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"ABSTRAKPenelitian ini bertujuan untuk mengetahui determinan status gizi baduta usia 6-23 bulan berdasarkan composite index anthropometric failure (CIAF) di Kecamatan Babakan Madang tahun 2019. Desain penelitian yang digunakan adalah cross sectional. Respponden yang berpartisipasi pada penelitian ini yaitu sejumlah 279 baduta dengan menggunakan metode purposive sampling. Pengumpulan data dilakukan pada Mei-September 2019, meliputi pengukuran berat badan dan panjang badan, wawancara terstruktur menggunakan bantuan kuesioner, dan lembar 24-hour recall. Hasil penelitian menunjukkan terdapat 43,4% baduta yang mengalami anthropomteric failure berdasarkan indikator CIAF. Berdasarkan hasil analisis multivariat, diketahui bahwa usia baduta menjadi faktor paling dominan pada terjadinya anthropomteric failure pada baduta usia 6-23 bulan di Kecamatan Babakan Madang tahun 2019 setelah dikontrol variabel riwayat ASI eksklusif dan riwayat penyakit diare (p=0,028, OR=1,775 95% CI=1,063-2,964). Perlu selalu diperhatikan pemberian asupan makanan anak yang aman, higienis, dan adekuat sesuai usianya.

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ABSTRACTThe objective of the study is to determine the determinants of nutritional status of children aged 6-23 months based on the composite anthropometric failure index (CIAF) in Babakan Madang District in 2019. The study design used in this study was cross sectional. The sample used in this study were 279 children using the purposive sampling method. Data collection was conducted in May-September 2019. Data collection was carried out by measuring body weight and length, structured interviews using a questionnaire, and a 24-hour recall sheet. The results showed that 43.4% of the children had experienced anthropomteric failure based on CIAF indicators. Based on the results of the analysis, it is known that the age of the children is the most dominant factor in the occurrence of anthropomteric failure in children aged 6-23 months in Babakan Madang Subdistrict in 2019 after controlling for a history of exclusive breastfeeding and a history of diarrhea in the past 1 month. It is always necessary to pay attention to the intake of children who are safe, hygienic, and adequate according to their age."

"Terjadinya masalah gizi di 1000 hari pertama kehidupan dapat memberikan dampak yang buruk bagi anak yaitu dapat menyebabkan gagal tumbuh seiring dengan bertambahnya usia. Masalah gizi merupakan refleksi dari konsumsi zat gizi yang belum mencukupi kebutuhan tubuh. Penelitian ini bertujuan untuk mengetahui determinan yang berhubungan dengan status gizi balita usia 6-59 bulan berdasarkan composite index of anthropometric failure (CIAF) di Indonesia (IFLS5 2014/2015). Penelitian ini menggunakan data sekunder Indonesia Family Life Survey (IFLS) tahun 2014. Total sampel sebanyak 4079 anak balita. Analisis data menggunakan uji chi square dan regresi logistic ganda. Hasil penelitian menunjukkan bahwa ada hubungan antara umur balita dengan CIAF, dimana balita yang berusia 6-23 bulan lebih banyak mengalami gagal tumbuh sebanyak 1,1 kali. Hasil penelitian juga menunjukkan ada hubungan antara keragaman makanan dengan kejadian CIAF, dimana anak balita yang keragaman makanan tidak tercapai berisiko 1,2 kali mengalami gagal tumbuh dan pendidikan ibu menunjukkan ada hubungan yang signifikan dengan kejadian gagal tumbuh, ibu yang memiliki pendidikan rendah lebih banyak mengalami gagal tumbuh. Faktor dominan yang berhubungan dengan kejadian CIAF adalah pendidikan ibu (OR 1,565) setelah dikontrol dengan umur, keragaman makanan dan imunisasi. Kesimpulan penelitian ini adalah faktor dominan yang berhubungan dengan CIAF adalah pendidikan ibu. Anak yang berasal dari ibu dengan pendidikan rendah berpeluang 1,6 kali lebih besar mengalami gagal tumbuh (CIAF).

