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DESCRI
PTI
ONOFSTUNTI NGCHILDRENAGED1-
5YEARSATAL-
HASAN
ORphanage,
DISTRI
CT,JOMBANGREGENCY

Midwifer
yS1Pr ogr
am St
udy
StikesKaryaHusadaKedir
i
SugestiDwiRetnoNingr
um
NIM 202107161

ABSTRACT

Phy sicalgr owthi sf undament altot henextdev el

opment alprogress.When
phy si
cal l
ydev elopedpr operlyal l
owschi l
drent obeabl et ofur t
herdev elopt heir
phy si
calski lls,andexpl oret heirenv ironmentwi thoutthehel pofot hers,gr owthhas
an i mpacton phy sicalaspect s,t he env i
ronment ,nut r
it
ion,af fecti
on can af f ect
children'sphy sicalgr owthanddev elopment ,inaddi t
iontotheirgenet i
cpot ent i
al.The
purposeoft hisst udywast oident if
yphy si
calgr owthamongchi ldrenaged1- 5y ear s
attheAl -
HasanOr phanage, DiwekDi stri
ct,JombangRegency .
Ther esear chdesi gnusedi sasi mpl edescr ipt
iveandsampl ingusingt heTot al
Sampl i
ngt echni quewi thasampl eof32r espondent s.
Resear cher s di dt his by measur ing hei ghtwi tht he midl i
ne.Resear cher s
i
dent ifi
ed t he nut r
iti
onal st atus of chi ldren t hrough t he r esul
ts of hei ght
measur ement s.The dat a wer e anal yzed usi ng the frequency di str
ibut i
on and
percent ageofr espondent s'charact eristi
cs.
Ther esul tsshowedadescr i
ptionofphy sicalgrowthbasedonbodyl engt hwi th
ther esultv al ueofv eryshor t4r espondent s,shor t5r espondent s,andnor mal23
respondent s.Descr ipti
onofphy sicalgr owthbasedonbodyl engt
hwi thnormalr esul t
values​from at ot alof32r espondent s.

