Implementation of Ginalatrik as An Integrated of Nutritional Education, Tuina Massage and Psychomotoric Exercise for Decreasing of Stunting Prevalence in Klungkung Regency

Abstract

Stunting is the nutrition problem in Indonesia for this decade. Therefore, it is necessary to make an efforts to accelerate for reducing of stunting rates with an integrated approach. This study aims to compare the stunting reduction by the conventional program compared to the Ginalatrik  integrated model. The type of research was true experimental with  a randomized pre test-post test control group design.  The subjects were divided into two groups, i.e the Ginalatrik  model implementation  with the form of nutritional education, Tuina massage stimulation  3-5 times/week and psychomotor exercises. Instruments research used questionnaire and  anthropometric measurement tools. Meanwhile, the control group was conventional program by the government for treating stunting toddlers. To determine the difference in the effects using independent samples t-test and  a Mann Whitney analysis. The results showed that the levels of energy, protein, fat and carbohydrate consumption in the two groups showed significant differences using  the Mann-Whitney analysis  with p=0.010 (p<0,05). Nutritional status with indicators of height/age showed no significant difference with p=0.482 (p>0.05), but the mean rank in the integrated Ginalatrik model was greater i e ; 42.33 than 38.67 in conventional program. Integrated Ginalatrik implementation have tended to an increase of nutritional status in the normal category. Psychomotor development showed a significant difference by   Mann-Whitney analysis with p=0.001 (p<0,05). Based on the results,  the integrated Ginalatrik was better in accelerating stunting reduction compared to the conventional program in toddlers.