SIDIK SIAMA: An instrument for Risk Detection of Stunting Since Pregnancy
Abstract
Stunting problems need to be detected early so that the interventions given can reduce long-term effects. One of the reasonable periods to detect the risk of stunting is pregnancy. Ironically, there has not been an instrument to detect the risk of stunting since pregnancy. This study aims to develop and test the validity of an instrument for early detection of stunting risk since pregnancy (SIDIK SIAMA). Instrument development uses the seven stages of development from Roberth DeVellis (2017). A total of 20 women were involved in pre-testing, and 100 pregnant women were involved in instrument testing. Based on a literature search, 28 articles were used to construct the item pool and produce 10 items to be tested for validity and reliability. Content validity uses the content validity index (CVI) and construct validity used principal component analysis (PCA). Alpha Cronbach is used to test the reliability of the instrument. The validity test results showed that there were 9 valid and reliable items, with a CVI of 1 and a Measure of Sampling Adequacy (MSA) value of less than 0.5, and a Cronbach Alpha value of 0.682. Thus, the SIAMA SIDIK instrument has achieved good validity and reliability so that it can be used to detect the risk of stunting since pregnancy.
Abstrak: Permasalahan stunting perlu dideteksi sejak dini, sehingga intervensi yang diberikan dapat mengurangi efek jangka panjang. Salah satu periode tepat untuk mendeteksi risiko stunting yaitu sejak kehamilan, ironisnya belum teridentifikasi instrumen untuk mendeteksi risiko stunting sejak masa kehamilan. Penelitian ini bertujuan untuk mengembangkan dan menguji validitas instrumen deteksi dini risiko stunting sejak kehamilan (SIDIK SIAMA). Pengembangan instrumen menggunakan tujuh tahapan pengembangan dari Roberth DeVellis (2017). Sebanyak 20 wanita terlibat dalam pre-testing dan 100 wanita hamil terlibat dalam pengujian instrumen. Berdasarkan pencarian literatur, 28 artikel digunakan untuk menyusun item pool dan menghasilkan 10 item untuk diuji validitas dan reliabilitas. Validitas isi menggunakan content validity index (CVI) dan validitas konstruk menggunakan principal component analysis (PCA). Alpha Cronbach digunakan untuk menguji reliabilitas instrumen. Hasil uji validitas menunjukan sebanyak 9 item valid dan reliabel, dengan CVI adalah 1 dan nilai Measure of Sampling Adequacy (MSA) kurang dari 0.5, serta nilai Cronbach Alpha adalah 0.682. Dengan demikian, instrumen SIDIK SIAMA telah mencapai validitas dan reliabilitas yang baik, sehingga dapat dipakai untuk mendeteksi risiko stunting sejak kehamilan.
Keywords
References
Agustina, W., & Fathurrahman. (2022). Ibu Hamil Kek, Berat Bayi Lahir Rendah dan Tidak Asi Ekslusif Sebagai Faktor Risiko Terjadinya Stunting. Jurnal Kesehatan Tambusai, 3(1), 263–270. Retrieved from https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/4015%0Ahttps://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/4015/2641
Alfarisi, R., Nurmalasari, Y., & Nabilla, S. (2019). Status Gizi Ibu Hamil Dapat Menyebabkan Kejadian Stunting Pada Balita. Jurnal Kebidanan, 5(3), 271–278.
Anasari, T., & Suryandari, A. E. (2022). Hubungan riwayat hipertensi dan jarak kelahiran dengan kejadian stunting. Jurnal Bina Cipta Husada, XVIII(1), 107–117.
