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Improvement of Students and Snack Vendors Behavior After Received Health Promotion Program from UKS’s Cadres

1Department of Nutrition, Poltekkes Kemenkes Medan, Indonesia

2Faculty Pshycology, University of Sumatera Utara, Indonesia

3Southeast Asian Minister of Education Organization Regional Center for Food and Nutrition (SEAMEO RECFON)- Pusat Kajian Gizi Regional, Universitas Indonesia, Indonesia

Received: 6 Jun 2021; Published: 1 Jun 2022.

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Abstract

Background: School Health Program or UKS aims to improve  students learning achievement by improving their health status including the fulfillment of nutrition so that they can grow and develop optimally. The nutritional problems of school-age children in Indonesia, according to Riskesdas 2018 data, are children with the short/stunting category reaching 30.7%, while those who are obese are 8% and anemic 26%. Nutritional problems in school children will affect the quality of human resources in the future.

Objectives: This study examined the effect of promoting healthy and safe snacks by UKS’s cadres on increasing knowledge, attitudes, behavior of students and snack sellers.

Materials and Methods: The first stage of research was training elementary school students UKS’s cadres who will become educators on promoting healthy and safe food consumption behavior. The second stage was assessed to 360 randomly selected students and 94 school vendors in 12 different schools. The intervention schools received a package of promotions delivered by UKS’s cadres while the comparison group received the poster. Data on knowledge, attitudes, behavior of students and food sellers were collected using a questionnaire instrument. The data were collected by the researchers assisted by 12 enumerators, 6 research field assistants and 12 teachers in charge of the research field. Bivariate analysis using t-test, Wilcoxon test, and Mann Whitney test were used to assess the differences between the groups. 

Results: After intervention by UKS.s cadres, there was a change in students' knowledge of 51.1% for knowledge of healthy snacks, 52.8% about safe snacks, 82.8% about formalin, 62.8% about borax, and 75.6% about Rhodamine B. Changes in the behavior of snack sellers, the highest percentage of changes in holding food with tools is 62.5% and not holding food after holding money is 54.2%. Increased change were significantly higher in the intervention groups than the comparison group (p <0.05).

Conclusion: The UKS’s cadres as trained peer-educators could significantly improve safe and healthy food behavior of students as well as knowledge of snack school vendors. UKS’s cadres as promoters of healthy and safe snacks can be used as a mandatory UKS program in school to achieve food safety for school children

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Keywords: School health program; elementary school; trained students; street vendors; food safety; peer educators

