Evaluation of Nutritional Interventions in Overcoming Chronic Energy Deficiency in Pregnant Women: A Case Study

  • Yuni Feprina Student of Public Health Study Program, Master's Program, Faculty of Health, Aufa Royhan University, Padangsidimpuan, North Sumatra, Indonesia
  • Anto J. Hadi Department of Public Health, Faculty of Health, Aufa Royhan University, Padangsidimpuan, North Sumatera, Indonesia
  • Haslinah Ahmad Department of Public Health, Faculty of Health, Aufa Royhan University, Padangsidimpuan, North Sumatera, Indonesia
Keywords: Chronic Energy Deficiency, Nutritional Intervention, Pregnant Women, Case Studies, Nutritional Status

Abstract

Introduction: Chronic Energy Deficiency in pregnant women is one of the public health problems that can hurt the health of the mother and fetus. This study aims to evaluate the effectiveness of nutritional interventions in overcoming Chronic Energy Deficiency in pregnant women through a case study in one of the health centers in the Padangsidimpuan City area.

Methods: A qualitative study with a case study design involving pregnant women with nutritional status with Chronic Energy Deficiency who received nutritional interventions over three months. This data was collected at the Padangmatinggi Health Center through in-depth interviews involving four primary informants and seven triangulation informants, which included document analysis and data analysis.

Results: This study proves that the input aspects, namely sources of funds, infrastructure, forms of services, and supplementary feeding materials, are by the instructions, while the goals and human resources are not by the Supplementary Feeding Guidelines. It is appropriate for the planning, implementation, and recording process, but there are obstacles due to the uncertain dropping from the center. The increase in the size of the upper arm circumference is an output of the supplementary feeding program for pregnant women, but in reality, the cases of Chronic Energy Deficiency are still high.

Conclusion: It can be concluded that the administration of supplementary feeding can only be monitored until distribution to pregnant women with Chronic Energy Deficiency, but consumption monitoring has not been carried out. This study suggests the importance of nutrition intervention programs integrated with health services at the health center level to reduce the prevalence of chronic energy deficiency in pregnant women and encourage healthier diets.

References

Widasari L, Hadi AJ, Ahmad H, Setyalaksana W, Damayanti L, Sutrisni E. Structural Model for Preparing Safe and Hygienic Complementary Food in Indonesia. J Public Heal Pharm. 2024;4(2):189–98.

Joshi P. Food and nutritional security analysis of farm women in Siwalik region of North Western Himalayan Region. Indian J Agric Sci [Internet]. 2021;91(8):1155–9. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85131640158&origin=inward

Bisai S. Traditional food consumption pattern and nutritional status of Oraons: An Asian Indian indigenous community. Front Sustain Food Syst [Internet]. 2023;7. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85151944685&origin=inward

Depkes R. Studi Status Gizi Indonesia (SSGI) Tahun 2021. Jakarta, Indonesia; 2021.

Purba A. Correlation between Body Mass Index with Anaemia Status of Pregnant women after Intervention Infused Okra Water and Ferrous Sulfate. Res J Pharm Technol [Internet]. 2024;17(2):563–7. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85189973070&origin=inward

Angkasa D. Food taboo, dietary diversity and prevalence of chronic energy deficiency in pregnant women living in rural area Indonesia. J Keperawatan Padjadjaran [Internet]. 2024;12(1):12–21. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85190997132&origin=inward

Dagne S. Chronic Energy Deficiency and Its Determinant Factors among Adults Aged 18-59 Years in Ethiopia: A Cross-Sectional Study. J Nutr Metab [Internet]. 2021;2021. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85100145929&origin=inward

Siedler MR. The Influence of Energy Balance and Availability on Resting Metabolic Rate: Implications for Assessment and Future Research Directions [Internet]. Vol. 53, Sports Medicine. 2023. p. 1507–26. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85160107244&origin=inward

Indonesia DKR. Survei Kesehatan Indonesia. Kementerian Kesehatan Republik Indonesia; 2023.