Anthoine, E., Moret, L., Regnault, A., Sbille, V., & Hardouin, J.-B. (2014). Sample size used to validate a scale: a review of publications on newly-developed patient reported outcomes measures. Health and Quality of Life Outcomes, 12, 176. https://doi.org/10.1186/s12955-014-0176-2
Apriningtyas, V. N., & Kristini, T. D. (2019). Faktor Prenatal yang Berhubungan dengan Kejadian Stunting Anak Usia 6-24 Bulan. Jurnal Kesehatan Masyarakat Indonesia, 14(2), 13. https://doi.org/10.26714/jkmi.14.2.2019.13-17
Ashford, K. B., Hahn, E., Hall, L., Rayens, M. K., Noland, M., & Ferguson, J. E. (2010). The effects of prenatal secondhand smoke exposure on preterm birth and neonatal outcomes. Journal of Obstetric Gynecologic and Neonatal Nursing, 39(5), 525–535. https://doi.org/10.1111/j.1552-6909.2010.01169.x.The
Ashorn, P., Alho, L., Ashorn, U., Cheung, Y. B., Dewey, K. G., Gondwe, A., … Maleta, K. (2015). Supplementation of maternal diets during pregnancy and for 6 months postpartum and infant diets thereafter with small-quantity lipid-based nutrient supplements does not promote child growth by 18 months of age in rural malawi: A randomized controlled trial. Journal of Nutrition, 145(6), 1345–1353. https://doi.org/10.3945/jn.114.207225
Azizah, A. N., & Achyar, K. (2020). Pelatihan Pemantauan Pertumbuhan Balita sebagai Upaya Deteksi Dini Stunting. Jurnal Pengabdian Masyarakat Al-Irsyad (JPMA), 2(1), 43–49. https://doi.org/10.36760/jpma.v2i1.71
Buyukkayaci Duman, N., Ozcan, O., & Bostanci, M. Ö. (2015). Hyperemesis gravidarum affects maternal sanity, thyroid hormones and fetal health: a prospective case control study. Archives of Gynecology and Obstetrics, 292(2), 307–312. https://doi.org/10.1007/s00404-015-3632-2
DeVellis, R. F. (2017). Scale Development: Theory and Applications (4th ed.). Thousand Oaks: Sage Publications, Inc.
Dewey, K. G. (2016, May 1). Reducing stunting by improving maternal, infant and young child nutrition in regions such as South Asia: Evidence, challenges and opportunities. Maternal and Child Nutrition, Vol. 12, pp. 27–38. Blackwell Publishing Ltd. https://doi.org/10.1111/mcn.12282
Dewi, R., Evrianasari, N., & Yuviska, I. A. (2020). Kadar Hb,Lila dan Berat Badan Ibu Saat Hamil Berisiko Terhadap Kejadian Stunting Pada Anak Usia 1-3 Tahun. Jurnal Kebidanan Malahayati, 6(1), 57–64. https://doi.org/10.33024/jkm.v6i1.1769
Fejzo, M. S., Magtira, A., Schoenberg, F. P., Macgibbon, K., & Mullin, P. M. (2015). Neurodevelopmental delay in children exposed in utero to hyperemesis gravidarum. European Journal of Obstetrics and Gynecology and Reproductive Biology, 189, 79–84. https://doi.org/10.1016/j.ejogrb.2015.03.028
Fejzo, M. S., Poursharif, B., Kors, L. M., Munch, S., MacGibbon, K. W., Romero, R., & Goodwin, T. M. (2009). Symptoms and Pregnancy Outcomes Associated with Extreme Weight Loss among Women with Hyperemesis Gravidarum. Journal of Women’s Health, 18(12), 1981–1987.
Georgieff, M. K. (2020). Carlos, Juan. Guidelines for the management of patients with severe forms of dengue. Journal of Rev Bras Ter Intensiva. 2011; 23(2):125-133. American Journal of Obstetrics and Gynecology, 223(4), 516–524. https://doi.org/10.1016/j.ajog.2020.03.006.Iron
Hadi, A., Alfridsyah, & Affan, I. (2019). Efektifitas deteksi stunting menggunakan KMS dinding indeks TB/U pada anak usia 4 – 5 tahun di Sekolah PAUD. AcTion: Aceh Nutrition Journal, 4(1), 70–74. https://doi.org/10.30867/action.v4i1.160
Hendryadi, H. (2017). Validitas isi: Tahap awal pengembangan kuesioner. Jurnal Riset Manajemen Dan Bisnis FE-UNIAT, 2(2), 169–178.
