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Dream - Stunting cases or failed growth of children in Indonesia have become a problem that continues to haunt until now. Quoted from Bkkbn.go.id, around 11.3 million families are at risk of stunting.
Stunting, according to the Ministry of Health, is a condition of failure to grow in toddlers due to chronic malnutrition, especially in the first 1,000 days of life.
One of them is by creating an early detection system for stunting at Puskesmas (community health center). The system consists of ultrasonography examination (USG).
The results of the ultrasound examination serve as early detection of pregnancy problems as well as stunting or chronic malnutrition problems that cause babies to fail to grow, such as being short and underweight. Later, these examination results will be sent to pregnant mothers through Whatsapp via the SATUSEHAT platform (Kemnkes data). All data on weighing infants from Posyandu is also conducted by name and by address and is already connected to the Aplikasi Sehat IndonesiaKu (ASIK) at the national level.
All Puskesmas and Posyandu will also be equipped with digital anthropometric tools. These tools function to standardize the measurement of children's weight and height.
President Joko Widodo during a visit to the Toroh 1 Community Health Center in Grobogan Regency, Central Java, a few days ago revealed that it has been distributed to 300 thousand integrated health posts (posyandu) throughout Indonesia since 2022-2023. "There are 300 thousand scales that we have provided, which previously did not exist, now all are given scales. For checking the weight, length, and everything of the baby," said the President.
From the measurement, it will be known the nutritional status of children from an early age, including whether their nutritional needs have been met according to their needs.
If there are problems, interventions will be carried out to prevent a number of nutritional problems in toddlers such as weight faltering or not gaining weight according to standards, underweight, malnutrition, poor nutrition, and stunting.
In children experiencing weight faltering (not meeting the standard), if left untreated, it will lead to underweight and further progress to malnutrition (wasted). The management of weight faltering is by referring the toddler to a health center to be treated by a doctor, providing protein-rich supplementary food for 14 days, and counseling by a general practitioner.
If left untreated, malnutrition will occur and the child will become very thin. This condition, if not immediately addressed, can disrupt growth, development, and bodily functions. The treatment for children with malnutrition is to refer them to a health center and provide them with additional food rich in animal protein for 90 days. If a toddler has indications of a serious illness such as congenital heart disease, they must be referred to a hospital.
Handling stunted children themselves will later be referred to the hospital to receive treatment from a specialist doctor for children, as well as counseling and the provision of PKMK (Food with Special Medical Needs) according to indications and prescriptions from the pediatrician. Meanwhile, for toddlers with normal weight and height, they still need to be given local Additional Food Provision (PMT) containing animal protein and milk. This step can prevent weight faltering up to 54%.
"To prevent stunting in the next stage, Processed Food for Special Diets (PDK) worth IDR 150,000 should be provided for 16 days, which can prevent stunting by 90%. Source: Kemkes.go.id"
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