Edukasi Gizi Keluarga untuk Pencegahan Hidden Hunger pada Balita Melalui Program COME
DOI:
https://doi.org/10.22225/wmmj.5.3.2026.246-255Keywords:
Hidden hunger, toddler, nutrition education, family, micronutrientsAbstract
Hidden hunger is a nutritional problem that is often unnoticed in toddlers because it does not always present with visible clinical signs, even when children receive adequate food intake. This condition is associated with poor dietary quality and insufficient intake of essential micronutrients required for optimal growth and development. This community service activity aimed to improve family understanding regarding hidden hunger, risk factors of micronutrient deficiencies, and preventive strategies through the implementation of balanced nutrition practices for toddlers. The activity was conducted using a family-based Community Oriented Medical Education (COME) approach involving one assisted family in Gianyar Regency, Bali, with a toddler aged 1.5–3 years. The problem-solving framework consisted of initial family assessment, preparation of educational materials, interactive health education, feeding practice counseling, and process evaluation. The results showed that nutrition education and family discussions improved awareness regarding dietary diversity, micronutrient fulfillment, and selection of nutritious food sources to support toddler growth and development. The family began to understand that nutritional adequacy is not only determined by the amount of food consumed but also by the quality and variety of foods provided. Family-based nutrition education can serve as a promotive approach for preventing hidden hunger among toddlers; however, further evaluation involving larger target groups and quantitative assessment instruments is required.
References
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, de Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013;382(9890):427-451.
Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, et al. Maternal and child undernutrition: consequences for adult health and human capital. Lancet. 2008;371(9609):340-357.
Prado EL, Dewey KG. Nutrition and brain development in early life. Nutr Rev. 2014;72(4):267-284.
United Nations Children’s Fund (UNICEF). Fed to Fail? The Crisis of Children’s Diets in Early Life. New York: UNICEF; 2021.
World Health Organization. Guideline: Daily Iron Supplementation in Infants and Children. Geneva: WHO; 2016.
Black MM. Effects of vitamin B12 and folate deficiency on brain development in children. Food Nutr Bull. 2008;29(2 Suppl):S126-S131.
Brown KH, Peerson JM, Rivera J, Allen LH. Effect of supplemental zinc on the growth and serum zinc concentrations of prepubertal children: a meta-analysis of randomized controlled trials. Am J Clin Nutr. 2002;75(6):1062-1071.
Zimmermann MB. Iodine deficiency. Endocr Rev. 2009;30(4):376-408.
Ernawati F, Tanumihardjo SA, Aji GK, Retiaty F, Arifin AY, Efriwati, et al. Micronutrient deficiency and nutritional status among Indonesian children under five years of age: evidence from national survey data. Nutrients. 2025;17(24):3926.
Dewey KG, Adu-Afarwuah S. Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Matern Child Nutr. 2008;4(Suppl 1):24-85.
World Health Organization. WHO Guideline for Complementary Feeding of Infants and Young Children 6–23 Months of Age. Geneva: WHO; 2023.
Neumann CG, Harris DM, Rogers LM. Contribution of animal source foods in improving diet quality and function in children in the developing world. Nutr Res. 2002;22(1-2):193-220.
Ruel MT. Is dietary diversity an indicator of food security or dietary quality? A review of measurement issues and research needs. Food Nutr Bull. 2003;24(2):231-239.
Sumadewi KT, Yupardhi TH, Satriya Wibawa IK. Edukasi Gangguan Tumbuh Kembang dan Stimulasi Kemampuan Bicara Berbasis Keluarga dalam Program Community Oriented Medical Education di Desa Bresela, Gianyar. Jurnal Pengabmas Masyarakat Sehat. 2025;7(2):10–21.
Mardani RAD, Wu WR, Hajri Z, Thoyibah Z, Yolanda H, Huang HC. Effect of a Nutritional Education Program on Children's Undernutrition in Indonesia: A Randomized Controlled Trial. J Pediatr Health Care. 2024;38(4):552-563.
Ahmad A, Madanijah S, Dwiriani CM, Kolopaking R. Effect of Nutrition Education and Multi-Nutrient Biscuit Interventions on Nutritional and Iron Status: A Cluster Randomized Control Trial on Undernourished Children Aged 6–23 Months in Aceh, Indonesia. J Nutr Sci Vitaminol. 2020;66(Suppl):S380-S390.
Nadzifatussya'diyah N, Marliyati SA, Nurdiani R, Nasution Z, Ekayanti I. Dampak Pendampingan Gizi Ibu terhadap Perubahan Pengetahuan Gizi dan Praktik Pemberian Makan Baduta. Jurnal Ilmu Gizi dan Dietetik. 2025;4(2):74-81.
Sumadewi KT, Dewi AAAAP, Kerans FFA, Witari NPD, Astini DAAAS, Evayanti LG, et al. Pemberdayaan Kader Posyandu Dalam Stimulasi Perkembangan Bayi Melalui Baby Gym di Banjar Tandang Tri Buana, Desa Batur Tengah, Kintamani. Warmadewa Minesterium Medical Journal. 2024:3(3):182-188.