Key
wor
ds:
Stunt
ing,
Chi
l
d
PRELI MI NARY serv ices, env i
ronment al heal th.
Phy sicali sacompl exor gansy stem Becausei ft hisi nter ventionpr ogr am i s
and ver y amazi ng. Phy sical notcar riedouti twi l
lhav eani mpact
dev elopmenti sf undament alt ot he ongr owt hpr obl emsandchi ldrenwi l
l
progr ess of t he next dev elopment . exper iencest unt ing( Minist r
yofHeal t
h;
When phy sical ly dev el
oped wel l
, 2020)
childr en can f ur ther dev elop t heir Inaccor dancewi thWHO ( Wor ld
phy sical ski l
ls, and expl ore t heir Heal t
h Or gani zat ion) st andar ds,an
env ironmentwi thoutt hehel pofot hers. area i si nt he good cat egor yi ft he
Opt imalgr owt handdev elopmentcan prev al enceofst unt ingi sl esst han20%.
be r eal ized i n accor dance wi tht heir Basedont her esul t soft henut riti
onal
biologi cal pot ent ial . The l evel of stat us moni tor i
ng sur vey ( PSG) i n
achi ev ementofaper son' sbi ol
ogi cal 2019, t he per cent age of st unting
pot ent ialist her esul toft hei nteract i
on nut rit
ionalst at us i n EastJav a was
ofv ariousi nt errel at edf actor s,namel y recor dedatt heageof0- 59mont hsof
genet ic f act or s, bi o-phy si co- psycho- 26.1%,t henumberi ncreasedt o26. 7%
soci aland behav ioralenv ironment al i
n2021.Ther esul tsoft henut riti
onal
fact ors.Auni quepr ocessanddi ff
erent stat us moni tor i
ng sur vey ( PSG) i n
endr esul tst hatgi veeachchi ldi t
sown Jombang Regency I n 2019 t he
char act er i
st i
cs( Soet j
iningsi h; 2019) prev al enceofst untingunderf i
v ey ear s
Aser iesofi nt erv ent i
onpr ograms ofage0- 59 mont hswas19. 2%,t he
thatmustbecar riedoutst ar ti
ngf r
om numberi ncr eased i n 2021 t o 26. 7%
prenat alt ot het ime ofdel iveryand (Mi nist r
yofHeal th; 2019- 2021)
afterbi rth so t hatpr egnantwomen The hi gh number of chi ldren
remai nheal thyandt hegr owt hoft he l
ivingi nor phanageswi tht hest atusof
fetust heycont aini sopt i
malsot hat sti
llhav ingpar ent s,ei therbot horonl y
theygi ve bi rtht o babi es ofnor mal one,i ndi cat est hatt hemai ncauseof
l
engt h and adequat e bi rth wei ght, theemer genceofnegl ect edchi l
dr eni s
i
nt erv ent i
on pr ogr ams t hatmustbe the f ami ly '
s economi cr easons.The
car ri
ed outi ncl ude;I nterv ent ions f or orphanage seems t o be a hope f or
the f irst1000 day s ofl ife,bei ng a par ent ssot hatt hei rchi l
dr encanl ive,
member of JKN ( bi rth i nsur ance) , eat and gr ow opt imal l
y wi thout
adequat e f ood i nt ake dur i
ng thinki ngaboutt hei mpactofl i
vingi n
pregnancy ,bot hcal or ies,pr ot ei
nand an or phanage on chi ldren. The
mi cronut rient s,Qual ityofexami nat i
on prov ision of educat i
onal f acilit
ies,
dur i
ngpr egnancy ,Del i
v eryi sassi sted nut rit
ionandheal thi nsur ancei sst il
l
byNAKES( heal thwor kers)atheal th themai nf ocusofmostor phanagesi n
faciliti
es,Ear lydet ect ionofi nfectious Indonesi a.
diseasesandnon- communi cabl e,IMD Basedonacasest udyconduct ed
(Ear ly Br east f
eedi ng I nitiation) and at t he AL- Hasan Or phanage i n
excl usi ve br east feedi ng ( Mot her's Jombang Regency i nt er ms oft he
Mi l
k) ,wor mser adi cat ion,PMT under numberofchi l
dr enaged1- 5y ear sand
fi
v e( Toddl erGr owt hMoni tor ing),Ear ly not esbel ow t her edl ine( BGM)wi t
ha
stimul ation of chi ld dev elopment , popul ation of 32 chi ldren who
Becomeapar ticipantofJKN( National exper iencephy sicalgr owt hpr obl ems,
Heal th I nsur ance) , Opt i
mal heal th ther e ar e 8 chi l
dr en wi t h nut riti
onal
statusbel owt her edl ine(BGM) . 2015- 2019 Nat ional Medi um- Term
Chi l
dr enl i
v i
ngi nor phanagesar e Dev elopment Pl an ( RPJMN) . I n
athi gh r isk f ormedi calpr obl ems, addi ti
on t o t hese gov er nment
nut r
itionaldi sor der s,i mpai redgr owt h pr ogr ams,t he gov ernmentneeds t o
anddev elopment ,behav ioral probl ems, take sev eral t act ical st eps i n
and ment alheal th pr obl ems.att he ov er comi ngt hepr obl emst hatexi stin
ti
me of pl acement i n or phanages, or phanages.Fi rst ,i ti snecessar yt o
mostchi ldrendonotr ecei veadequat e takeani nv ent or yofal lor phanagesi n
healthser vicesandhav eexper ienced Indonesi a,especi al l
yt hose managed
hear tbr eaki ng ev ent s. A i
ndependent ly by communi ty
compr ehensi ve assessment upon i
nst itutions.Thechi ldor phanagedat a
arrivalatt he or phanage showst hat obt ai ned i s t he basi s f or t he