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The occurrence of nutritional problems in the first 1000 days of life can have a bad impact on children, which can cause failure to grow with age. Nutritional problems are a reflection of the consumption of nutrients that are not sufficient for the body's needs. This study aims to determine the determinants associated with the nutritional status of children aged 6-59 months based on the composite index of anthropometric failure (CIAF) in Indonesia (IFLS5 2014/2015). This study uses secondary data from the 2014 Indonesia Family Life Survey (IFLS). The total sample is 4079 children under five. Data analysis used chi square test and multiple logistic regression. The results showed that there was a relationship between the age of children and CIAF, where children aged 6-23 months experienced more anthropometric failure as much as 1.1 times. The results also show that there is a relationship between dietary diversity and the incidence of CIAF, where children under five whose dietary diversity is not reached have a 1.2 times risk of anthropometric failure and mother's education shows a significant relationship with the incidence of anthropometric failure, mothers who have low education experience more anthropometric failure. The dominant factor associated with the incidence of CIAF was maternal education (OR 1.565) after controlling for age, food diversity and immunization. The conclusion of this study is that the dominant factor associated with CIAF is maternal education. Children from mothers with low education are 1.6 times more likely to have anthropometric failure (CIAF)."

"Upaya menurunkan prevalensi kurang gizi pemerintah membuat program Keluarga Sadar Gizi (Kadarzi). Cakupan Kadarzi Kota Depok tahun 2011 rendah (12,7%) dan prevalensi gizi kurang, pendek, kurus berturut-turut 7,89%, 7%, 4,75%. Penelitian bertujuan mengetahui faktor dominan terhadap status gizi balita 6 59 bulan berdasarkan Composite Index of Anthropometric Failure (CIAF). Penelitian menggunakan data sekunder hasil survei Kadarzi 2011. Survei dilakukan di sebelas kecamatan Kota Depok menggunakan desain cross sectional. Sampel sebanyak 1.176 keluarga yang memiliki balita termuda umur 6 59 bulan. Variabel yang diteliti adalah status gizi balita, perilaku Kadarzi, status Kadarzi, karakteristik balita, dan karakteristik keluarga. Hasil penelitian menunjukkan prevalensi balita gagal tumbuh 31%. Terdapat dua variabel yang memberikan pengaruh status gizi balita secara bersama-sama yaitu penimbangan balita (nilai p = 0,003) dan pendidikan ibu (nilai p = 0,034). Uji regresi logistik ganda menunjukkan penimbangan balita sebagai faktor dominan terhadap status gizi balita. Balita yang ditimbang tidak teratur berisiko 1,5 kali mengalami gagal tumbuh dibandingkan yang ditimbang teratur. Indeks CIAF berguna untuk mengetahui prevalensi gizi kurang secara keseluruhan dan penanggulang-annya. Diperlukan penyuluhan dan promosi yang lebih aktif kepada masyarakat mengenai pentingnya pemantauan pertumbuhan balita melalui posyandu dan melakukan pembinaan kader posyandu dalam pemantauan status pertumbuhan anak sebagai deteksi dini adanya gangguan pertumbuhan.

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Effort to reduce malnutrition governments make Keluarga Sadar Gizi (Kadarzi). Kadarzi in Depok 2011 still low (12,7%) and the prevalence of underweight, stunting, wasting are respectively 7,89%, 7%, 4,75%. This study aimed to determine the dominant factor for nutritional status of children based on Composite Index of Anthropometric Failure (CIAF). Status Gizi Balita Berdasarkan Composite Index of Anthropometric Failure Children Nutritional Status Based on Composite Index of Anthropometric Failure Nurani Rahmadini, Trini Sudiarti, Diah Mulyawati Utari Research using secondary data survey Kadarzi 2011. The survey was conducted using a cross sectional study in 11 districts. Samples of 1,176 families who have children youngest aged 6 59 months. The variables studied were the nutritional status, Kadarzi behaviors, Kadarzi status, children characteristics, and family characteristics. Results showed prevalence of growth faltering (31%). There are two variables that influence nutritional status, child?s weighing (p value = 0,003) and mother?s education (p value = 0,034). Multiple logistic regression analysis show child?s weighing as a dominant factor to the nutritional status of children. Children who are weighed not regularly are more risky 1,5 to get growth faltering then children who are weighed regularly. CIAF is useful to determine prevalence of undernutrition clearly and its solution. Counseling and promotion about child?s growth monitoring are required as early detection of growth faltering."