Mukaddas H. Factors Related to Chronic Energy Deficiency in Pregnant Mothers in the Konawe District, Indonesia. J Res Dev Nurs Midwifery [Internet]. 2021;18(2):18–20. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85152067556&origin=inward

Mauludyani AVR. Determinants of Double Burden of Undernutrition among Women of Reproductive Age in Indonesia [Internet]. Vol. 16, Malaysian Journal of Medicine and Health Sciences. 2020. p. 59–60. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85125709551&origin=inward

Xiao G. Gastric emptying of preoperative drinks is slower in adults with chronic energy deficiency: A 2 hour cross-over study among Chinese. Asia Pac J Clin Nutr [Internet]. 2021;30(2):206–12. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85111487384&origin=inward

Keshari P. Inter-linkages among socioeconomic deprivation, food insecurity, physical and psychosocial status in urban geriatric subjects: Varanasi, India. Sri Lanka J Soc Sci [Internet]. 2021;44(1):55–69. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85109761599&origin=inward

Faradila UN. Fasting habits, sleep duration, energy availability, and chronic energy deficiency (Ced) risk in female students. Food Res [Internet]. 2020;4:92–8. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85089346907&origin=inward

Wells JCK. Associations of age at marriage and first pregnancy with maternal nutritional status in Nepal. Evol Med Public Heal [Internet]. 2022;10(1):325–38. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85136161586&origin=inward

Mutalazimah M. Energy, protein intake and mid-upper arm circumference in pregnant women in boyolali regency, Indonesia. Malaysian J Med Heal Sci [Internet]. 2020;16:77–83. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85091871603&origin=inward

Simanjuntak BY. Enhancing Knowledge and Attitude of Preconception Mother through the First Thousand Days of Life Education: a Quasi-Experimental Study. Media Gizi Indones [Internet]. 2021;16(2):96–105. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85208691723&origin=inward

Lipoeto NI. Nutritional contributors to maternal anemia in Indonesia: Chronic energy deficiency and micronutrients. Asia Pac J Clin Nutr [Internet]. 2020;29:9–17. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85099324544&origin=inward

Wardani HK. Overview of compliance to taking iron-folic acid supplementation at primary healthcare centre during the Covid-19 pandemic. Pharm Educ [Internet]. 2023;23(4):140–4. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85175573887&origin=inward

Hasriantirisna. Relationship Between Knowledge and the Incidence of Chronic Energy Deficiency in Pregnant Women. J Public Heal Pharm [Internet]. 2023;3(1):1–4. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85182855346&origin=inward

Yanti AD. Differences in Nutritional Knowledge Levels, Energy and Protein Consumption Levels between Whatsapp-Based Assistance with E-booklet and E-leaflet Media in Chronically Lacking Energy Pregnant Women (KEK) in the Arjowinangun Health Center Work Area, Malang City. Media Publ Promosi Kesehat Indones [Internet]. 2022;5(11):1363–71. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85209688177&origin=inward

Utami NWA. The Association of Family Characteristics with Dietary Diversity among Adolescent Girls in Denpasar City, Bali, Indonesia. Amerta Nutr [Internet]. 2023;7(4):540–5. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85184938769&origin=inward

Hasibuan AS, Manggabarani S, Maulana I, Hadi AJ. Determinan Model Karakteristik Budaya Kesehatan pada Pemanfaatan Pelayanan Pencegahan Covid-19 di Puskesmas Padangmatinggi Kota Padangsidimpuan. Media Publ Promosi Kesehat Indones. 2022;5(12):1641–7.

Alexander V. Anergy to purified protein derivative and chronic energy deficiency in sputum-positive pulmonary tuberculosis: Dynamic assessment at baseline and treatment completion. Int J mycobacteriology [Internet]. 2023;12(4):436–42. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85180831141&origin=inward

Wati EK. Determinants of chronic energy deficiency (CED) incidence in pregnant women: A cross-sectional study in Banyumas, Indonesia. Narra J [Internet]. 2024;4(1). Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85192833968&origin=inward

Siregar YA, Ahmad H, Hadi AJ. Faktor yang Berhubungan dengan Kejadian Anemia pada Ibu Hamil di Puskesmas Rawat Inap Batangtoru Kabupaten Tapanuli Selatan. Media Publ Promosi Kesehat Indones. 2023;6(7):1432–8.