therear emedi caldi sor derst hathav e super visionpr ocesscar riedoutbyt he
notbeen t reat ed,and about40- 70% gov ernment .Second,t hegov ernment ,
hav echr oni cdi seases.Mor et hanhal f thr ough t he soci alser vice,needst o
hav egr owt hr etar dat ion( Nel son; 2019) i
ncr ease super vision of chi l
d
St unt ing i s caused by mul ti- or phanages. Vi ol ations against
dimensi onalf act ors and i s notonl y or phanages t hat cannot meet t he
causedbypoornut ritionexper ienced nat ionalst andar dsofcar et hathav e
bypr egnantwomenandchi ldrenunder beensetbyt hegov ernmentneedt o
fi
v e.Themostdeci siv ei nter vent iont o getst rictsanct ions.Thi rd,need t o
reduce t he pr ev alence of st unt ing tight ent hel icensi ngpr ocessf ort he
needs t o be car ried outi nt he f i
rst est abl ishment of chi l
d or phanages.
1,000 day sofl i
fe( HPK)ofchi ldr en Thi s i s done t o pr event t he
underf ive.The f act orst hatcause est abl ishmentofor phanagest hatdo
stunt ingar e;Poorpar ent i
ngpr act ices, notmeett her equi rement s.Four t
h, i
tis
Limi tedheal thser vicesi ncl udi ngANC- necessar y t o dev elop
Ant eNat alCar e( heal th ser v icesf or assi stant s/ car egi v er s and manager s
mot her sdur ingpr egnancy )PostNat al ofchi ldren' sor phanagest obeabl et o
Car eandqual ityear lyl ear ning, Lackof run t he or phanage bet ter t hrough
access f or househol ds/ fami l
ies t o heal th trai ning pr ograms,
nut r
itious f ood,Lack ofaccess t o psy chol ogi cal par ent ing or ev en
clean wat erand sani tat i
on.( TNP2K; traini ng i n managi ng t he f inanci al
2019) management of or phanages ( P3DI ;
St unt ingi sapr obl em becausei t 2018)
i
sassoci at edwi thani ncr easedr iskof Based on t hi s descr i
ption,t he
mor bi dity and mor tal i
ty ,subopt imal for mul at i
ons i n t his st udy ar e:
braindev el opment , resul tingi ndel ay ed Ident i
f yingphy si calgr owt hbasedon
mot or dev el opment and st unt ed st unt ingi ndicat or sf orchi ldrenaged1-
ment algr owt h.Sev eralst udi esshow 5y ear satt heAL- Hasan or phanage,
thatt her iskscausedbyst unt ingar e Di wekDi strict, JombangRegency .
decr eased academi c achi ev ement ,
i
ncr eased r isk of obesi t
y , mor e Met hod
vulner abi lity t o non- communi cabl e The desi gn used i n t hi
s
diseases and i ncr eased r i
sk of research is descripti
veresearch,the
degener at i
v edi seases( Mi tra; 2020) result
s of whi ch ar e descr i
ptiv
e
The gov er nmenthas dev eloped (descri
ption)wi t
houtgi vi
ng generally
progr ams and r egul at i
ons t or educe acceptedconcl usions.
the pr ev alence ofshor tst at ure and The popul at i
on i
nt hi
s study
thinst at ur ei nI ndonesi at hrought he wereal lchil
drenaged1- 5y ear
satt he
Al-HasanDi wekOr phanage, Jombang a. Woman
Regencywi that otalof32chi ldren,The 12 37.
5%
sampl i
ngt echni queusedi nthisst udy b. Man 20 62.
5%
i
st otal sampl i
ng, totalsampl i
ng. Amount 32 100%
Thedat acol l
ectioni nthi sstudy 3. Health
usedobser vati
onsheet sf orr esearch stat
us
i
nst rument s using hei
ght a. Healthy 32 100%
measur ement s. b. Sick 0 0%
Univari
ate anal ysis: Uni vari
ate Amount 100%
analy si
swasusedt oobt aindat aon Source:2022dat
a
the f r
equency and per cent age of
respondent s'char acteristics,namel y: Based on t hedat aabov e,the
gender ,age. numberoff emaler espondentsi s12
The f requency di stri
but i
on of chil
dren and 20 chi ldren are mal e.
groupdat ai sonet y
peofst atist
ical Therear e4chi ldrenaged1- 2y ears,9
table i n whi ch t he f requency of people 2-3y ears ol d,8 peopl e 3-4
numer i
caldat ai spresent ed; wher ethe yearsold,and11ki dsaged4- 5y ears.
number sar egr ouped( inauni tthereis Allr
espondent sar eingoodheal th.
agr oupofnumber s)(sugi yono; 2019). SpecialDat a
Table 1.2 Des cri
ption of f requenc y
RESULTSANDDI SCUSSION dist
ri
buti
on Des cri
ption of nut rit
ional
This r esearch i s descr i
bed stat
us of c hil
dren aged 1- 5 y ears
descr i
ptivel
yaccor dingtotheresear ch accordi
ng t o i ndic ators of body
objectives,st arti
ngf rom generaldat a l
ength/heightbyage.
i
ncluding age,gender and di sease Frequency Per cent
history,thenpr oceedwi thdiscussion.
VeryShor t4 12.5
Asf ort her esultsofdat acollecti
on
Vali
d 5 15.6
from hei ght measur ements as a
Short 23 71.9
medi um t oi dentifyt hedescri
pti
onof
Normal 32 100.0
thephy sicalgr owt hofchil
drenaged1-
Total
5y ear s att he Al-Hasan Orphanage,
DiwekDi str
ict,JombangRegency . Source:2022dat a

