Pencegahan Risiko Kekurangan Energi Kronis pada Ibu Hamil melalui PMT Berbasis Dadih dan Edukasi Gizi Partisipatif di Parak Karakah, Padang: Preventing Chronic Energy Deficiency Risk in Pregnant Women through Dadih-Based Supplementary Feeding and Participatory Nutrition Education in Parak Karakah, Padang City

Helmizar Helmizar; Ayu Cantika; Assyieffa Salsabila; Muthia Rahmah; Zafira Mardianti; Assyifa Hilmy Nasution; Malika Qisthi Abdi

doi:10.25077/bina.v9i3.897

Authors

Helmizar Helmizar Departemen Gizi, Fakultas Kesehatan Masyarakat, Universitas Andalas, Padang, Indonesia
Ayu Cantika Departemen Gizi, Fakultas Kesehatan Masyarakat, Universitas Andalas, Padang, Indonesia
Assyieffa Salsabila Departemen Gizi, Fakultas Kesehatan Masyarakat, Universitas Andalas, Padang, Indonesia
Muthia Rahmah Departemen Gizi, Fakultas Kesehatan Masyarakat, Universitas Andalas, Padang, Indonesia
Zafira Mardianti Departemen Gizi, Fakultas Kesehatan Masyarakat, Universitas Andalas, Padang, Indonesia
Assyifa Hilmy Nasution Departemen Gizi, Fakultas Kesehatan Masyarakat, Universitas Andalas, Padang, Indonesia
Malika Qisthi Abdi Departemen Gizi, Fakultas Kesehatan Masyarakat, Universitas Andalas, Padang, Indonesia

DOI:

https://doi.org/10.25077/bina.v9i3.897

Keywords:

chronic energy deficiency, dadih-based supplementary feeding, participatory nutrition education, maternal nutrition, community empowerment

Abstract

This community-based intervention aimed to reduce Chronic Energy Deficiency (CED) risk among pregnant women in the working area of Parak Karakah Community Health Center, Padang City, through Nutrition Assistance and Education, integrating participatory nutrition education with locally sourced supplementary food based on dadih, a traditional Minangkabau fermented buffalo milk. The program employed a community-based participatory approach guided by Participatory Learning and Action (PLA), involving 20 pregnant women selected purposively based on a Mid-Upper Arm Circumference (MUAC) below 23.5 cm. Data were collected through observations, brief interviews, anthropometric measurements, and questionnaires. The eight-week intervention combined structured education on the first 1,000 days of life with practical demonstrations of Dadih Vla Bread and Dadih Vla Pudding preparation, supported by video tutorials and printed leaflets for home use. Outcomes were assessed through changes in nutritional status, food preparation skills, and adoption of supplementary feeding practices. Following the intervention, the proportion of participants classified as being at risk of CED based on MUAC decreased from 45% to 10%, exceeding the program’s target reduction of 20%. Furthermore, 85% of participants demonstrated adequate skills in independently preparing supplementary foods, while 70% reported consuming them regularly at home. The observed increase in overweight status requires interpretation in the context of physiological gestational weight gain and initial nutritional status. These findings suggest that combining dadih-based supplementary feeding, participatory education, and home-visit mentoring can support maternal nutrition improvement and CED risk reduction. This locally grounded approach may be adapted for similar high-risk communities.

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References

Adelia, P., Savitri, M., Baskoro, R. A., & Mufidah, A. (2025). Edukasi dan intervensi gizi untuk mencegah stunting: Studi kasus program KKN New Zero Stunting Desa Jatiwangi. Jurnal Pengabdian Masyarakat, 2(1), 81–86.

Aritonang, S. N., Roza, E., Yetmaneli, Sandra, A., & Rizqan. (2022). Characterization of lactic acid bacteria from buffalo dairy product (dadiah) as potential probiotics. Biodiversitas, 23(9), 4418–4423. https://doi.org/10.13057/biodiv/d230906. DOI: https://doi.org/10.13057/biodiv/d230906

Fitriyaningsih, E., Mulyani, N. S., & Ahmad, A. (2023). Edukasi gizi tentang pembuatan Makanan Pendamping Air Susu Ibu (MP-ASI) dengan pemanfaatan pangan lokal di Kecamatan Simpang Tiga Kabupaten Aceh Besar. Jurnal PADE: Pengabdian & Edukasi, 5(1), 28–33. DOI: https://doi.org/10.30867/pade.v5i1.1097

