"The Effect of giving Moringa Oleifera to Quality

of Breast Milk and Growth of Infants Age 0-6

Month in the of Tamalatea Comunnity Health
Center Jeneponto Regency”
Researcher
<Hadju V, Muis M, Ishak H, Syafar M, Indriasari R, Saleh A, Adriani M>
Presented by :
Suhartatik
APACPH-KL Early Career Global Public Health Conference (2019)

Faculty of Medicine, University of Malaya, Kualalumpur 11th & 12th April 2019
 Introduction
Related Works
Proposed Approach
Experimental Details

Introduction Results and Analysis

Conclusions

Globally, approximately 151 million children under 5 suffer

from stunting In 2017, nearly 51 million children under 5 were
wasted and 16 million were severely wasted There are now
nearly 38 million overweight children globally, an increase of
8 million since 2000.

1/14 APACPH-KL Early Career Global Public Health Conference (2019)

 Introduction
Related Works
Proposed Approach
Experimental Details

Introduction Results and Analysis

Conclusions

Forms of malnutrition* highlighted in this key findings report

• Stunting refers to a child who is too

short for his or her age.

• Overweight refers to a child who is too

heavy for his or her height.

• Wasting refers to a child who is too thin

for his or her height.

2/14 APACPH-KL Early Career Global Public Health Conference (2019)

 Global Nutrition Report 2014 showed Indonesia was
included in 17 countries, among 117 countries, which has
three nutritional problems; stunting, wasting and overweight
in toddlers.

37.2% Stunting
12.1 % Wasting
11.9% Overweight
 PERCENTAGE OF SHORT AND SHORT VEHICLE AGED IN 0-23 MONTHS BY
PROVINCE IN INDONESIA 2016

• The results of
monitoring nutritional
status in 2015 show
that; The prevalence of
Stunting Toddlers in
Jeneponto Regency
has 142 cases (47.3%).

Sumber: Pemantauan Status Gizi 2016, Kemenkes RI

 Introduction
Related Works
Proposed Approach
Experimental Details
Results and Analysis
Related Works Conclusions

Moringa oleifera contains vitamin A, iron, vitamin C, calcium and high protein
compared to other plants like carrots (vitamin A), spinach (iron), and oranges
(vitamin C). (Fahey, 2005) (Kasolo et al., 2010) (Anwar et al., 2007).

Giving Moringa can increase the hemoglobin of pregnant women with the effect
of giving iron tablets/ folic acid & Moringa can increase antioxidant levels and
reduce MDA, and 8-OHDG (Nadimin dkk, 2015).

Giving Moringa oleifera extract affects vitamin A levels in postpartum breast milk
(Nurfitria, 2018).

Giving Moringa flour (2000mg) can increase hemoglobin and birth weight of the
baby (Veni Hadju, dkk (2018).

5/14 APACPH-KL Early Career Global Public Health Conference (2019)

 Introduction
Related Works
Proposed Approach Proposed Approach
Experimental Details
Results and Analysis
Conclusions

Prevention of stunting in South Sulawesi is time to be done comprehensively,

priority in the initial conditions of life. Moringa plants that are abundant and
thrive everywhere are a source of supplements. It is expected that with
modern cultivation technology can prepare quality raw materials and can
provide great benefits to pregnant women.

Seed Flower Fruit

Root leaf branch

6/14 APACPH-KL Early Career Global Public Health Conference (2019)
 Assess the difference in levels of Vitamin A in
breast milk content from groups of mothers who
1 received moringa oleifera flour and groups that
received iron folate

Assessing the difference in levels of Vitamin E in

the content of breast milk from the group of
2 mothers who received moringa oleifera flour and
the group that received iron folate.

Assessing the difference in growth of infants from

3 the group of mothers who received moringa
oleifera and the group receiving iron folate.
 Introduction
Related Works
Proposed Approach
Experimental Details
Experimental Details Results and Analysis
Conclusions
Experimental research with Randomized Double Blind design, Controlled design.
Analisis Data : Pairet T-Test, Independen T-Test, Mann Whitney U Test.
Location and Time of Research: in the area of ​Tamalatea Public Health Center,
Jeneponto Regency for 9 months in 2018

BANGKALA BONTORAMBA TOLO

TINO

TAMALATEA

BINAMU
 Pregnant woman
(3 Trimester)
n=40

Initial inspection: Hemoglobin, increased maternal weight, diet,

maternal morbidity, cortisol

Random

Capsules of Fe capsules
Moringa leaf (GBF, n=200)
flour (GTK,
n=20)
• Laboratory Tests Using
Intervention
ELISA KIT (Mother's Milk
Breastfeeding)
Initial inspection: Hemoglobin, increased maternal weight, diet,
maternal morbidity • Quantitative tests use
imunosorbent enzyme
Mother giving
birth related tests.
Post-acceptance examination : • Lab results are
Baby's weight and length, Mother and baby Hemoglobin weight of the
placenta, Quality ASI (Vit A dan E) expressed in units of µg
/L
3 months

