Annual Report 2007 - 2008

Message from the Director Regional Center for Community S EAMEO-TROPMED Nutrition (RCCN) has conducted teaching, training and research since 1970, to provide the region with the manpower, equipped with knowledge and skill in nutrition. With its experience, intense development during the past decades, the vast advances of the human nutrition and related sciences, and the complexity of nutrition problems, the Center has continuously assessed its potential for further development as one of the 15 SEAMEO’s Regional Centers of excellence for the promotion of sustainable human resource development. The 2007-2008 ANNUAL REPORT presents plentiful information about the Center to meet our broader public’s diverse needs with creativity and commitment. The report marks the Center’s achievements in catering the needs at the national level, also contributing to the regional developments in terms of trainings/courses/workshops, postgraduate programs, research, consultancy and seminars carried out during the fiscal year under review. The conduct of the 5th South East Asian Nutrition Leadership Program (SEANLP) proves the long-standing commitment of the Center in empowering nutritionists and other professionals in nutrition-related fields in academic, governments, industries and non-government institutions of the South East Asian region to become effective leaders. The non-degree and degree programs that are attended by professionals beyond nutrition expertise show that the courses offered at the Center are continuously attractive and tailoring the needs of the profession working in the field of nutrition and health related field. Our research and consultancy works this year were addressed to cater the needs of various clients in some challenging areas in Indonesia such as Aceh, Southeast Sulawesi, East and West Nusa Tenggara. Of the research carried out, major articles are published in the peer-reviewed national and international journals or other forms, including those done by our doctorate program participants. This is evident to show the Center’s strong passion to encourage publications through its programmatic and educational activities. The Center’s involvement in the forum of nutrition and health at national level (FKGK – Forum Komunikasi Gizi dan Kesehatan in Indonesian language) as the leading institution has impacted an excellent flow of sharing information on nutrition and health issues and beyond. With such a good partnership, it is the challenge of the forum to sustain and for the other members to take more leading roles. At regional level, the Center’s partnership and linkages form networks through Industry Council for Development (ICD)-SEAMEO Cooperative Program and SEANLP alumni. Of the achievements we had done this year, there remains a critical challenge i.e. institutional strengthening. Historically, SEAMEO Charter was ratified by Government of Indonesia in the form of Act Number 11 of 1968. This Act has already reached 40

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years. Whilst people say “Life begins at 40”, it is high time to determine the implementation of the Act to clarify the operation of the Center between national center or regional center. In one way or another, this shall be made clear if we still consider that SEAMEO center specialized in nutrition is expected to exist in the region in the years ahead. With the currently existing challenge, the Center has taken responsible actions to reorient its existing programs and activities through restructuring the organization of the Center towards in compliance to that recommended by SEAMEO Charter. Furthermore a closer working relationship and facilitated with the existing links/networks from the Directorate General of Higher Education at the Ministry of National Education of the Republic of Indonesia, the Center is aiming at working at its full capacity towards the mandate for building and strengthening the human resources in field of nutrition/health in this region. Certainly, as one of the leading nutrition centers in the South East Asian region, the SEAMEO-TROPMED RCCN is the right choice and trusted partner for those who have future vision either in training, research and consultancy in the nutrition field. I invite you to explore this report, to discover about SEAMEO-TROPMED RCCN and what the Center can offer.

Jakarta, July 2008

Dr. Widjaja Lukito, PhD, SpGK Acting Director

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Table of Content Message from the Director

1

SEAMEO-TROPMED RCCN Vision, Mission, and Objectives

4

Part 1.

Background

5

Part 2.

KRA-1

Enhanced Program Quality and Relevance A. Training/courses/workshop/symposia B. Postgraduate Training programs C. Research D. Consultancy E. Seminars F. Publications G. Seminars attended and papers presented H. Facilities

6 6 10 12 16 18 21 23 23

KRA-2

Enhanced Quality and Efficiency of Management

24

KRA-3

Ensured Financial Viability

27

KRA-4

Increased Access to Market

28

KRA-5

Increased and Strengthened Linkages with National, Regional, and International Institutions

29

Part 3.

Opportunities and Challenges

32

Acknowledgement SEAMEO-TROPMED Governing Board Members SEAMEO-TROPMED RCCN staff

34 35 36

Appendices 1. Regional / International Training Courses conducted during FY 2007 2008 2. Research conducted by staff during FY 2007 – 2008 3. Research conducted by students during FY 2007 – 2008 4. Various consultancy works under FY 2007 – 2008 5. List of publications under FY 2007 – 2008 6. Events attended by faculty members during FY 2007 – 2008 7. Events attended by supporting staff during FY 2007 – 2008

39 42 44 45 46 48 50

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SEAMEO-TROPMED RCCN Vision, Mission, and Objectives

Vision To be a dynamic, self-reliant, strategic policy-driven and internationally recognized regional organization for strengthening regional understanding and cooperation in education, sciences and culture for a better quality of life

M is s io n To carry out teaching, research and consultancy services in community nutrition at an international level quality to contribute to its vision

Objectives 1. To train professionals throughout the region in planning, executing and evaluating nutrition policies and intervention. 2. To promote research/investigation in nutritional problems and possible interventions directed towards the improvement of the nutritional situation at the district to the regional level. 3. To link with and assist other nutritional training and research institutions within the region, 4. To provide expertise for formulating recommendations concerning food and nutritional policies. 5. To stimulate and promote scientific cooperation within member countries and with other international institutions.

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BACKGROUND

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he South East Asian Ministers of Education Organization (SEAMEO) was established in 1965 in order to meet the needs of the Ministers, to share ideas, successes, and policies and to promote professionals, academic and cultural exchanges among countries in the region. The Organization has been working with national institutions in several countries to designate and develop a number of regional training facilities in a variety of subject areas. Under the coordination of SEAMEO Tropical Medicine and Public Health (TROPMED) Network office based in Bangkok, Thailand, there are four SEAMEO-TROPMED Centers namely: 1. Regional Centre for Community Nutrition, Indonesia 2. Regional Centre for Microbiology, Parasitology & Entomology, Malaysia 3. Regional Centre for Public Health, Hospital Administration, and Environmental & Occupational Health, Philippines 4. Regional Centre for Tropical Medicine, Thailand

SEAMEO-TROPMED Regional Center for Community Nutrition (RCCN) is a unit under the jurisdiction of the Indonesian Government’s Ministry of National Education and specializes in Community Nutrition and hosted by the University of Indonesia (UI) one of the most prominent Indonesian universities. The premise of the SEAMEOTROPMED RCCN is located in the Salemba campus of the University of Indonesia in Central Jakarta. The Center has provided training and research in nutrition since 1970 and has been attended by nutritionists, health professionals and personnel from other nutrition-related disciplines from Asia, Europe and Africa. It now offers broad multidisciplinary capabilities in applied human nutrition for advanced training, research, and consultancy services. This Annual Report presents the Center’s achievements during the fiscal year (FY) of July 2007 – June 2008 under the five Key Result Areas (KRAs) as follows: 1. Enhanced Program Quality and Relevance 2. Enhanced Quality and Efficiency of Management 3. Ensured Financial Viability 4. Increased Access to Market 5. Increased and Strengthened Linkages with National, Regional, and International Institutions

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KEY RESULT AREA 1: Enhanced Program Quality and Relevance

A. TRAININGS/COURSES/WORKSHOPS

S

EAMEO-TROPMED RCCN conducted courses in the form of Regional Training, Block/Regular courses (integrated with MSc in Community Nutrition Training Program), and in-house training. 1. Regional Training Program Since 2002, the SEAMEO-TROPMED RCCN has been taking initiative and contributing to empowering nutritionists and other professionals in nutrition-related fields in academic, governments, industries and non-government institutions to become effective leaders by conducting the South East Asian Nutrition Leadership Program (SEA-NLP). Specifically, the SEA-NLP is aimed to:
provide participants with competencies of leadership including team building and communication skills in nutrition
enable participants to act as catalyst / advocate on the importance of nutrition
give participants with a greater understanding on the role of nutrition in development
provide forum of networking for future collaboration

During Fiscal Year 2007 – 2008, the fifth SEA-NLP was carried out during in Borobudur Hotel, Jakarta, on August 27 – 31, 2007. The program was attended by 24 participants not only coming from the South East Asian region but also other continents. They came from Brunei Darussalam (1), Cambodia (1), Indonesia (6), Lao PDR (1), Malaysia (3), Myanmar (3), Philippines (3), Thailand (2), Vietnam (3), and Iran (1), whereas the facilitators came from Indonesia (8), Malaysia (1), New Zealand/ENLP (1), and 1 Iranian as an observer. The program has built not only the foundational understanding and challenges in the context of nutrition leaders but also bonding and sense of belonging among the participants. The training was successfully conducted through the support from Government of Indonesia, Nestle Foundation and Sight and Life. The next challenge for the SEA-NLP is to stimulate network and cooperation among SEA-NLP alumni in research, program implementation and policy formulation aimed at enhancing human nutrition in South East Asian region, and possibly beyond.

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The SEA-NLP may be used as a model for capacity building in different country or region. Iran has committed to set a plan to conduct similar program for capacity building of their nutritionists and food technologists. In the future, the venue of the SEA-NLP may also be rolled out in different countries as enough numbers of alumni in each country has been available. In this respect, a larger commitment from all stakeholders is needed.

Figure,,,, Activities during 5th SEA NLP. Left: “Structured debate” prior to the exercise. Right: Teambuilding session

Figure,,,, Participants of 5th SEA NLP with the Director of SEAMEO RCCN and the committee

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2. Regular Courses Seventeen courses during Fiscal Year 2007 – 2008 under MSc training program consisted of: 1. Basic Nutrition & Requirements, Recommendation of Nutrients 2. Biostatistics 1 3. Nutritional Status Assessment 4. Nutritional Epidemiology Surveillance 5. Biostatistics 2 6. Health and Nutrition Project/Program Planning & Management 7. Management Issues for Health and Nutrition Project/Program Implementation 8. Public Health and Community Nutrition Systems Course 9. Introduction To Nutritional Anthropology 10. Food Economics and Food Security 11. Food Safety 12. Health Promotion in Nutrition Programs 13. Food & Micronutrient Interventions 14. Nutrition, Aging and Chronic Diseases 15. Field Study 16. Micronutrient in Food Industry 17. Research Methodology which were implemented in a block system. The courses have been mainly attended by 7 MSc students, 3 PhD students and about 44 short course participants from mainly Indonesia, other Southeast Asian countries, Europe, and Africa. The Master of Science in Community Nutrition training program conducted in block system; therefore it is well suited for short course participants such as participants from international organization (NGO, UN agencies), food industries, government agencies and other academic institutions. These activities were successfully conducted through the support from Government of Indonesia, funding agencies as well as by self-paying participants. The regular courses conducted during the fiscal year under review are attached in (Appendix 1).

