Stunting Paradigm by Adolescent Cadres: A Qualitative Study in the Urban Area of Yogyakarta City
DOI:
https://doi.org/10.35316/oksitosin.v12i1.4744Keywords:
first 8000 days of life, adolescent cadres, stunting paradigm, urbanisationAbstract
The stunting condition is triggered by malnutrition, from the womb until the child (especially women) enters adolescence, namely the first 8000 days of life (HPK). Fulfilment of proper nutritional needs must be provided since that time. Therefore, the author has designed a grand design for the formation of adolescent cadres for stunting prevention in urban areas of Yogyakarta City since 2022. This study aims to further analyse how the paradigm of stunting by adolescent cadres. This research uses qualitative methods, with a descriptive qualitative design, conducted for 3 months, in 2023, in Tegalrejo District, Yogyakarta City. Total sampling was the sampling technique in this study, involving 10 adolescent cadres as participants. Data were collected through in-depth interviews of approximately 45 minutes, with each participant. Data were analysed using six stages of thematic analysis, including: data introduction; initial coding; theme search; theme study; theme definition and naming, and reporting. NVivo 12 software was used by the researcher to conduct iterative data management and emerging themes. The findings showed three themes on the stunting paradigm by adolescents: the urgency of eliminating stunting stigmatisation, the fundamentalism of parental readiness in childcare, and the importance of adolescent cadres moving in each school. Adolescent cadres have understood the current stunting paradigm, that its reduction is urgent to create healthy generations in the future.
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References
Bliss, J.R. et al. (2016) 'Stigma as a barrier to treatment for child acute malnutrition in Marsabit County, Kenya', Matern Child Nutr, 12(1), pp. 125-138. doi:10.1111/mcn.12198.
Bove I et al. (2012) 'Stunting, overweight and childdevelopment impairment go hand in hand as key problems of early infancy: Uruguayan case', Early Human Development, 88(9), pp. 747-751.
Bundy DAP et al. (2017) 'Investment in child and adolescent health and development: Key messages from Disease Control Priorities, 3rd Edition', The Lancet, 391(10121). doi:10.1016/S0140-6736(17)32417-0.
Bundy DAP et al. (2018) 'Child and Adolescent Health and Development: Realising Neglected Potential', in Child and Adolescent Health and Development. 3rd editio. Washington (DC): The International Bank for Reconstruction and Development. doi:10.1596/978-1-4648-0423-6_ch1.
Butler, M.M., Fullerton, J.T. and Aman, C. (2018) 'Competence for basic midwifery practice: updating the ICM Essential Competencies', Midwifery [Preprint]. doi:10.1016/j.midw.2018.08.011.
Creswell, J.W. and Poth, C.N. (2017) Qualitative inquiry and research design: Choosing among five approaches. SAGE Publications, Inc.
ICM (2013) Essential competencies for basic midwifery practice. Available at: www.internationalmidwives.org.
ICM (2024) Essential Competencies for Midwifery Practice. Netherland. Available at: https://internationalmidwives.org/resources/essential-competencies-for-midwifery-practice/.
Kim, H., Sefcik, J.S. and Bradway, C. (2017) 'Characteristics of Qualitative Descriptive Studies: A Systematic Review', Nurs Health Res., 40(1), pp. 23-42. doi:10.1002/nur.21768.
Lee, H.Y. et al. (2020) 'Parents' functional health literacy is associated with children's health outcomes: Implications for health practice, policy, and research', Children and Adolescent Services Review, 110(104801). doi:10.1016/j.childadolescent.2020.104801.
Mayor of Yogyakarta (2021) Regulation of the Mayor of Yogyakarta Number 41 of 2021 Concerning the Regional Action Plan for Preparing a Superior Generation through the 8000 First Days of Life (8000 HPK) Programme 2021-2025. Indonesia.
National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Division of Behavioural and Social Sciences and Education; Board on Children, Adolescent, and F. (2019) 'Adolescent Development', in Backes EP, B.R. (ed.) The Promise of Adolescence: Realising Opportunity for All Adolescent. Washington (DC): National Academies Press (US). Available at: https://www.ncbi.nlm.nih.gov/books/NBK545476/.
Oddo, V.M., Roshita, A. and Rah, J.H. (2019) 'Potential interventions targeting adolescent nutrition in Indonesia: a literature review.', Public Health NutritionPublic Health Nutrition, 22(1), pp. 15-27. doi:10.1017/S1368980018002215.
Putri, A.P. and Rong, J.-R. (2021) 'Parenting Functioning in Stunting Management: A Concept Analysis', Journal of Public Health Research, 10(2). doi:10.4081/jphr.2021.2160.
Renyoet, B.S., Dary, D. and Nugroho, C.V.R. (2023) 'Literature Review: Intervention on Adolescent Girls in 8000 First Days of Life (HPK) as Stunting Prevention in Future Generations: Literature Review: Intervention on Adolescent Girls in 8000 First Days of Life (HPK) as Stunting Prevention in Future Generations', Amerta Nutrition, 7(2)(2), pp. 295-306. doi:10.20473/amnt.v7i2.2023.295-306.
Sheikhan, N.Y. et al. (2023) 'Stigma as a barrier to early intervention among adolescent seeking mental health services in Ontario, Canada: a qualitative study', BMC Health Serv Res, 23(1), p. 86. doi:10.1186/s12913-023-09075-6.
Straughan, P.T. and Xu, C. (2023) 'How does parents' social support impact children's health practice? Examining a mediating role of health knowledge', Global Health Research and Policy, 8(8). doi:10.1186/s41256-023-00291-5.
UNFPA WHO & ICM (2021) The States of The World's Midwifery 2021. Geneva and The Hague. Available at: https://www.unfpa.org/sites/default/files/pub-pdf/21-038-UNFPA-SoWMy2021-Report-ENv4302_0.pdf.
Vaughn, A.E., Ward, D.S. and Fisher, J. (2016) 'Fundamental constructs in food parenting practices: a content map to guide future research', Nutr Rev, 74, pp. 98-117.
Yogyakarta City Health Office (2021) Report of the Nutrition and Family Health Sie of Yogyakarta City in 2021. Yogyakarta, Indonesia.
Yogyakarta City Health Office (2024) Yogyakarta City Nutrition and Family Health Sie Report 2024. Yogyakarta.
Yulianti, D. (2017) 'Generasi Berencana (GenRe) Programme in the Framework of Human Development towards Quality National Development', Journal of Socio-Political Analysis, 1(2), pp. 93-108.
Yunita, F.A. et al. (2022) Interventions of Capacity Building Workshop 8000 First Days of Life (8000 HPK) and Mobile Teen Application on Haemoglobin Level and Macro-Micro Nutrient Intake among Teenage Cadres in Urban Yogyakarta. Surakarta.
