Nutrition Program Planning Based on Local Resources in Urban Fringe Areas of a Developing Country

Authors: Oktia Woro Kasmini Handayani, Bambang Budi Raharjo, Efa Nugroho, Bertakalswa Hermawati

Abstract:

Obesity prevalence and severe malnutrition in Indonesia has increased from 2007 to 2013. The utilization of local resources in nutritional program planning can be used to program efficiency and to reach the goal. The aim of this research is to plan a nutrition program based on local resources for urban fringe areas in a developing country. This research used a qualitative approach, with a focus on local resources including social capital, social system, cultural system. The study was conducted in Mijen, Central Java, as one of the urban fringe areas in Indonesia. Purposive and snowball sampling techniques are used to determine participants. A total of 16 participants took part in the study. Observation, interviews, focus group discussion, SWOT analysis, brainstorming and Miles and Huberman models were used to analyze the data. We have identified several local resources, such as the contributions from nutrition cadres, social organizations, social financial resources, as well as the cultural system and social system. The outstanding contribution of nutrition cadres is the participation and creativity to improve nutritional status. In addition, social organizations, like the role of the integrated health center for children (Pos Pelayanan Terpadu), can be engaged in the nutrition program planning. This center is supported by House of Nutrition to assist in nutrition program planning, and provide social support to families, neighbors and communities as social capitals. The study also reported that cultural systems that show appreciation for well-nourished children are a better way to improve the problem of balanced nutrition. Social systems such as teamwork and mutual cooperation can also be a potential resource to support nutritional programs and overcome associated problems. The impact of development in urban areas such as the introduction of more green areas which improve the perceived status of local people, as well as new health services facilitated by people and companies, can also be resources to support nutrition programs. Local resources in urban fringe areas can be used in the planning of nutrition programs. The expansion of partnership with all stakeholders, empowering the community through optimizing the roles of nutrition care centers for children as our recommendation with regard to nutrition program planning.

Keywords: Developing country, local resources, nutrition program, urban fringe.

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1339782

References:

