TY - JOUR
T1 - The Effectiveness of Positive Deviance Hearth (Pos Gizi) to Improve Malnourished Children in Urban Surabaya, Indonesia
AU - Sari, Nur Mufida Wulan
AU - Wangi, Martina Puspa
AU - Ayuningtyas, Hasanah
AU - Himawati, Allyra
AU - Handayani, Suci
AU - Sakinah, Fitria Nurus
AU - Kristanto, Daniel Andi
AU - Manahan, Anggiat
AU - Nugroho, Andi
AU - Putri, Nuzulul Kusuma
AU - Sahila, Nur
AU - Frans, Charles
AU - Mahmudiono, Trias
N1 - Publisher Copyright:
© 2023 Faculty of Public Health Universitas Airlangga.
PY - 2023/9/5
Y1 - 2023/9/5
N2 - Background: Positive Deviance Heart (PDH) focuses on processes identifying affordable, acceptable, and sustainable practices used in communities with limited resources. One of PDH's goals is to prevent malnutrition in children by changing societal norms regarding parenting behavior, feeding practices, and health care behavior. Objectives: This study aimed to determine the effectiveness of PDH implementation in urban areas by assessing nutritional status alteration and changes in child feeding practices. Methods: This quantitative study with a descriptive-analytic approach used secondary data from a three-month PDH intervention conducted by Wahana Visi, Indonesia. Locations and participants were determined by a purposive sampling method. Twenty-nine (29) participants from three urban villages in Surabaya were involved. Data analysis was performed using frequency distribution, ANOVA, and Chi-square test (95% Confidence Interval). Results: The PDH implementation in Simokerto Sub-district did not significantly improve the children's nutritional status. Changes in child feeding practices during the Hearth did not significantly affect children's nutritional status (p>0.05). There were differences (p<0.05) in Z-score alteration based on the time of weighing with or without considering the age groups and the children's residence (p<0.05). Conclusions: The three-month PDH sessions in the Simokerto Sub-district have not been effective in increasing the target of nutritional status. Changes in child feeding practices were not associated with increased children's nutritional status. Based on the time of weighing, the PDH's intervention periods can improve the target of nutritional status.
AB - Background: Positive Deviance Heart (PDH) focuses on processes identifying affordable, acceptable, and sustainable practices used in communities with limited resources. One of PDH's goals is to prevent malnutrition in children by changing societal norms regarding parenting behavior, feeding practices, and health care behavior. Objectives: This study aimed to determine the effectiveness of PDH implementation in urban areas by assessing nutritional status alteration and changes in child feeding practices. Methods: This quantitative study with a descriptive-analytic approach used secondary data from a three-month PDH intervention conducted by Wahana Visi, Indonesia. Locations and participants were determined by a purposive sampling method. Twenty-nine (29) participants from three urban villages in Surabaya were involved. Data analysis was performed using frequency distribution, ANOVA, and Chi-square test (95% Confidence Interval). Results: The PDH implementation in Simokerto Sub-district did not significantly improve the children's nutritional status. Changes in child feeding practices during the Hearth did not significantly affect children's nutritional status (p>0.05). There were differences (p<0.05) in Z-score alteration based on the time of weighing with or without considering the age groups and the children's residence (p<0.05). Conclusions: The three-month PDH sessions in the Simokerto Sub-district have not been effective in increasing the target of nutritional status. Changes in child feeding practices were not associated with increased children's nutritional status. Based on the time of weighing, the PDH's intervention periods can improve the target of nutritional status.
KW - Hearth
KW - Positive Deviance HearthChild Feeding
KW - Undernutrition
UR - http://www.scopus.com/inward/record.url?scp=85184880503&partnerID=8YFLogxK
U2 - 10.20473/amnt.v7i3.2023.449-458
DO - 10.20473/amnt.v7i3.2023.449-458
M3 - Article
AN - SCOPUS:85184880503
SN - 2580-1163
VL - 7
SP - 449
EP - 458
JO - Amerta Nutrition
JF - Amerta Nutrition
IS - 3
ER -