Rika Yunita Sari, Preati Ayu Ariani, Iriyani K, Ratih Wirapuspita Wisnuwardani

Community Empowerment in Providing Local Supplementary Feeding for Pregnant Women With CED at Puskesmas Bengkuring, Samarinda

Introduction

Community empowerment in providing local supplementary feeding for pregnant women with ced at puskesmas bengkuring, samarinda. Samarinda community program empowers local supplementary feeding for pregnant women with CED. Significantly improves maternal nutritional status (BMI) & promotes sustainable health.

Abstract

Chronic Energy Deficiency (CED) in pregnant women remains a pressing nutritional issue in Indonesia, particularly in Samarinda City. This community program aimed to improve the nutritional status of pregnant women with or at risk of CED through the provision of local food-based supplementary feeding (PMT) and the empowerment of community health cadres. The intervention took place at Bengkuring Health Center from April to December 2024, targeting 40 pregnant women. Activities included cadre training, preparation of nutritious local meals, and monitoring of Body Mass Index (BMI) before and after the intervention. Results indicated a significant increase in average BMI (p < 0.05), although the duration of PMT was not significantly associated with BMI improvement. The program successfully engaged the community in health-focused food preparation and raised awareness among pregnant women about the importance of maternal nutrition. These findings support the effectiveness of local PMT as a tool for both nutritional intervention and sustainable community empowerment. In the long term, such initiatives can help reduce the prevalence of CED and contribute to healthier pregnancy outcomes. Continued collaboration across sectors is essential to ensure the sustainability of this program.

Review

This study addresses a critical public health issue in Indonesia: Chronic Energy Deficiency (CED) among pregnant women, with a specific focus on Samarinda City. The program's objective to improve nutritional status through local food-based supplementary feeding (PMT) and community cadre empowerment is highly relevant and timely. The intervention, conducted at Bengkuring Health Center, involved training cadres, preparing local meals, and monitoring BMI in 40 pregnant women. The finding of a significant increase in average BMI (p < 0.05) is a promising indicator of the program's immediate impact on the nutritional status of the participants. A significant strength of this initiative lies in its dual focus: not only on direct nutritional intervention but also on sustainable community empowerment. By engaging community health cadres and promoting the use of local food, the program fosters self-reliance and builds local capacity, which is crucial for long-term health improvements. The successful engagement in health-focused food preparation and increased awareness among pregnant women are commendable outcomes that extend beyond mere nutritional metrics. This approach underscores the potential of community-led interventions in addressing complex public health challenges, providing a model that could be adapted to similar contexts. While the reported increase in BMI is positive, the abstract notes that the duration of PMT was not significantly associated with BMI improvement, which warrants further exploration. Understanding the nuances of this finding could provide valuable insights into optimal intervention strategies. Future iterations of this program or subsequent research would benefit from a more detailed discussion of the "community empowerment" activities and their specific outcomes, beyond just food preparation. Additionally, elaborating on the long-term monitoring plans and how continued cross-sectoral collaboration will be operationalized would strengthen the implications for sustainability. Overall, this study presents a valuable community-based model for tackling maternal malnutrition.

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