Figure,,,, field visit in during Food Safety course (right), Health Promotion in Nutrition Program exercise (middle) and interview with respondent during Field Study (left)

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Short Course on Research Methodology Within the regular master training course, the SEAMEO-TROPMED RCCN held a short course on Research Methodology on July 9 – 13, 2007. The course covered basic concepts in research methodology by using quantitative and qualitative approach and skill development in writing a research proposal. Hence, by the end of the course, the participants were expected to be able to explain and implement the successive steps of research through philosophical objective, logical and systematic approaches. The course attracted 19 participants from 12 different countries from Asia and Africa continents which consisted of 3 MSc students and 16 short course participants. During the course, the participants were requested to develop research proposal on topics of their choice and formally presented it in the class as the group work output. A wide range of nutritional topics and study designs were chosen and discussed during the exercise of developing a good research proposal as shown below:  association of iron status and acute phase protein in pregnant women with and without hookworm infestation  zinc status among children aged 12-59 months in low socio-economic flooding and non-flooding urban area  the effect of calcium and vitamin D supplementation on bone mineral density among free living elderly women in a poor urban area  exclusive breastfeeding and its determinants factors among working mothers in an urban area The variety in level of experience in research, educational background, and field of work enhanced the interaction and quality of the group work. The participants generally appreciated both the content and the delivery of topics and most are looking forward to having such an advanced research methodology course with a more focused discussion on data analysis and interpretation

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3. In-house training The so called in-house training on specific topics related to community nutrition suited to the need of the inviting institutions has been provided by SEAMEO-TROPMED RCCN as part of providing service to clients. Two courses/trainings have been conducted based on the request from the international NGOs, government institutions and food industries namely Food and Nutrition Security and Dietary Assessment: Data Collection and Quality Control. The Food and Nutrition Security course was conducted to provide Plan International staff about the philosophy and practices in assessing food and nutrition security condition in certain population. The training was attended by nine Plan International staff. Meanwhile, Dietary Assessment: Data Collection and Quality Control training was conducted in Mataram University, West Nusa Tenggara to provide concepts and practices in delivering dietary assessment in population level. The training was attended by 14 Mataram University staff. Both courses were successfully conducted through the support from International Non-Government Organization (NGO) and University (Appendix 1).

B. POSTGRADUATE TRAINING PROGRAMS

S

EAMEO-TROPMED RCCN supported two degree programs awarded by the University of Indonesia to fulfill its mission to carry out teaching, research and consultancy services in community nutrition at an international level quality. The following two programs are within the Faculty of Medicine, University of Indonesia:  Master of Science in Community Nutrition  Doctorate in Nutrition Program

In year 2007, the Master degree training under the Study Program in Nutrition, Faculty of Medicine, University of Indonesia was accredited “B” by Badan Akreditasi Nasional (National Accreditation Bureau). The Master of Science in Community Nutrition training program starts annually in August. The courses conducted in two semesters. After the second semester, the curriculum concentrates on research and thesis writing. During the fiscal year under review, there were 7 students under completion of their study in the academic year 2007 – 2008 of the Master of Science in Community Nutrition training program. The MSc training program was currently attended by student from various backgrounds consisted of nutritionist, public health specialist, medical doctor, dentist and food technologist. Four master students passed their final examination held on June 19-20, 2008. Prior to their return to their institutions, they are encouraged to submit their research manuscript to designated peer-reviewed international journals.

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Annual Report 2007 - 2008 The Doctorate Program consists of 6 – 9 semesters. During 2007 – 2008, this program is attended by:  a psychologist with a topic on school-based nutrition education program to improve home-food environment, self-regulation on food choice and nutrient intake, among school-aged children in Jakarta  a medical doctor from faculty of medicine of a private university in Jakarta with a topic on multi-micronutrient supplementation among elderly  a community nutritionist with a topic on father’s roles in optimizing breastfeeding practices Currently two doctorate program participants are under completion of their study and one participant graduated in January 2008. Doctorate program participants are encouraged to publish at least one scientific article in national or international peer-reviewed journal prior to their doctorate pre-promotion examination. They are also encouraged to present their preliminary findings to the scientific community in the forms of oral and/or poster presentation. The following are some publications related to the doctorate research/study done by the current doctorate participants (names printed in bold): 1. Judhiastuty Februhartanty, Saptawati Bardosono, and Andi Mariyasari Septiari. Support for exclusive breastfeeding practice: Do fathers in Jakarta provide this support? Majalah Kesehatan Perkotaan 2007; 14 (1): 25-33. 2. Judhiastuty Februhartanty, Siti Muslimatun, and Andi Mariyasari Septiari. Fathers help to improve breastfeeding practices: Can Indonesian fathers provide the same help? UNIVERSA MEDICINA 2007; 26 (2): 90-100. 3. Judhiastuty Februhartanty, Siti Muslimatun, Budi Utomo, Rulina Suradi, and Andi Mariyasari Septiari. Male involvements in exclusive breastfeeding practice. Poster presented at the Malaysia, Indonesia, and Brunei Darussalam Medical Science Conference in Bandar Seri Begawan on 28-29 July 2007. 4. Judhiastuty Februhartanty. Strategic roles of fathers in optimizing breastfeeding practices: A study in an urban setting of Jakarta. Summary of Dissertation. Jakarta: Study Program of Nutrition, Faculty of Medicine, University of Indonesia, 2008. Published at http://www.gizi.net/makalah/download/Summary-Eng-Indo-Yudhi.pdf 5. Rina Kusumaratna. Knee height as a predictor for stature in the elderly. UNIVERSA MEDICINA 2007; 25 (1). This paper also received award as the runner up of the best scientific publication during the anniversary of Trisakti University. 6. Rina Kusumaratna. Differences in nutrient intakes and zinc status among male and female elderly in the community. Poster presented at the Malaysia, Indonesia, and Brunei Darussalam Medical Science Conference in Bandar Seri Begawan on 28-29 July 2007. 7. Risatianti Kolopoking. Mengatasi Anak Sulit Makan (how to handle picky eating behavior among children). Jakarta: PT. Gramedia, 2007. In addition to “Buku Panduan Program Doktor” which is published by Faculty of Medicine University of Indonesia, in order to track the academic progress of doctorate participants, Doctorate Unit at the SEAMEO-TROPMED RCCN has published Student

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Handbook for Doctorate Participant since 2004 and has been continuously revised (last version in 2006). A seminar of writing scientific papers was carried out on June 15, 2007 with Anita V. Shankar, PhD (from Department of International Health, Johns Hopkins University) as the resource person. This is the 2nd time of the scientific writing class held under the initiative of the Doctorate Unit. Included in the session were how to write each section in a scientific paper and paraphrasing exercise. Participants were two PhD students, two MSc students, and six RCCN faculty members. It is expected that these sessions not only help participants to publish their research to fulfill the requirement for doctorate pre-promotion but also to encourage graduates to continuously make their contribution to scientific forum. C. RESEARCH

T

he research division of SEAMEO-TROPMED RCCN is directed to supporting malnutrition problem solving in community, providing facilities to undertake research and actively seeking research grants from different funding agencies. The Center’s main research thrust includes the following research lines: 1. Micronutrients 2. Food safety 3. Nutrition and poverty 4. Nutrition and diseases 5. Cross-cutting issues such as:  Indicators for monitoring and evaluating the nutritional situation of communities or populations  Food intake methodologies  Body composition and functional nutritional indicators  Psycho-social-cultural factors related to nutrition and health  Nutrition and health communication and promotion  Other emerging topics

Under the above research lines, the Center has the commitment to undertake two types of research into the so-called programmatic research and educational research. The funding mechanism of both types of research may be either offered by the clients or proposed to the funding agencies. During this fiscal year, the Center has accomplished three topics of programmatic research done by the staff and one topic of educational research done by field research student from Wageningen University, the Netherlands, one by a PhD student, four by master students. Four other topics of programmatic research and one educational research under doctorate study project are ongoing. The list of the research topics under this fiscal year is presented in Appendix 2 and Appendix 3.

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Synopsis of students’ research Association among nutritional status, salivary IgA response to S.mutans and primary dentition caries in Indonesian preschool children of Ciputat subdistrict

Association between Iron Status, Helminthes Infestation and Inflammation Status among 12-20 Weeks Pregnant Women in Karanganyar and Demak Districts, Central Java Province

Program: Master Study subjects: kindergarten school children (n=313) Study sites: Ciputat subdistrict, Banten Design of study: cross-sectional Main findings: Nutritional status was positively associated with salivary immunoglobulin A response to S.mutans and even after adjusted for potential confounders. Children with mild and moderate underweight and stunting had significantly lower concentration of S.mutans antibody in saliva and significantly higher risk of caries. Nutritional status influences salivary immunoglobulin A response to S.mutans. Further research is needed to explore other factors that may influence salivary immunoglobulin A response to S.mutans and to recommend cut-off value for categorization of S.mutans antibody activity in saliva.

Program: Master Study subjects: pregnant women (n=255) Study sites: Karanganyar and Demak district, Central Java Design of study: cross-sectional Main findings: In area with relatively good iron status, low prevalence of inflammation and light intensity of helminthes infestation, iron status was still more associated with helminthes infestation, albeit weak. Hence, parasitic control needs to be in place. Furthermore, iron intake (both from food and supplementation) is needed to maintain iron status throughout pregnancy period.

Health Workers Knowledge and Practice Towards Food Safety in Malang, East Java

Environmental factors among working and non working mothers in relation to exclusive breastfeeding practice in Depok, West Java Province

Program: Master Study subjects: health workers (n=128) Study sites: Malang, East Java Design of study: cross-sectional Main findings: Health workers in Malang have satisfactory food safety knowledge and practices. Half of health workers attended food safety training, but two third of them, are still lack of knowledge on some critical issues such as food storage temperature. Beside health workers attributes and exposure to food safety information, their perceptions on food safety influence their practice on food safety education. Attending food safety training may contribute to health workers food safety knowledge and practice.

Program: Master Study subjects: working (n=168) and non working (n=253) mothers having infants below 6 months Study sites: Depok, West Java Design of study: cross-sectional Main findings: A higher percentage of non working mothers were exclusively breastfeeding compared to the working mothers. Generally, working mothers were mostly a primiparous, have higher level of education and better economic level than non working mothers. Non working mothers have better attitude to breastfeeding practice, have more access to rooming-in facilities, and have more supportive family and neighbors toward exclusive breastfeeding. Logistic regression analysis showed that having younger infant, being a non working mother, and favoring breastfeeding practice were significantly associated with exclusive breastfeeding practice. Working and non working mothers were exposed to different characteristics of environments. The home and community environment was indirectly associated with exclusive breastfeeding practice, through the attitude of mother toward breastfeeding practice. Therefore, promotion of exclusive breastfeeding in studied area should be strengthened and delivered to broader targets to provide mothers with necessary support.

Calcium, iron and zinc intake in relation to morbidity and nutritional status of children in Jakarta: Development, validation and reproducibility of iron and zinc food frequency questionnaire Program: Field research Study subjects: children aged 1-6 years (n=300) Study sites: flooding and non-flooding low socio-economic urban areas of East Jakarta Design of study: cross-sectional Main findings (specific to “development, validation and reproducibility of iron-zinc FFQ”): Semi quantitative FFQ (sFFQ) is considered to have acceptable ability to rank subjects (i.e. cross-classification satisfied the requirement for sFFQ) and hence the present sFFQ can be used to rank subjects into high-low-medium intakes; and further association between intake and growth/morbidity must be limited to the rankings of intake (e.g. quintile)

Strategic roles of fathers in optimizing breastfeeding practices: a study in an urban setting of Jakarta Program: Doctorate Study subjects: fathers and mothers having infants below 6 months Study sites: South Jakarta Design of study: cross-sectional combining qualitative (n = 6 FGDs of mixed gender and n = 11 coupled informants interviewed together) and quantitative (n = 536 couples) methods Main findings: The types of fathers’ roles consisted of their role in seeking information about breastfeeding and infant feeding (role 1), their participation in decision making of current feeding mode (role 2), in selection of place for ANC, delivery, and PNC (role 3), degree of involvement during ANC visits (role 4), having positive attitude towards their marriage (role 5), and involvement in a number of child care activities (role 6). Type of role 3 was the most common, whilst role 2 was the least practiced. However, role 1 was most influential to timely breastfeeding initiation. Roles 2 and 5 were associated with exclusive breastfeeding. Unfortunately, role 4 was unfavorable to breastfeeding practices. Different types of father’s roles were associated with different factors. Generally, being primiparous, exposures to mass media and interpersonal communication, good level of knowledge on breastfeeding related matters, and higher income level were related to father’s roles. However, living as nuclear family forbids fathers to perform their roles sufficiently. The study concludes that fathers may support breastfeeding practices when they have good knowledge on breastfeeding related matters, have good relationship with the mother, and involve in the breastfeeding tryads.

