Model Inovasi Pemberdayaan Lansia Peduli ASI–MPASI sebagai Tim Pendamping Keluarga Terintegrasi INEY 2 untuk Pencegahan Stunting
Innovative Model of Elderly Empowerment in Breastfeeding–Complementary Feeding Support as Integrated Family Assistance Team for Stunting Prevention in INEY 2 Program
Keywords:
Gizi Balita, Pemberdayaan Lansia, Pendamping Keluarga, Pencegahan StuntingAbstract
Stunting masih menjadi masalah kesehatan masyarakat di Indonesia, sehingga diperlukanupaya pencegahan berbasis komunitas yang terintegrasi dengan program nasional. Tujuan kegiatan pengabdian ini adalah memperkuat upaya pencegahan stunting melalui pemberdayaan kelompok lansia peduli menyusui dan makanan pendamping bayi yang dilibatkan sebagai tim pendamping keluarga di wilayah Kecamatan Matraman, Jakarta Timur. Kegiatan dilaksanakan dengan pendekatan deskriptif kuantitatif melalui kunjungan rumah terhadap 242 balita usia 7–25 bulan pada enam kelurahan. Lansia yang telah mengikuti pelatihan melakukan pendampingan bersama kader kesehatan dengan memantau status gizi balita serta memberikan edukasi gizi dasar kepada keluarga.Hasil kegiatan menunjukkan bahwa sebagian besar balita memiliki status gizi normal, meskipun masih terdapat balita dengan gizi kurang dan gizi lebih. Ditemukan bahwa risiko gizi kurang meningkat pada usia di atas 12 bulan, sementara gizi lebih mulai tampak pada usia 19–25 bulan. Pola pemberian makanan pendamping yang baik berhubungan dengan status gizi normal, namun tidak sepenuhnya mencegah gizi lebih. Cakupan edukasi gizi kepada keluarga sangat tinggi, menunjukkan keberhasilan dalam pelaksanaan program, meskipun masih terdapat kasus gizi bermasalah. Kesimpulan: keterlibatan lansia peduli menyusui dan makanan pendamping bayi dapat menjadi model inovatif dalam memperkuat peran tim pendamping keluarga. Rekomendasi dari kegiatan ini adalah perlunya keberlanjutan pendampingan melalui pemantauan rutin, peningkatan kualitas edukasi, serta dukungan lintas sektor untuk memastikan pencegahan stunting berjalan lebih efektif.
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References
Andriani, H., Puspitasari, I. M., Fatinah, A., & Lestari, R. (2023). A multilevel analysis of the triple burden of malnutrition in Indonesia. BMC Public Health, 23, 1959. https://doi.org/10.1186/s12889-023-16728-y
Andriani, R., Salamah, N., Mudatsir, M., Santosa, B., & Wibowo, N. (2023). Persistent polycrises in Indonesia: Toward solving the triple burden of malnutrition through the food system. BMC Public Health, 23, 2144. https://doi.org/10.1186/s12889-023-16821-4
Blaney, S., Februhartanty, J., & Sukotjo, S. (2015). Feeding practices among Indonesian children: A review of the literature on early introduction of foods and beverages other than breast milk. Asia Pacific Journal of Clinical Nutrition, 24(4), 703–715. https://doi.org/10.6133/apjcn.2015.24.4.12
Chen, X., et al. (2025). Gender difference and changes in the prevalence of childhood obesity: A systematic review. Children, 12(3), 419. https://doi.org/10.3390/children12030419
Danaie, M., et al. (2024). The interaction of breastfeeding and genetic factors on childhood obesity: A meta-analysis. Preventive Nutrition and Food Science, 29(2), 111–123. https://doi.org/10.1016/j.pmedr.2024.102567
Gebretsadik, M. T., et al. (2025). Behaviour change communication improves complementary feeding: A cluster RCT. Maternal & Child Nutrition, 21(1), e14021. https://doi.org/10.1111/mcn.14021
Guo, H., Zou, M., Zeng, X., Zhang, J., Wang, Y., Zhang, H., & Hong, L. (2025). Coexisting forms of malnutrition and socio-economic inequalities among children under five years in South and Southeast Asia from 1996 to 2022: A systematic review and meta-analysis. BMC Public Health, 25, 2111. https://doi.org/10.1186/s12889-025-22111-5
Guo, W., et al. (2025). Coexisting forms of malnutrition among children 6–59 months in South & Southeast Asia, 1996–2022. BMC Public Health, 25, 2296. https://doi.org/10.1186/s12889-025-23482-w
Haque, N. B., et al. (2023). Peer counselling to improve complementary feeding: A narrative review. Journal of Health, Population and Nutrition, 42, 73. https://doi.org/10.1186/s41043-023-00408-z
Horta, B. L., Loret de Mola, C., & Victora, C. G. (2015). Long-term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure and type 2 diabetes: A systematic review and meta-analysis. Acta Paediatrica, 104(467), 30–37. https://doi.org/10.1111/apa.13133
Horta, B. L., & Victora, C. G. (2023). Long-term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure and type 2 diabetes: A systematic review and meta-analysis. Acta Paediatrica, 112(11), 2520–2532. https://doi.org/10.1111/apa.17074
Kementerian Kesehatan Republik Indonesia. (2021). Studi Status Gizi Indonesia (SSGI) 2021. Direktorat Gizi dan Kesehatan Ibu Anak.
