"PERAN PENDAMPINGAN KELUARGA BERBASIS 1000 HPK DALAM MENINGKATKAN PERILAKU SEHAT IBU HAMIL DAN MENCEGAH STUNTING DI DESA JATIMULYA"

Abstrak

Stunting merupakan masalah gizi kronis yang perlu dicegah sejak periode 1000 Hari Pertama Kehidupan (HPK), termasuk sejak masa kehamilan. Pendampingan keluarga melalui pemberian Makanan Tambahan (PMT) berupa telur dan penyuluhan gizi diharapkan dapat membantu meningkatkan status gizi ibu hamil serta mengurangi risiko Kekurangan Energi Kronis (KEK) dan stunting. Penelitian ini bertujuan untuk mendeskripsikan perubahan berat badan dan Lingkar Lengan Atas (LILA) ibu hamil setelah memperoleh intervensi gizi berbasis protein hewani di Desa Jatimulya. Penelitian menggunakan rancangan deskriptif observasional dengan pendekatan pretest-posttest. Partisipan penelitian berjumlah 16 ibu hamil yang direkrut menggunakan teknik total sampling. Data dikumpulkan melalui pengukuran berat badan dan LILA sebelum serta setelah pemberian PMT telur dan edukasi gizi. Hasil pemantauan menunjukkan bahwa sebagian besar ibu hamil mengalami peningkatan berat badan, sedangkan ukuran LILA sebagian besar stabil atau meningkat. Namun, tiga responden memiliki LILA di bawah ambang batas 23,5 cm, yaitu Ny. E, Ny. A, dan Ny. F, sehingga berisiko mengalami KEK. Ny. A dan Ny. F juga mengalami penurunan LILA, sementara Ny. P mengalami penurunan berat badan yang memerlukan evaluasi lebih lanjut. Pemberian PMT berbasis telur dan pendampingan keluarga secara umum menunjukkan dampak positif terhadap status gizi ibu hamil. Pemantauan antropometri berkelanjutan, edukasi gizi, serta kolaborasi antara bidan, kader, Tim Pendamping Keluarga, dan keluarga diperlukan untuk memperkuat pencegahan stunting.

Stunting is a chronic nutritional problem that must be prevented during the first 1,000 days of life, including the pregnancy period. Family support through the provision of supplementary food in the form of eggs and nutrition education is expected to improve the nutritional status of pregnant women and reduce the risk of chronic energy deficiency and stunting. This study aimed to describe changes in body weight and mid-upper arm circumference (MUAC) among pregnant women after receiving an animal-protein-based nutritional intervention in Jatimulya Village. The study used a descriptive observational design with a pretest–posttest approach. The participants consisted of 16 pregnant women recruited through total sampling. Data were collected by measuring body weight and MUAC before and after the provision of egg-based supplementary food and nutrition education. The monitoring results showed that most pregnant women experienced an increase in body weight, while their MUAC measurements generally remained stable or increased. However, three participants had MUAC measurements below the 23.5 cm threshold: Mrs. E, Mrs. A, and Mrs. F, indicating a risk of chronic energy deficiency. Mrs. A and Mrs. F also experienced a decrease in MUAC, while Mrs. P experienced weight loss and required further evaluation. Overall, the provision of egg-based supplementary food and family support had a positive effect on the nutritional status of pregnant women. Continuous anthropometric monitoring, nutrition education, and collaboration among midwives, health cadres, Family Support Teams, and families are needed to strengthen stunting prevention efforts.