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In most of the programmatic research consultations commissioned by clients, the Center provides services in terms of designing the study (methodology), developing the research tools based on needed indicators, training the enumerators, conducting the survey/data collection, analyzing the data, and presenting the findings/results, as well as producing a report and facilitating a results dissemination workshop.

Follow-up survey on WFP nutrition rehabilitation program (NRP) in Nanggroe Aceh Darussalam (NAD) province The general objective of the survey is to assess change in the magnitude of micronutrient deficiency among children 12 – 59 months, primary school children, and pregnant and lactating women in NAD province. Also, the survey is directed to assess the knowledge, attitude and practice on key nutrition matters as well as teachers’ perception on school feeding program. The study reveals that the prevalence of anaemia and vitamin A deficiency as well as worm infestation were significantly lower than baseline study. The WFP – NRP and WFP biscuits received high acceptance from the beneficiaries and has contributed to the improvement of knowledge and practice on health and nutrition, such as on personal hygiene, hand washing, defecation at toilet, nutritious foods, breakfast habit, etc. For the WFP – NRP at Posyandu, the prevalence of anaemia among preschool children and pregnant and lactating women indicating a severe public health problem (>40%). The prevalence of iron and vitamin A deficiencies among pregnant and lactating women is at moderate public health problem. The WFP – NRP at Posyandu has brought about positive practice of mothers towards the routine Posyandu program (attendance, ANC and PNC services, iron supplementation coverage, etc) as well as improving knowledge on health and nutrition. Health conditions of all groups, especially among preschool children, were poor with high prevalence rates of ARI and fever. Immunization rate remains very low, particularly among infants (0-6 months). Access to safe water and basic sanitation in general needs to be improved. Health and nutrition education was held more frequently in schools than in Posyandu, and at Posyandu mainly for pregnant and lactating women than mothers of preschool children.

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A Baseline study of health and nutrition services and community knowledge, attitudes and practices related to health and nutrition in Kolaka district, Southeast Sulawesi The general objective of this baseline survey is to collect data and information concerning health and nutrition programs and their implementations to community in Kolaka District, Southeast Sulawesi. The study concludes that the proportion of stunted, underweight and wasted was 34.3%, 27.1% and 11.2% respectively. Anemia cases were found in 61.7% of the children. Eleven percent of mothers were underweight and approximately one third of mothers were anemic. Underweight of pregnant women were also high. Prevalence of respiratory infection, fever and diarrhea among children was high. Utilization of Posyandu was low with only 60% of the mothers took the children to Posyandu regularly. Only 50% of mothers ever received health and nutrition extension from health service providers. Knowledge and practice of mothers with regard to health and nutrition was inadequate.

Baseline survey of prevalence of anemia and worm infection among school children in Belu district, East Tenggara Timor (NTT) and knowledge-attitude-practice (KAP) survey among school children in Belu district (NTT) and East Lombok district, West Nusa Tenggara (NTB) The overall objective of the survey is to assess the KAP of school children and teachers toward health, nutrition, hygiene and sanitation in Belu and East Lombok districts as well as to assess the prevalence of anemia and worm infestation. The survey found that hand washing stations and latrines facilities were available in the schools but insufficient in number and quality. Students in both districts still faced difficulties to access latrines at home and in schools. Soap was not prioritized for hand washing. Overall students from East Lombok practiced better personal hygiene than their counterparts from Belu. Time and method of hand washing among teachers need to be improved in both districts. More schools in Belu were facing problem with regard to clean water accessibility due to dry season.

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D. CONSULTANCY

S

EAMEO-TROPMED RCCN is acknowledged as the reputable organization in nutrition/health training and research in the region. The capacity building efforts have been addressed towards the strengthening of human resources in the field of nutrition and health both from the biomedical point of view and the psycho-socialcultural aspects. Therefore, various consultancy services have undertaken by research staffs. The list of various consultancy works under this fiscal year is presented in Appendix 4. During this fiscal year, the Center has been commissioned to assist some UN agencies, prominent international NGOs, regional health offices as well as a teaching hospital in Jakarta for serving various consultancy works in terms of assisting in: o the establishment of appropriate research design o the development of research proposal and instruments o the assessment of anthropometric measurement to various subjects o the development of training modules o the monitoring of training effectiveness on counseling skills o the evaluation of nutrition related project/program o the facilitation process during stakeholder workshop for follow-up action plan The services provided are mainly laid in the context of the following nutrition and health topics/issues, such as: o vitamin A supplementation program o breastfeeding counseling training o effect of probiotic supplementation on gastrointestinal health and immune system o effect of high calcium-fortified milk drink on biochemical markers of bone turnover o personal hygiene and environmental sanitation

Development of Training Modules of Vitamin A Supplementation Program in Indonesia Preceded with a survey of vitamin A coverage in 3 selected low-high performance areas of Indonesia, the SEAMEO-TROPMED RCCN has contributed to the development of refreshment training module of vitamin A supplementation program for health workers in Indonesia which was a result of collaboration among Directorate of Community Nutrition Department of Health RI, Micronutrient Initiative and UNICEF. The module consist of information related with vitamin A and its consequences of deficiency, vitamin A supplementation program, social marketing of vitamin A supplementation, issues related to distribution of vitamin A capsules, and most importantly on recording and reporting issues. The module will be used nationally to support in the improvement of vitamin A capsule program in Indonesia.

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BERSIH Project Quick Survey Focusing on Anthropometric and Diarrhea Assessment Commissioned by CARE International Indonesia, a rapid assessment on nutritional outcome and its cause related to health status and hygiene practices was carried out in Tangerang municipality and district comparing between the intervention and nonintervention project sites. The assessment reveals that the areas faced public health nutritional problems in terms of medium risk of wasting and stunting, also high risk of underweight. The prevalence of diarrhea among both areas was about 20%. The consultancy was wrapped up with some recommendations among others by intensifying health and nutrition extension to improve proper infant feeding practices, developing community feeding center attached to Posyandu to prevent deterioration of undernourished children, and most importantly raising awareness of the community on proper household and environment sanitation as well as personal hygiene through a life skill-based education approach.

Desk Assessment Review on Food Security in East Nusa Tenggara Province A consultancy service provided for Oxfam Great Britain dealt with data gathering, compilation and analysis of all existing information related to food security in East Nusa Tenggara province, including from a gender mainstreaming perspective The review reveals that distribution of food, physically and economically, is not equal and it affects food accessibility. This is due to low income, high price of food items, and area isolation. Response from government albeit of goodwill and concept, is facing significant constraints with respect to ineffective management, poor practices, and low commitment in terms of budget allocation. At community level, coping strategies are changing and moving towards exploitative mechanisms. Prolonged and recurrent crisis reduce their ability to cope in decent and sustainable ways. Food insecurity and nutrition problems in this province are very much related with the prevailing poverty. However, programs for poverty alleviation shall not be limited to income generating activities programs only. It shall be complemented with provision of basic facilities, such as basic sanitation and clean water facilities, health facilities, basic education facilities, electricity, and transportation.

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Monitoring and Evaluation of Breastfeeding Counseling: The 40-hour Training Course for Health Workers in Aceh Jaya and Aceh Barat districts, NAD provice Since 2006 a series of the WHO/UNICEF 40-hour breastfeeding counseling trainings were participated by midwives and nurses in Aceh Jaya and Aceh Barat district with results as follows: • Aceh Jaya: 8 training facilitators and 50 breastfeeding counselors • Aceh Barat: 6 training facilitators and 175 breastfeeding counselors • RS Cut Nyak Dhien: 6 breastfeeding counselors Commissioned by UNICEF West Coast NAD, the objective of the monitoring and evaluation activities are to find out the impact of training of trainers (TOT) and training of breastfeeding counselors on their knowledge, practices and skills to implement counseling to mothers. The consultancy concludes that post training, the knowledge of the local facilitators and counselors were rated good. Counseling practices of the counselors were good enough, process of counseling to mothers were smooth and friendly using the local language). Mothers were communicative and had some questions to the counselors, although some mothers still need further motivation. Some counselors still used judgmental words and did not address sufficient appreciations to the mothers. Interestingly, though mothers’ knowledge on general information about exclusive breastfeeding was good, their practice is still low. This is due to cultural influences from the elderly parents on early introduction of complementary food.

E. SEMINARS

D

uring the fiscal year under review, eight research seminars conducted as part of a requirement for the students’ accomplishment in the postgraduate training have been undertaken and comprised of four seminars for master students, three seminars for doctorate participants, and one seminar for field research students.

In addition, SEAMEO-TROPMED RCCN regularly organizes Forum Komunikasi Gizi dan Kesehatan (FKGK – a nutrition and health forum at national level) with main activities to coordinate and carry out regular seminars and discussions attended by participants from government agencies, NGOs and international NGOs, academic institutions, industries, and also media. During the fiscal year under review, two FKGK events were conducted on November 19, 2007 and March 31, 2008. At a glance, the objective of the seminars is to disseminate detailed information on Keluarga Sadar Gizi (KADARZI – family with nutrition and health awareness) program and to promote the utilization of new growth chart for improving child’s nutrition and health in Indonesia to FKGK members and other stakeholders.

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Seminar on Nutritional Surveillance and Growth Monitoring – FKGK event A series of activities to address challenges in communicating nutrition and health issues to various target groups has been initiated within the loop of Forum Komunikasi Gizi dan Kesehatan (FKGK) members. The forum’s unique characteristics include the involvement of health communication specialists and people working for the media/press in the group. For the time being, the forum’s main activities are targeted to increase opportunities to share information about nutrition and health related issues among the members. In response to this, a seminar on nutritional surveillance and growth monitoring was undertaken on March 31, 2008 following up the previous seminar on government’s policy on KADARZI (family with nutrition awareness). The seminar was organized by Nutrition Program POLTEKKES Jakarta and funded by the Government of Indonesia through FKGK. Participants attending the seminar include 37 from government, 21 from non-government institutions, 2 from industries, and one from prominent national newspaper. The seminar invited three speakers to link up the discussed issues from the point of view of government, non-government and academic institutions. Dr. Minarto representing Sub-directorate of Macro Nutrient Department of Health RI talked about the new growth monitoring chart, Mr. Ma’ad from Mercy Corps Jakarta shared NGO experiences in community participation in their program called SENYUM, and Judhiastuty Februhartanty from SEAMEO-TROPMED RCCN reported the experience of identifying potential target audience – ie. the fathers of the infants - for breastfeeding promotion. The seminar concludes that growth monitoring through regular measurement of child’s body weight is one of the efforts to achieve the KADARZI (family with nutrition and health awareness) Program as one of national indicators for Healthy Indonesia 2010. Various approaches have been taken by different stakeholders to accomplish the program. One research indicated that fathers have a crucial role on the well being of the children. Father who involved in the infant feeding decision making influences the exclusive breastfeeding practice which in turn will enhance the nutritional status of the children. Based on exclusively breastfed reference population, Government of Indonesia is in the process of implementing the use of new growth chart in order to improve its function as educative and preventive tools toward malnutrition. Furthermore, community participation and involvement in the program for alleviating malnutrition has been experienced to be effective to improve nutrition, health and sanitation practices of the community.

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Other meetings organized by SEAMEO-TROPMED RCCN include a series of seminar on issues related intellectual property rights and patent. These seminars are intended to enrich the knowledge of the staff and other invited participants on legal aspect of intellectual property rights and patent in a research center/institution. Several half-day or one-day seminars have also been carried out within the regular courses of MSc in Community Nutrition training program. The seminars conducted during this fiscal year consisted of:
“Health and Nutrition Economics” (attached in Food Economics and Food Security course)
“Food Safety Management” (attached in Food Safety course)
“Health Promotion and New Approach in Public Health” (attached in Health Promotion in Nutrition Programs course) Besides the MSc students and short course participants, other invited participants from government agencies, local and international NGOs, and other academic institutions have been participating in the seminars.

