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Abstract
Stunting, a condition of impaired growth in children due to chronic malnutrition, is a significant public health problem. This community service aimed to increase the knowledge of the community, particularly pregnant women, regarding the potential of Moringa oleifera leaves as a healthy snack alternative in stunting prevention. This activity employed a pre-test post-test design with an intervention of counseling and training on making chicken nuggets fortified with Moringa oleifera leaves. The target participants were pregnant women with low upper arm circumference and mothers with stunted children. Evaluation of participants' understanding of stunting and the benefits of Moringa oleifera leaves was conducted before and after the intervention. The evaluation results showed an increase in participants' understanding of stunting and the benefits of Moringa oleifera leaves, as indicated by an increase in the average score of correct answers in the post-test compared to the pre-test. A hedonic test on the chicken nuggets fortified with Moringa oleifera leaves showed a very high level of liking for taste and color, and a high level of liking for aroma and appearance. The texture of the nuggets was identified as an aspect requiring further improvement.
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References
- Abdullah, A. Z., Thaha, R. M., Hidayanty, H., Sirajuddin, S., & Syafar, M. (2021). Risk factor and interventions of behavioral changing strategy in acceleration of stunting prevention: A systematic review. Enfermeria Clinica, 31, S636–S639. https://doi.org/10.1016/j.enfcli.2021.07.008
- Agedew, E., Misker, D., Gelibo, T., Tadelle, A., Worku, S., Bekele, A., Mekonnen, Y., Belay, A., Challa, F., Awoke, T., Gemeda, N., Kerebih, H., Shiberu, S., & Debella, A. (2022). Does Moringa stenopetala based diet consumption decrease burden of under nutrition in under-five children, Southern Ethiopia? Heliyon, 8(8). https://doi.org/10.1016/j.heliyon.2022.e10285
- Amir, N., Ramadhan, R. M., Azzahra, A. S., Bakry, I. S., Paembonan, J., Zaahirah, N. F., Bissawab, M. N., Senawi, K. P., Embutatoba, S. N. P., & Febrianti, N. R. (2023). Pemberian Makanan Tambaham (PMT) Berupa Olahan Ikan Menjadi Nugget Sebagai Upaya Penurunan Angka Stunting di Desa Patani. Jurnal Pengabdian Masyarakat Hasanudin, 4(2), 103–110. https://doi.org/10.20956/jpmh.v4i2.31451
- Aoki, H., Nakatsuka-Mori, T., Ueno, Y., Nabeshima, Y., & Oyama, H. (2023). Analysis of functional ingredients of tempe-like fermented Moringa oleifera seeds (Moringa tempe) prepared with Rhizopus species. Journal of Bioscience and Bioengineering, 135(4), 306–312. https://doi.org/10.1016/j.jbiosc.2023.01.011
- Birhanu, F., Yitbarek, K., Bobo, F. T., Atlantis, E., & Woldie, M. (2024). Undernutrition in children under five associated with wealth-related inequality in 24 low- and middle-income countries from 2017 to 2022. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-53280-0
- Chabibah, N., Khanifah, M., & Setyaningsih, P. (2023). Effect of Intervention of Soy Milk Fortified with Moringa Leaf Powder on Improving Nutritional Status. Amerta Nutrition, 7(2), 210–216. https://doi.org/10.20473/amnt.v7i2.2023.210-216