Examination at 3 months of age: Quality of breast milk

(Vitamins A and E), Nutritional Status (Weight, Height, Head
Circumference)

6 months

Examination at 6 months of age: Quality of breast milk

(Vitamins A and E), Nutritional Status (Weight, Height, Head
Circumference)
 Results and Analysis Introduction
Related Works
Proposed Approach
Growth of Infants Age 0-6 Month in the of Tamalatea Experimental Details
Comunnity Health Center Jeneponto Regency Results and Analysis
Conclusions

Nutritional status : 3 months old (Weigh )

Very thin 2.8 % (1)
Thin 5.6 % (2)
Normal 61.1 % (22)
Fat 30.6 % (11)
Nutritional status : 3 months old (Height)
Very Short 16.7 % (6)
Short 19.4 % (7)
Normal 63.9 % (23)
Nutritional status : 3 months old (Weigh )
Malnutrition : Very Short 2.8 % (1)
Short 5.6 % (2)
Normal 91.7 % (33)

Nutritional status : 6 months old (Weight)

Normal 80.6 % (29)
Fat 19.4 % (7)
Nutritional status : 6 months old (Height)
Malnutrition : Very Short 5.6 % (2)
Short 38.9 % (14)
Normal 55.6 % (20)
Nutritional status : 6 months old
low 13.9 % (5)
Normal 86.1 % (31)
10/14 APACPH-KL Early Career Global Public Health Conference (2019)
 Introduction
Related Works
Proposed Approach
Results and Analysis Experimental Details
Results and Analysis
Conclusions

Vitamin E Month 3 Vitamin E Month 6

Intervention
Δ Mean ± SD
Group mean ± SD mean ± SD

Fe capsules (n=18) 2641.73 ±2939.02 2085.08 ± 1421.42 ↓556.64 ± 3080.10

Capsules of Moringa
1698.00 ± 1397.77 1948.27 ± 915. 25 ↑250.27 ± 1490.43
leaf flour (n=18)

p-value 0.486** 0.733* 0.548**

* Independent T-Test
** Mann Whitney U
Based on the Statistical Test Results, there was no difference in vitamin A levels in the two groups at
the age of 3 months (p> 0.05). so did the sixth month (p> 0.05).

11/14 APACPH-KL Early Career Global Public Health Conference (2019)

 Introduction
Related Works
Proposed Approach
Experimental Details

Results and Analysis Results and Analysis

Conclusions

Vitamin E Month 3 Vitamin E Month 6

Intervention
Δ Mean ± SD
Group mean ± SD mean ± SD

Fe capsules (n=18) 7.12 ± 7.07 3.52 ± 3.61 ↓3.59 ± 9.18

Capsules of Moringa
4.14 ± 4.35 3.59 ± 3.66 ↓0.55 ± 6.53
leaf flour (n=18)

p-value 0.107** 0.912** 0.260*

** Mann Whitney U
Based on the Statistical Test Results, there was no difference in the levels of vit E in the
two groups at the age of 3 months (p> 0.05). so did the sixth month (p> 0.05).

12/14 APACPH-KL Early Career Global Public Health Conference (2019)

 Introduction
Related Works
Proposed Approach
Experimental Details

Conclusions Results and Analysis

Conclusions

The effect of giving Moringa flour capsules with Fe

tablets has no statistically significant difference in the
quality of breast milk, but based on the results of the
study, Moringa capsules have more influence on the
quality of breast milk (Vit.A and Vit E). Moringa flour
capsules can be another alternative for fulfilling mother's
vitamin needs.

13/14 APACPH-KL Early Career Global Public Health Conference (2019)

 Introduction
Related Works
Proposed Approach
Experimental Details

References Results and Analysis

Conclusions

Anwar, F., Latif, S., Ashraf, M., & Gilani, A. H. (2007). Moringa oleifera : A Food Plant with
Multiple Medicinal Uses. PHYTOTHERAPY RESEARCH, 25(September 2006), 17–25.
http://doi.org/10.1002/ptr
kandar, I. et al. (2015) ‘Effect of Moringa Oleifera Leaf Extracts Supplementation in Preventing Maternal
Anemia and’, International Journal of Scientific and Research Publications, 5(2), pp. 5–7.
Muis, M., Hadju, V., Russeng, S., Naiem, M. F. and Faculty, P. H. (2014) ‘Effect of Moringa Leaves Extract
on Occupational Stress and Nutritional Status of Pregnant Women Informal Sector Workers’,
International Journal of Current Research and Academic Review, 2(11), pp. 86–92.
Nadimin et al. (no date) ‘The Extract of Moringa Leaf Has an Equivalent Effect to Iron Folic
Acid in Increasing Hemoglobin Levels of Pregnant Women : A randomized Control
Study in the Coastal Area of Makassar’, International Journal of Sciences: Basic and
Applied Research, 4531, pp. 287–294.
Otoluwa, A. et al. (2014) ‘Effect of Moringa Oleifera Leaf Extracts Supplementation in
Preventing Maternal DNA Damage’, 4(11), pp.

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