Pemetaan Spasial Growth Faltering dan Luaran Maternal-Neonatal di Wilayah Kerja Fasilitas Kesehatan Primer
DOI:
https://doi.org/10.59680/ventilator.v4i1.2360Keywords:
Continuum of Care, Growth Faltering, Low Birth Weight, Nutrition Surveillance, Spatial MappingAbstract
Growth monitoring through the electronic nutrition surveillance system (e-PPGBM) is a crucial early detection instrument for stunting prevention. However, high community participation in primary care does not always reflect comprehensive nutritional outcomes. This study aimed to evaluate growth monitoring indicators for children under five, map the spatial risk of growth faltering, and analyze maternal-neonatal outcomes in the working area of Puskesmas Bebesen, Central Aceh Regency, in December 2025. This cross-sectional descriptive study applied a retrospective secondary data review involving 2,298 children under five and 61 pregnant women. Data were extracted from the e-PPGBM database and midwifery cohort registers (KIA). Spatial descriptive analysis classified villages into three risk zones based on N/D ratios. Results showed that the D/S ratio reached 100%; however, the prevalence of growth faltering was 14.19% (326 children). Spatial mapping identified six high-risk villages (Zona Merah, N/D <70%). Maternal anemia prevalence was notably low (1.63%), while one case of Low Birth Weight (LBW) was identified among 17 documented live births. High primary care accessibility does not guarantee optimal child growth quality. Targeted micro-interventions in high-risk zones and strengthened continuum of midwifery care are urgently required to break the stunting cycle.
References
Arnisam, A., & Novilda, E. (2024). E-PPGBM, Google Data Studio, surveilans gizi: Optimalisasi deteksi masalah gizi di puskesmas. Media Gizi Pangan, 31(2), 45–53.
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., … Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X
Blencowe, H., Krasevec, J., de Onis, M., Black, R. E., An, X., Stevens, G. A., … Lawn, J. E. (2019). National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: A systematic analysis. The Lancet Global Health, 7(7), e849–e860. https://doi.org/10.1016/S2214-109X(18)30565-5
Christian, P., Lee, S. E., Donahue Angel, M., Adair, L. S., Arifeen, S. E., Ashorn, P., … Black, R. E. (2013). Risk of childhood undernutrition related to small-for-gestational age and preterm birth in low- and middle-income countries. International Journal of Epidemiology, 42(5), 1340–1355. https://doi.org/10.1093/ije/dyt109
Danaei, G., Andrews, K. G., Sudfeld, C. R., Fink, G., McCoy, D. C., Peet, E., … Fawzi, W. W. (2016). Risk factors for childhood stunting in 137 developing countries: A comparative risk assessment analysis. PLoS Medicine, 13(11), e1002164. https://doi.org/10.1371/journal.pmed.1002164
Darnton-Hill, I., & Mkparu, U. C. (2015). Micronutrients in pregnancy in low- and middle-income countries. Nutrients, 7(3), 1744–1768. https://doi.org/10.3390/nu7031744
Dewey, K. G., & Begum, K. (2011). Long-term consequences of stunting in early life. Maternal & Child Nutrition, 7(Suppl. 3), 5–18. https://doi.org/10.1111/j.1740-8709.2011.00349.x
Guerrant, R. L., Oriá, R. B., Moore, S. R., Oriá, M. O. B., & Lima, A. A. M. (2008). Malnutrition as an enteric infectious disease with long-term effects on child development. Nutrition Reviews, 66(9), 487–505. https://doi.org/10.1111/j.1753-4887.2008.00082.x
Kementerian Kesehatan Republik Indonesia. (2020a). Pedoman pelayanan antenatal terpadu (Edisi ke-3). Direktorat Kesehatan Keluarga.
Kementerian Kesehatan Republik Indonesia. (2020b). Petunjuk teknis pemantauan pertumbuhan balita. Direktorat Gizi Masyarakat.
Kementerian Kesehatan Republik Indonesia. (2023). Survei status gizi Indonesia (SSGI) 2022: Laporan nasional. https://kesmas.kemkes.go.id
Prendergast, A. J., & Humphrey, J. H. (2014). The stunting syndrome in developing countries. Paediatrics and International Child Health, 34(4), 250–265. https://doi.org/10.1179/2046905514Y.0000000158
Rahman, M. S., Howlader, T., Masud, M. S., & Rahman, M. L. (2016). Association of low birth weight with malnutrition in children under five years in Bangladesh. PLoS ONE, 11(6), e0157814. https://doi.org/10.1371/journal.pone.0157814
Rytko, A. E., & Dercon, S. (2023). Growth faltering in early childhood: Mechanisms, evidence, and programmatic implications. Maternal & Child Nutrition, 19(Suppl. 1), e13580. https://doi.org/10.1111/mcn.13580
Setiawati, I., Mustofa, D. H. N., & Qomari, S. N. (2025). Analysis of factors affecting stunting incidence in toddlers. Faletehan Health Journal, 12(1), 1–10. https://doi.org/10.33746/fhj.v12i02.693
Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2008). Maternal and child undernutrition: Consequences for adult health and human capital. The Lancet, 371(9609), 340–357. https://doi.org/10.1016/S0140-6736(07)61692-4
Victora, C. G., Christian, P., Vidaletti, L. P., Albert, G., Aryal, A., Boerma, T., … Black, R. E. (2021). Revisiting maternal and child undernutrition in low-income and middle-income countries: Variable progress towards an unfinished agenda. The Lancet, 397(10282), 1388–1399. https://doi.org/10.1016/S0140-6736(21)00394-9
World Health Organization. (2006). WHO child growth standards: Methods and development. WHO Press.
World Health Organization. (2011). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity (WHO/NMH/NHD/MNM/11.1). World Health Organization.
Zerfu, T. A., Umeta, M., & Baye, K. (2016). Dietary diversity during pregnancy is associated with reduced risk of maternal anemia, preterm delivery, and low birth weight. The American Journal of Clinical Nutrition, 103(6), 1482–1488. https://doi.org/10.3945/ajcn.115.116798
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