South Kalimantan, Malnutrition hits 43

The victim of malnutrition in South Kalimantan (Kalimantan) in the last four months has increased significantly. BETWEEN information compiled in Banjarmasin, Saturday, until the end of April 2008 there were four babies died from severe infection and 43 other children in the care of the medical team.
   
Chief Medical Officer of South Kalimantan, Rosihan Adhani, revealed 43 cases of severely malnourished children, of whom 19 children suffering from marasmus (deficiency of protein consumed with a weight of less than 60 percent without any swelling in the legs).
   
Then the experienced kwashiorkor (less energy is characterized by weight more than 60 percent but with swelling in the legs) there are three children, while suffering from marasmus kwashiokor (lack of energy and protein by weight of less than 60 per cent accompanied the swelling in your legs) five non-clinical children and 16 children.
   
As for its spread, the highest in the city of Banjarmasin, 12 children, Hulu Sungai Regency North (HSU) of seven children, Banjar, six children, Upper South River (HSS), five children.
   
Furthermore, Tapin, Hulu Sungai Tengah (HST) and Kotabaru each of the three children. District Tabalong and Barito Kuala (Batola) each one child. While the victim died, three in the city of Banjarmasin and Upper North River (HSU) one child.
   
According Rosihan, although the amount has not been as many as in 2007, but it will continue to anticipate, to avoid falling victim to malnutrition bad that even more.
   
Previously, during 2007, he added, there were 143 severely malnourished infants and 15 infants of whom died from severe infections. Head of Community Health Programs Health Office of South Kalimantan, Achmad Rusdiansjah in Banjarmasin, revealed an average of severely malnourished toddler who died came from poor families.
   
"Malnutrition is basically a disgrace for health workers, let alone someone died before getting medical care, so we will aggressively to promote healthy nutrition program for toddlers," he said. Although the number of severely malnourished children under five who died in South Kalimantan is quite a lot but still below the national average rate, currently at 20 percent.

There are still many cases of malnutrition in South Kalimantan is caused by not tertanganinya incidence of poverty, a lack a good nutritional intake, level of education remains low and the lack of public awareness to bring young children or pregnant women to the IHC.

Until now the percentage of people are willing to approach the new IHC 49.7 percent, the rest are still reluctant to see a unified service centers built by the community.

Steps taken to ease the burden on the patient "marasmus" or malnutrition, in 2008 the South Kalimantan provincial government funding programmed to patients sebanya Rp750 thousand to buy food or other nutritional intake for three months.

Funds will be managed by each village midwives to meet the needs of patients. So the fund will not be provided in the form of cash, but for milk, green beans and other nutritional needs, every day for three months.
   
In 2005 patients with malnutrition in South Kalimantan reached 103 people 8 people dead, most in Banjar district reached 27 people, and 2006 total cases reached 250 people and 22 people dead, most in the city of Banjarmasin reached 138 people.

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Malnutrition Problem, Need to Optimize Health Extension

Role of health educators should be optimized again in giving an understanding on the mother in Indonesia, most of which admittedly is still poorly educated. In fact, mother's educational level greatly affects the quality of nutritional care of children, including provision of breast milk and infant feeding and child.

This is expressed by the Director General of Public Health (Binkesmas) dr Budihardja Ministry of Health in the National Seminar entitled The Problem of Malnutrition, Food Security in Government Policy and Public Health at Soegijapranata Catholic University, Semarang, Central Java, on Saturday (3 / 5).

Budihardja said, nearly 80 percent of people with malnutrition in rural areas, especially areas that have not been many affordable terepencil education. During development the government has not touched until the remote area, then malnutrition is feared will remain high.

Professor of the Faculty of Agriculture, University of Eleven March (UNS) Surakarta Prof. Dr. Totok Mardikanto said, there should be a revitalization of the extension to save food security in Indonesia. Each extension is also not closed to other fields of study. Health workers should also study the problem of food. Vice versa, obviously Totok.

According to Lecturer Masters in Health Law Program as Catholic Universit Soegijapranata, Endang Wahyati mentioned, high rates of malnutrition have been caused by government food security policies that are inconsistent. According to him, it is time the government set up the Food Act which specifically regulate the problem of providing food for the community.

The government must take responsibility entirely on the food supply. If not addressed specifically, only the sectoral food policy and ultimately will not solve the food crisis which affects the cases of malnutrition, said Endang.

