Krisis ekonomi yang berlangsung sejak tahun 1997 di Indonesia mengakibatkan bertambahnva jumlah orang miskin, Jaya bell masyarakat menurun, harga bahan pokok melambung, munculnya ancaman kelaparan dan kerawanan gizi terutama pada kelompok anak Balita. Jaring Pengaman Sosial Bidang Kesehatan (JPSBK) merupakan salah satu upaya pemerintah untuk mencegah agar masyarakat miskin tidak makin terpuruk , Program tersebut meliputi: peiayanan kesehatan dasar bagi anggota keluarga miskin; pelayanan kesehatan ibu hamil, bersalin, nifas dan balita; perbaikan gizi ibu hamil, menyusui dan balita serta pengembangan model JPKM. Studi longitudinal program JPSBK pada 5 propinsi di Indonesia memperlibatkan adanya kecenderungan perbaikan status gizi dan penurunan infeksi pada balita. Dalam rangka mengetahui dampak program JPSBK terhadap status gizi anak BADUTA maka Pusat Studi Gizi dan Pangan (PSGP) Universitas Hasanuddin bekerjasama dengan Direktorat Bina Gizi Masyarakat Depkes RI melakukan penelitianpada 2 Kabupaten yakni Maros Propinsi Sulawesi Selatan dan Tangerang Propinsi Banten. Data yang dianalisis dalam rangka pembuatan Iesis ini adalah bagian dari penelitian yang diiaksanakan di Kabupaten Tangerang. Penelitian ini bertujuan untuk melihat dampak program JPSBK terhadap status gizi dan prevalensi penyakit infeksi anak BADUTA dengan desain penelitian Time Series (trend)_ Sedangkan yang menjadi sampel daiam penelitian ini adalah bayi dan anak yang berumur 6 - 23 buaan. Dari hasil analisis dengan menggunakan indikator < -2 z- score untuk PBIU,BBIPB dan BBIU ditemukan anak baduta Gakin malnutrisi setelah setahun program 3PSBK masing-masing berturut-turut 43,3°/x; 14% dan 45,1% . Untuk poia asupan makanan meningkat pads. BADUTA GAKIN dan non GAKIN setelah setahun program JPSBK. Prevalensi penyakit infeksi meningkat pada kasus diare dan demam tetapi menurun untuk kasus ISPA. Pada BADUTA non GAKIN prevalensi diare dan ISPA menurun tetapi meningkat pads kasus demain. Variabel yang bermakna dalam penalitian ini hanya pola asupan makanan, penyakit Diare dan ISPA. Dari basil yang diperoleh dalam penekitian ini maka disarankan untuk mencontoh model program JPSBK untuk menanggulangi status gizi anak Baduta yang sifatnya darurat.

Impact of Infectious Diseases and Quality of Nutrition Intake Method Concerning to Nutrition status of Children Under Two Years Age Before and After One Year of Social - Health Safety Net Program (SHSNP) at Tangerang District Banten Province in Year 2000 During Indonesia economic crisis since 1997 has made impact to increase the numbers of poor, decrease the purchasing power of people, to rise the prices of primary goods then starvation and malnutrition comes up among children under five years old. Social - Health Safety Net Program (SHSNP) is one of action of government to prevent the poor people should not be more savers. This program included primary health services for poor family, maternal and child services, mother nutrition, breastfeeding and develops SHSNP model Longitudinal study of this program at five provinces in Indonesia has shown the improvement of nutrition status and decrease of infectious diseases on children under five years old or BALITA. Recording to find out the effect of this program to the improvement of nutrition status on children under five years old, Direktorat Bina Gizi Masyarakat or Directorate of Cultivate of Community Nutrition Ministry of Health, Republic of Indonesia has studied at 2 (two) Districts; Maros on South Sulawesi Province and Tangerang on Banten Province. The data that analyzed in this study is part of research that has run on Tangerang District. This study focuses on the effect of SHSNP to nutrition status and prevalence of infectious diseases on children under two years old or BADUTA Design of this study is quasi experimental. Babies and children with age 6 - 23 months are become sample in this study. The result of this study by using indicator < -2 z- score Height/Age, Weight/Height and Weight/Age, and after one year it was founded children with malnutrition, each of them are 43,3 %, 14,0 % and 45,1%. The nutrition intake method increase an BADUTA GAKIN and Non-BADUTA GAKIN after one year of this program. Infectious disease prevalence of diarhoea and fever increase, but respiratory tract infection decrease. BADUTA Non GAKIN has decreasing of diarrhea and respiratory infection, but fever increase. The significant variables are food intake, diarrhea and respiratory tract infection. This study has recommendation to imitate Social - Health Safety Net Program (SHSNP) to take care the emergency nutritional status on children under two years age (BADUTA).

