Bagaimana Kontribusi Intervensi Gizi Sensitif dalam Upaya Penurunan Stunting? : Literature Review

How do Nutrition-Sensitive Interventions Contribute in Efforts Reduction Stunting? : Literature Review

  • Devi Sari Program Studi Magister Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
  • Sri Achadi Nugraheni Departemen Gizi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
  • Mohammad Zen Rahfiludin Departemen Gizi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro
Keywords: Peka, Nutrisi, Intervensi, Stunting, Menyumbang

Abstract

Latar Belakang: Stunting adalah salah satu indikator dari kekurangan gizi kronis dan sebagai masalah kesehatan yang serius di masyarakat karena menurut data UNICEF prevalensi stunting saat ini lebih dari 40%. Terdapat dua intervensi dalam penurunan stunting yaitu intervensi gizi spesifik dan sensitif. Kontribusi intervensi gizi sensitif yang besar mengharuskan pembuat kebijakan dan pelaksana perlu mengkaji intervensi yang ada untuk memastikan program tersebut berdampak pada penurunan stunting.

Tujuan: Studi ini bertujuan untuk mengetahui kontribusi dari program-program pada intervensi gizi sensitif dalam upaya penurunan stunting.

Metode: Metode yang digunakan adalah literature review. Pencarian literatur menggunakan enam database yaitu Cambridge, Proquest, PubMed, Science Direct, Scopus, dan Spinger Link. Proses screening artikel dilakukan dengan menetapkan kriteria inklusi dan ekslusi.

Hasil: Terdapat beberapa program dalam intervensi gizi sensitif yang secara signifikan berdampak pada penurunan stunting yaitu pertanian, ketahanan pangan, kerawanan pangan, perlindungan sosial, pendidikan dan pemberdayaan perempuan, perkembangan dan pendidikan anak usia dini, dan WASH (Water, Sanitation and Hygiene).

Kesimpulan: Secara keseluruhan program-program dalam intervensi gizi sensitif terbukti efektif dan memiliki kontribusi dalam penurunan stunting.

References

Bogale B, Gutema BT, Chisha Y. Prevalence of Stunting and Its Associated Factors among Children of 6–59 Months in Arba Minch Health and Demographic Surveillance Site (HDSS), Southern Ethiopia: A Community-Based Cross-Sectional Study. J Environ Public Health [Internet]. 2020;2020. Available from: https://doi.org/10.1155/2020/9520973

de Onis M, Branca F. Childhood stunting: A global perspective. Matern Child Nutr [Internet]. 2016 May 1;12:12–26. Available from: https://doi.org/10.1111/mcn.12231

Yaya S, Oladimeji O, Odusina EK, Bishwajit G. Household structure, maternal characteristics and children’s stunting in sub-Saharan Africa: evidence from 35 countries. Int Health [Internet]. 2022 Jul 1;14(4):381–9. Available from: https://doi.org/10.1093/inthealth/ihz105

UNICEF. The State of the World’s Children 2016 : A fair chance for every child. New York: United Nations Children’s Fund; 2016.

WHO. Prevalence of stunting among children under 5 years of age. World Health Organization; 2020.

WHO. Stunting prevalence among children under 5 years of age (%) (model-based estimates) [Internet]. 2021. Available from: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/gho-jme-stunting-prevalence

Herawati DMD, Sunjaya DK. Implementation Outcomes of National Convergence Action Policy to Accelerate Stunting Prevention and Reduction at the Local Level in Indonesia: A Qualitative Study. Int J Environ Res Public Health [Internet]. 2022 Oct 1;19(20). Available from: https://doi.org/10.3390/ijerph192013591

Khalid H, Gill S, Fox AM. Global aid for nutrition-specific and nutrition-sensitive interventions and proportion of stunted children across low- and middle-income countries: does aid matter? Health Policy Plan [Internet]. 2019 Nov 1;34(Supplement_2):ii18–27. Available from: https://doi.org/10.1093/heapol/czz106

Peraturan Menteri Kesehatan RI Nomor 21 Tahun 2020 Tentang Rencana Strategis Kementerian Kesehatan Rahun 2020-2024.

Ruel MT, Alderman H. Nutrition-sensitive interventions and programmes: how can they help to accelerate progress in improving maternal and child nutrition? The Lancet [Internet]. 2013 Aug 10;382(9891):536–51. Available from: https://doi.org/10.1016/S0140-6736(13)60843-0

Horton R, Lo S. Nutrition: A quintessential sustainable development goal. The Lancet [Internet]. 2013 Aug 3;382(9890):371–2. Available from: https://doi.org/10.1016/S0140-6736(13)61100-9

Mosha D, Canavan CR, Bellows AL, Blakstad MM, Noor RA, Masanja H, et al. The impact of integrated nutrition-sensitive interventions on nutrition and health of children and women in rural Tanzania: Study protocol for a cluster-randomized controlled trial. BMC Nutr [Internet]. 2018 Dec 27;4(1):1–8. Available from: https://doi.org/10.1186/s40795-018-0238-7