Irawati, A., & Rachmalina, R. (2013). Indeks Massa Tubuh Ibu Pra-hamil sebagai Faktor Risiko Pertambahan Berat Badan Ibu Hamil di Kelurahan Kebon Kelapa dan Ciwaringin, Kecamatan Bogor Tengah, Kota Bogor. Jurnal Ekologi Kesehatan, 12(2), 117–127. Retrieved from https://media.neliti.com/media/publications/80431-ID-indeks-massa-tubuh-ibu-pra-hamil-sebagai.pdf
Isnaini, N., Mariza, A., & Putri, M. A. (2022). Pentingnya gizi pada ibu hamil sebagai upaya pencegahan stunting di periode 1000 HPK. Jurnal Perak Malahayati: Pengabdian Kepada Masyarakat, 4(1), 87–93.
Jayanti, R., & Ernawati, R. (2021). Faktor Jarak Kehamilan yang Berhubungan dengan Kejadian Stunting di Puskesmas Harapan Baru Samarinda Seberang. Borneo Student Research, 2(3), 1705–1710.
Karundeng, L. R., Ismanto, A. Y., & Kundre, R. (2015). Hubungan jarak kelahiran dan jumlah anak dengan status gizi balita di Puskesmas Kao Kecamatan Kao Kabupaten Halmahera Utara. E-Jurnal Keperawatan (EKp), 3(1), 1–9.
Khatun, W., Rasheed, S., Alam, A., Huda, T. M., & Dibley, M. J. (2019). Assessing the intergenerational linkage between short maternal stature and under-five stunting and wasting in Bangladesh. Nutrients, 11(8). https://doi.org/10.3390/nu11081818
Komalasari, Supriati, E., Sanjaya, R., & Ifayanti, H. (2020). Faktor-Faktor Penyebab Kejadian Stunting Pada Balita. Majalah Kesehatan Indonesia, 1(2), 51–56. https://doi.org/10.47679/makein.202010
Lada, C. O., Batubara, J. R., Bardosono, S., Irawati, A., & Salimar. (2019). Comparing The Anthropometric Measurements of Intra-Extra Uterine Period between Stunting and Non-stunting Children Aged 6-24 Months Old in Bogor Tengah Subdistrict, Bogor City, West Java. World Nutrition Journal, 3(1), 1. https://doi.org/10.25220/wnj.v03.i1.0002
Madiuw, D., Hermayanti, Y., & Solehati, T. (2021). Indonesian self-risk assessment for cervical cancer (SiNara): Instrument development and validation. Nurse Media Journal of Nursing, 11(2), 219–232. https://doi.org/10.14710/NMJN.V11I2.34199
Ministry of Health Republic Indonesia. (2018). Situasi Balita Pendek (Stunting) di IndonesiaPusat Data dan Informasi Kementerian Kesehatan RI (pp. 1–56). pp. 1–56. Pusat Data dan Informasi Kementerian Kesehatan RI. Retrieved from https://www.kemkes.go.id/download.php?file=download/pusdatin/buletin/Buletin-Stunting-2018.pdf
Ministry of Health Republic Indonesia. (2021). Buku Saku: Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021. https://doi.org/10.36805/bi.v2i1.301
Ministry of Health Republic Indonesia. (2022). Profil Kesehatan Indonesia 2021 (F. Sibuea, B. HArdhana, & W. Widiantini, Eds.). Jakarta: Kementerian Kesehatan Republik Indonesia.