Figure,,, Participants and course coordinators of course on Health Promotion for Nutrition Program on 19 February – 5 March 2007 with Associate Professor Bernie Marshall from School of Health and Social Development, Deakin University, Australia.

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Seminar on Patent and Management of Intellectual Property Rights Responding to the participants’ enthusiasm on the previous seminar about intellectual property rights, SEAMEO-TROPMED RCCN held a continuation seminar focusing on “Patent and Management of Intellectual Property Rights in Academic and Research Institutions” on 7 April 2008. This free-of-charge seminar was attended by 35 participants mainly individuals and institutions within the Center’s network which consist of those from government agencies, local and international NGOs, academic and research institutes. The seminar invited two prominent resource persons in this field: Prof. Dr. Agus Sardjono from Faculty of Law University of Indonesia and Tantono Subagyo PhD from Technology Services Consulting. The seminar discussed basic concepts and understanding on patent and intellectual property rights, subject matters of protection, the procedures of patent application, existing laws and regulations on patent, partnerships between academia and industry in the Intellectual Creation cycle, managing contract between inventor and patent holder. The topics of discussion received outstanding responses in terms of more cases/questions/clarifications posed by the participants during the question/answer session. In conclusion, contract between inventor and patent holder must be under prudent discussion since this document play a major role in most of disputes between both parties. Challenges for the academic/research institution are to be able to stimulate inventions with high economic values and to synergistically partner with potential industry for the inventions to be beneficial for the people

F. PUBLICATIONS

D

uring the fiscal year under review, SEAMEO-TROPMED RCCN researchers published 11 scientific papers in the international peer-reviewed journals and two course handbooks (Appendix 5). Four more course handbooks are still under development and expected to be accomplished within the end of year 2008.

During the 58th Anniversary of the University of Indonesia on 2 February 2008, ten published paper authored by SEAMEO-TROPMED RCCN faculty members and MSc/PhD graduates received awards from the university’s research center. The following are the awarded papers:

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No. 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

Publication Wijaya-Erhardt M, Untoro J, Karyadi E, Wibowo L, Gross R. Efficacy of daily and weekly multiple micronutrient food-like tablets for the correction of iodine deficiency in Indonesian males aged 6-12 mo. Am J Clin Nutr 2007; 85: 137-143. Rosalina T, Wibowo L, Kielman AA, Usfar AA. Food-poverty status and food insecurity in rural West Lombok based on mothers’ food expenditure equivalency. Food Nutr Bull 2007; 28: 135-148. Karyadi E, Dolmans WMV, West CE, Crevel RV, Nelwan RHH, Amin Z, Gross R, Van der Ven-Jongekrijg J, Van der Meer JWM. Cytokines related to nutritional status in patients with untreated pulmonary tuberculosis in Indonesia. Asia Pac J Clin Nutr 2007; 16: 218-226.(*) Februhartanty J, Usfar AA, Dianawati E, Fransisca DO, Roshita A, Fahmida U. Psychosocial care and nutritional status of children aged 6-36 months among patrilineal (Karo) and matrilineal (Minangkabau) households in Jakarta. Asia Pac J Clin Nutr 2007; 16: 293-300. Fahmida U, Rumawas JSP, Utomo B, Patmonodewo S, Schultink W. Zinc-iron, but not zinc-alone supplementation, increased linear growth of stunted infants with low haemoglobin. Asia Pac J Nutr 2007; 16: 301-309. Usfar AA, Fahmida U, Februhartanty J. Household food security measured by the US-Household food security/hunger survey module (US-FSSM) is in line with coping strategy indicators found in urban and rural Indonesia. Asia Pac J Clin Nutr 2007; 16: 368-374. Februhartanty J, Widyastuty TN, Iswarawanti DN. Attitudes of agricultural scientists in Indonesia towards genetically modified foods. Asia Pac J Clin Nutr 2007; 16: 375348. Kamso S, Rumawas JSP, Lukito W, Purwantyastuti. Determinants of blood pressure among Indonesian elderly individuals who are of normal and over-weight: a cross sectional study in an urban population. Asia Pac J Clin Nutr 2007; 16: 546-553. Agustina R, Lukito W, Firmansyah A, Suhardjo HN, Murniati D, Bindels J. The effect of early nutritional supplementation with a mixture of probiotic, prebiotic, fiber and micronutrients in infants with acute diarrhea in Indonesia. Asia Pac J Clin Nutr 2007; 16: 435-442. Bardosono S, Sastroamidjojo S, Lukito W. Determinants of child malnutrition during the 1999 economic crisis in selected poor areas of Indonesia. Asia Pac J Clin Nutr 2007; 16: 512-526.

(*) Note: By the time this annual report is published, none of the authors are SEAMEO-TROPMED RCCN faculty members.

Other forms of publication include program announcement, annual report, ICD newsletter and RCCN newsletter that are distributed regularly to the Center’s linkages and network at national, regional and international level. In addition, activities such as FKGK seminars and some research findings are published in some national mass media (e.g. newspaper, magazine, radio).

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G. SEMINARS ATTENDED AND PAPERS PRESENTED

D

uring this fiscal year, the faculty members of SEAMEOTROPMED RCCN have attended 37 seminars, workshops, conferences and symposia. The involvement of the faculty members include as speakers in five events, as poster presenter in two events, as facilitators in four events and as participants in 26 events (Appendix 6) The events attended consisted of scientific events and institution managerial meetings (e.g. SEAMEO events). The scientific paper presentations by SEAMEO-TROPMED RCCN faculty members were intended to disseminate the research findings as well as advocacy projected for policy development. Furthermore, SEAMEO-TROPMED RCCN supporting staff also attended several events related with personal development, institutional capacity building, marketing, financial matters (Appendix 7).

H. FACILITIES

D

uring the past ten years, the Center has made significant improvement in library services, computer and internet facilities, as well as laboratory services following the development of the Center’s programs and activities. Through the support from the government of Indonesia, the Center’s library keeps on updating the books and journal collections. The library has been serving a vast range of individuals and organizations, within Jakarta and beyond. The laboratory continues to provide services on biochemical assessments such as for analysis of hemoglobin, serum ferritin, serum transferrin receptor, serum zinc, serum CRP, serum vitamin C, serum retinol, serum β-carotene and α-tocopherol. Other services on anthropometric and dietary assessment/analysis are also sought-after. Laboratory institution, NGOs, and academic/research institution have been the most frequent clients requesting the services mostly for research purpose. In addition, as part of Healthy Office Program for the staff, the students, and the guests/visiting lecturers, an ongoing effort has been initiated during this fiscal year and beyond towards the implementation of physical exercise on a regular basis, establishment of non-smoking areas, and reorientation of existing facilities for lactation room.

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Key Result Area 2 Enhanced Quality and Efficiency of Management

T

he commitment of enhancing the quality and efficiency of management is directed through regular SEAMEO-TROPMED Network Governing Board Meeting (GBM), Center Director Meeting (CDM), High Officials Meeting (HOM), and SEAMEO Council Conference for guidance and policy direction. In addition, In-house Consultative Meeting of SEAMEO-TROPMED Network is also carried out among the four SEAMEO-TROPMED Centers and the Network office for translating the policy into actionable implementation activities.

Figue,,,Above: The heads of delegations of the SEAMEO Member and Associate Member Countries. Left: SEAMEO Secretariat Director Dato’ Dr Ahamad bin Sipon, Education Minister Bambang Sudibyo of Indonesia, UNESCO Director General Koichiro Matsuura and Tan Sri Dr Zulkurnain Hj bin Awang, Secretary General of the Ministry of Education, Malaysia, beat the ceremonial drum to officially open the 43rd SEAMEO Council Conference.

24 SEAMEO-TROPMED Regional Center for Community Nutrition

Annual Report 2007 - 2008 Following direction from the agreed policies and commitments of the 46th SEAMEOTROPMED GBM in Lao last year, the Center resumes to keeping up good quality and efficient management of its day-to-day activities.

Figure,,, The 46th SEAMEO-TROPMED GBM in Luang Prabang, Lao PDR, 10-15 September 2007

Communication for better implementation of the programs and activities at the Center is facilitated through regular Advisory Team meeting, Faculty member meeting, as well as Supporting Staff meeting. A series of internal workshops among all core staff has been conducted to formulate the next 5-year development plan. In addition, for enhancing togetherness and strengthening beyond-work relationship among all staff, during this fiscal year the Center held a family gathering event in Bali on 23-26 November 2007 participated by a total of 76 adults, 21 children, and nine infants.

Figure,,, SEAMEO TROPMED RCCN’s staff during Family Gathering 2007 in Bali, 23-26 November 2007

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Organizational structure and human resources Since January 2001, the Center is led by a Director with 3 Deputy Directors (for Education, for Research and for Program Development & Consultancy). The Rector of the University of Indonesia, the host institution of the Center, is one of the members of the SEAMEO-TROPMED Network’s Governing Board. Currently there are 19 faculty member, consisting of 2 retired-professors, 6 Doctorate Degree holders, 3 Doctorate candidates and 8 Master Degree holders. Expertise of the staff covers major community nutrition topics such as micronutrients, food security, food safety, child growth-development and child care, nutrition of adolescents and women in reproductive age. In addition to the Center’s core staff, most of the educational programs in the Center are also facilitated by external consultants and guest lecturers from Indonesia and other countries from both academic and non-academic institutions. To assist the conduct of program activities, there are 30 supporting staffs who manage administration, personnel affairs, finance, information system, laboratory, and others. The head of each supporting unit has a bachelor degree. Staff development and capacity building Staff mapping system is currently initiated to establish the Center’s capacity and competencies. The Center’s strong commitments towards staff development and capacity building has been shown towards a number of staff involvement in the trainings, workshops, conferences, as well as consultancy work in training and research among both faculty members and supporting staff for exposures to managerial and technical competencies. Experiences and advanced knowledge/skills gained from the meetings are shared through existing communication media within the Center. Staff evaluation and merit system Review of the staff’s performance is geared towards the process on how activities currently under their tasks are managed, as well as the final achievements. Staff‘s performance both as individual and team are discussed. The result of this assessment and combined with other indicators are directed for assessing the Center’s accomplishments. Staff’s performance is also used for the basis of bonus disbursement which is mainly the income collected through revenue generating activities. In addition, after serving for SEAMEO-TROPMED RCCN for 26 years, Mrs. Lasmini – our staff from the library unit – received a SEAMEO Service Award during the 43rd SEAMEO Council Conference at Mandarin Oriental Hotel, Malaysia on 12 – 14 March 2008.

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KEY RESULT AREA 3: Ensured Financial Viability

B

udget sources for the Center’s programs and activities are from the Ministry of National Education Republic of Indonesia, scholarship fund from SEAMEOTROPMED Network, cooperative projects, research activities, training fees, sponsorship, bank interests and others. For ensuring the financial viability, the Center maintains a control account for the following components of funds equity: 1. Capital Funds – funds used to finance the acquisition or construction of fixed assets 2. Operating Funds – funds used for ordinary expenses relating to the general administration 3. Special Funds – funds used to finance special events/activities such Governing Board meeting, training and research scholarship, etc 4. Other Funds – funds received from donors to support activities which are not included in the budget 5. Unallocated Funds – funds received from donors or earned as income which have not been identified as either Capital, Operating, Special, and Other Funds The following table presents the amount of grants and income for FY 2007/2008: (2 FYs menunggu data dari finance)

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KEY RESULT AREA 4: Increased Access to Market

S

EAMEO-TROPMED RCCN markets the programs through various efforts. Several attempts have been done through joint research activities with other institutions (i.e. government agencies, non government organization, food industries, etc), provision of technical assistance and consultation, education and training, laboratory services, provision of scholarship for Master of Science students, open house for Master of Science and Doctorate training programs, publications in international and national scientific journals, website, brochure and leaflets, newsletter, press and through various road show/exhibition. Further challenge on increasing the market for SEAMEO-TROPMED RCCN’s programs and activities is to develop and implement e-distance learning for health practitioners. These activities are under initiative as articulated in the next 5-year development plan year 2009 – 2013.