- Fitriahadi, E., Rosida, L., Syagata, A. S., Makbul, I. A. A. B., & Intarti, W. D. (2024). Giving Baby Porridge Made from Moringa Leaves and Snakehead Fish to Toddlers in Yogyakarta, Indonesia. Kemas, 20(2), 193–199. https://doi.org/10.15294/kemas.v20i2.48489
- Headey, D. D., & Ruel, M. T. (2022). Economic shocks predict increases in child wasting prevalence. Nature Communications, 13(1). https://doi.org/10.1038/s41467-022-29755-x
- Indrio, F., Pietrobelli, A., Dargenio, V. N., Marchese, F., Grillo, A., Vural, M., Giardino, I., & Pettoello-Mantovani, M. (2023). The key 1000 life-changing days. Global Pediatrics, 4. https://doi.org/10.1016/j.gpeds.2023.100049
- Kashyap, P., Kumar, S., Riar, C. S., Jindal, N., Baniwal, P., Guiné, R. P. F., Correia, P. M. R., Mehra, R., & Kumar, H. (2022). Recent Advances in Drumstick (Moringa oleifera) Leaves Bioactive Compounds: Composition, Health Benefits, Bioaccessibility, and Dietary Applications. Antioxidants, 11(2). https://doi.org/10.3390/antiox11020402
- Keusch, G. T., Rosenberg, I. H., Denno, D. M., Duggan, C., Guerrant, R. L., Lavery, J. V, Tarr, P. I., Ward, H. D., Black, R. E., Nataro, J. P., Ryan, E. T., Bhutta, Z. A., Coovadia, H., Lima, A., Ramakrishna, B., Zaidi, A. K. M., Hay Burgess, D. C., & Brewer, T. (2013). Implications of acquired environmental enteric dysfunction for growth and stunting in infants and children living in low-and middle-income countries. Food and Nutrition Bulletin, 34(3), 357–364. https://doi.org/10.1177/156482651303400308
- Li, Z., Kim, R., Vollmer, S., & Subramanian, S. V. (2020). Factors Associated with Child Stunting, Wasting, and Underweight in 35 Low- And Middle-Income Countries. JAMA Network Open, 3(4). https://doi.org/10.1001/jamanetworkopen.2020.3386
- Maynarti, S. (2021). Hubungan Pendidikan, Pekerjaan Ibu dan Riwayat Pemberian ASI Dengan Kejadian Stunting Pada Anak Sekolah Dasar. Jurnal Kesehatan Saelmakers Perdana, 4(1), 71–78. https://doi.org/10.32524/jksp.v4i1.35
- Montenegro, C. R., Gomez, G., Hincapie, O., Dvoretskiy, S., DeWitt, T., Gracia, D., & Misas, J. D. (2022). The pediatric global burden of stunting: Focus on Latin America. Lifestyle Medicine, 3(3). https://doi.org/10.1002/lim2.67
- Mushtaq, B. S., Hussain, M. B., Omer, R., Toor, H. A., Waheed, M., Shariati, M. A., Sergey, P., & Heydari, M. (2021). Moringa oleifera in malnutrition: A comprehensive review. Current Drug Discovery Technologies, 18(2), 235–243. https://doi.org/10.2174/1570163816666191105162722
- Nasution, I. S., & Susilawati. (2022). Analisis faktor penyebab kejadian stunting pada balita usia 0-59 bulan. Florona: Jurnal Ilmiah Kesehatan, 1(2), 82–87. https://doi.org/10.55904/florona.v1i2.313
- Oladeji, O. S., Odelade, K. A., & Oloke, J. K. (2020). Phytochemical screening and antimicrobial investigation of Moringa oleifera leaf extracts. African Journal of Science, Technology, Innovation and Development, 12(1), 79–84. https://doi.org/10.1080/20421338.2019.1589082
- Primadana, P. F. I. (2023). Penggunaan Daun Kelor (Moringa oleifera) Dalam Upaya Peningkatan Kesehatan Masyarakat di Indonsia. Berkala Ilmiah Mahasiswa Farmasi, 10(1), 1–10.
