Strengthening Nutrition-Specific Policies for Adolescents in Indonesia: A Qualitative Policy Analysis

Soekarjo, Damayanti; Roshita, Airin; Thow, Anne-Marie; Rah, Jee Hyun

doi:10.1177/0379572118785054

Cited by 14 publications

(21 citation statements)

References 17 publications

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“…This was not a systematic desk review, but rather the purpose was to provide a broader contextual information on relevant policy environments in Indonesia. 24…”

Section: Methodsmentioning

confidence: 99%

School Canteens in Selected Areas in Indonesia: A Situation Analysis

Rachmadewi¹,

Soekarjo²,

Maehara³

et al. 2021

Food Nutr Bull

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Background: The school canteen has a massive impact on the dietary intake and nutritional status of school-age children and adolescents. This study aimed at assessing the current situation of school canteens in selected areas in Indonesia and relevant knowledge, attitudes, and behaviors of school-going children and adolescents. Methods: A qualitative study was implemented in a purposive sample of 18 schools in Klaten and West Lombok districts with 2 comparison schools in Jakarta and Klaten. Focus group discussions and in-depth interviews were conducted with a wide range of stakeholders to collect information on nutrition knowledge, food preferences, related policies and governance, and opinions toward school canteens. Data were analyzed using thematic synthesis and narrative analysis. Results: Specific government guidelines on healthy foods and beverages to be sold in canteens are not yet in place. Many canteens had inadequate infrastructure and were managed informally, with limited rules, monitoring, and supervision. Although healthy options including vegetables and fruits were available in most canteens, unhealthy foods and beverages were abundant and cheap. Lack of awareness of the importance of nutrition of school-age children and adolescents was pervasive among all stakeholders. Personal preference and availability were main drivers of the students’ food choices. Conclusions: Concerted multisectoral and multistakeholders’ efforts are warranted to improve the quality of school canteens in Indonesia by developing a comprehensive relevant guideline, improving the capacity of related stakeholders and service providers, enhancing the implementation and monitoring, and generating demand for healthy canteens.

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“…This was not a systematic desk review, but rather the purpose was to provide a broader contextual information on relevant policy environments in Indonesia. 24…”

Section: Methodsmentioning

confidence: 99%

School Canteens in Selected Areas in Indonesia: A Situation Analysis

Rachmadewi¹,

Soekarjo²,

Maehara³

et al. 2021

Food Nutr Bull

Self Cite

View full text Add to dashboard Cite

show abstract

“…Nutrition education is conducted to convey the importance of fulfilling balanced nutritional needs for teenagers (18) and as an effort to achieve balanced nutrition so identifying the optimal diet can be applied to prevent the disease progression, especially chronic disease that becomes an element of the public health effort priority. There has been no effective diet recommended for obese adolescents nowadays; the handling of nutrition is only limited to a balanced eating recommendation with increased physical activity but has not provided recommended applied dietary pattern yet (19,20).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Nutrition Education on Body Mass Index, Waist Circumference, Mid-upper Arm Circumference and Blood Pressure in Obese Adolescents

2020

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The aim of the study was to determine the effect of nutrition education in the form of DASH diet booklets on body mass index, waist circumference, mid-upper arm circumference, and blood pressure in obese adolescents. Methods: This study was quasi-experimental, which is pre-test and post-test with control group design. The number of subjects was 60 respondents. The groups in this study were divided into two; one treatment group and one control group. The first group was given a nutrition education intervention with a booklet and the second group was not treated. Data analysis used paired t-test and independent t-test (p=0.05; CI=95%), Wilcoxon test, Mann-Whitney test, and Spearman rank test. Results: There were differences in BMI, waist circumference, mid-upper arm circumference, and significant systolic blood pressure in the treatment group after the intervention. The mean average of the treatment group decreased significantly; BMI: 0.36±0.05 kg/m2; waist circumference: 0.84±0.14 cm; mid-upper arm circumference: 0.37±0.63 cm, and systolic blood pressure: 1.13±1.36 mmHg. In the control group the average BMI, waist circumference, mid-upper arm circumference, and systolic blood pressure were increased significantly. The treatment group experienced a decrease in energy intake by 524.65±85.77 kcal while physical activity increased by 0.635±0.09. Conversely, the control group experienced an increase in energy intake by 147.29±25.18 kcal, while physical activity decreased by 0.470±0.08. Changes in energy intake and physical activity between the treatment group and the control group were identified as significant correlations (p<0.001). Similar to it, the changes in the BMI, waist circumference, mid-upper arm circumference, and significant systolic blood pressure were identified as significant correlations (p<0.001). Application: The use of booklets can be a solution for the continuation of effective nutrition education as the nutritional information becomes easier to be comprehended and adapted by the booklet recipients and used in everyday life.

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“…Local leaders, primary health care providers, and district health office staff were expected to develop a supportive environment by providing cadre training, providing access to healthy food, and local regulation. However, Indonesia's nutrition policy, especially for adolescents, was very limited and lacked guidance for stakeholder coordination [25]. Improvement of stakeholder role by sharing experience with the local community and providing information is important to ensure the success of intervention [26].…”

Section: Discussionmentioning

confidence: 99%

“…I mean like 'onthel', make a creative idea. We are more attracted … to the weird content -Female, [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35]low SES…”

Section: Information Channelmentioning

confidence: 99%

Community engagement strategy for healthy diet in urban community: A phenomenological study

2020

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Unhealthy diet is the risk factors for non-communicable diseases with limited intervention in Indonesia. Environmental change interventions are known to be effective in encouraging changes in healthy diet. However, community engagement is needed to ensure the adoption of the behaviour. This study seeks to identify the strategy to engage urban community in healthy diet intervention. Qualitative research with phenomenological approach was conducted in Yogyakarta, Indonesia. Samples were selected among citizens of Yogyakarta city with the age range from 19 yr old to 65 yr old. The informants consist of lay persons, cadres and stakeholders. Data from 87 respondents were collected through 7 focus group discussions and 2 in-depth interviews. Strategies to engage community in healthy eating interventions consists of 3 main themes: i) intervention’s characteristics, ii) information characteristics and iii) the information channel. The intervention’s expected characteristics are aimed at various ages, using family approach through stakeholder support and collaboration and by increasing cadre’s capacity and providing opportunity to manage funding. Information characteristics are accessible, valid, up to date and personal. Information can be disseminated through virtual and non-virtual media. Community engagement strategies in healthy eating interventions should be segmented, strengthening the role of family and easily accessible.

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Strengthening Nutrition-Specific Policies for Adolescents in Indonesia: A Qualitative Policy Analysis

Abstract: Few policies and programs exist to support adolescent nutrition in Indonesia. Coordinated efforts across relevant sectors and levels of government should be made to mainstream adolescent nutrition into relevant policies.

Cited by 14 publications

References 17 publications

School Canteens in Selected Areas in Indonesia: A Situation Analysis

School Canteens in Selected Areas in Indonesia: A Situation Analysis

The Effect of Nutrition Education on Body Mass Index, Waist Circumference, Mid-upper Arm Circumference and Blood Pressure in Obese Adolescents

Community engagement strategy for healthy diet in urban community: A phenomenological study

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