NUTRITION IMPROVEMENT FOR PRECONCEPTION WOMEN: FIELD EXPERIENCE OF THE SCALING UP NUTRITION (SUN) PROGRAM IN BANGGAI DISTRICT INDONESIA

• Published in: Annals of nutrition and metabolism 2017-10, Vol.71 (Suppl. 2), p.558
• Main Authors: Thaha, Abdul Razak, Yatim, Herwin, Labolo, Mustar, Tongko, Ramli, Rahmat, Rusdi, Suartika, I Wayan, Monoarfa, Yustiyanty, Otoluwa, Anang S
• Format: Article
• Language: English
• Subjects: Anemia; Arm circumference; Birth weight; Blood pressure; Children & youth; Local government; Low birth weight; Malnutrition; Maternal mortality; Nutrition; Pilot projects; Pregnancy; Public health; Scaling; Sun; Weight reduction; Womens health
• ISSN: 0250-6807; 1421-9697
• DOI: 10.1159/000480486

Background and objectives: MMR in Banggai district (2014) is relatively high (279/100.000) compare to thenational target 2015 (102/100.000). Stunting is also high, 36,8% based on Basic Health Research (2013), as well as low birth weight baby (LBW) that reach 164 cases (2015). Root cause for all these problem is malnutrition in the first 1000 days of life especially in pregnancy. One of the program to improve the nutrition status of pregnant is the improvement of the nutritional and health status of women pre-conception through Integrated Health Post (Posyandu) for pre-conception women (PcW). Methods: The program started at the beginning of January 2015, by organizing national seminar and workshop inviting prominent scholars and stakeholders in the field to share their knowledge and experiences. The output of the seminar and workshop is the commitment of local government and stakeholders to support the SUN Program. We visited mutlisector office and public public health center (Puskesmas) to do socialization. A pilot project was initiated in the village namely Padangon, and we launched Posyandu for PcW in every village. Program started with health and nutrition classes for bridegroom. After that, all the bride included as a member of the Posyandu for PcW. In Posyandu, we did counseling on health reproduction, nutrition education, check up of BMI, HB concentration, upper arm circumference (UAC), and blood pressure, and delivering multi micronutrient (MMN) supplement. To analyze the result, we compare data before and after program implementation from facility report. Results: From the begining of the program until the end of 2016: MMR decreased from 13 become 7 cases; LBW from 164 to 138 cases; prevalence of chronic enegy deficiency of PcW (UAC < 23 cm) from 23.5% to 12% and anemia prevalence of PcW decreased from 56% to 38%. Conclusions: Preconception care offers great opportunities to improve nutrition status, prevent anemia, reduced maternal mortality, and low birth weight baby. It's important to implement the preconception care as part of maternal and child health and nutrition program in SUN Movement. It takes a strong commitment from local leaders.