Vol. 23 No. 4 (2026)
Medic Nutricia : Jurnal Ilmu Kesehatan, ISSN : 3025-8855

Articles

CASE REPORT: STUNTED TODDLER WITH TUBERCULOSIS (TB) AND FEEDING DIFFICULTIES

DOI: https://doi.org/10.2238/93jnqs41

Published 2026-08-19

  • Nina Khairani
    • ,
  • Astuti Setiyani
    • ,
  • Suparji
    • ,
  • Nana Usnawati

Nina Khairani
Health Polytechnic Surabaya

Astuti Setiyani
Health Polytechnic Surabaya

Suparji
Health Polytechnic Surabaya

Nana Usnawati
Health Polytechnic Surabaya

Abstract

Introduction: Babies and toddlers are the golden period for growth and development. However, they are also one of the vulnerable groups when it comes to health problems, one of which is stunting and tuberculosis. Babies and toddlers who experience stunting followed by TB can face various complex issues, including delayed growth and development, suboptimal brain function, and reduced immunity. Objective: To describe the implementation of comprehensive midwifery care for a stunted toddler with TB and feeding difficulties, and to track clinical progress during the period of support. Methods: A case report concerning "Child A," a 28-month-old male toddler experiencing stunting, TB, and feeding difficulties. Midwifery care was administered using the SOAP (Subjective, Objective, Analysis, and Plan) approach. Support was provided over four months across five visits at the Puntukdoro Village Auxiliary Community Health Center (Pustu), Plaosan District, Magetan Regency; activities included monitoring growth, nutritional status, and clinical progress, ensuring adherence to Anti-Tuberculosis (OAT) therapy, administering multivitamins, providing nutritional education, facilitating growth and development stimulation, and engaging the family. Results: Initial assessment revealed a 27-month-old toddler with a height of 79 cm (classified as stunted based on the Height-for-Age index) and a weight of 8.8 kg. He had a history of TB, was undergoing OAT therapy, and experienced feeding difficulties characterized by poor appetite and a cough. After four months of support, his appetite improved, the cough subsided, and his activity levels increased; adherence to OAT therapy remained consistent. His weight rose by 1 kg to 9.8 kg, and his height increased by 3.5 cm to 82.5 cm. The parents also demonstrated greater involvement in providing nutrition and multivitamins, as well as monitoring the child's growth and development. Conclusion: Comprehensive midwifery care over four months—encompassing clinical monitoring, OAT therapy management, nutritional support, growth and development stimulation, and family involvement—contributed to improvements in the toddler's clinical condition, appetite, activity levels, growth, and nutritional status. Families are also capable of planning routine TB management. Ongoing support is required to ensure adherence to Anti-Tuberculosis Drug (ATD) regimens and to optimize the child's growth and development.

Keywords

Stunting, Tuberculosis, Toddlers, Anti-Tuberculosis Medication (ATM)