Heckert J, Olney DK, Ruel MT. Is women’s empowerment a pathway to improving child nutrition outcomes in a nutrition-sensitive agriculture program?: Evidence from a randomized controlled trial in Burkina Faso. Soc Sci Med [Internet]. 2019 Jul 1;233:93–102. Available from: https://doi.org/10.1016/j.socscimed.2019.05.016

Ryckman T, Robinson M, Pedersen C, Bhattacharya J, Bendavid E. Impact of Feed the Future initiative on nutrition in children aged less than 5 years in sub-Saharan Africa: difference-in-differences analysis. BMJ [Internet]. 2019 Dec 11;367:l6540. Available from: https://doi.org/10.1136/bmj.l6540

Kirkwood EK, DIbley MJ, Hoddinott JF, Huda T, Laba TL, Tahsina T, et al. Assessing the impact of a combined nutrition counselling and cash transfer intervention on women’s empowerment in rural Bangladesh: A randomised control trial protocol. BMJ Open [Internet]. 2021 Jun 9;11(6). Available from: https://doi.org/10.1136/bmjopen-2020-044263

Conway K, Akseer N, Subedi RK, Brar S, Bhattarai B, Dhungana RR, et al. Drivers of stunting reduction in Nepal: A country case study. American Journal of Clinical Nutrition [Internet]. 2020 Jul 21;112:844S-859S. Available from: https://doi.org/10.1093/ajcn/nqaa218

Gelli A, Nguyen PH, Santacroce M, Twalibu A, Margolies A, Katundu M. A Community-Based Early Childhood Development Center Platform Promoting Diversified Diets and Food Production Increases the Mean Probability of Adequacy of Intake of Preschoolers in Malawi: A Cluster Randomized Trial. J Nutr [Internet]. 2020 Feb 1;150(2):350–5. Available from: https://doi.org/10.1093/jn/nxz245

Briaux J, Martin-Prevel Y, Carles S, Fortin S, Kameli Y, Adubra L, et al. Evaluation of an unconditional cash transfer program targeting children’s first-1,000–days linear growth in rural Togo: A cluster-randomized controlled trial. PLoS Med [Internet]. 2020 Nov 17;17(11):e1003388. Available from: https://doi.org/10.1371/journal.pmed.1003388

Hurley KM, Phuka J, Kang Y, Ruel-Bergeron J, Buckland AJ, Mitra M, et al. A longitudinal impact evaluation of a comprehensive nutrition program for reducing stunting among children aged 6–23 months in rural Malawi. Am J Clin Nutr [Internet]. 2021 Jul 1;114(1):248–56. Available from: https://doi.org/10.1093/ajcn/nqab010

Kalam MA, Asif CAA, Stormer A, Bishop T, Jackson-deGraffenried M, Talukder A. Use of designing for behaviour change framework in identifying and addressing barriers to and enablers of animal source feeding to children ages 8–23 months in Bandarban Hill District in Bangladesh: Implications for a nutrition-sensitive agriculture programme. Matern Child Nutr [Internet]. 2023; Available from: https://doi.org/10.1111/mcn.13472

Siswati T, Iskandar S, Pramestuti N, Raharjo J, Rubaya AK, Wiratama BS. Drivers of Stunting Reduction in Yogyakarta, Indonesia: A Case Study. International Journal of Environmental Research and Public Health 2022, Vol 19, Page 16497 [Internet]. 2022 Dec 8;19(24):16497. Available from: https://doi.org/10.3390/ijerph192416497

Becquey E, Sombié I, Touré M, Turowska Z, Buttarelli E, Nisbett N. Stories of change in nutrition in Burkina Faso 1992–2018: a micro-level perspective. Food Secur [Internet]. 2022 Aug 1;14(4):937–50. Available from: https://doi.org/10.1007/s12571-022-01274-z

Mekonnen TC, Tadesse SE, Dawed YA, Cherie N, Abebe H, Shumye G, et al. The role of nutrition-sensitive agriculture combined with behavioral interventions in childhood growth in Ethiopia: An adequacy evaluation study. Health Sci Rep [Internet]. 2022 Mar 1;5(2). Available from: https://doi.org/10.1002/hsr2.524

Saputri RA, Anggraeni D, Sujadmi, Sopamena N. Environmental Sanitation and Stunting (Study of the Role of Women in Stunting Intervention). J Phys Conf Ser [Internet]. 2020 Oct 1;1655(1):012083. Available from: https://doi.org/10.1088/1742-6596/1655/1/012083

Scott N, Delport D, Hainsworth S, Pearson R, Morgan C, Huang S, et al. Ending malnutrition in all its forms requires scaling up proven nutrition interventions and much more: a 129-country analysis. BMC Med [Internet]. 2020 Dec 1;18(1):1–19. Available from: https://doi.org/10.1186/s12916-020-01786-5

Asirvatham R, Demi SM, Ezezika O. Are sub-Saharan African national food and agriculture policies nutrition-sensitive? A case study of Ethiopia, Ghana, Malawi, Nigeria, and South Africa. Agric Food Secur [Internet]. 2022 Dec 1;11(1):1–20. Available from: https://doi.org/10.1186/s40066-022-00398-x

