The influence of positive deviance approach on nutrition (POS GIZI) outcomes in children under five years (CU-5) in Aceh Besar district, Aceh province, Indonesia
Document type: mthesis
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Abstract:
BACKGROUND: Child’s malnutrition remains a problem in Aceh Besar District which caused by many determinants. Positive Deviance approach in nutrition (Pos Gizi) is a model of intervention to improve child’s nutritional status by tackling the determinants using locally available behaviors and resources. OBJECTIVE: This paper will identify the determinants of child’s malnutrition and analyze the implementation of Pos Gizi program in Aceh Besar District along with recommendations to improve future implementation of Pos Gizi. METHODS: Literature review is used to analayze the determinants of child’s malnutrition based on UNICEF (1992) malnutrition framework. Analysis of primary data from project internal database is done to assess the implementation of Pos Gizi in Aceh Besar District. RESULTS: Determinants of child’s malnutrition in Aceh Besar District are: Inadequate dietary intake, diseases, household food insecurity, inadequate maternal and child care, insufficient health services and unhealthy environment, potential resources, economic and political structures. Among children in the baseline, 27.3% were underweight, 45.1% were stunted, and 7.4% were wasted. Pos Gizi implementation in Aceh Besar shows that 38.1% children could gain catch up growth and 28.6% children could gain normal growth. Problem with drop out and loss of follow up might influence the outcomes. CONCLUSION AND RECOMMENDATIONS: Pos Gizi could be a community based solution to improve child’s nutritional status. Improvement in the baseline, documentations, tracking mechanism, evaluation and also collaboration with local stakeholders are needed. Cost effectiveness analysis needs to be done to adopt Pos Gizi as a national strategy. Nutritional surveys are needed to identify the most significant malnutrition determinants, to see adoption of new behaviors and the sustainability of the outcomes.
Authors:
Hidayat, S.
Country:
Indonesia
Category:
Research
Department:
Development Policy & Practice
Institute:
KIT (Royal Tropical Institute)
Keywords:
children
,
nutrition
,
health
Language:
eng
Organization:
KIT - Royal Tropical Institute
PAGE:
viii, 74
Year:
2009
Region:
Southeast Asia
Right:
© 2009 Hidayat
Subject:
Health and Nutrition
Title:
The influence of positive deviance approach on nutrition (POS GIZI) outcomes in children under five years (CU-5) in Aceh Besar district, Aceh province, Indonesia
Training:
Master of Public Health / International Course in Health Development (ICHD)