Sensitivitas dan spesifisitas kartu menuju sehat model tikar monitoring pertumbuhan dalam mendeteksi stunting pada balita

Alfridsyah Alfridsyah* -  Bidang Gizi Masyarakat, Jurusan Gizi, Politeknik Kesehatan Kemenkes Aceh. Jln. Soekarno-Hatta, Kampus Terpadu Poltekkes Kemenkes Aceh, Lampeunerut, Aceh Besar. 23352, Aceh, Indonesia
Ichsan Ichsan -  Bidang Gizi Teknologi Pangan, Jurusan Gizi, Politeknik Kesehatan Kemenkes Aceh, Aceh Besar, Aceh, Indonesia

Supp. File(s): common.other

One of the obstacles faced in determining the diagnosis of stunting is the complexity and lack of accuracy of health workers, especially Integrated Healthcare Center (called Posyandu) cadres, in using current equipment (microtoice) and the lack of accuracy of nutrition workers in interpreting nutritional status.  The purpose of the study was to measure the validity of the KMS Tikar through sensitivity and specificity testing in detecting stunting in toddlers. The study used a Research & Development design, with the gold standard using a body length board and Z-Score calculation from 2005 WHO reference standard, carried out in 30 clusters in Darul Imarah District, Aceh Besar, from April to October 2019, and a sample of all children aged 0-24 months which is as many as 204 children. Data was collected through anthropometric measurements such as length and age and z-score data on the HAZ index. The WHO Anthro processed the data. The analysis was carried out with the Se and Sp tests. The results showed that children's body length measurement with both tools (Gold standard and growth chart is a mat model) had 0,073 cm. At the same time, the proportion of nutritional status in the stunting category was more commonly found in measurements using growth charts of mats (23,5%) compared to Gold Standards (12, 3%). The validity test results obtained a very high sensitivity value (100%) with a specificity of—87,15%. While the positive predictive value is 52,08%, and the negative predictive value is 100%. In conclusion, the growth monitoring mat growth chart has high sensitivity and specificity value and is very good for use as a tool to detect stunting in children aged 0-24 months.