- Rahmadhita, K. (2020). Permasalahan Stunting dan Pencegahannya. Jurnal Ilmiah Kesehatan Sandi Husada, 11(1), 225–229. https://doi.org/10.35816/jiskh.v11i1.253
- Rahmawati, P., & Adi, A. (2016). Daya Terima Dan Zat Gizi Permen Jeli Dengan Penambahan Bubuk Daun Kelor (Moringa Oleifera). Media Gizi Indonesia, 11(1), 1. https://doi.org/10.20473/mgi.v11i1.1-10
- 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
- Sari, D. K., Rahmiwati, A., & Flora, R. (2024). Policy Brief Effectiveness of Specific Nutrition Intervention Programs as Efforts to Prevent Stunting in Indonesia: Literature Review. Media Publikasi Promosi Kesehatan Indonesia, 7(6), 1446–1450. https://doi.org/10.56338/mppki.v7i6.5247
- Sari, D., Nugraheni, S. A., & Rahfiludin, M. Z. (2023). How do Nutrition-Sensitive Interventions Contribute in Efforts Reduction Stunting?: Literature Review. Media Publikasi Promosi Kesehatan Indonesia, 6(5), 885–895. https://doi.org/10.56338/mppki.v6i5.view/3416
- Septiana, T., Rahmiati, B. F., & Jauhari, M. T. (2022). Pengaruh Nugget Ikan Kakap Terhadap Perubahan Tinggi Badan Balita Stunting Usia 24-59 Bulan Di Wilayah Puskesmas Alas. Nutriology: Jurnal Pangan, Gizi, Kesehatan, 3(1), 10–17. https://doi.org/10.30812/nutriology.v3i1.1994
- Seran, S., & Sengkoen, Y. (2024). Socio-Economic Status and Family Nutrition Influence on Stunting Among Children Under Five in Thebelu District East Nusa Tenggara Province. Jurnal Biometrika Dan Kependudukan, 13(2), 183–191. https://doi.org/10.20473/JBK.V13I2.2024.183-191
- Shamim, S., & Raza, U. (2019). Antibacterial properties of Moringa oleifera. Malaysian Journal of Microbiology, 15(3), 244–259. https://doi.org/10.21161/mjm.113117
- Smit, Y., Kassier, S., Nel, D., & Koen, N. (2017). The barriers that women face when choosing food for their primary school children: A case study in the Western Cape Province, South Africa. SAJCH South African Journal of Child Health, 11(3), 129–134. https://doi.org/10.7196/SAJCH.2017.v11i3.1292
- Supriani, A., Rosyidah, N. N., Herlina, Yulianto, Widiyawati, R., Sholeh, R., & Ardiyanto, F. R. (2022). Pemeriksaan Kesehatan Serta Sosialisasi Peningkatan Kesehatan Ibu dan Anak untuk Mencegah Stunting. Jurnal Pengabdian Pada Masyarakat Indonesia, 1(6), 43–53. https://doi.org/10.55542/jppmi.v1i6.397
- Tan, P. Y., Som, S. V, Nguyen, S. D., Tran, D. T., Tran, N. T., Tran, V. K., Dye, L., Moore, J. B., Caton, S., Ensaff, H., Lin, X., Smith, G., Chan, P., & Gong, Y. Y. (2024). The Role of Complementary Feeding Practices in Addressing the Double Burden of Malnutrition among Children Aged 6–23 Months: Insight from the Vietnamese General Nutrition Survey 2020. Nutrients , 16(19). https://doi.org/10.3390/nu16193240
- Tariq, I., Yasmin, A., Imran, A., Akhtar, H., Afzaal, M., Azeem, M., Pant, R., Abid, J., Islam, F., Zahoor, T., & Kinki, A. B. (2023). A review on extraction technique and immune-boosting properties of Moringa oleifera Lam. International Journal of Food Properties, 26(1), 2493–2508. https://doi.org/10.1080/10942912.2023.2249263
- Uluf, U. A., Sinatrya, A. K., & Nadhiroh, S. R. (2023). Literature Review: The Relationship between Dietary Diversity with Stunting in Underfive Children. Amerta Nutrition, 7(1), 147–153. https://doi.org/10.20473/amnt.v7i1.2023.147-153
- van Zyl, C., & van Wyk, C. (2021). Exploring factors that could potentially have affected the first 1000 days of absent learners in south africa: A qualitative study. International Journal of Environmental Research and Public Health, 18(5), 1–19. https://doi.org/10.3390/ijerph18052768
- Veterini, A. S., Susanti, E., Ardiana, M., Adi, A. C., & Rachmawati, H. (2023). Effects of Consuming Biscuits Made from Moringa Oleifera Leaf on Body Weight and Height of Children Under Five in Bangkalan, Madura Island. Media Gizi Indonesia, 18(2), 150–156. https://doi.org/10.20473/mgi.v18i2.150-156
- Waterman, C., Fahey, J. W., & Olson, M. (2021). A review of scientific results on uses of moringa-based leaf products. Acta Horticulturae, 1306, 121–133. https://doi.org/10.17660/ActaHortic.2021.1306.15