"Kekurangan gizi pada balita terutama pada dua tahun pertama kehidupan masih merupakan salah satu permasalahan kesehatan masyarakat di Indonesia. Selain kekurangan gizi berdasarkan indikator tunggal BB/U, TB/U, BB/TB, balita juga berisiko mengalami permasalahan kurang gizi kombinasi. Penelitian ini bertujuan mengetahui gambaran status gizi balita umur 6-23 bulan berdasarkan indikator antropometri tunggal dan CIAF serta mengetahui hubungan antara status ASI eksklusif (inisiasi menyusui dini, ASI eksklusif), status MP ASI (inisiasi MP ASI, keragaman konsumsi makanan, protein hewani), penyakit infeksi (diare, ISPA, TB paru), tinggi badan ibu, status BBLR dan faktor dominan terhadap status gizi balita umur 6-23 bulan berdasarkan CIAF. Penelitian ini merupakan studi cross sectional menggunakan data sekunder Riskesdas 2018 dengan jumlah sampel 12.366 balita umur 6-23 bulan di Indonesia. Analisis bivariat dilakukan dengan uji chi square dan analisis multivariat dilakukan dengan uji regresi logistik dengan nilai signifikansi (p value< 0,05). Hasil penelitian menunjukkan terdapat 42,4% balita yang mengalami kurang gizi berdasarkan indikator CIAF. ASI eksklusif, inisiasi MP ASI, tinggi badan ibu, dan status BBLR berhubungan signifikan dengan status gizi berdasarkan CIAF dan status BBLR merupakan faktor dominan. Balita yang dilahirkan dalam kondisi BBLR berisiko mengalami kurang gizi sebesar 2,17 kali (95%CI: 1,869-2,524) dibandingkan balita yang dilahirkan normal. Diperlukan peningkatan edukasi gizi melalui kolaborasi dengan kegiatan kemasyarakatan sehingga dapat meningkatkan pengetahuan dan kesadaran gizi pada masyarakat dan mencegah terjadinya permasalahan gizi.

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Undernutrition in children under five especially the first two years of life was still one of public health problem in Indonesia. Besides undernutrition according to single indicator WAZ, HAZ, and WHZ, children might be risk of combination undernutrition problem. Until the first two years of life, children were in important periode of growing and developing. The aim of this study was to know nutrition status of children 6-23 months of age using a single indicator of anthropometry and CIAF, besides determining the relationship between exclusive breastfeeding status (initiation of early breastfeeding, exclusive breastfeeding), complementary feeding status (initiation of complementary feeding, dietary diversity, animal protein), infectious diseases (diarrhea, upper respiratory tract infection, pulmonary tuberculosis), maternal height, low birth weight status and the dominant factor of nutrition status in children 6-23 months of age using CIAF. This was crosssectional study using secondary datas on 12.366 children from Indonesia Basic Health Research 2018. Data analysis used chi square for bivariat and logistic regression for multivariate with significance value (p value < 0,05). The results of this study showed 42,4% children 6-23 months were undernutrition by using CIAF. Exclusive breastfeeding, initiation of complementary feeding, maternal height, and low birth weight status were significantly related to undernutrition based on CIAF with low birth weight status as the dominant factor. Children 6-23 months of age had 2.17 times risk (95% CI: 1.869-2.524) of undernutrition compared to children who were born normally. Increasing nutrition education was required by collaborating with public activities so that it would be able to increase nutrition knowledge and awareness moreover to prevent undernutrition."