Budihardja admit, there has been some obstacles in penanggulan malnutrition in Indonesia. The first constraint that is differing perceptions about the poor nutrition that causes differences in response to each case. In addition, cross-sector coordination between the Ministry of Health, Ministry of Education and other government agencies is still weak.

"Until now, there is not consistency and sustainability in each of the handling of cases of malnutrition," he admitted.

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In order for Kids Like Fruits and Vegetables

Fruits and vegetables contain nutrients that are important. Consider how to deal with children who do not like fruits and vegetables.

It was not Enak

There are several factors that make children do not like fruit and vegetables, among them a sense of a less pleasing, the introduction of various taste that is not done well, as well as unpleasant experiences when eating fruits or vegetables.

But, the most frequent cause is a lack of recognition of different flavors when the child is still small, especially at the age of the baby. As a result, the memory of feeling in a child's brain is very small. If he enjoys something that had never before attempted, the child feels strange and not like the taste. Unlike the child who was introduced on a wide assortment of flavors, they are generally easier to give fruit and vegetables because of taste memory in his brain a lot so it is easy to adapt to new flavors.

Actually, the introduction of a wide assortment of flavors has been started in infancy, when children are allowed to eat soft foods such as porridge strain, semisolid (rice team), and solid (rice). At this very crucial for us to combine various kinds of fruits and vegetables in children's daily menu. That way, later children are more receptive to other flavors.

Indeed, many parents are trying to introduce a variety of flavors to their babies. However this is not going well, may be less consistent in introducing or not cooperate with the caregiver. The inconsistency is marked with only the occasional introduction of different flavors from a variety of menus, but the menu is monotonous, like rice and nuggets are more often given to children. Fruits too, children only sometimes orange or apple.

Parents Must be Creative

Never force a child to like fruit and vegetables by means stuffed. Because, dislike imposed will only cause of rejection is very hard. Of coercion it is possible that the trauma and the child will not be given fruit and vegetables. Instead parents have to be creative with finding ways to get children like fruits and vegetables. The trick, among others:

* Hiding vegetables in the food preferences of children. If the child likes the porridge of rice, risoles, or even instant noodles, we can put into it various vegetables. Cut the vegetables into small pieces so inconspicuous so that when we fed her, the child was not aware that in her favorite foods are vegetables.

* If the child does not like mushy vegetables, we can modify it to make these vegetables were crispy or crunchy. Spinach, for instance, can be fried with flour and mixed spice to feel a little more crisp and delicious.

* If you want to ask your child to eat fruit, we can make orange juice, apple, mango, guava, avocado, or other. So delicious, add condensed milk. The sweet taste of milk will make the children love it.

* Create interesting shapes of fruits or vegetables. When we ask children to eat papaya, modifikasikanlah form piece. For example, by cutting small squares to serve as the eyes, nose box to be elongated, rather wide elongated box to make the mouth, then place on a plate that color contrast. Then invite children to play with form as she asked him to eat the fruit one by one.

* With vegetables the same way, we can combine vegetables, eggs, and sausage. Example, make an omelette and put it on a plate. Shape eyes with sliced ​​sausage, lettuce with sliced ​​his nose, his mouth to his ear with a carrot and tomato slices. When children do not want to eat it straight, we can mix it with rice while eating it.

* The tool also needs to be selected meals interesting. Today many utensils such as plates and spoons with a picture of various cartoon characters. Well, we can use tools such as one child's attraction to eating fruits and vegetables.

Be Example

On the creative side, there are a few more things that need to be parents so that children will eat fruits and vegetables:

+ Parents should set an example.

Show the child that we are so fond of fruits and vegetables. The trick, always complete the daily menu with fruits and vegetables. For instance, a breakfast with spinach, distraction morning eating an orange or apple fruit, lunch with a menu of vegetable soup, afternoon interlude with guava juice, and stir-equipped dinner tempeh stir mixed beans.

When we give a good example to children, he will see how fruits and vegetables are not to be afraid of food. That way it will be easier for us to ask the child to eat fruit and vegetables. Moreover, we always took time to eat together so children get used to the menus that we eat. Unlike when we do not like fruit and vegetables, will be more difficult to ask the child to eat them.

+ Provide an explanation of benefits.