Mutia F, Hadi AJ. Faktor yang Berpengaruh dengan Perilaku Pemeriksaan ANC Ibu Hamil di Wilayah Kerja Puskesmas Batangtoru Kabupaten Tapanuli Selatan. Media Publ Promosi Kesehat Indones. 2023;6(9):1887–97.

Hadi AJ, Harahap A, Ali RSM, Ahmad H. Hubungan Sosial Demografi dan Perilaku Keluarga Sadar Gizi dengan Kejadian Stunting di Wilayah Kerja Puskesmas Perawatan Menawi Kabupaten Kepulauan Yapen. Media Publ Promosi Kesehat Indones. 2023;6(5):972–81.

Noor MS. Role of cadre in improving knowledge and attitude of chronic energy deficiency on teenagers in Mali-Mali village, Banjar regency, south Kalimantan, Indonesia. Open Access Maced J Med Sci [Internet]. 2021;9:145–9. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85102622109&origin=inward

Citrakesumasari. Culture based educate innovation for nutritional status. Enferm Clin [Internet]. 2020;30:9–12. Available from: https://api.elsevier.com/content/article/eid/1-s2.0-S1130862120301133

Arfan I. The Risk Factors for Anemia in Women at Third Trimester of Pregnancy in the Primary Health Center of Tanjung Sekayam: A Case-Control Study. Amerta Nutr [Internet]. 2024;8(1):37–44. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85203463460&origin=inward

Ayustaningwarno F. Physicochemical and sensory properties of cookies with cricket powder as an alternative snack to prevents iron deficiency anemia and chronic energy deficiency. Appl Food Res [Internet]. 2024;4(2). Available from: https://api.elsevier.com/content/article/eid/1-s2.0-S2772502224000957

Brar APS. Prevalence of Association of Dietary Habits with Chronic Energy Deficiency in Ethnic Adult Punjabi Population. Indian J Community Heal [Internet]. 2024;36(3):412–8. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85201673393&origin=inward

Keshari P. Predictors of Chronic Energy Deficiency in Urban Geriatric Population: Findings from Community Based Study. Online J Heal Allied Sci [Internet]. 2024;23(2). Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85202504063&origin=inward

Mogi JG. Formative research to understand food beliefs and practices relating to pregnancy on Kei Besar Island, Eastern Indonesia. BMC Nutr [Internet]. 2024;10(1). Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85198100378&origin=inward

Yulia C. Reflections of well-being: navigating body image, chronic energy deficiency, and nutritional intake among urban and rural adolescents. Front Nutr [Internet]. 2024;11. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85193041428&origin=inward

Tombeg Z, Hadi AJ. Karakteristik Ibu Hamil dengan Konsumsi Tablet Fe: Studi Cross Sectional pada Area Puskesmas Makale Kabupaten Tana Toraja. Media Publ Promosi Kesehat Indones. 2022;5(8):984–9.

Putri A, Harahap A, Hadi AJ. Faktor yang Berhubungan dengan Perilaku Ibu Hamil yang Mengikuti Kelas Ibu Prenatal dalam Pencegahan Kehamilan Berisiko Tinggi di Puskesmas Padang Matinggi Kota Padangsidimpuan. Media Publ Promosi Kesehat Indones. 2023;6(8):1678–86.

Bose K. Age trends in anthropometric characteristics and nutritional status among adult mahali females of Bankura district, West Bengal, India [Internet]. West Bengal: Economic, Political and Social Issues. 2021. p. 81–97. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85108935034&origin=inward

Syafiq A. Milk supplementation increases mid-upper arm circumference and haemoglobin level among pregnant women in Kupang, Indonesia: Evidence from a regression discontinuity design. Malays J Nutr [Internet]. 2022;28(2):191–202. Available from: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85132689779&origin=inward

Published
2024-12-27
Section
Article