Knowledge, Attitudes, and HIV/AIDS Risk Behaviors of Myanmar Migrant Workers in Thailand GHMJ (Global Health Management Journal) 2022, Vol. 5, No. 1 Indonesian Scholars’ Alliance Open Access Photo Essay POLITEKNIK KESEHATAN KEMENKES PALANGKA RAYA: HEALTH FORUM AND INTERNATIONAL SEMINAR THE NEW NORMAL : Creating a Pleasant Virtual Communication Reducing and preventing stunting through Integrated Posyandu with Fathers and or Child Caregivers (Posyandu Bersayap) at Watukapu Public Health Center in Ngada Regency, East Nusa Tenggara Province, Indonesia Ririn Widyastuti* 1 , Martinus V. Ndona 2 1 Midwifery Study Program, Health Polytechnic of Health Ministry Kupang, NTT, Indonesia 2 Watukapu Health Center, Ngada Regency, NTT, Indonesia *Corresponding author’s email: ririenwidyastuti@gmail.com DOI: 10.35898/ghmj-51603 Selection and peer-review under responsibility of the scientific committee and the editorial board of the Annual Health Forum and International Seminar of the Politeknik Kesehatan Kemenkes Palangka Raya © Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars’ Alliance). This is an open-access following Creative Commons License Deed - Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) An important nutritional problem needing special attention in Indonesia is stunting. Stunting is a physical growth disorder in the form of a linear decrease in the growth rate. As a result, children fail to reach their optimal height potential. Stunting can also be interpreted as a condition that occurs due to the impact of chronic malnutrition during the first 1000 days of a child's life (Trihono et al., 2015). The prevalence of children under five with stunting in three years in the East Nusa Tenggara is decreasing. However, the value is still high which is at 27.5 percent (Badan Penelitian dan Pengembangan Kesehatan, 2019). The efforts made by the East Nusa Tenggara Government to overcome nutritional problems are by reducing the number of stunting, wasting, or malnutrition, and being underweight for children under five. The program was carried out through intervention, provision of supplementary food for toddlers and pregnant women with chronic energy deficiency in 22 districts/cities through Integrated Posyandu (Taolin, 2020). One of the Posyandu's innovative activities in preventing stunting in Watukapu District, Ngada Regency is Posyandu Bersayap. Posyandu Bersayap is a Posyandu program involving the participation of fathers and/or child caregivers. Posyandu activities are routinely carried out every month, whereas the Posyandu Bersayap program is carried out every March and September. The positive impact of this activity is the increasing visit of under-five children, the participation of parents and child caregivers increases, and the malnutrition cases decrease. mailto:ririenwidyastuti@gmail.com https://dx.doi.org/10.35898/ghmj-51603 71 GHMJ (Global Health Management Journal) 2022, Vol. 5, No. 1 Widyastuti & Ndona Figure 1 Watukapu Public Health Center, Ngada, East Nusa Tenggara Posyandu Bersayap program covers several activities: 1. Registration Figure 2 is the implementation of the Posyandu program refers to the five-table Posyandu implementation guidelines (Kemenkes RI, 2011). The innovation of the Posyandu Bersayap is to involve fathers or child caretakers other than mothers including grandparents or babysitters which is proven in increasing the participation of under-five visits for weighing. Figure 2 Fathers and Child Caregivers Participating in The Program Figure 3 Participations of Fathers in Childcare can Increase Affection/Bounding Attachment between Fathers or Accompanying Caregivers with Children Widyastuti & Ndona GHMJ (Global Health Management Journal) 2022, Vol. 5, No. 1 72 2. Weighing and Measuring Children Figure 4 The Participation of Father (Top Left), Grandmother (Bottom Left), and Grandparents (Right) in Helping Children Weighing Figure 5 Height Measurements Routine weighing and height measurement can be used to monitor the nutritional status of infants and toddlers, improve nutritional status and prevent stunting. Based on the results of the research, there was a relationship between regular Posyandu visits and the nutritional status of children under-five based on weight/ age at Posyandu Ngudi Mulyo Dusun Kembu, Waru, Kebakramat, Karanganyar with a correlation coefficient value of 0.668 with a significance of 0.000 (Riawati & Sari, 2019). 73 GHMJ (Global Health Management Journal) 2022, Vol. 5, No. 1 Widyastuti & Ndona 3. Recording of weighing and height measurement result Figure 6 Recording of Weighing and Height Measurement Result 4. Nutrition Counseling and Service In nutrition counseling activities, parents (father, mother, or children’s caregivers) were given counseling on the use of local food to fulfill nutrition for children under five. Local food such as corn, cassava, moringa, mung bean (vigna radiata), and fish. Feeding children with mung beans and fish can overcome malnutrition (Amra & Juhartini, 2018). The addition of biscuits with a mixture of moringa has been shown to affect weight gain in toddlers with underweight nutritional status (Juhartini, 2016). Figure 7 Food Serving Practice Using Provided Food for Under-Five Children Appropriate with Age, and Serving Size for Children Figure 8 Food Product from The Program Appropriate with Age, and Serving Size for Children Widyastuti & Ndona GHMJ (Global Health Management Journal) 2022, Vol. 5, No. 1 74 5. Immunization Figure 9 Polio Immunization References Amra, N. & Juhartini. (2018). Daya terima makanan formula ikan dan formula kacang hijau pada balita gizi kurang di wilayah kerja Puskesmas Kalumata Kota Ternate tahun 2018. Hospital Majapahit, 10(2), 25-33. Badan Penelitian dan Pengembangan Kesehatan. (2019). National Riskesdas Report 2018: Basic Health Research 2018 (Laporan Nasional Riskesdas 2018: Riset Kesehatan Dasar 2018). Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.. Juhartini. (2016). Pengaruh pemberian makanan tambahan biskuit dan bahan makanan campuran kelor terhadap berat badan dan hemoglobin; studi pada balita dengan status gizi kurus di wilayah kerja puskesmas kalumpang kota ternate tahun 2015. Hospital Majapahit, 28(2), 19-28. Kemenkes RI (2011). Pedoman umum pengelolaan posyandu. Jakarta: Kemenkes RI Riawati, D. & Sari, A.N. (2019). analisis faktor keteraturan kunjungan posyandu balita dan status gizi balita berdasarkan berat badan/umur. Jurnal Kebidanan Indonesia, 10(1), 137. Taolin, A.U. (2020). Prevalensi Balita Stunting di NTT Capai 27,5 Persen. Retrieved from: https://www.gatra.com/detail/news/488170/kesehatan/prevalensi-balita-stunting-di-ntt-capai-275- persen#:~:text=PrevalensiBalita Stunting di NTT Capai 27%2C5 Persen %7C Kesehatan&text=Kupang%2C Gatra.com– Prevalensi,kasus meninggal sebanyak 57 orang. Trihono, Atmarita, Tjandrarini, D.H., Irawati, A., Utami, N.H., Tejayanti, T., et al. (2015). Pendek (stunting) di indonesia, masalah dan solusinya. Jakarta: Lembaga Penerbit Litbangkes. Cite this article as: Widyastuti R, Ndona MV. Reducing and preventing stunting through Integrated Posyandu with Fathers and or Child Caregivers (Posyandu Bersayap) at Watukapu Public Health Center in Ngada Regency, East Nusa Tenggara Province, Indonesia. GHMJ (Global Health Management Journal). 2022; 5(1):70-74. doi:10.35898/ghmj-51603 https://dx.doi.org/10.35898/ghmj-51603