The toddler can understand simple explanations we give. Well, explain the various benefits of eating fruits and vegetables. Example, by revealing the usefulness of vitamin C than citrus fruit, "Sis, lest you be easy to get sick, you need to eat citrus fruits that contain lots of vitamin C." Or, when we want our children with a vegetable like spinach, we could use his favorite cartoon characters like Popeye, "If you want to be strong like Popeye Adek, Adek should like spinach." Explanations like this can at least open a child's understanding of the benefits of vegetables and fruits.

+ Create a pleasant atmosphere at the dinner table.

That way, children will feel comfortable that he was eager to eat. A big appetite to make children easier to consume anything, including fruits and vegetables. Unlike when we act tense, ask the child to eat with yelling for example, would only eliminate a child's appetite making it more difficult for us to get him to eat fruit or vegetables.

+ Avoid junk food.

Lots of junk food or "junk foods" that circulated in supermarkets and shops. It was very tasty, often eager to make a child do not eat because his tongue was used with a strong sense of the junk food. So, avoid children from this kind of food so that it easier to eat fruit or vegetables.

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Malnutrition Patients Found in Tegal

Again found severely malnourished in the region Tegal. He is Nur Anisa (7 months), the couple's first child Sultoni (30) and Esti Lestari (32), a resident of Village Stage, Kecamatan Tegal Timur, Kota Tegal. In the current age, weight 5.5 kilos anya h Anisa.

Sultoni when met at his home on Thursday (22 / 5) said that her son was diagnosed with malnutrition by one midwife in the village Tegalsari, Kecamatan Tegal Barat and also by officers of Tegal Health Center East, Tegal, last week.

At that time, he checked into the midwife Anisa suffering from cough. By a midwife, she was told if their children suffer from malnutrition. After taking the drugs, Anisa just had diarrhea. He then checked his son into the Health Center of East Tegal. By clinic staff, his son also was experiencing malnutrition. In addition to getting the drug, then he also gets extra food.

According to him, clinic officials also suggested that his son was hospitalized. However, Sultoni afraid to bring their children admitted to the hospital, because he did not have enough money. He also did not know the procedures for handling insurance wa RGA keseharan poor.

So far, he has no steady job. Similarly, his wife also only at home raising children. Sultoni worked as public transportation drivers, but eventually quit because he often came home without bringing results.

Currently, he works as a tutor, with an uncertain income. To meet food needs, not infrequently he gets help from neighbors and relatives who feel sorry for.

The house occupies a heritage home of his parents, Tarjan. Besides his family, the house was also occupied by the youngest sister, Siti Juleha (17). Esti Lestari said, the actual Anisa was born with normal weight, which is 2.7 pounds. But the age of one month, he began sickly. Anisa often experience fever and cough.

Maternal and Child Health Officer, Nutrition and the Elderly Health Service Tegal, Tanti Supriyatmi when contacted by telephone said the health department will check to Tegal Health Center East. Until now, reports of malnutrition has not been received. According to him, poor nutrition patients will get free treatment from the government.

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Inadequate nutrition, Kids Make Smart

INTELLIGENCE children open to being manipulated, especially by a conducive environment for education, said education analyst Universitas Muhammadiyah Magelang, Riana Mashar.
    
"The environment plays an important role to improve the quality of individual intelligence," he said, in Magelang, Saturday (24 / 5), during a seminar titled "Raising Achievement through the Optimization of Brain Child".
    
He said one way to do parents and teachers in improving the intelligence of children is to understand the concept of providing education that focuses on child development.

The concept, he said, stressing the need for education that adapts with age, individual, social and cultural conditions. He explained that the age-appropriateness of education related to various individual characteristics are generally based on the stages of development and the development of laws that are universal.
    
Conformity with the education of individuals associated with the concept of differences in each individual, so educators need to notice that the individual learning patterns are different from one another.

He explained that the appropriateness of education with social and cultural conditions related to the child's environment so that the process of education provided is expected to be more oriented towards compliance with the child's environment.

Researcher Research Institute for Iodine Deficiency Disorders (GAKI) Borobudur, Lucky S. Widodo, say, an adequate nutritional intervention will improve the intelligence of a child's brain.

"Must unmet need nutrients for growth and brain function, and other vital organs," he said. He said, the younger the child get adequate nutrition, the greater the chance the child to improve growth.
    
"The level of intelligence of the brain and other organs have the optimum age for the enhanced phase is a moment given the appropriate nutritional intervention," he said.

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