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Key Result Area 5 Increased and Strengthened Linkages with National, Regional, and International Institutions

O

ne of SEAMEO-TROPMED RCCN concerns is to increase and maintain the linkages in harmonious networking with national, regional and international institutions. The purpose of the effort is to increase the access, and to establish cooperation and maintain past linkages. At national level, the linkages are materialized through consultancy and assistance, joint programs, training activities and research with Ministry of Health and universities. Annually, different SEAMEO-TROPMED RCCN staff is appointed to be in the technical team of Jaringan Informasi Pangan dan Gizi (JIPG – Food and Nutrition Information Network) coordinated by Directorate of Community Nutrition, Department of Health the Republic of Indonesia. The network also consists of representatives from other relevant departments in University of Indonesia, Bogor Agricultural University, Indonesia’s science and research center (LIPI), National Agency of Food and Drugs Control, Ministry of Agriculture, as well as Forum Komunikasi Gizi dan Kesehatan (FKGK). Forum Komunikasi Gizi dan Kesehatan (FKGK) currently has become a potential opportunity for nutritionist and health professionals in Indonesia to share their experiences and provide networking and future collaboration. In its early establishment, the forum’s activities had been geared towards the effort to disseminate nutrition and health messages for public through mass media. However, more strategic effort is required for such public awareness to be effective. The organization of fund and manpower in the group was also challenging due to the fact that all members have their own commitments with their respective organization. Thus after evaluation, the members agree to prioritize the focus of attention to empower and build capacity in nutrition and health issues among the members, mostly through seminars. A mailing list group has been established at [email protected] since January 2008 under the initiative of the members and it has formed an effective basis for virtual correspondences prior to any face-to-face meetings. The group has also been serving as a channel for sharing information about nutrition and health related issues and for disseminating any relevant upcoming events on nutrition and health. Interestingly, more and more members from various institutions and individuals based in Indonesia have been participating in the group. Unlike other network, this group consists of a wide range of interested parties including the national press/media and people who work closely or experience working with the media in Indonesia.

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Industry Council for Development (ICD) – SEAMEO Cooperative Program had been conducted since 1995 with the objective to foster human resources development in the field of food safety in Indonesia and its Southeast Asian neighbor countries. The program has provided food safety courses as well as Train of the Trainers Workshop. As continuation of the training, alumni of Food Safety course are encouraged to conduct Food Safety course in their respective institution called Roll-out of Food Safety Course. During FY 2007 – 2008, Roll-out of Food Safety Course conducted in several institutions consisted of: • Sam Ratulangi University Tomohon, North Sulawesi, June 28 – 30, 2007 • Health Polytechnic of Malang, East Java, July 18 – 21, 2007 and August 8 – 11, 2007 • Catholic University of Atmajaya, Jakarta, August 16 – 19, 2007 • Health Polytechnic of Padang, West Sumatra, August 24 – 26, 2007 Through those activities, linkages among health practitioners at national level could be maintained. In addition, to response to capacity building of the human resources and to establish sustainable network with the national institutions, the SEAMEO-TROPMED RCCN has been providing scholarship fund since 2006 for government staff in Indonesia to participate in the Master of Science in Community Nutrition training program. During the fiscal year under review, two lecturers – each from Faculty of Public Health, Diponegoro University (in Central Java) and Faculty of Medicine, Brawijaya University (in East Java) – received the scholarship. Upon their return from study assignment, they will be posted as nutrition experts in their respective institution and serve as mediator for networking activities with SEAMEO-TROPMED RCCN and its linkages. Furthermore, many food industries as well as local and international NGOs have worked closely with SEAMEO-TROPMED RCCN in various activities. At regional level, a major linkage has been established under the South East Asian Nutrition Leadership Program (SEA-NLP) alumni network. Similar capacity building program will be conducted in other region and this will broaden the linkages among nutritionists and other health professionals, also food technologists.

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Dr Widjaja Lukito, the Acting Director of SEAMEO-TROPMRD RCCN received Asia Pacific Clinical Nutrition Society Award for 2008. Dr Widjaja Lukito has contributed to various organizations and this may enable him to build Clinical and Public Health Nutrition not only in Indonesia, but in the region. In particular, he was foundation Treasure of the Asia Pacific Clinical Nutrition Society in 1993, then Vice-President and served as its President from 2000 to 2004. He chaired the IUNS (International Union of Nutritional Sciences) Task Force on “Nutrition and Resistance to Infectious Disease” and was a member of its Nutrition and Ageing Committee. He has been a member of the UNU (United Nations University)/ IUNS Task Force on “Capacity Building in Nutrition in Asia”. He is a Scientific Advisory Panel Member of the International Life Science Institute in South East Asia, is currently President of The Indonesian Clinical Nutrition Society and a committee member of the Indonesian Society of Atherosclerosis and Vascular Diseases. He is also member of various Expert Panels of the Indonesian Medical Nutrition Society. Furthermore, he is on several Editorial Advisory Boards, such as The Southeast Asian Journal of Tropical Medicine and Public Health, The Malaysian Nutrition Journal and The Asia Pacific Journal of Clinical Nutrition. Since 2006, he has been a Special Advisor to The Indonesian Minister of Health Policy. He is also a member of the Expert Group on Global Health and Foreign Policy (an initiative of the Foreign Ministers of Brazil, France, Indonesia, Norway, Senegal, South Africa and Thailand). The annual Asia Pacific Clinical Nutrition Society Award is made to persons who have made exceptional contributions to the health, well-being and nutritional status of peoples in the Asia Pacific Region. Dr Lukito meets and represents these criteria admirably. Excerpts of citation by Mark L. Wahlqvist (Source: Asia Pac J Clin Nutr 2008; 17(1): 1)

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OPPORTUNITIES AND CHALLENGES

Nutrition is a multidisciplinary subject, ranging from medical, public health, biology, social, agriculture, technology and others. Nutritional problems arise from overlapping and interacting stressors, for instance food intake and availability, infection and health status, as well as care as immediate causes and poverty, education, and politics as basic causes. At present, the world attention is focused on the consequences of climate changes on well-being. Certainly, the climate changes have affected food security and epidemiologic patterns of tropical diseases, and ultimately affect the nutritional status of a population. Nutrition intervention programs are recommended to be ‘life-cycle’ – pregnancyinfant-pre-school children-school children-adolescents-adults-elderly, and cover both ‘conventional’ and ‘newly emerging’ nutritional problems, in rural and urban settings. Clearly, the complexity of nutritional problems in the Asia Pacific Region, specifically South-East Asia, need qualified human resources to achieve appropriate solutions at both country and global levels. Health human resource (HHR) specialized in nutrition is still limited in the South East Asian region, both in number and in quality/competence. Critical demands on HHR specialized in nutrition are influenced not only by the paradigm shift in nutrition, but also by the dynamics of external factors influencing nutrition. One of the examples would be the decentralization system. Decentralization system can only benefit the local society when the local capacity is strengthened. More and more countries move toward decentralization system with its consequences. One of the consequences is the fragmentation of health systems. The fragmented health system requires strong human resources to deliver and scale-up effective and essential nutrition interventions. In response to the above facts, one of the strategies undertaken at the Center is to restructure the organization of the Center towards in compliance to that recommended by SEAMEO Charter in which the Center should provide responsibility to the Government of Indonesia and SEAMEO. This effort has been achieved through a series of internal workshops. However, there remains a critical challenge i.e. institutional strengthening. Historically, SEAMEO Charter was ratified by Government of Indonesia in the form of Act Number 11 of 1968. This Act has already reached 40 years, without real/true implementation thus far. This notion is valid in view of the fact that the way the Center is being operated has been ambiguous in terms of no clarity between national center or regional center. In one way or another, this shall be made clear if we still consider that SEAMEO center specialized in nutrition is expected to exist in the region in the years ahead.

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With currently existing challenges, the Center has taken responsible actions to reorient its existing programs and activities for better addressing the needs for grooming competent human resources who can contribute to providing solutions for the above challenges at national, regional and global levels. Through the next 5-year development plan, the Center pledges to be able to contribute to this aim. In addition, a closer working relationship and facilitated with the existing links/networks from the Directorate General of Higher Education at the Ministry of National Education of the Republic of Indonesia, the Center is aiming at working at its full capacity towards the mandate for building and strengthening the human resources in field of nutrition/health in this region.

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Acknowledgements U

pon the accomplishments of the SEAMEO-TROPMED RCCN programs and activities, we would like to extend our sincere appreciation to the following organizations/institutions/individuals for their contributions, guidance, and supports:


The Government of Indonesia for the facilities and financial support for the operation of SEAMEO-TROPMED RCCN programs and activities




The Government of Indonesia for the facilities and financial support for the operation of SEAMEO-TROPMED RCCN programs and activities




The Government of Indonesia for the facilities and financial support for the operation of SEAMEO-TROPMED RCCN programs and activities




Ministers of Education of SEAMEO member countries for their assistance provided to SEAMEO-TROPMED RCCN activities




SEAMEO-TROPMED Governing Board members for their guidance and support




SEAMEO Secretariat and SEAMEO-TROPMED Network office for the facilitation services provided to SEAMEO-TROPMED RCCN activities and management




The University of Indonesia for being the host institution of SEAMEOTROPMED RCCN




Partners from the UN agencies, international and local NGOs; guest lecturers from various academic institutions, ministries, practioners, industries; regional and international external consultants; international research grant organizations; local and regional governments of Republic of Indonesia; and others for facilitating and enriching the experiences of implementing SEAMEOTROPMED RCCN programs and activities

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Governing Board Members

A.

B.

