The Relationship Between D/S Coverage and the Prevalence of Nutritional Problems Among Children Under Five: A Quadrant Analysis Approach in the Marusu Community Health Center Area

Abstract

challenge in Indonesia, despite improvements in weighing coverage (D/S). A high D/S coverage did not necessarily indicate better nutritional status without adequate intervention quality. This study aimed to analyze the relationship between D/S coverage and the prevalence of under-five nutritional problems using a quadrant analysis approach in the working area of UPTD Marusu Health Center. This was a descriptive quantitative study using secondary data from routine reports and e-PPGBM in February and August 2024, covering seven villages. The data included D/S coverage and the prevalence of stunting, wasting, and underweight, which were analyzed visually into four quadrants based on the average of each indicator. The results showed that D/S coverage increased from an average of 83,90% in February to 100% in August. However, the prevalence of stunting increased from 8,97% to 17,74%, wasting from 5,31% to 11,88%, and underweight from 0,97% to 1,12%. Several villages, such as Nisombalia, A’Bulosibatang, and Bonto Mate’ne, consistently fell into Quadrant I, indicating high coverage but also a high prevalence of nutritional problems. These findings suggested that increased D/S coverage alone did not directly lead to a reduction in nutritional issues without comprehensive and high-quality interventions.