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  1. R. I. Kemenkes, “Hasil Utama Riset Kesehatan Dasar Tahun 2018,” Kementrian Kesehat. Republik Indones., pp. 1–100, 2018
  2. BPOM, “Laporan Tahunan Pusat Data dan Informasi Obat dan Makanan Tahun 2019,” J. Chem. Inf. Model., vol. 53, no. 9, pp. 1689–1699, 2019, [Online]. Available: https://www.pom.go.id/new/admin/dat/20200817/Laporan_Tahunan_2019_Pusat_Data_dan_Informasi_Obat_dan_Makanan.pdf
  3. R. Rahmawita, D. H. Putri, and L. Advinda, “Kualitas Jajanan Anak Sekolah Dasar Secara Mikrobiologi Di Kecamatan Koto Tangah Padang Sumatera Barat,” Biomedika, vol. 10, no. 2, pp. 102–106, 2018, doi: 10.23917/biomedika.v10i2.7020
  4. R. Sichieri, I. N. Bezerra, M. C. Araújo, A. de Moura Souza, E. M. Yokoo, and R. A. Pereira, “Major food sources contributing to energy intake–a nationwide survey of Brazilians aged 10 years and older,” Br. J. Nutr., vol. 113, no. 10, pp. 1638–1642, 2015
  5. J. Liang, B. E. Matheson, K. E. Rhee, C. B. Peterson, S. Rydell, and K. N. Boutelle, “Parental control and overconsumption of snack foods in overweight and obese children,” Appetite, vol. 100, pp. 181–188, 2016
  6. A. H. Angkat and R. Zahara, “Pengaruh Booklet Makanan Jajanan terhadap Pemilihan Jajanan pada Anak Sekolah di Medan Helvetia,” J. Dunia Gizi, vol. 2, no. 2, pp. 116–121, 2019
  7. C. Elmas and P. Arslan, “Effect of nutrition education received by teachers on primary school students’ nutrition knowledge,” Nutr. Res. Pract., vol. 14, no. 5, pp. 532–539, 2020
  8. A. Epstein-Solfield, C. Arango, D. Ogan, and N. Stendell-Hollis, “The effects of a nutrition education intervention on third-and fifth grade students’ fruit and vegetable knowledge, preference and consumption,” J. Child Nutr. Manag., vol. 42, no. 1, 2018
  9. L. S. Joseph, A. A. Gorin, S. L. Mobley, and A. R. Mobley, “Impact of a short-term nutrition education child care pilot intervention on preschool children’s intention to choose healthy snacks and actual snack choices,” Child. Obes., vol. 11, no. 5, pp. 513–520, 2015
  10. A. E. Vardanjani, M. Reisi, H. Javadzade, Z. G. Pour, and E. Tavassoli, “The Effect of nutrition education on knowledge, attitude, and performance about junk food consumption among students of female primary schools,” J. Educ. Health Promot., vol. 4, 2015
  11. J. Hamulka, L. Wadolowska, M. Hoffmann, J. Kowalkowska, and K. Gutkowska, “Effect of an education program on nutrition knowledge, attitudes toward nutrition, diet quality, lifestyle, and body composition in Polish teenagers. The ABC of healthy eating project: Design, protocol, and methodology,” Nutrients, vol. 10, no. 10, p. 1439, 2018
  12. S. C. Gemily, S. Fikawati, and A. Syafiq, “Gerakan Nusantara Program on Children’s Nutrition Practices,” Kesmas J. Kesehat. Masy. Nas. (National Public Heal. Journal), vol. 15, no. 3, 2020
  13. S. Lupi et al., “Assessment of lifestyle and eating habits among undergraduate students in northern Italy,” Ann. Ist. Super. Sanita, vol. 51, pp. 154–161, 2015
  14. M. Aceves-Martins et al., “Retracted: A School-Based, Peer-Led, Social Marketing Intervention To Engage Spanish Adolescents in a Healthy Lifestyle (‘We Are Cool’—Som la Pera Study): A Parallel-Cluster Randomized Controlled Study,” Child. Obes., vol. 13, no. 4, pp. 300–313, 2017
  15. C. H. Teo, Y. S. Chin, P. Y. Lim, S. A. H. Masrom, and Z. M. Shariff, “School-based intervention that integrates nutrition education and supportive healthy school food environment among Malaysian primary school children: a study protocol,” BMC Public Health, vol. 19, no. 1, p. 1427, 2019, doi: 10.1186/s12889-019-7708-y
  16. S. I. Z. S. Ishak, Y. S. Chin, M. N. M. Taib, Y. M. Chan, and Z. M. Shariff, “Effectiveness of a school-based intervention on knowledge, attitude and practice on healthy lifestyle and body composition in Malaysian adolescents,” BMC Pediatr., vol. 20, no. 1, pp. 1–12, 2020
  17. B. C. Foley, V. A. Shrewsbury, L. L. Hardy, V. M. Flood, K. Byth, and S. Shah, “Evaluation of a peer education program on student leaders’ energy balance-related behaviors,” BMC Public Health, vol. 17, no. 1, pp. 1–8, 2017