Members of the Governing Board Prof Dr der soz Gumilar R Sumantri Rector University of Indonesia nd 2 Floor, Rectorate Building UI Campus, Depok 16424 INDONESIA

Tan Sri Datuk Dr Hj Mohd Ismail Merican Director General of Health Malaysia Ministry of Health Malaysia Block E7, Level 12, Parcel E Federal Government Administrative Centre 62590 Putrajaya, MALAYSIA

Dr Jaime Z Galvez-Tan Professor, Dept of Family and Community Medicine College of Medicine University of the Philippines Manila Pedro Gil Street, Manila 1000 PHILIPPINES

Dr Thawat Suntrajarn, MD Director-General Department of Disease Control Ministry of Public Health Tivanond Road Nonthaburi 11000, THAILAND

Dato' Dr Ahamad bin Sipon (Ex-Officio Member) Director SEAMEO Secretariat Mom Luang Pin Malakul Centenary Building 920 Sukhumvit Road Bangkok 10110, THAILAND

Assoc Prof Dr Pratap Singhasivanon (Ex-Officio Member) Secretary-General/Coordinator SEAMEO TROPMED/Network 420/6 Rajvithi Road Bangkok 10400, THAILAND

Country Representative in the Governing Board H E Prof Dr Eng Huot State Secretary Ministry of Health #151-153 Kampuchea Krom Avenue Phnom Penh, CAMBODIA

Dr Nao Boutta Deputy Director of Cabinet Ministry of Heatlh Lao PDR Vientiane, LAO PDR

Dr Hla Hla Aye Director, International Health Division Ministry of Health Ney Pyi Taw, MYANMAR

Dr Tran Trong Hai Director General Department of International Cooperation Ministry of Health 138 A Giang Vo Street Hanoi, VIETNAM

35 SEAMEO-TROPMED Regional Center for Community Nutrition

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Faculty Members Acting Director

Advisory Board Member

Advisory Board Member

Deputy Director for Prog. Dev.& Consultancy / Education

Deputy Director for Research

Widjaja Lukito

Soemilah Sastroamidjojo

Johanna SP. Rumawas

Siti Muslimatun

Rosnani V Pangaribuan

Head of Program Development Unit

Head of Doctrorate Program

Head of MSc. Degree Program

Head of Non Degree Program

Head of Field Research Unit

Dwinastiti Iswarawanti

Umi Fahmida

Luh Ade A Wiradnyani

Otte Santika

Lupi Purnomosari

Head of Research Staff Unit

Head of Data Management Unit

Head Laboratory Unit

Academic Staff

Academic Staff

Judhiastuty F

Yulianti Wibowo

Andi Mariyasari Septiari

Ingrid S. Suyono

Drupadi HS. Dillon

Academic Staff

Academic Staff

Academic Staff

Academic Staff

Rina Agustina

Lindawati Wibowo

Airin Roshita

Markus Puthut H

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Supporting Staff Head Project DIPA

Treasurer - DIPA

Head of PGA

Head of Computer

Head of Finance

Budhi Mulyawan

Jatmiko PH

Gustina

Achmad T Djayanto

Yana F Karyana

Head of Library

Secretary for Director

Ass. Head Project - DIPA

Administration Project - DIPA

Ass. Head PGA House Keeping

Rindrawati

Dewi Maryani K

Relita Ambarwati

Monica Erryana

Wakirin

Ass. Head PGA Adm. Pers

Computer Staff

Library Staff

Education Staff

Secretary for Research

Achmad Maulana

Imam Joko Purnomo

Lasmini

Lucky Rimatanti

Rosita

Ass. Head Cooperative Unit - ICD

Secretary for PDC

Ass. Head of Laboratory

Laboratory Staff

Laboratory Staff

Evi Ermayani

Junita D.G. N

Sri Kurniasih

Sulandjari

Novita

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Receptionist Staff

Office Attendant

Office Attendant

Office Attendant

Security

Diah Fortuna U Devy

Sukardinata

Ari Maulana Yusup

Kurniawan

Sugiono

Security

Security

Driver

Gardener

Sholihin

Nurull Fazar

Rudi

Rochim

38 SEAMEO-TROPMED Regional Center for Community Nutrition

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39 SEAMEO-TROPMED Regional Center for Community Nutrition

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40 SEAMEO-TROPMED Regional Center for Community Nutrition

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41 SEAMEO-TROPMED Regional Center for Community Nutrition

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42 SEAMEO-TROPMED Regional Center for Community Nutrition

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43 SEAMEO-TROPMED Regional Center for Community Nutrition

Annual Report 2007 - 2008

44 SEAMEO-TROPMED Regional Center for Community Nutrition

Annual Report 2007 - 2008 Appendix 4. Various consultancy works under FY 2007 - 2008 No

Title of project

1.

Development of Training Modules of Vitamin A Supplementation Program in Indonesia

2.

Endline Survey of Household Anthropometry Measurement Proposal Development for "Effect of Fermented Milk Drink Containing ABC Probiotic Supplementation on Gastrointestinal Health and Immune System of Healthy Subject in Three Age-segmented Groups" BERSIH Project Quick Survey Focusing on Anthropometric and Diarrhea Assessment

3.

4.

5.

Development of Survey Instruments for “Effect of High Calcium-FortifiedMilk Drink on Biochemical Markers of Bone Turnover in Post Menopausal Women”

6.

Desk Assessment Review on Food Security in East Nusa Tenggara Province Monitoring and Evaluation of Breastfeeding Counseling: the 40hour Training Course for Health Workers in Aceh Jaya and Aceh Barat Districts

7.

Principle researcher/consultant − Drg. Rosnani V. Pangaribuan, Dr.rer.nat − Yulianti Wibowo, SKM., MSc − Ir. Siti Muslimatun, PhD − Dwinastiti Iswarawanti, MSc − Dr. Widjaja Lukito, PhD, SpGK − Ingrid S. Surono, MSc, PhD

Period (date) 15 July – 30 November 2007

Name of inviting institution Micronutrient Initiative

12 – 16 November 2007 November – December 2007

Wahana Visi Indonesia Orang Tua Group

− Drg. Rosnani V. Pangaribuan, Dr.rer.nat − Andi Mariyasari Septiari, SP, MSc Dr. Drupadi HS Dillon, PhD

18 December 2007 – 12 January 2008

CARE

5 December 2007 – 15 January 2008

Ir. Siti Muslimatun, PhD

28 January – 26 February 2008

The Department of Obstetric and Gynecology Faculty of Medicine, University of Indonesia Oxfam Great Britain

DR. Ir. Judhiastuty Februhartanty, MSc

19 May – 6 June 2008

District Health Office of Aceh Barat/UNICEF West Coast NAD

45 SEAMEO-TROPMED Regional Center for Community Nutrition

Annual Report 2007 - 2008

Appendix 5. List of scientific publications during July 2007 – June 2008 Peer-reviewed journal publication 1. Chan SSL, Ferguson EL, Bailey K, Fahmida U, Harper TB, Gibson RS. The concentrations of iron, calcium, zinc and phytate in cereals and legumes habitually consumed by infants living in East Lombok, Indonesia. J Food Composition Analysis 2007; 20: 609-617. 2. Kamso S, Rumawas JSP, Lukito W, Purwantyastuti. Determinants of blood pressure among Indonesian elderly individuals who are of normal and overweight: a cross sectional study in an urban population. Asia Pac J Clin Nutr 2007; 16: 546-553. 3. Agustina R, Lukito W, Firmansyah A, Suhardjo HN, Murniati D, Bindels J. The effect of early nutritional supplementation with a mixture of probiotic, prebiotic, fiber and micronutrients in infants with acute diarrhea in Indonesia. Asia Pac J Clin Nutr 2007; 16: 435-442. 4. Bardosono S, Sastroamidjojo S, Lukito W. Determinants of child malnutrition during the 1999 economic crisis in selected poor areas of Indonesia. Asia Pac J Clin Nutr 2007; 16: 512-526. 5. Collado M.C, Surono IS, Meriluoto J, Salminen S. Potential probiotic characteristics of lactobacillus and enterococcus strains isolated from traditional dadih fermented milk against pathogen intestinal colonization. J Food Protection 2007; 70 (3): 700-705. 6. Collado M.C, Surono IS, Meriluoto J, Salminen S. Indigenous dadih lactic acid bacteria: cell-surface properties and interactions with pathogens. J Food Science 2007; 70 (3): M89-M93. 7. Hanafiah A, Karyadi D, Lukito W, Muhilal, Supari F. Desirable intakes of polyunsaturated fatty acids in Indonesian adults. Asia Pac J Clin Nutr 2007; 16: 632-640. 8. The NEMO Study Group: From CSIRO, Human Nutrition, Adelaide, Australia (KIB, JB, EC, DH, and CW); the SEAMEO-TROPMED Regional Center for Community Nutrition, University of Indonesia, Jakarta Pusat, Indonesia (MH, EK, WL, and HM); and the Unilever Food and Health Research Institute (UFHRI), Unilever R&D, Vlaardingen, Netherlands (SJMO, BJ-WvK, HCMvdK, and CT). Effect of a 12-mo micronutrient intervention on learning and memory in well-nourished and marginally nourished school-aged children: 2 parallel, randomized, placebo-controlled studies in Australia and Indonesia. Am J Clin Nutr 2007; 86:1082-1093. 9. Wijaya-Erhardt M, Erhardt J.G, Untoro J, Karyadi E, Wibowo L, Gross R. Effect of daily or weekly multiple-micronutrient and iron foodlike tablets on body iron stores of Indonesian infants aged 6-12 months: a double-blind, randomized, placebo-controlled trial. Am J Clin Nutr 2007; 86:1680-1686. 10. Surono IS, Collado MC, Salminen S, Meriluoto J. Effect of glucose and incubation temperature on metabolically active Lactobacillus plantarum from dadih in removing microcystin-LR. Food Chemical Toxicology 2008; 46: 502507.

46 SEAMEO-TROPMED Regional Center for Community Nutrition

Annual Report 2007 - 2008 11. Green TJ, Skeaff CM, Rockell JEP, Venn BJ, Lambert A, Todd J, Khor GL, Loh SP, Muslimatun S, Agustina R, Whiting SJ. Vitamin D status and its association with parathyroid hormone concentrations in women of child-bearing age living in Jakarta and Kuala Lumpur. Eur J Clin Nutr 2008; 62: 373-378. 12. Surono IS, Nishigaki T, Endaryanto A, Waspodo P. Indonesian Biodiversities, from microbes to herbal plants as potential functional foods. Journal of the Faculty of Agriculture, Shinshu University, 2008; 44: 23-27.

Handbooks 1. Fahmida U, Dillon DHS. Nutritional Assessment. SEAMEO TROPMED RCCN University of Indonesia. Jakarta. 2007. ISBN 979-98157-4-6 2. Februhartanty J, Purnomosari L, Wijaya-Erhardt M. Nutrition and Health Project Planning: The Application of Objective-Oriented Project Planning (OOPP). SEAMEO TROPMED RCCN University of Indonesia. Jakarta. 2007. ISBN 978-979-17207-0-0

47 SEAMEO-TROPMED Regional Center for Community Nutrition

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48 SEAMEO-TROPMED Regional Center for Community Nutrition

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49 SEAMEO-TROPMED Regional Center for Community Nutrition

Annual Report 2007 - 2008

50 SEAMEO-TROPMED Regional Center for Community Nutrition

Appendix 1. Various training courses conducted during FY 2007 - 2008 No

Activities

Regional Program The 5th South East Asian 1. Nutrition Leadership Program (SEA-NLP)

In House Training Food & Nutrition Security 1.

Source of fund

Venue

Government of Indonesia, Nestle Foundation and Sight and Life

Jakarta, Indonesia

Plan International

SEAMEOTROPMED RCCN Dietary Assessment: Data P2KP Mataram P2KP 2. Collection and Quality Control University Mataram University Regular Training (MSc in Community Nutrition Training Program) Research Methodology Government of SEAMEO1. Indonesia, Paying TROPMED Participants RCCN

3.

Basic Nutrition & Requirements, Recommendation of Nutrients Biostatistics 1

Government of Indonesia, Paying Participants Government of Indonesia

4.

Nutritional Status Assessment

Government of Indonesia

2.

SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN

Date

Participant’s country of origin

Number of participants Other Indonesia Total country

27 August – 1 September 2007

Malaysia, Vietnam, Cambodia, Thailand, New Zealand, Philippine, Iran, Brunei Darussalam, Lao PDR, Myanmar, Indonesia

6

21

27

22 – 26 October 2007

Indonesia

9

0

9

8 – 9 November 2007

Indonesia

14

0

14

9 – 13 July 2007

East Timorese, Lao PDR, Cambodia, Sudan, Timor Leste, Kenya, Myanmar, Bhutan, Malaysia, Philippines, Vietnam, Thailand, Bhutan, Indonesia Indonesia, Singapore

5

14

19

6

1

7

27 Augusts – 3 September 2007

Indonesia, Germany

5

1

6

3 – 17 September 2007

Indonesia

3

0

3

6 – 27 Augusts 2007

No

Activities

5.

Nutritional Epidemiology Surveillance

6.

Biostatistics 2

Public Health and Community Nutrition Systems Course 7.

8.

10.

