JENTIKABDIGERMAS Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan https://ejournal. id/index. php/abdigermas The Efficiency of Providing Animal Protein from Fish as Supplementary Feeding for Toddlers with Stunting Muhammad Ridho Nugroho1*. Dedi Yansyah2. Umarsyah Rhedo3. Feri Herita Erawani5 Erwin Armeidi4 Dinas Kesehatan Kota Lubuklinggau Lubuklinggau. Indonesia 2,3,5 Dinas Perikanan Kota Lubuklinggau Lubuklinggau. Indonesia ridho74@ui. Article Information: Received May 28, 2023 Revised June 5, 2023 Accepted June 13, 2023 Keywords: Animal Protein. Fish-Based Supplementary Feeding. Stunting Abstract Given its many benefits over other animal products as a source of protein, salmon is a very suitable source of animal protein to help initiatives that aim to enhance community nutrition and combat stunting. To keep Indonesia from losing its golden generation in the future, stunting must be treated appropriately. The aim of this study was to evaluate the impact of supplemental fish-based diet on the nutritional status of stunting toddlers. The sample in this study consisted of 26 stunted toddlers receiving fish-based supplementary feeding (PMT) for 90 days from September to December 2022 at the Simpang Periuk Health Center work area. An experimental design with a pre- and posttest strategy without control was used in this study's By contrasting the nutritional status of toddlers before and after the intervention, a paired sample test was utilized as the statistical analysis. December 2022 saw the completion of this study. The findings indicated that there were significant differences in the nutritional status of toddlers before and after receiving the intervention, with a p-value of 0. 000 (. indicating that this was the case. It can therefore be deduced that providing fish-based PMT interventions for 90 days can improve toddlers' nutritional status, lowering the rate of stunting in the target toddlers. Introduction One of the four goals for health development in the 2020Ae2024 National Medium-Term Development Plan (RPJMN) is the development of top-notch human resources. The nutritional status of toddlers and pregnant women is one of the key factors affecting the efficacy of human resource development. One of the fundamental needs of young children is health and nutrition, which must be met in order for them to grow and develop as best they can for their age group. Attention (Nugroho et al. , 2. Stunting can be a sign of low human resource quality, which has an impact on a country's productivity and economic growth, therefore its prevention and control are crucial. Stunting is a disorder in which a child's body and brain fail to develop normally, resulting in stunting. As a result, the child has delayed thinking and is shorter or of shorter stature than other kids their age. Typically brought on by food intake that is out of balance with nutritional requirements. The quality of the protein consumed by Indonesians can be evaluated using changes in the intake of animal These changes can also be utilized to further nutritional research and determine the elasticity of demand for animal food products. One of the causes of Indonesia's population's poor nutritional state is a lack of protein, which over time will have an effect on the nation's lower level of human resources (Umaroh & Vinantia, 2. Consuming protein affects one aspect of nutritional status (Sutrio & Mulyani, 2. How to Cite ISSN Published By : Nugroho. Yansyah. Rhedo. Armeidi. , & Erawani. The Efficiency of Providing Animal Protein from Fish as Supplementary Feeding for Toddlers with Stunting. Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigerma. , 1. , 66Ae72. https://doi. org/10. 58723/abdigermas. : 2986-2698 : CV Media Inti Teknologi ABDIGERMAS JENTIK The Efficiency of Providing Animal Protein from Fish as Supplementary Feeding for Toddlers with Stunting One of the reasons for malnutrition in Indonesia is a lack of protein intake and dietary alterations (Setiawan. The Ministry of Maritime Affairs and Fisheries is directed by Presidential Instruction (INPRES) No. 1 of 2017 to establish the Healthy Living Community Movement (GERMAS) as one of the initiatives to address stunting cases in Indonesia while also introducing the Fish-Eating Popularization Movement (GEMARIKAN). GEMARIKAN (Movement to Popularize Eating Fis. is a moral movement to be able to motivate the public at large to consume fish regularly in the amounts required for health in order to form healthy, intelligent and strong human beings (Tisngati & Genarsih, 2. Given its many benefits over other animal products as a source of protein, salmon is a very suitable source of animal protein to help initiatives that aim to enhance community nutrition and combat stunting. To avoid losing Indonesia's next golden generation, stunting must be appropriately managed (Hartaty et al. , 2. Fish is one of the items that can be a wonderful and affordable source of nourishment. Protein and fatty acids included in fish meat are beneficial to children's health and intelligence (Sidiq et al. , 2. Efforts to reduce stunting require nutrition interventions that are carried out in an integrated and integrated manner, including specific and sensitive nutrition interventions (Nugroho et al. , 2. Providing extra food and educating parents are two methods for ensuring that young children receive the proper nutritional The nutritional quality of young children can be improved by giving them extra food in the form of snacks that don't contain fish. Several studies have added snakehead fish meal to snacks to create additional The findings of studies on biscuits indicate that substituting fish meal can improve the protein value of biscuits. According to Nadimin's research findings from 2022, supplementing stunted toddlers' diets with PMT-Tibus, a meal made from snakehead fish flour, along with online nutrition education, can enhance their BB/U and BB/TB nutritional status (Nadimin, 2. According to the 2022 Indonesian Nutrition Status Study's (SSGI) findings, 11. 