  18. M. S. Jadgal, S. Sayedrajabizadeh, S. Sadeghi, and T. Nakhaei-Moghaddam, “Effectiveness of Nutrition Education for Elementary School Children Based on the Theory of Planned Behavior,” Curr. Res. Nutr. Food Sci. J., vol. 8, no. 1, pp. 308–317, 2020
  19. N. A. Younginer et al., “‘What do you think of when I say the word “snack”?’ Towards a cohesive definition among low-income caregivers of preschool-age children,” Appetite, vol. 98, pp. 35–40, 2016
  20. L. H. Napitupulu and H. Abadi, “Analisis Zat Berbahaya Boraks dan Rhodamin B Pada Jajanan Bakso Bakar yang dijual dibeberapa Sekolah Dasar di Kecamatan Medan Denai,” J. Kesehat. Glob., vol. 1, no. 1, pp. 21–27, 2018
  21. S. Stock et al., “Healthy Buddies: a novel, peer-led health promotion program for the prevention of obesity and eating disorders in children in elementary school,” Pediatrics, vol. 120, no. 4, pp. e1059–e1068, 2007
  22. V. Ghasemi, M. Simbar, F. Rashidi Fakari, M. Saei Ghare Naz, and Z. Kiani, “The effect of peer education on health promotion of Iranian adolescents: A systematic review,” Int. J. Pediatr., vol. 7, no. 3, pp. 9139–9157, 2019
  23. M. A. Thompson and C. R. Nigg, “Effect of an adolescent peer-led health curriculum on peer educators and participants,” Health Educ. J., p. 0017896920977903, 2020
  24. M. W. Murimi, A. F. Moyeda-Carabaza, B. Nguyen, S. Saha, R. Amin, and V. Njike, “Factors that contribute to effective nutrition education interventions in children: a systematic review,” Nutr. Rev., vol. 76, no. 8, pp. 553–580, 2018
  25. A. Chaudhary, F. Sudzina, and B. E. Mikkelsen, “Promoting Healthy Eating among Young People—A Review of the Evidence of the Impact of School-Based Interventions,” Nutrients, vol. 12, no. 9, p. 2894, 2020
  26. A. Meybeck, E. Laval, R. Lévesque, and G. Parent, “Food security and nutrition in the age of climate change,” FAO Rome, 2018
  27. R. Prowse, “Food marketing to children in Canada: A settings-based scoping review on exposure, power and impact,” Heal. Promot. Chronic Dis. Prev. Canada, vol. 37, no. 9, pp. 274–292, 2017, doi: 10.24095/hpcdp.37.9.03
  28. V. Kaufman-Shriqui et al., “Effect of a school-based intervention on nutritional knowledge and habits of low-socioeconomic school children in Israel: a cluster-randomized controlled trial,” Nutrients, vol. 8, no. 4, p. 234, 2016
  29. M. Moshki, F. Zamani-Alavijeh, and M. Mojadam, “Efficacy of peer education for adopting preventive behaviors against head lice infestation in female elementary school students: a randomised controlled trial,” PLoS One, vol. 12, no. 1, p. e0169361, 2017
  30. C. S. McEvoy et al., “Use of medical students in a flipped classroom programme in nutrition education for fourth-grade school students,” Health Educ. J., vol. 75, no. 1, pp. 38–46, 2016
  31. L. R. Peralta, D. A. Dudley, and W. G. Cotton, “Teaching healthy eating to elementary school students: a scoping review of nutrition education resources,” J. Sch. Health, vol. 86, no. 5, pp. 334–345, 2016
  32. W. J. Zhou, X. L. Xu, G. Li, M. Sharma, Y. L. Qie, and Y. Zhao, “Effectiveness of a school-based nutrition and food safety education program among primary and junior high school students in Chongqing, China,” Glob. Health Promot., vol. 23, no. 1, pp. 37–49, 2016, doi: 10.1177/1757975914552914
  33. M. Inayah and S. T. M. Widodo, “Perubahan Perilaku Hidup Bersih Dan Sehat Anak Melalui Peer Education,” in Prosiding Seminar Nasional Multidisiplin Ilmu, 2019, vol. 1, no. 2, pp. 37–42
  34. C. Fanaqi, F. Nurkalam, D. A. Tias, S. D. Syahputri, and N. Octaviani, “Komunikasi kesehatan bagi pelajar dengan pendekatan peer education,” Yumary J. Pengabdi. Kpd. Masy., vol. 1, no. 1, pp. 1–9, 2020
  35. I. T. Suminar and D. N. Anisa, “Pengaruh Pendidikan Teman Sebaya (Peer Education) Kesehatan Menstruasi Terhadap Kesiapan Siswi Sd Menghadapi Menstruasi Awal,” J. Kesehat. Kusuma Husada, pp. 132–141, 2020
  36. J. H. Christensen, P. Elsborg, P. S. Melby, G. Nielsen, and P. Bentsen, “A scoping review of peer-led physical activity interventions involving young people: theoretical approaches, intervention rationales, and effects,” Youth Soc., vol. 53, no. 5, pp. 811–840, 2021
  37. D. S. Darise, “Pengaruh Peer Education Terhadap Perilaku Kebiasaan Konsumsi Jajanan Pada Remaja Di Kabupaten Gorontalo.” Universitas Hasanuddin, 2021

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