Muraoka, M., Takagi, K., Ueno, M., Morita, Y., & Nagano, H. (2020). Fetal head growth during early to mid-gestation associated with weight gain in mothers with hyperemesis gravidarum: A retrospective cohort study. Nutrients, 12(6), 1–8. https://doi.org/10.3390/nu12061664
Nadiyah, Briawan, D., & Martianto, D. (2014). Faktor Risiko Stunting Pada Anak Usia 0 — 23 Bulan Di Provinsi Bali, Jawa Barat, Dan Nusa Tenggara Timur. Jurnal Gizi Dan Pangan, 9(2), 125–132.
Özaltin, E., Hill, K., & Subramanian, S. V. (2010). Association of maternal stature with offspring mortality, underweight, and stunting in low- to middle-income countries. Jama, 303(15), 1507–1516. https://doi.org/10.1001/jama.2010.450
Perkins, J. M., Subramanian, S. V, Smith, G. D., & Özaltin, E. (2016). Adult height , nutrition , and population health. Nutrition Reviews, 74(3), 149–165. https://doi.org/10.1093/nutrit/nuv105
Pongrekun, P. S., Sunarsih, & Fatmawati. (2020). Factors That Are Related To Stunting Events In South Konawe District. Jurnal Ilmiah Kebidanan, 6(2), 95–104.
Rufaida, F. D., Raharjo, A. M., & Handoko, A. (2020). The Correlation of Family and Household Factors on The Incidence of Stunting on Toddlers in Three Villages Sumberbaru Health Center Work Area of Jember. Journal of Agromedicine and Medical Sciences, 6(1), 1. https://doi.org/10.19184/ams.v6i1.9541
Saadah, N. (2020). Modul Deteksi Dini Pencegahan dan Penanganan Stunting.
Santosa, A., Arif, E. N., & Ghoni, D. A. (2022). Effect of maternal and child factors on stunting: partial least squares structural equation modeling. Clinical and Experimental Pediatrics, 65(2), 90–97.
Scheffler, C., Hermanussen, M., Soegianto, S. D. P., Homalessy, A. V., Touw, S. Y., Angi, S. I., … Pulungan, A. B. (2021). Stunting as a synonym of social disadvantage and porr parental education. International Journal of Environmental Research and Public Health, 18(1350), 1–13.
Siswina, T., & Akbarini, O. F. (2021). Pengaruh Program Kartu Deteksi Stunting Online Terhadap Kemampuan Deteksi Stunting Di Kota Pontianak. Jurnal Vokasi Kesehatan, 7(1), 13. https://doi.org/10.30602/jvk.v7i1.713
Stock, S. J., & Bauld, L. (2020). Maternal smoking and preterm birth: An unresolved health challenge. PLoS Medicine, Vol. 17. https://doi.org/10.1371/journal.pmed.1003386
Sukmawati, Hendrayati, Chaerunimah, & Nurhumairah. (2018). Status Gizi Ibu Saat Hamil, Berat Badan Lahir Bayi Dengan Stunting Pada Balita. Media Gizi Pangan, 25(1), 19.
The World Bank Group Joint Child Malnutrition Estimates. (2019). Levels and trends in child malnutrition: key findings of the 2019 Edition of the Joint Child Malnutrition Estimates. Geneva: World Health Organization. Retrieved from https://www.who.int/nutgrowthdb/jme-2019-key-findings.pdf
Wanimbo, E., & Wartiningsih, M. (2020). Hubungan karakteristik ibu dengan kejadian stunting baduta (7-24 bulan). Jurnal Manajemen Kesehatan Yayasan RS Dr. Soetomo, 6(1), 89–93.
Wemakor, A., Garti, H., Azongo, T., Garti, H., & Atosona, A. (2018). Young maternal age is a risk factor for child undernutrition in Tamale Metropolis, Ghana. BMC Research Notes, 11(1), 1–5. https://doi.org/10.1186/s13104-018-3980-7
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