[1] Ivanovic, D., Rodriguez, Perez, H, “Twelve-year Follow-up Study of The Impact of Nutritional Status at The Onset of Elementary School on Later Educational Situation of Chilean School-age Chieldren”, European Journal of Clinical Nutrition, vol. 62, pp.18-31. 2008.
[2] McMurray RG et al, “The Influence of Physical Activity, Socioeconomic Status, and Ethnicity on The Weight Status of Adolescents”, Obesity Research, vol.8 pp.130–139, 2000.
[3] Wang Y, “Cross-national Comparison of Childhood Obesity: The Epidemic and The Relationship between Obesity and Socioeconomic Status”, International Journal of Epidemiology, vol.30, pp. 1129–1136, 2001.
[4] Kementerian Kesehatan RI, “Riset Kesehatan Dasar”, Jakarta, 2013
[5] Handayani, Oktia.W, “Nilai Anak dan Jajanan Dalam Konteks Sosiokultural (Studi Tentang Status Gizi Balita Pada Lingkungan Rentan Gizi di Desa Pecuk Kecamatan Mijen Kabupaten Demak Jawa Tengah”, Disertasi, UNNES Press. 2011.
[6] Zuhud Ervizal A.M, “Potensi Hutan Tropika Indonesia Sebagai Penyangga Bahan Obat Alam Uuntk Kesehatan Bangsa”, JurnalTumbuhan, 2010.
[7] Oktia Woro KH, Tandiyo R, Irwan B, Pomsuk H, Songpol T, Anong H, “Social Capital and Nutritional Status of Child Under 5 Years in Rural Indonesia and Thailand”, Jurnal Kemas, vol.10, no.1, pp. 88-95, 2014.
[8] Horowitz, C. R., Davis, M. H. et al, “Approaches to Eliminating Sociocultural Disparities in Health”, Health Care Financing Review, vol. 21, no.4, pp. 57-72, 2000.
[9] Garces, I. C., Scarinci Isabel C, Harrison Lynda, “An Axamination of Sociocultural Factors Associated with Health and Health Care Seeking Among Latina Immigrants”, Journal Immigrant Health, vol 8, pp. 377-385, 2006.
[10] Mitra, M., Sahu, P. K. et al. “Nutritional and Health Status of Gond and Kawar Tribal Pre-school Children of Chhattisgarh, India”, Journal Humaniora and Ecology, vol.21, no.4, pp. 293-299, 2007.
[11] Prihanto Teguh, “Perubahan Spasial dan Sosial Budaya Sebagai Dampak Megaurban di Daerah Pinggiran Kota Semarang”, Jurnal Teknik Sipil & Perencanaan, vol. 1, no.2, pp 131-140, 2010.
[12] Basrowi & Suwandi. ”Memahami Penelitian Kualitatif”. Jakarta: PT Rineke Cipta. 2008.
[13] Anargiros Marioles et al, “Comparison of Primary Health Care Services Between Urban and Rural Settings After The Introduction of The First Urban Health Center in Vyronas, Greece”, BMC Health Services Research, vol.8, pp.124. 2008.
[14] Eileen SA, Richard AW, Janet RW, “Self Regulation, Self Efficacy, Outcome Expectations, and Social Support: Social Cognitive Theory and Nutrition Behavior”, Ann Behav Med, vol. 34, no 3, pp. 304-312, 2007.
[15] Richard Mussa, “A Matching decomposition of The Rural-Urban Difference in Malnutrition in Malawi”, Health Economics, vol. 4, no. 11, pp. 1-25. 2014.
[16] Mariele Contreras, Elmer Zelaya Blandon, Lars Ake Persson, Andres Hijem, Eva Charlotte Ekstrom, “Socioeconomic Resources, Young Child Feeding Practisces, Consumption of Highly Processed Snacks and Sugar Sweetened Beverages: A Population Based Survey in Rural Norhwestern Nicaragua”, BMC Public Health, vol.15, pp.25-36, 2015.
[17] Chittur S, Giacomo Zanello, Bhavani Shankar, “Rural-Urban Disparities in Child Nutrition in Bangladesh and Nepal”, BMC Public Health, vol.13, pp. 581-593, 2013.
[18] Hong Liu, John A Rizzo, Hai Fang, “Urban-Rural disparities in Child Nutrition- Related Health Outcomes in China: The Role of Hukou Policy”, BMC Public Health, vol.15, pp. 1159-1164, 2015.
[19] De Silva, M.J., Harpham T, “Maternal Social Capital and Child Nutritional Status in Four Developing Countries”, Health Place, vol.13, no.2, pp. 341-355, 2007.
[20] Handayani, Oktia W, “Comparation Study o Healtf Promotion Model In Elementary School Between Indonesia and Australia”, Journal of Scientific Research and Reports, vol. 07, no.01, pp. 1-10, 2014.
[21] Kandala Nglanga B, Stranges Saverlo, “Geographic Variation of Overweight and Obesity among Women in Nigeria: A Care For Nutritional Transition Sub Saharan Africa”, Plos One, vol. 9, no. 6, 2014.
[22] Fotso, JC, “Child Health Inequities in Developing Countries: Differences across Urban and Rural Areas”, International Journal For Equity in Health, vol. 5, pp. 9-21, 2006.
[23] Lopez Russell P, Hynes H Patricia, “Obesity, Physical Activity, and The Urban Environment: Public Health Research Needs”, Environmental Health: A Global Access Science Source, vol.5, pp. 25-33, 2006.
[24] Lareen Newman, Isobel Ludford, Carmel Williams, Michele Herriot, “Applying Health in All Policies to Obesity in South Australia”, Health Promotion Internasional, vol.31, no.1, pp. 44-58, 2014.
[25] Mat Walton, Louise Signal, George Thomson, “Household Economic Resources as a Determinant of Childhood”, Social Policy Journal of New Zealand, vol. 36, pp 194-207, 2009.
[26] Badan Perencanaan Pembangunan Nasional, “Rencana Aksi Nasional PAngan dan Gizi”, Jakarta, 2007
[27] Donna B Johnson, et al. “Developing an Agenda for Research about Policies to Improve Access to Healthy Foods in Rural Communities: A concept Mapping Study”. BMC Public Health, vol 14, pp. 592-604, 2014.