Health and Nutrition Project/Program Planning & Management Management Issues for Health and Nutrition Project/Program Implementation Introduction To Nutritional Anthropology

Participant’s country of origin

Number of participants Other Indonesia Total country 4 0 4

Source of fund

Venue

Date

Government of Indonesia, Paying Participants Government of Indonesia, Paying Participants Government of Indonesia, Paying Participants Government of Indonesia

SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN

7 September – 8 October 2007

Indonesia

22 October – 5 November 2007

Indonesia

9

0

9

5 – 19 November 2007

Indonesia, Philippines

4

1

5

19 – 23 November 2007

Indonesia

3

0

3

27 November – 7 December 2007

Indonesia

4

0

4

7 – 21 January 2008

Indonesia

3

0

3

22 January – 5 February 2007

Indonesia

3

0

3

4 – 18 February 2008

Indonesia

9

0

9

SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN

18 February – 3 March 2008

Indonesia, Thailand

4

1

5

Indonesia

4

0

4

Government of Indonesia Government of Indonesia

11.

Food Economics and Food Security

Government of Indonesia

12.

Food Safety

13.

Health Promotion in Nutrition Programs

Government of Indonesia, ICD, Paying Participants Government of Indonesia

14.

Food & Micronutrient Interventions

Government of Indonesia, Paying Participants

3 – 17 March 2008

No

Activities

15.

Nutrition, Aging and Chronic Diseases

16.

Field Study

17.

Nutrition in Food Industry

Source of fund

Venue

Government of Indonesia, Paying Participants Government of Indonesia

SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN SEAMEOTROPMED RCCN

Government of Indonesia, Paying Participants

Date

Participant’s country of origin

Number of participants Other Indonesia Total country 4 1 5

24 – 31 March 2008

Indonesia, Malaysia

31 March – 20 June 2008

Indonesia

3

0

3

24 – 30 June 2008

Indonesia

14

0

14

Appendix 2. Research conducted by staff during FY 2007 – 2008 Period (date) July 2007 – August 2007

No

Title of project

Researcher (s)

1

Follow-up survey WFP nutrition rehabilitation program in Nanggroe Aceh Darussalam Province

− Ir. Siti Muslimatun, PhD − Luh Ade Ari Wiradnyani, SSi, MSc

2

A Baseline study of health and nutrition services and community knowledge, attitudes and practices related to health and nutrition in Kolaka District, Southeast Sulawesi Baseline survey of prevalence of anemia and worm infection of school children in Belu District, Nusa Tenggara Timor (NTT) and Knowledge, Attitude, Practice (KAP) survey among school children in Belu District (NTT) and East Lombok District, Nusa Tenggara Barat (NTB) Implementation health and nutrition baseline survey WVI-NWP in Banggai District, Central Sulawesi Effect of Tempe and vitamin C rich fruit supplementation during pregnancy on iron status and pregnancy outcomes A Formative Research of Exclusive Breastfeeding Practice Among Working and Non-Working Mothers in Urban Setting Calcium, Probiotics and Acute Diarrheal Disease Among Indonesian Children Aged 1-6 Years in Low Socio-Economic Urban Area of East Jakarta

− Drg. Rosnani V. Pangaribuan, Dr. rer.nat − Lupi Purnomosari, SP., MSc

1 October 2007 – 31 March 2008

SEAMEO – TROPMED RCCN

− Drg. Rosnani V. Pangaribuan, Dr.rer.nat − Yulianti Wibowo, SKM., MSc

January – March 2008

− Otte Santika, SP., MSc − Andi Mariyasari Septiari, SP., MSc − Ir. Siti Muslimatun, PhD − Drg. Maria Wijaya, MSc

3

4

5

6

7

− Yulianti Wibowo, SKM., MSc − DR. Ir. Judhiastuty Februhartanty, MSc − Dr. Rina Agustina, MSc (also doctorate participant at Division of Human Nutrition, Wageningen University) − Dr. Widjaja Lukito, PhD, SpGK

Organizations SEAMEO – TROPMED RCCN

Source of fund

Status

United Nation, World Food Program (UN – WFP) PT. ANTAM, Tbk

Completed

SEAMEO – TROPMED RCCN

United Nation, World Food Program (UN – WFP)

Completed

March – June 2008

SEAMEO – TROPMED RCCN

Wahana Visi Indonesia (WVI)

Report writing stage

November 2007 – July 2008 July 2007 – August 2008

SEAMEO – TROPMED RCCN

The Nestle Foundation

Ongoing

SEAMEO – TROPMED RCCN

Neys-van Hoogstraten Foundation

Ongoing

July 2007 – July 2009

1. SEAMEO – TROPMED RCCN 2. Division of Human Nutrition, Wageningen University

Stichting Top Institute Food and Nutrition (TIFN), the Netherlands

Ongoing

Completed

No

8

Title of project

Food poverty and food insecurity in Sumba Island, East Nusa Tenggara Province

Researcher (s)

− Drg. Rosnani V. Pangaribuan, Dr. rer.nat − Tina Rosalina, SKM., MSc

Period (date)

March – November 2008

Organizations 3. Faculty of Medicine, University of Indonesia 4. TIFN/NIZO Food Research 5. Unilever Food and Health Research Institute 6. Royal Friesland Foods SEAMEO – TROPMED RCCN

Source of fund

Neys-van Hoogstraten Foundation

Status

Ongoing

Appendix 3. Research conducted by students during FY 2007 – 2008 No

Title of study

MSc/PhD/Field research student Field research student

1.

Calcium, iron and zinc intake in relation to morbidity and nutritional status of children in Jakarta: Development and validation of iron and zinc food frequency questionnaire

2.

Association between anemia, helminthes infectation, and inflammation status among pregnant women on 12-16 weeks of gestation in tea plantation area of Karanganyar district, Central Java Province A Formative Research of Exclusive Breastfeeding Practice Among Working and Non-Working Mothers in Urban Setting The association between nutritional status and antibacterial properties of saliva among children aged 3-5 years in Ciputat sub-district Health worker knowledge and practice towards food safety in Malang, East Java.

MSc student

6.

7.

3.

4.

5.

Name of student (and country of origin) 1. Floor Willeboordse, BSc (the Netherlands) 2. Inger Janssen, BSc (the Netherlands)

Period

Organization

Source of fund

October 2007 – February 2008

Wageningen University

Stichting Top Institute Food and Nutrition (TIFN), the Netherlands

Widya Rahmawati, SGz (Indonesia)

October 2007 – March 2008

SEAMEO – TROPMED RCCN

Government of Indonesia and the Nestle Foundation

MSc student

Dina Rahayuning P, STP (Indonesia)

SEAMEO – TROPMED RCCN

Government of Indonesia and Neys-van Hoogstraten Foundation

MSc student

Daniel Sahanggamu, SKG (Indonesia)

November 2007 – March 2008 February – March 2008

SEAMEO – TROPMED RCCN

Government of Indonesia

MSc student

Letiza Sampetoding, SKM (Indonesia)

2007-2008

Government of Indonesia and ICD

Strategic roles of fathers in optimizing breastfeeding practices: a study in an urban setting of Jakarta

Doctorate participant

Judhiastuty Februhartanty, MSc (Indonesia)

The effects of daily multi micronutrient supplementation on upper respiratory tract infection in the elderly

Doctorate participant

Dr. Rina Kusumaratna, MKes (Indonesia)

December 2006 – January 2008 July 2007 – March 2008

SEAMEO – TROPMED RCCN SEAMEO – TROPMED RCCN Faculty of Medicine, Trisakti University

Faculty of Medicine, Trisakti University

The Nestle Foundation

Appendix 4. Various consultancy works under FY 2007 - 2008 No

Title of project

1.

Development of Training Modules of Vitamin A Supplementation Program in Indonesia

2.

Endline Survey of Household Anthropometry Measurement Proposal Development for "Effect of Fermented Milk Drink Containing ABC Probiotic Supplementation on Gastrointestinal Health and Immune System of Healthy Subject in Three Age-segmented Groups" BERSIH Project Quick Survey Focusing on Anthropometric and Diarrhea Assessment

3.

4.

5.

Development of Survey Instruments for “Effect of High Calcium-FortifiedMilk Drink on Biochemical Markers of Bone Turnover in Post Menopausal Women”

6.

Desk Assessment Review on Food Security in East Nusa Tenggara Province Monitoring and Evaluation of Breastfeeding Counseling: the 40hour Training Course for Health Workers in Aceh Jaya and Aceh Barat Districts

7.

Principle researcher/consultant − Drg. Rosnani V. Pangaribuan, Dr.rer.nat − Yulianti Wibowo, SKM., MSc − Ir. Siti Muslimatun, PhD − Dwinastiti Iswarawanti, MSc − Dr. Widjaja Lukito, PhD, SpGK − Ingrid S. Surono, MSc, PhD

Period (date) 15 July – 30 November 2007

Name of inviting institution Micronutrient Initiative

12 – 16 November 2007 November – December 2007

Wahana Visi Indonesia Orang Tua Group

− Drg. Rosnani V. Pangaribuan, Dr.rer.nat − Andi Mariyasari Septiari, SP, MSc Dr. Drupadi HS Dillon, PhD

18 December 2007 – 12 January 2008

CARE

5 December 2007 – 15 January 2008

Ir. Siti Muslimatun, PhD

28 January – 26 February 2008

The Department of Obstetric and Gynecology Faculty of Medicine, University of Indonesia Oxfam Great Britain

DR. Ir. Judhiastuty Februhartanty, MSc

19 May – 6 June 2008

District Health Office of Aceh Barat/UNICEF West Coast NAD

Appendix 5. List of scientific publications during July 2007 – June 2008 Peer-reviewed journal publication 1. Chan SSL, Ferguson EL, Bailey K, Fahmida U, Harper TB, Gibson RS. The concentrations of iron, calcium, zinc and phytate in cereals and legumes habitually consumed by infants living in East Lombok, Indonesia. J Food Composition Analysis 2007; 20: 609-617. 2. Kamso S, Rumawas JSP, Lukito W, Purwantyastuti. Determinants of blood pressure among Indonesian elderly individuals who are of normal and over-weight: a cross sectional study in an urban population. Asia Pac J Clin Nutr 2007; 16: 546-553. 3. Agustina R, Lukito W, Firmansyah A, Suhardjo HN, Murniati D, Bindels J. The effect of early nutritional supplementation with a mixture of probiotic, prebiotic, fiber and micronutrients in infants with acute diarrhea in Indonesia. Asia Pac J Clin Nutr 2007; 16: 435-442. 4. Bardosono S, Sastroamidjojo S, Lukito W. Determinants of child malnutrition during the 1999 economic crisis in selected poor areas of Indonesia. Asia Pac J Clin Nutr 2007; 16: 512-526. 5. Collado M.C, Surono IS, Meriluoto J, Salminen S. Potential probiotic characteristics of lactobacillus and enterococcus strains isolated from traditional dadih fermented milk against pathogen intestinal colonization. J Food Protection 2007; 70 (3): 700-705. 6. Collado M.C, Surono IS, Meriluoto J, Salminen S. Indigenous dadih lactic acid bacteria: cell-surface properties and interactions with pathogens. J Food Science 2007; 70 (3): M89-M93. 7. Hanafiah A, Karyadi D, Lukito W, Muhilal, Supari F. Desirable intakes of polyunsaturated fatty acids in Indonesian adults. Asia Pac J Clin Nutr 2007; 16: 632-640. 8. The NEMO Study Group: From CSIRO, Human Nutrition, Adelaide, Australia (KIB, JB, EC, DH, and CW); the SEAMEO-TROPMED Regional Center for Community Nutrition, University of Indonesia, Jakarta Pusat, Indonesia (MH, EK, WL, and HM); and the Unilever Food and Health Research Institute (UFHRI), Unilever R&D, Vlaardingen, Netherlands (SJMO, BJ-WvK, HCMvdK, and CT). Effect of a 12-mo micronutrient intervention on learning and memory in well-nourished and marginally nourished school-aged children: 2 parallel, randomized, placebo-controlled studies in Australia and Indonesia. Am J Clin Nutr 2007; 86:1082-1093.