Helmizar, H., & Arza, P. A. (2021). Perbedaan pengetahuan dan sikap ibu balita tentang ASI eksklusif dan MP-ASI sebelum dan sesudah pemberian edukasi gizi berbasis media sosial. Jurnal Kesehatan Global, 4(3), 135–141. DOI: https://doi.org/10.33085/jkg.v4i3.4981

Helmizar, H., Ferry, F., Rusdi, F. Y., Ariyasra, U., Sari, S. R., & Sakinah, R. (2023). Edukasi gizi dan penerapan roti fungsional dadih pada ibu hamil untuk pencegahan stunting di Kabupaten Lima Puluh Kota. Buletin Ilmiah Nagari Membangun, 6(4), 302–311. DOI: https://doi.org/10.25077/bina.v7i4.539

Jatmika, S. E. D. J., & Hastuti, S. K. W. (2019). Pelatihan dan pendampingan pembuatan aneka olahan makanan pendamping ASI (MP-ASI) berbahan pangan lokal kaya nutrisi. GEMASSIKA: Jurnal Pengabdian kepada Masyarakat, 3(2), 115–124. DOI: https://doi.org/10.30787/gemassika.v3i2.339

Kadafi, A., Pratama, B. D., Christiana, R., Wardani, S. Y., Nurfaizin, A., & Setiawan, O. (2023). Upaya pencegahan stunting dengan edukasi pentingnya ASI, MPASI dan makanan bergizi. Jurnal Abdimas Bina Bangsa, 4(1), 41–48.

Kementerian Kesehatan Republik Indonesia. (2019). Profil kesehatan Indonesia. Kemenkes RI.

Kementerian Kesehatan Republik Indonesia. (2021). Pedoman pelaksanaan pemberian makanan tambahan bagi ibu hamil. Kemenkes RI.

Kementerian Kesehatan RI. (2023). Survei Status Gizi Indonesia (SSGI) 2022. Kemenkes RI.

Pasaribu, R. D., Nasution, E., & Angkat, A. C. (2025). Empowering mothers in utilizing local food based on mixed fish to prevent stunting: A reflection study in participatory action research. Amerta Nutrition, 9(3), 514–523. https://doi.org/10.20473/amnt.v9i3.2025.514-523 DOI: https://doi.org/10.20473/amnt.v9i3.2025.514-523

Rahayu, N., & Wulandari, S. (2020). Efektivitas PMT berbasis pangan lokal terhadap peningkatan status gizi ibu hamil. Jurnal Gizi Indonesia, 8(2), 75–84.

Rahmi, A., & Fitriani, T. (2023). Implementasi PMT lokal dan edukasi gizi terhadap pencegahan KEK. Jurnal Pengabdian Kesehatan, 5(2), 102–110.

Retnaningtyas, E., Kartikawati, E., & Nilawati, D. (2022). Upaya peningkatan pengetahuan ibu hamil melalui edukasi mengenai kebutuhan nutrisi ibu hamil. ADI Pengabdian kepada Masyarakat, 2(2), 19–24. DOI: https://doi.org/10.34306/adimas.v2i2.552

Riset Kesehatan Dasar (Riskesdas). (2018). Laporan Provinsi Sumatera Barat Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan, Kemenkes RI.

Sari, I. Y., Indrawati, N., Sinaga, M. R. E., Erawati, A. T., & Rumbiak, C. E. (2025). eNutrilla education model based on local food ingredients improves maternal feeding behavior and mothers' self-efficacy to prevent stunting. Jurnal Berita Ilmu Keperawatan, 18(1), 97–104. DOI: https://doi.org/10.23917/bik.v18i1.7721

Sari, M., & Putri, Y. (2022). Pengaruh PMT lokal terhadap peningkatan LILA ibu hamil KEK. Jurnal Kesehatan Masyarakat Andalas, 17(1), 45–53.

Syah, J., Abdullah, A. D., Fauziah, F., Rahmaniah, R., Sari, R. M., & Zakiah, N. (2024). Demonstrasi dan peningkatan keterampilan ibu dalam pengolahan makanan kudapan pendamping ASI berbasis pangan lokal. Jurnal Abmas Negeri (JAGRI), 5(1), 69–76. DOI: https://doi.org/10.36590/jagri.v5i1.882

Tyarini, I. A., & Mulat, T. C. (2025). Optimization of the role of community midwives in maternal nutrition education to prevent stunting during the first 1000 days of life. Jurnal Kebidanan Komunitas, 2, 137–144. DOI: https://doi.org/10.61099/jpmei.v2i3.129

World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. WHO.

Yuliana, R. (2021). Faktor kepatuhan konsumsi PMT pada ibu hamil: Studi kualitatif berbasis komunitas. Jurnal Gizi dan Pangan, 16(3), 215–224.