PDF

References

  1. Amalia, Z., & Priyatama, A. N. (2023). Pengaruh edukasi gizi melalui video dan booklet terhadap peningkatan pengetahuan, sikap dan perilaku ibu hamil dalam pencegahan stunting. Media Penelitian dan Pengembangan Kesehatan, 34(4), 62-64.
  2. Aminah, S. (2024). Asuhan kebidanan berkelanjutan pada Ny. J, Ny. SA dan Ny. K di Praktik Mandiri Bidan (PMB) Nursyamsiah, S.ST. Jurnal Maternitas Aisyah (JAMAN AISYAH), 5(3), 220–230. https://doi.org/10.30604/jaman.v5i3.1690
  3. Angreni, W. O. N., Arda, D., Setyawati, A., Sasmita, A., Tyarini, I. A., & Nordianiwati, N. (2024). Exclusive breastfeeding in preventing stunting in toddlers. Jurnal Edukasi Ilmiah Kesehatan, 2(1), 07–13. https://doi.org/10.61099/junedik.v2i1.29
  4. Anita, A., Aprina, A., Astuti, T., Hasan, A., Kadarusman, H., Siregar, M. T., & Fauziah, R. R. N. (2024). Edukasi dan pelatihan keluarga dan kader kesehatan tentang pencegahan dan perawatan anak dengan tuberkulosis paru di rumah Desa Sidodadi Kecamatan Pardasuka Kabupaten Pringsewu. Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM), 7(11), 78-80.
  5. Astuti, F. (2025). The relationship between stunting in children and risk of tuberculosis infection and disease progression. International Journal of Health and Medicine, 2(1), 35-42.
  6. Badan Kebijakan Pembangunan Kesehatan. (2025). Survei Status Gizi Indonesia (SSGI) 2024 Dalam Angka. Jakarta: Badan Kebijakan Pembangunan Kesehatan, Kementerian Kesehatan RI.
  7. Direktorat Jenderal Pencegahan dan Pengendalian Penyakit, Kementerian Kesehatan RI. (2024). Buku Saku Tata Laksana Tuberkulosis Anak dan Remaja. Jakarta: Kementerian Kesehatan. ISBN: 978-623-301-454-0.
  8. Izza, A. S., Martini, Adi, M. S., Widjanarko, B., & Saefurrohim, M. Z. (2025). Nutritional Status and Tuberculosis among Children under Five in Indonesia: A Systematic Review and Meta-Analysis. Journal of Communicable Diseases, 57(4), 93–104. https://doi.org/10.24321/0019.5138.2026102.
  9. Kementerian Kesehatan Republik Indonesia. (2020). Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 tentang Standar Antropometri Anak. Jakarta: Kementerian Kesehatan Republik Indonesia.
  10. Kementerian Kesehatan Republik Indonesia. (2020). Standar Profesi Bidan Indonesia. Jakarta: Kemenkes RI.
  11. Kementerian Kesehatan Republik Indonesia. (2022). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/1928/2022 tentang Pedoman Nasional Pelayanan Kedokteran Tata Laksana Stunting. Jakarta: Kementerian Kesehatan Republik Indonesia.
  12. Kementerian Kesehatan Republik Indonesia. (2023). Buku saku hasil Survei Status Gizi Indonesia (SSGI). Jakarta: Kemenkes RI.
  13. Kementerian Kesehatan Republik Indonesia. (2023). Pedoman nasional penanggulangan tuberkulosis. Jakarta: Kemenkes RI
  14. Kementerian Kesehatan Republik Indonesia. (2023). Petunjuk teknis tata laksana tuberkulosis anak dan remaja. Jakarta: Direktorat Jenderal Pencegahan dan Pengendalian Penyakit, Kementerian Kesehatan Republik Indonesia.
  15. Kementerian Kesehatan Republik Indonesia. (2024). Buku saku tata laksana tuberkulosis anak dan remaja. Jakarta: Direktorat Jenderal Pencegahan dan Pengendalian Penyakit, Kementerian Kesehatan Republik Indonesia.
  16. Kementerian Kesehatan Republik Indonesia. (2025). Survei Status Gizi Indonesia (SSGI) 2024 dalam angka. Jakarta: Badan Kebijakan Pembangunan Kesehatan, Kementerian Kesehatan Republik Indonesia.
  17. Kementerian Perencanaan Pembangunan Nasional. (2024). Rencana Pembangunan Jangka Menengah Nasional (RPJMN) 2025–2029
  18. Kurniawati, D., Hastono, S. P., Safika, I., & Wahyuningsih, W. (2025). Geographically weighted regression model of stunting determinants in Indonesia. Journal of Maternal and Child Health, 10(3), 140–152.
  19. Nirmalasari, D. (2020). Faktor-faktor yang mempengaruhi kejadian stunting pada balita. Jurnal Kesehatan Masyarakat, 15(2), 25–33.
  20. Nurhatutik, N., Sari, P., & Wulandari, A. (2022). Pengaruh penyakit infeksi terhadap penyerapan nutrisi dan risiko stunting pada anak balita. Jurnal Gizi dan Kesehatan 10(1), 45–53.

Most read articles by the same author(s)

Similar Articles

1-10 of 125

You may also start an advanced similarity search for this article.