9. Wijaya-Erhardt M, Erhardt J.G, Untoro J, Karyadi E, Wibowo L, Gross R. Effect of daily or weekly multiplemicronutrient and iron foodlike tablets on body iron stores of Indonesian infants aged 6-12 months: a double-blind, randomized, placebo-controlled trial. Am J Clin Nutr 2007; 86:1680-1686. 10. Surono IS, Collado MC, Salminen S, Meriluoto J. Effect of glucose and incubation temperature on metabolically active Lactobacillus plantarum from dadih in removing microcystin-LR. Food Chemical Toxicology 2008; 46: 502-507. 11. Green TJ, Skeaff CM, Rockell JEP, Venn BJ, Lambert A, Todd J, Khor GL, Loh SP, Muslimatun S, Agustina R, Whiting SJ. Vitamin D status and its association with parathyroid hormone concentrations in women of child-bearing age living in Jakarta and Kuala Lumpur. Eur J Clin Nutr 2008; 62: 373-378. 12. Surono IS, Nishigaki T, Endaryanto A, Waspodo P. Indonesian Biodiversities, from microbes to herbal plants as potential functional foods. Journal of the Faculty of Agriculture, Shinshu University, 2008; 44: 23-27.

Handbooks 1. Fahmida U, Dillon DHS. Nutritional Assessment. SEAMEO TROPMED RCCN University of Indonesia. Jakarta. 2007. ISBN 979-98157-4-6 2. Februhartanty J, Purnomosari L, Wijaya-Erhardt M. Nutrition and Health Project Planning: The Application of ObjectiveOriented Project Planning (OOPP). SEAMEO TROPMED RCCN University of Indonesia. Jakarta. 2007. ISBN 978-97917207-0-0

Appendix 6. Events attended by faculty members during FY 2007 – 2008 No

Name

Title of training/workshops, conference/symposia

1.

Yulianti Wibowo, MSc

Training on Teaching and Facilitating Skill

2.

Training on Teaching and Facilitating Skill

3.

Luh Ade Ari Wiradnyani, MSc DR. Umi Fahmida

4.

Ingrid S. Surono, MSc, PhD

5.

Luh Ade Ari Wiradnyani, MSc Dr. Widjaja Lukito, PhD

Symposium for the International Association of Gnotobiology (IAG) and Society of Microbial Ecology and Disease (SOMED) SEAMEO Capacity Building Workshop 2008

6. 7. 8.

DR. Judhiastuty Februhartanty Siti Muslimatun, PhD

9.

Ingrid S. Surono, MSc, PhD

10.

Rosnani Pangaribuan, Dr.rer.nat DR. Judhiastuty Februhartanty Siti Muslimatun, PhD

11. 12. 13. 14. 15.

Rosnani Pangaribuan, Dr.rer.nat Dr. Widjaja Lukito, PhD Ingrid S. Surono, MSc, PhD

Training on Teaching and Facilitating Skill

Venue and date SEAMEO TROPMED Network, Mahidol University, Bangkok, Thailand, 3-6 June 2008 SEAMEO TROPMED Network, Mahidol University, Bangkok, Thailand, 3-6 June 2008 SEAMEO TROPMED Network, Mahidol University, Bangkok, Thailand, 3-6 June 2008 Djuronasets Kursgard, Stockholm Archipelago, May 28 – 30, 2008

Role during attendance Participant Participant Participant Participant and Speaker

SEAMEO RETRAC, Ho Chi Minh City, Vietnam, 19-23 May 2008 Palais des Nation, Genève, Switzerland., 3-4 April 2008 Manila, Philippines, 28 Apr-2 May 2008

Participant

Century Park Hotel, Bangkok Thailand, 29-30 April 2008

Participant

Singapore, April 16-17 2008

Speaker Participant

PROLEAD Plus Faculty Meeting

Mandarin Oriental Hotel, Malaysia , 12 – 14 March 2008 Manila, Philippines, 10-11 March 2008

In House Consultative Meting of SEAMEO TROPMED Network In House Consultative Meting of SEAMEO TROPMED Network Global Health and Foreign Policy (G-7) 2nd Asian Scientific Symposium on the nutritional

The Eastin Hotel Bangkok Thailand, 15-16 Feb 2008 The Eastin Hotel Bangkok Thailand, 15-16 Feb 2008 Chiang Mai, Thailand, 4-6 Feb 2008 Pan Pacific Hotel Singapore, 13 Dec 2007

Participant

Working Group Inter Governmental Meeting on Pandemic Influenza Preparedness (IGM-PIP) PROLEAD Plus (Health Promotion Leadership and Management training) Module 2 training International Workshop on Approach to Psycho Social Care after Disaster and Lessons Learnt from Selected Projects in South and South East Asia ILSI SEA Region’s Symposium on Diet, Nutrition and Immunity 43rd SEAMEO Council Conference

Participant Facilitator

Participant

Participant Participant Participant

No

Name

Title of training/workshops, conference/symposia

16.

Siti Muslimatun, PhD

17. 18.

Luh Ade A Wiradnyani, MSc Siti Muslimatun, PhD

Benefit of Probiotics & Functional Carbohydrates Follow up Survey for WFP Nutrition Rehabilitation Program in NAD Province Follow up Survey for WFP Nutrition Rehabilitation Program in NAD Province High Official Meeting 2007

19.

Dr. Drupadi HS Dillon, PhD

High Official Meeting 2007

20.

Dr. Drupadi HS Dillon, PhD

Joint International Tropical Medicine Meeting

21.

Ingrid S. Surono, MSc, PhD

22. 23. 24.

Siti Muslimatun, PhD Siti Muslimatun, PhD Dr. Widjaja Lukito, PhD

25.

Siti Muslimatun, PhD

26. 27.

Ingrid S. Surono, MSc, PhD Dr. Widjaja Lukito, PhD

28.

Siti Muslimatun, PhD

29.

Siti Muslimatun, PhD

30.

Rosnani Pangaribuan, Dr.rer.nat Rosnani Pangaribuan, Dr.rer.nat Otte Santika, MSc

The Shinshu University International Symposium 2007 Training New WHO Child Growth Standards Multilateral Meeting on Food Safety / ICD Informal Discussion on Outcomes of the InterDisciplinary Working Group on Influenza Viruses Perumusan Sasaran Dampak RP JPK Bid. Kesehatan 2005-2025 Seri III Functional Food Symposium and its Regulation 46th SEAMEO TROPMED Network Governing Board Meeting 46th SEAMEO TROPMED Network Governing Board Meeting Institutional Research Capacity Strengthening in Nutrition & 10th Asian Congress of Nutrition Institutional Research Capacity Strengthening in Nutrition & 10th Asian Congress of Nutrition Training Penyegaran Program Vitamin A Suplementation Training Penyegaran Program Vitamin A Suplementation Training Penyegaran Program Vitamin A Suplementation

31. 32. 33.

Luh Ade A Wiradnyani, MSc

Venue and date

Role during attendance

Aceh, 11-13 Dec 2007

Speaker

Aceh, 11-13 Dec 2007

Speaker

Sofitel Centara Grand Bangkok Thailand, 2022 Nov 2007 Sofitel Centara Grand Bangkok Thailand, 2022 Nov 2007 Imperial Queen’s Park Hotel Bangkok Thailand, 29-30 Nov 2007 Mura Japan, Nov 2nd, 2007

Participant

Bali, 29 Oct – 1 Nov 2007 Ghana, 20-25 Oct 2007 Chavanne de Bogis, Geneva, 3-5 Oct 2007

Participant Participant Participant

Hotel Sari Pan Pacific Jakarta, 8 Oct 2007

Participant

Tokyo Japan, 9-13 Sept 2007 Luang Prabang, Lao PDR, 10-15 Sept 2007

Participant Participant

Luang Prabang, Lao PDR, 10-15 Sept 2007

Participant

Taipei, Taiwan, 5-14 Sept 2007

Participant

Taipei, Taiwan, 5-14 Sept 2007

Participant

Pontianak, Kendari, Bandar Lampung, 14-30 August 2007 Pontianak, Kalimantan Barat, 14-16 August 2007 Pontianak, Kalimantan Barat, 14-16 August 2007

Facilitator

Participant Participant Speaker

Facilitator Facilitator

No 34. 35. 36. 37.

Name Andi Mariyasari Septiari, MSc DR. Judhiastuty Februhartanty Dr. Widjaja Lukito, PhD Rosnani Pangaribuan, Dr.rer.nat

Title of training/workshops, conference/symposia Malaysia, Indonesia and Brunei Darussalam Medical Science Conference Malaysia, Indonesia and Brunei Darussalam Medical Science Conference Center Director Meeting Center Director Meeting

Venue and date Rizqun International Hotel, Gadong, Brunei Darussalam, 27-29 July 2007 Rizqun International Hotel, Gadong, Brunei Darussalam, 27-29 July 2007 Bangkok Thailand, 3-6 July 2007 Bangkok Thailand, 3-6 July 2007

Role during attendance Poster Presenter Poster Presenter Participant Participant

Appendix 7. Events attended by supporting staff during FY 2007 – 2008 No

Name

1.

Sugiono

2.

Monica Eryanna

3.

Dewi Maryani, SE

4.

Budhi Mulyawan, SE

5.

Jatmiko, SSos

6.

Lasmini

7. 8.

Jatmiko PH, SSos Relita Ambarwati, SAB

9.

Maisaroh, SE

10.

Relita Ambarwati, SAB

11.

Sugiyanto, SE

12.

Suharyanto, AMd

Title of training/workshops, conference/symposia Protocol for foreign guest and master of ceremony training Training Peningkatan Pengelolaan Sistem Akuntansi Instansi (SAI) Training Peningkatan Pengelolaan Sistem Akuntansi Instansi (SAI) Training Peningkatan Pengelolaan Sistem Akuntansi Instansi (SAI) Training Peningkatan Pengelolaan Sistem Akuntansi Instansi (SAI) SEAMEO Service Award Diklat Khusus Bendahara Pengeluaran Sosialisasi Undang-Undang dan Peraturan Bidang Keuangan di lingkungan DEPDIKNAS th 2007 Sosialisasi Undang-Undang dan Peraturan Bidang Keuangan di lingkungan DEPDIKNAS th 2007 Training Pemantapan Penyusunan Laporan Akuntabilitas Kinerja Instansi Pemerintah (LAKIP) dan Permen DIKNAS No. 3 Th 2007 Training Pemantapan Penyusunan Laporan Akuntabilitas Kinerja Instansi Pemerintah (LAKIP) dan Permen DIKNAS No. 3 Th 2007 Training Pemantapan Penyusunan Laporan Akuntabilitas Kinerja Instansi Pemerintah (LAKIP) dan Permen DIKNAS No. 3 Th 2007

Grand Jaya Hotel, Bogor, 17 – 19 June 2008

Role during attendance Participant

Rocky Hotel, Padang, 28-30 March 2008

Participant

Rocky Hotel, Padang, 28-30 March 2008

Participant

Rocky Hotel, Padang, 28-30 March 2008

Participant

Rocky Hotel, Padang, 28-30 March 2008

Participant

Mandarin Oriental Hotel, Malaysia, 12 – 14 March 2008 LPMP DKI Jakarta, 23 March-5Aprl 2008 Purnama Batu, Malang

Awardees

Purnama Batu, Malang

Participant

Arum Hotel, Banjarmasin, 3-5 June 2007

Participant

Arum Hotel, Banjarmasin, 3-5 June 2007

Participant

Arum Hotel, Banjarmasin, 3-5 June 2007

Participant

Venue and date

Participant Participant