Masalah stunting pada anak masih menjadi tantangan serius di Indonesia, termasuk di Kabupaten Pohuwato, Gorontalo. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi Panduan Gizi Seimbang Berbasis Pangan Lokal terhadap perubahan praktik pemberian makan, asupan gizi, status besi, dan status gizi anak baduta. Desain penelitian yang digunakan adalah mixed methods exploratory sequential design, diawali dengan riset formatif kualitatif untuk pengembangan media edukasi, kemudian dilanjutkan dengan kuasi eksperimen dengan pendekatan non-randomized pretest-posttest control group design. Intervensi edukasi dilakukan selama 12 bulan dengan pendekatan komunikasi perubahan perilaku sosial (SBCC) menggunakan modul PGS-PL yang disesuaikan dengan kondisi lokal melalui edukasi intensif, peer educator dan juga demo masak.
Hasil penelitian menunjukkan bahwa edukasi PGS-PL berpengaruh signifikan terhadap peningkatan skor keragaman makanan (DDS) (OR = 1,89; p = 0,048) dan Konsumsi sumber pangan hewani (OR=1,55, p = 0,037), serta peningkatan asupan energi, protein, karbohidrat, lemak, vitamin A, asam folat, zat besi, dan seng (p < 0,05). Namun, tidak ditemukan pengaruh signifikan terhadap kadar serum ferritin dan serum transferrin receptor. Status gizi anak mengalami peningkatan signifikan pada indeks tinggi badan menurut umur (TB/U) sebesar 0,60 z-score (p = 0,007), tetapi tidak signifikan pada indeks berat badan menurut umur (BB/U), dan terdapat penurunan signifikan pada indeks berat badan menurut tinggi badan (BB/TB) (p = 0,034).
Penelitian ini menegaskan bahwa edukasi gizi berbasis pgs-pl dengan pendekatan kombinasi edukasi intensif, peer educator dan demo masak dapat menjadi strategi efektif dalam meningkatkan praktik pemberian makan dan status gizi anak balita di wilayah dengan potensi pangan lokal.

Stunting in children remains a serious public health challenge in Indonesia, including in Pohuwato District, Gorontalo. This study aimed to analyze the effect of nutrition education based on the Local Food-Based Balanced Nutrition Guidelines (PGS-PL) on changes in feeding practices, nutrient intake, besi status, and nutritional status of children aged 6–14 months. The research employed a mixed methods exploratory sequential design, starting with formative qualitative research for the development of educational media, followed by a quasi-experimental study using a non-randomized pretest-posttest control group design. The education intervention was conducted over 12 months using a social and behavior change communication (SBCC) approach, incorporating the PGS-PL module adapted to local conditions through intensive education, peer educators, and cooking demonstrations.
The results showed that PGS-PL education had a significant effect on increasing Dietary Diversity Scores (DDS) (OR = 1.89; p = 0.048) and Egg and/or flesh food (EFF) (OR=1,55, p=0,037), as well as improving the intake of energy, protein, carbohydrates, fat, vitamin A, folic acid, besi, and seng (p < 0.05). However, no significant effect was found on serum ferritin and serum transferrin receptor levels. Children's nutritional status showed a significant improvement in the height-for-age index (HAZ) by 0.60 z-score (p = 0.007), but no significant change was observed in the weight-for-age index (WAZ), and there was a significant decrease in the weight-for-height index (WHZ) (p = 0.034).
This study confirms that nutrition education based on PGS-PL using a combination of intensive education, peer educators, and cooking demonstrations can be an effective strategy for improving feeding practices and the nutritional status of toddlers in areas with local food potential.