Supplement Files

Keywords : Growth Chart of Mat, Sensitivity, Specificity, Stunting

  1. Adistie, F., Lumbantobing, V. B. M., & Maryam, N. N. A. (2018). Pemberdayaan kader kesehatan dalam deteksi dini stunting dan stimulasi tumbuh kembang pada balita. Media Karya Kesehatan, 1(2), 173–184. https://doi.org/10.24198/mkk.v1i2.18863.g9099
  2. Al Rahmad, A. H. (2020). Kualitas informasi data status gizi balita dengan memanfaatkan software WHO Anthro. Gizi Indonesia, 43(2), 119–128. https://doi.org/10.36457/gizindo.v43i2.353
  3. Al Rahmad, A. H. (2021). Penggunaan aplikasi WHO Anthro dalam analisis status gizi. In Ashriady (Ed.), Epidemiologi Gizi (Pertama, p. 103). Media Sains Indonesia. Bandung.
  4. Al Rahmad, A. H., & Junaidi, J. (2020). Pemanfaatan Aplikasi Standar Pertumbuhan WHO 2005 Berbasis Smartphone Android (PSG Balita) terhadap Kualitas Data Gizi. Jurnal Kesehatan, 11(1), 10–18. https://doi.org/10.26630/jk.v11i1.1872
  5. Alfridsyah, A., Ichsan, I., & Miko, A. (2013). Perbedaan penggunaan standar baru antropometri WHO-2006 terhadap peningkatan pengetahuan dan penilaian status gizi pada tenaga gizi pelaksana di Kota Banda Aceh tahun 2009. Buletin Penelitian Sistem Kesehatan, 16(2), 143–153.
  6. Alfridsyah, & Zaman, N. (2021). Pencegahan Stunting Berbasis Rumoh Gizi Gampong (Pertama). PT Jepe Press Media Utama. Surabaya.
  7. Anggraeny, O., Ridhanti, D., & Nugroho, F. A. (2018). Tidak ada korelasi antara asupan karbohidrat sederhana, lemak jenuh, dan tingkat aktivitas fisik dengan status gizi pada remaja dengan kegemukan dan obesitas. AcTion: Aceh Nutrition Journal, 3(1), 1–8. https://doi.org/10.30867/action.v3i1.89
  8. Balitbangkes RI. (2018). Hasil utama Riset Kesehatan Dasar (Riskesdas). In Kementerian Kesehatan Republik Indonesia.
  9. Hadi, A., Alfridsyah, A., & 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
  10. Herlina, S. (2021). Pelatihan Alat Ukur Data Stunting (Alur Danting) sebagai Upaya Peningkatan Pengetahuan dan Keterampilan Kader dalam Optimalisasi Pengukuran Deteksi Stunting (Denting). Jurnal Kebijakan Kesehatan Indonesia: JKKI, 10(3), 1–5. https://doi.org/doi.org/10.22146/jkki.69491
  11. Isni, K., & Dinni, S. M. (2020). Pelatihan Pengukuran Status Gizi Balita Sebagai Upaya Pencegahan Stunting Sejak Dini pada Ibu di Dusun Randugunting, Sleman, DIY. Panrita Abdi-Jurnal Pengabdian Pada Masyarakat, 4(1), 60–68. https://doi.org/10.20956/pa.v4i1.7299
  12. Izwardy, D. (2020). Studi Status Gizi Balita Terintegrasi Susenas 2019. In Pusat Penelitian dan Pengembangan Upaya Kesehatan Masyarakat. Kementerian Kesehatan Republik Indonesia. https://persi.or.id/wp-content/uploads/2020/11/event8-02.pdf.
  13. Kahathuduwa, C. N., West, B. D., Blume, J., Dharavath, N., Moustaid-Moussa, N., & Mastergeorge, A. (2019). The risk of overweight and obesity in children with autism spectrum disorders: A systematic review and meta-analysis. Obesity Reviews, 20(12), 1667–1679. https://doi.org/10.1111/obr.12933
  14. Kemenkes RI. (2021). Buku Saku: Hasil Studi Status Gizi Indonesia (SSGI) tahun 2021 (Edisi 1). Kementerian Kesehatan Republik Indonesia.
  15. Mayer, A.-M., Rohmawati, N., Ma’rufi, I., Rokhmah, D., Khoiron, Bahyu, R., ANtika, Aryatika, K., & Hidayati, M. N. (2019). Indonesia’s Triple Burden of Malnutrition: A call for urgent policy change. In IIED Publications Library. Universitas Jember. https://pubs.iied.org/sites/default/files/pdfs/migrate/16662IIED.pdf
  16. Millward, D. J. (2021). Interactions between Growth of Muscle and Stature: Mechanisms Involved and Their Nutritional Sensitivity to Dietary Protein: The Protein-Stat Revisited. In Nutrients (Vol. 13, Issue 3). https://doi.org/10.3390/nu13030729
  17. Naeger, D. M., Kohi, M. P., Webb, E. M., Phelps, A., Ordovas, K. G., & Newman, T. B. (2013). Correctly using sensitivity, specificity, and predictive values in clinical practice: how to avoid three common pitfalls. AJR. American Journal of Roentgenology, 200(6), W566–W570. https://doi.org/10.2214/ajr.12.9888
  18. Nurlita, A. N., Wigati, M., Hasanbasri, M., Jumarko, J., & Helmyati, S. (2021). Development of Stunting Early Detection Kit for Children under Two Years: Validity and Reliability. Jurnal Gizi Dan Pangan, 16(1), 39–46. https://doi.org/10.25182/jgp.2021.16.1.39-46
  19. Parikh, R., Mathai, A., Parikh, S., Chandra Sekhar, G., & Thomas, R. (2008). Understanding and using sensitivity, specificity and predictive values. Indian Journal of Ophthalmology, 56(1), 45–50. https://doi.org/10.4103/0301-4738.37595
  20. Reber, E., Gomes, F., Vasiloglou, M. F., Schuetz, P., & Stanga, Z. (2019). Nutritional Risk Screening and Assessment. In Journal of Clinical Medicine (Vol. 8, Issue 7). https://doi.org/10.3390/jcm8071065
  21. Sadida, Z. J., Indriyanti, R., & Setiawan, A. S. (2022). Does Growth Stunting Correlate with Oral Health in Children?: A Systematic Review. Eur J Dent, 16(01), 32–40.
  22. Sari, R. P. P., & Montessori, M. (2021). Upaya Pemerintah dan Masyarakat dalam Mengatasi Masalah Stunting pada Anak Balita. Journal of Civic Education, 4(2), 129–136. https://doi.org/10.24036/jce.v4i2.491
  23. Sinaga, H. T., Alfridsyah, B. S., & Hadi, A. (2018). A Simple Nutrition Screening Tool for Detecting Stunting of Pre-Schoolers: Development and Validity Assessment. Pakistan Journal of Nutrition, 17(5), 236–241.
  24. Sudja, A., Purnawan, A. I., & Rosmalia, H. (2020). Anthropometric wall chart of height for age for stunted screening in primary school children. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 12(1), 190–197. https://doi.org/10.34011/juriskesbdg.v12i1.1766
  25. Sudja, S., Sitanggang, B., Shagti, I., & Purnawan, A. I. (2019). Sensitivity (Se) and Specificity (Sp) Anthropometric Wall Chart (Awc) Tb/U for Detecting Stunting on Children Aged 6-12 Years. KnE Life Sciences, 4(15), 210–221. https://doi.org/10.18502/kls.v4i15.5761
  26. Trevethan, R. (2020). Response: Commentary: Sensitivity, Specificity, and Predictive Values: Foundations, Pliabilities, and Pitfalls in Research and Practice. In Frontiers in Public Health (Vol. 7, pp. 231–256). https://doi.org/10.3389/fpubh.2019.00408
  27. Unicef. (2012). Ringkasan Kajian Gizi Ibu dan Anak. Diakses Dari Http://Www. Unicef. Org/Indonesia/Id/A6_-_B_Ringkasan_Kajian_Gizi. Pdf.(Sitasi 12 Oktober 2014).
  28. WHO. (2018). Reducing stunting in children: equity considerations for achieving the global nutrition targets 2025. In Department of Nutrition for Health and Development. Department of Nutrition for Health and Development. World Health Organization.

Open Access Copyright (c) 2022 Alfridsyah, Ichsan
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here