Kramer, M. S., & Kakuma, R. (2012). Optimal duration of exclusive breastfeeding. Cochrane Database of Systematic Reviews, 2012(8), CD003517. https://doi.org/10.1002/14651858.CD003517.pub2
Lassi, Z. S., Rind, F., Irfan, O., Hadi, R., Das, J. K., & Bhutta, Z. A. (2020). Impact of infant and young child feeding (IYCF) nutrition interventions on breastfeeding practices, growth and mortality in low- and middle-income countries: Systematic review. Nutrients, 12(3), 722. https://doi.org/10.3390/nu12030722
Monoarfa, H., Syahrir, S., & Ramadhan, K. (2022). Early complementary feeding and nutritional status among Indonesian infants: A cross-sectional study. Jurnal Gizi Indonesia, 11(2), 95–104. https://doi.org/10.14710/jgi.11.2.95-104
Muraglia, M., Faienza, M. F., Tardugno, R., Clodoveo, M. L., & Matias De la Cruz, C. (2024). Breastfeeding: Science and knowledge in pediatric obesity prevention. Frontiers in Medicine, 11, 1430395. https://doi.org/10.3389/fmed.2024.1430395
Nurhayati, E., et al. (2023). Educational models of IYCF during the pandemic. Nutrition, 110, 111–120. https://doi.org/10.1016/j.nut.2023.111120
Nurokhmah, S., Raharjo, J., Sari, E., & Anindita, P. (2022). Prevalence and predictors of complementary feeding practices among children aged 6–23 months in Indonesia. Journal of Preventive Medicine and Public Health, 55(6), 549–558. https://doi.org/10.3961/jpmph.22.199
Nurokhmah, S., Februhartanty, J., Siscawati, M., & Hendarto, A. (2025). Women’s empowerment-related inequalities in complementary feeding practices among children aged 6–23 months in Indonesia: A decomposition analysis. BMJ Open, 15(6), e093440. https://doi.org/10.1136/bmjopen-2024-093440
Paediatrica Indonesiana. (2025). Educational intervention using the complementary feeding practice module: An open-label randomized controlled trial. Paediatrica Indonesiana. https://doi.org/10.14238/piXX.XX.XXXX
Sun, J., Xu, Y., Jie, T., & Kim, J. (2024a). Association between breastfeeding duration and BMI, 2009–2018: A population-based study. Frontiers in Nutrition, 11, 1463089. https://doi.org/10.3389/fnut.2024.1463089
Sun, J., et al. (2024b). Association between breastfeeding duration and BMI in children. Frontiers in Pediatrics, 12, 1468573. https://doi.org/10.3389/fped.2024.1468573
Vaezghasemi, M., et al. (2020). The intersection of gender and generation in child malnutrition in Indonesia. International Journal for Equity in Health, 19, 92. https://doi.org/10.1186/s12939-020-01189-5
World Bank. (2020). Investing in Nutrition and Early Years (INEY): Program implementation progress. World Bank Group. https://documents.worldbank.org
World Health Organization. (2006). WHO child growth standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. World Health Organization. https://www.who.int/publications/i/item/924154693X
World Health Organization. (2023). Guideline: Complementary feeding of infants and young children 6–23 months of age. World Health Organization. https://www.who.int/publications/i/item/9789240081864
World Health Organization. (2025, May 7). Obesity and overweight (Fact sheet). https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Zhang, X., Chen, L., Wang, Y., Chen, Y., & Li, Y. (2024). Global prevalence of overweight and obesity in children and adolescents, 2000–2023: A systematic review and meta-analysis. JAMA Pediatrics, 178(8), 845–859. https://doi.org/10.1001/jamapediatrics.2024.1234
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