Alaofe H, Burney J, Naylor R, Taren D. The impact of a Solar Market Garden programme on dietary diversity, women’s nutritional status and micronutrient levels in Kalalé district of northern Benin. Public Health Nutr [Internet]. 2019 Oct 1;22(14):2670–81. Available from: https://doi.org/10.1017/S1368980019001599

Jisso M, Tesfaye T, Biadgilign S, Tareke AA, Zerfu TA. The role of multi-dimensional women’s empowerment in agriculture to improve the nutritional status of under-five children in rural cash crop producing, resource-limited settings of Ethiopia. J Nutr Sci [Internet]. 2022 Oct 20;11:e92. Available from: https://doi.org/10.1017/jns.2022.86

Renzaho AMN, Chitekw S, Chen W, Rijal S, Dhakal T, Dahal P. The Synergetic Effect of Cash Transfers for Families, Child Sensitive Social Protection Programs, and Capacity Building for Effective Social Protection on Children’s Nutritional Status in Nepal. Int J Environ Res Public Health [Internet]. 2017 Dec 4;14(12). Available from: https://doi.org/10.3390/ijerph14121502

Tesfaye A, Egata G. Stunting and associated factors among children aged 6-59 months from productive safety net program beneficiary and non-beneficiary households in Meta District, East Hararghe zone, Eastern Ethiopia: a comparative cross-sectional study. J Health Popul Nutr [Internet]. 2022 Dec 1;41(1). Available from: https://doi.org/10.1186/s41043-022-00291-0

Terfa ZG, Ahmed S, Khan J, Niessen LW. Household Microenvironment and Under-Fives Health Outcomes in Uganda: Focusing on Multidimensional Energy Poverty and Women Empowerment Indices. Int J Environ Res Public Health [Internet]. 2022 Jun 1;19(11):6684. Available from: https://doi.org/10.3390/ijerph19116684

Ademas A, Adane M, Keleb A, Berihun G, Tesfaw G. Water, sanitation, and hygiene as a priority intervention for stunting in under-five children in northwest Ethiopia: a community-based cross-sectional study. Ital J Pediatr [Internet]. 2021 Dec 1;47(1):1–11. Available from: https://doi.org/10.1186/s13052-021-01128-y

Kim C, Mansoor GF, Paya PM, Ludin MH, Ahrar MJ, Mashal MO, et al. Multisector nutrition gains amidst evidence scarcity: Scoping review of policies, data and interventions to reduce child stunting in Afghanistan. Health Res Policy Syst [Internet]. 2020 Jun 11;18(1):1–28. Available from: https://doi.org/10.1186/s12961-020-00569-x

Shrestha SK, Vicendese D, Erbas B. Water, sanitation and hygiene practices associated with improved height-for-age, weight-for-height and weight-for-age z-scores among under-five children in Nepal. BMC Pediatr [Internet]. 2020 Mar 23;20(1):1–10. Available from: https://doi.org/10.1186/s12887-020-2010-9

Gassara G, Lin Q, Deng J, Zhang Y, Wei J, Chen J. Dietary Diversity, Household Food Insecurity and Stunting Among Children Aged 12 to 59 Months in N’Djamena—Chad. Nutrients [Internet]. 2023 Jan 21;15(3):573. Available from: https://doi.org/10.3390/nu15030573

Toma TM, Andargie KT, Alula RA, Kebede BM, Gujo MM. Factors associated with wasting and stunting among children aged 06–59 months in South Ari District, Southern Ethiopia: a community-based cross-sectional study. BMC Nutr [Internet]. 2023 Dec 1;9(1):1–16. Available from: https://doi.org/10.1186/s40795-023-00683-3

Brou AM, Djalega FA, Tokpa V, Seri ECG, Anoua ALF, Robinson JA. Urban–rural differences in the relationship between stunting, preschool attendance, home learning support, and school readiness: A study in Côte d’Ivoire. Front Public Health [Internet]. 2023 Jan 9;10:5177. Available from: https://doi.org/10.3389/fpubh.2022.1035488

Ekholuenetale M, Barrow A, Ekholuenetale CE, Tudeme G. Impact of stunting on early childhood cognitive development in Benin: evidence from Demographic and Health Survey. Egyptian Pediatric Association Gazette 2020 68:1 [Internet]. 2020 Oct 5;68(1):1–11. Available from: https://doi.org/10.1186/s43054-020-00043-x

Published
2023-05-08
How to Cite
Devi Sari, Sri Achadi Nugraheni, & Mohammad Zen Rahfiludin. (2023). Bagaimana Kontribusi Intervensi Gizi Sensitif dalam Upaya Penurunan Stunting? : Literature Review: How do Nutrition-Sensitive Interventions Contribute in Efforts Reduction Stunting? : Literature Review. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 6(5), 885-895. https://doi.org/10.56338/mppki.v6i6.3416