Development of Intersectoral Collaboration Model for Nutrition Intervention in Post Disaster Rehabilitation Phase in East Lombok

• Published in: Annals of nutrition and metabolism 2019-01, Vol.75, p.331
• Main Authors: Wangge, Grace, Oka, Anak Agung Sagung Indriani, Hidayat, Ahmad Thohir, Pathurrahman, Kolopaking, Risatianti, Fahmida, Umi
• Format: Article
• Language: English
• Subjects: Children; Collaboration; Context; Disaster relief; Disasters; Earthquakes; Education; Health care facilities; Literature reviews; Nutrition; Public health; Recovery; Rehabilitation; Seismic activity; Teachers
• ISSN: 0250-6807; 1421-9697
• DOI: 10.1159/000501751

Background/Aims: In August 2018, a 7 Richter earthquake struck the island of Lombok, Indonesia. This study describes multisectoral collaboration model for post disaster nutrition recovery program developed for under-five children in East Lombok. Methods: We conducted literature review on post-disaster nutrition recovery program and basic nutrition profile of East Lombok to develop the program. Subsequently, a situational analysis was conducted to include local context. Lastly, the draft intervention model was discussed with local education and health officers for inputs and to encourage their ownership of the program and ensure sustainability of this model. Results: The draft of intervention model was as follow: Early Child Education centers (PAUD) are appointed as nutrition recovery centers. Mothers of the under-five children will attend weekly meetings at nearby PAUD where they will be taught by trained PAUD teachers to feed their children with the optimized food-based recommendations (including liver and fish floss as the local nutrient-dense foods) and to provide appropriate psychosocial stimulation for their children (which include language and science-based activities). Trained primary health care centers staffs will monitor the activities monthly and provide technical guidance when needed. Local education and health offices will evaluate the program after 6 months of intervention. A 6-month try-out in the affected area will be conducted to test its effectiveness. Conclusion: PAUD has potential to be a center for post-disaster nutrition recovery program for under-five children. Involvement of relevant stakeholders including PAUD teachers, public health centers and local authorities, as well as adjustment to local context and potentials are important part of this model.