Benner (PostTest), ada peningkatan pengetahuan komunitas yang terlibat dalam pencegahan stunting dari 78% menjadi 94 %. Dapat disimpulkan; Pengunaan media Benner dan penyebaran informasi melalui edukasi gizi tentang MP-ASI Bubur Protein Tinggi berbahan dasar pangan lokal (Produk BuProt) merupakan salah satu bentuk pemasaran social pencegahan stunting, yang dinilai cukup efektif, sederhana dan cost-effective.

Nationally, the prevalence of Diabetes Mellitus (DM) has increased by 0.5%. In 2013, it was approximately 1.5%, rising to 2.0% in 2018. On the other hand, it is known that administering walnut extract can reduce blood sugar levels in diabetic patients. The aim of this study is to determine the effect of walnut consumption on blood sugar levels. The research was conducted experimentally, using a pre-post test control group design. The research sample consisted of mothers with fasting blood sugar levels ≥200 mg/dL and total cholesterol levels ≥200 mg/dL (hyperglycemic and hyperlipidemic). The total sample size was 50 mothers, divided into 2 groups. Samples were selected using simple random sampling. The intervention involved giving 50 grams of walnut (Canarium Indicum L.) daily for 8 weeks to the treatment group. The research was conducted in the working area of the Paccerakang Community Health Center in Makassar City, Indonesia. Statistical analysis was performed using paired T-tests. There was a decrease in fasting blood glucose levels in the treatment group from 244.12 mg/dL to 195.52 mg/dL. In the control group, there was a slight decrease in blood sugar levels from 236.92 mg/dL to 229.96 mg/dL. Paired T-test analysis in the treatment group showed a value of p=0.00, indicating a significant difference in cholesterol levels before and after the intervention in the treatment group. In the control group, the value was p=0.07, indicating no significant difference in cholesterol levels in the control group. Administering 50 grams of walnuts per day for 8 weeks significantly lowered fasting blood sugar levels in hyperlipidemic and hyperglycemic mothers.

Dietary Diversity Score (DDS), Acceptance Diet (AD) and Minimum Meal Frequency (FFM) of children's are direct variables that affect nutritional status. The objectives of this study was to determine the effect of DDS, FFM and  AD on stunting in children aged 1-3 years. The Design is a cross-sectional study, conducted in Baraka District, Enrekang South Sulawesi Indonesia. Measurement of height using a microtoice (2-3) years and a length board (2 years) with an accuracy of 0.1 cm. Stunting was determined according to the 2006 WHO anthropometric median, <-2 SD HAZ. The child feeding instrument uses the WHO/Unicef ​​instrument, 2021. Bivariate analysis used Chi Square Test, multivariate analysis used Logistics Regression. The results of the study found that the gender and father education had an effect on stunting (p=0.000) and p=0.018, while the age group (p=0.946), mother's occupation (p=0.392), mother's education (p=0.190) had no effect to prevention of stunting. Child feeding consisting of FFM, DDS and AD partially affected stunting p

Introduction: Stunting describes chronic undernutrition during a period of growth and development from the beginning of life. Stunting is a condition where toddlers have a length or height that is less than their age. This situation is determined by looking at the z-score for height for age (TB/U) less than -2 Standard Deviations (SD) based on growth standards according to the World Health Organization (WHO, 2010). Objectives: to determine the percentage of children under five based on stunting, and measure the direction of the correlation between protein energy intake and z score height/age Methods: This research uses analytic research. This research was conducted to determine the effect of energy and protein intake on the incidence of stunting under five in the stunting locus village, Bone Regency, so that it used a cross sectional study design. Data on energy and protein intake are collected simultaneously with data on the results of measurements of the height of toddlers who are stunted. Results: The results of the study show that the stunting population is 13.3%. Mother's education completed elementary school 51.7%, father's work as a farmer 83.3%, mother's work as a housewife 96.6%. The results of the correlation test show that the direction of the negative correlation between the z-scores of height/age and energy and protein intake is -0.497 and -0.607, respectively. Although both are not significant, respectively p=0.210 and p=0.110. Conclusion: The correlation between the Z score of height/age and energy and protein intake is negative, and not significant  

Background: Evaluation of large-scale stunting interventions in Indonesia has never been carried out, because it found limited sensitive and specific interventions that were carried out massively at the village level. The provincial government of South Sulawesi Indonesia in 2020 has implemented a stunting intervention model called Gammarana. The purpose of this evaluation is to analyze the impact of Gammarana on changes in stunting at the project site. Location project as many as 30 villages with an estimated 60,000 units population. Design and methods: Evaluation in this study using a retrospective method and internal and external audit to document potential, then validated after the field visit Gammarana first phase in 2020. Basic Logic Model evaluation model with 22 indicators (input, process, secondary output and primary output). Proving the effect of Gammarana on changes in stunting by comparing the phenomena in the comparison village. Results: The comparison villages were set as equal and comparable in 13 indicators that could disturb the study conclusions. The result of the initial condition is that the conditions of the two villages of Gammarana and Villages Comparison are seen as the same in various characteristics, so that whatever the results of this evaluation study are believed to be the impact of Gammarana Project. Conclusions: this protocol eligible to evaluation of Gammarana Project Intervention in Enrekang District, South Sulawesi Indonesia.

BackgroundSouth Sulawesi in 2018 was declared as the region with the fifth-highest position of stunting children. increasing the risk of excess nutrition and non-communicable diseases.ObjectivesTo investigate The early breastfeeding initiation practices dan stunting children in South Sulawesi Province, Indonesia.MethodsThe surveys were designed by a cross-sectional study. The sample size proportional to children 0–50 months. The household was eligible for inclusion in the survey if they contained a child aged 0–23 month and if the primary caregiver was present for interviews. Sampling technique determined by cluster sampling for each district.ResultsThe distribution of EBI practices in all districts/cities in South Sulawesi is between 14.93% to 90.97 %. EBI status is the majority of EBI 55.2%, duration with the highest percentage of ½ to 1 hour 48.2%. The Suckling process is good at 18.2% while others don't know. Timing is generally < 15 minutes 36.9%. Nutritional status data were known to severely stunting 6.1% and moderately stunting 15.6%.ConclusionEBI practices are more in urban than rural. Early initiation of breastfeeding is protective against child stunting in South Sulawesi

Background: Stunting is the impaired growth and development of children due to poor nutrition, repeated infection, and inadequate psychological stimulation. This research aims to examine the impact of maternal nutritional literacy (MNL) in increasing the height or score of a stunted child. Design and methods: This study is a randomized control trial, which uses a sample size of 85 participants, 43 interventions and 42 controls, an 80% stress test and a 95% confidence level. The intervention group of the MNL consists of families with children under the age of five, focused on the mother's ability to perform breastfeeding, hygiene activities, care, and intervention for 3 months. Result: The status of stunting was determined by the different distribution of stunting before and after the intervention in both the intervention and control groups. There was a decrease of about 9.3% of MNL in the intervention group, while in the control group it decreased by just 2.4% (p<0.05). Conclusions: It can be concluded that MNL has an effect in preventing stunting, and it is recommended that preventive measures should focus more on normal children, while stunted children should be provided with breastfeeding as the core of MNL.