Generaldata Aftercol lecti

ng t he dat a,i tis
Table1.1Distr
ibut
ionofthefr
equency processed and t hen int erpreted and
ofrespondentsbyage,sexandheal t
h analyzed accor ding t ot he v ari
abl es
stat
us. studied and t he f oll
owi ng r egar ding
Fr
equency Percent
age thesev ari
ables.
Vari
able
BasedonTabl e1. 2showst hat
1. Age 12.5% ​ofchi ldrenaged1- 5y earsar e
a. 1-2 4 12.
5% veryshor tand15. 6%ofchi l
drenaged
years 1-5y earsar eshor t.Thisshowst hat
b. 2-3 9 28,
12 71.9% of chi l
dren hav e abnor mal
years height.Thehi ghper centageofchi ldren
c. 3-4 8 25% experiencing cases ofshor tst ature
years i
ndicat est hatt herei sa need f ora
d. 4-5 11 34.
37% special st r
at egy t o addr ess t he
years nutri
tionalst atusofchi l
dr enbasedon
Amount 32 100% thechi l
d'shei ghtindicator
2. Gender Childr
en exper ience abnor mal
growt hbasedongender ,boy sar ev er y pursui ngachi l
d'sbodygr owthbef ore
shor t2,shor t3,f emal e2i sv er yshor t
, i
ts gr owt h st ops, wi th adequat e
shor t2 t his pr ov es t hat bet ween nutri
tion,a heal thyenv i
ronmentand
gender st her ei s no ef fecton t he providingaccesst ocleanwat er.Under
i
nci dence of st unt ing i n chi l
dr en theageof9 y ear sisa per iod that
becauseoft het wor espondent s'dat a needsat tentionbecauseatt hist i
me
bet weent hesexesofmenandwomen chil
dr en exper ience a r apid gr owth
are di rect l
y pr opor tional .As f ort he l
eap ( Mi nistry of Heal t
h;2020) .In
caregi versatt heAl -HasanOr phanage, additiont oi mpr ovingnut ri
tional status,
ther e ar e 5 peopl e,t his al lows t he i
ncreasi ngaccesst ocleanwat er ,
good
conceptofpar ent ingi nt heor phanage environment alsani t
ationneedst obe
i
tsel ft obenotgoodconsi der ingt hat i
mpr ov ed t o pr eventst unt i
ng atan
ther ear e32chi ldrenbei ngcar edf or . earl
yst age.
Meanwhi le,att he age of1- 5y ear s, The hi gh number of shor t
par ent i
ng i nter act ions gr eat l
y af fect chil
dr en i nt he Al -
Hasan Or phanage
the chi ld's gr owt h pr ocess and t he proves t hatChi l
dren l i
vi
ng i n
need f orl ov e.l ov ei samustt o be orphanages ar e at hi gh r isk of
fulfil
ledi nachi ev ingopt imal gr owt h exper i
enci ng nutri
tional st atus
Hei ght i si nf luenced by mul t i
- problems, accor di
ng t o r esear ch
dimensi onalf act or si ncluding r ace, (KarenJMar cdant e;2019)i nhi snot es
env ironment ,l ackofaccesst ocl ean thatchi l
dr enl i
vingi nor phanagesar e
wat er ,sani tat ion and nut ri
tion.Fr om at r isk f or medi cal pr obl ems,
someoft hesef act ors,i tisnecessar y nutri
tional di sorders, gr owt h and
toi mpr ov e,especi al l
yi nt ermsoft he development di sorder s, behav ioral
nur turing env ironment ,t he r esear ch problems, andment alheal thpr obl ems.
dat ai ll
ust rat est hatt hepr ev alenceof ment al heal th
stunt ingi nt heAl -Hasanor phanagei s
direct ly pr opor ti
onalt ot he st unt ing Closing
prev alence dat ai n Jombang di st ri
ct The r esults oft he studypr ov
et hat
whi chi smor et han20%. physicalgr owt his seen f rom t he
Measur ementofhei ghtneeds i
ndicat orofhei ghtbasedonagewhi ch
to be done per iodical l
y, such as i
s used t o det er
mine t he nutrit
ional
wei ghi ngt hebodywei ghtev erymont h. statusofchi ldrenli
vi
ngi nt heAl-Hasan
Rout i
ne hei ght measur ement s can Orphanage. wi t
h a pr esentati
on of
i
dent ify st unt i
ng cases ear l
y on,so 12.5% ​ v
ery shor tand 15. 6% int he
they can be t reated ear ly . Ear ly shortst ate.Thi sshowst hat71.9% of
handl i
ng of st unt ing i s i mpor tant , chil
drenar est unted
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