7% of children under the age of five in Lubuklinggau City had stunting. Stunting rates have been reduced by a variety of intervention strategies, one of which is the Lubuklinggau City Fisheries Service's provision of fish-based supplementary feeding (PMT). This study intends to evaluate the efficacy of supplementing the diets of stunting toddlers in Lubuklinggau City with fish-based foods. Research Methods In this work, an experimental research methodology using a single group pretest and posttest design method was used. There are 26 toddlers with stunting in the Simpang Periuk Lubuklinggau Health Center's testing The first test variable examined the nutritional condition of stunting toddlers (TB/U) before the intervention was administered, and the intervention was subsequently administered in the form of fishbased supplementary meal (PMT) with preset nutritional values for 90 days. The research was carried out between September and December of 2022. The toddlers' nutritional status (TB/U) at the conclusion of the intervention was measured after 90 days as a final test. The effectiveness of the given intervention program was then determined using a paired sample T test. September 2022 through December 2022 is when implementation will begin. Result and Discussion The intervention was given to 26 targeted under-five samples in the form of fish-based PMT which had been analyzed for the nutritional value of the serving using the Nutrisurvey application by the Indonesian Nutritionists Professional Organization (PERSAGI) DPC Lubuklinggau City with the nutritional content values as follows: Table 1. Nutritional Value of Fish-Based Supplementary Feeding Nutritional Value Calorie 209 Kal Fat 7,94 gr Protein 9,83 gr Carbohydrate 24,04 gr The PMT intervention product is in the form of additional processed fish food as a complementary food for stunting toddlers with a variety of menus: dimsum, meatballs, pempek, tekwan, nuget, sempol and otak-otak as can be seen in the following figure: Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan Vol 1. No 2, pp 66-72 2023 ABDIGERMAS JENTIK Nugroho. Yansyah. Rhedo. Armeidi. , & Erawani. Figure 1. Provision of Fish-Based Supplementary Food This PMT is given every day for 90 consecutive days which is carried out by posyandu cadres assisted by nutrition officers at the health center and supervised by officers from the Lubuklinggau City Fisheries Office on a regular basis. The following are PMT distribution activities for targets in the field: Figure 2. Distribution of Supplementary Food to Target Toddlers Results of Developmental Nutritional Status of Target Toddlers Measurement of the nutritional status of children under five was carried out before, during and after the provision of fish-based PMT interventions. The following is a picture and table of the results of measuring Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan Vol 1. No 2, pp 66-72 2023 ABDIGERMAS JENTIK The Efficiency of Providing Animal Protein from Fish as Supplementary Feeding for Toddlers with Stunting the nutritional status of toddlers which were carried out in September. October. November and December September October 1 Severely Stunted November 2 Stunted Desember 3 Normal Figure 3. Graph of Target Toddlers Nutritional Status Measurement Results During Intervention Measuring nutritional status is carried out by nutrition officers and posyandu cadres during weighing activities, but if toddlers are not present at the posyandu, nutrition officers and cadres will visit toddlers' homes to measure the target nutritional status of toddlers. Table 2. Results and Percentage of Target Toddler Nutritional Status Measurement During Intervention Nutritional Status Severely Stunted Stunted Normal Amount Nutritional Status Measurement Month September October November Desember 12 . ,1%) 7 . %) 4 . ,3%) 5 . ,2%) 14 . ,8%) 5 . %) 11 . ,3%) 12 . ,1%) 14 . %) 11 . ,3%) 9 . ,6%) In the early stages, before being given PMT, it was known that of the 26 targeted toddlers, 12 toddlers . 1%) had severely stunted nutritional status and 14 toddlers . 8%) were stunted. After being given an intervention in the form of fish-based PMT for 90 days, then anthropometric measurements were taken in the form of toddler's weight and height. The final result of giving PMT is that the number of toddlers with severely stunted nutritional status is 5 toddlers . 2%), toddlers with stunted nutritional status are 12 toddlers . 1%) and those with normal nutritional status are 9 toddlers . 61%). %). Statistical Test Results After data on nutritional status before and after the intervention was collected, data analysis was then carried out using the SPSS Version 22 application with the Paired Sample T Test with the following results: Table 3. Data Distribution Before After Mean Std Deviation Std Error Mean From the table above it is known that the number of samples before and after the intervention was N = 26 each with a median height . ean heigh. before the intervention of 73. 3654 cm and after the intervention 115 cm. The standard deviation before the intervention was 4. 65738 and after the intervention was Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan Vol 1. No 2, pp 66-72 2023 ABDIGERMAS JENTIK Nugroho. Yansyah. Rhedo. Armeidi. , & Erawani. The mean standard error before the intervention was 0. 91339 and after the intervention was Table 4. Product Moment Correlation Test Correlation Before& After ,982 From the results of the product moment correlation test, it is known that a significance value of 0. 00 O0. means that there is a relationship between height before the intervention and after the intervention in toddlers after being given an intervention in the form of PMT made from fish. Table 5. Paired Sample T Test Paired Differences Mean Before After Std Std Error Deviation Mean Sig. 95% ConfidenceInterval of the Difference Lower Upper From the results of the statistical test table above, it can be interpreted as follows: It is known that the significance value = 0. 000 O 0. 05, so there is a significant difference in toddlers' height before and after the intervention is given, so it can also be concluded that giving fish-based PMT interventions for 90 days can increase toddlers' height thereby reducing the number stunting in the target T count = -4. 332