Impact of COVID-19 Pandemic on Nutrition Services in Banyumas, Central Java

  • Arina Nurul Ihsani Universitas Indonesia
  • Endang L. Achadi Universitas Indonesia
  • Rany Sekar Pratiwi Banyumas Public Health Office
Keywords: Nutrition Services, COVID-19 Pandemic, Public Health Services


The current COVID-19 pandemic and social restriction led to disruptions to Indonesia’s public health services. This research assessed the pandemic impact on nutrition services in Banyumas regency. Utilizing monthly registers from 40 subdistrict health services and interviews with public health officers, this research is a mixed-method study. Paired sample t-test was performed to compare the changes before and during the pandemic. Reduced community-based growth monitoring activities (p = 0,001), and early initiation of breastfeeding (p = 0,03) were two nutrition challenges identified in Banyumas. A slight reduction in postpartum vitamin A supplementation, antenatal care 1 and 4 services were also observed but statistically non-significant. Knowing that good nutrition strengthens the immunity and overall health of mothers, babies, and families. Improving nutrition services as part of the public health system and adaptive public policy is key to building resilience to future pandemics.


Bupati Banyumas. (2020a). Keputusan Bupati Banyumas tentang Penetapan Status Tanggap Darurat Bencana Covid Nomor 840/1389/2020. Banyumas.
Bupati Banyumas. (2020b). Keputusan Bupati Banyumas tentang Perpanjangan Kedua Status Tanggap Darurat Bencana Covid Nomor 360/631/2020. Banyumas.
Bupati Banyumas. (2020c). Keputusan Bupati Banyumas tentang Perpanjangan Keempat Status Tanggap Darurat Bencana Covid Nomor 340/760/2020. Banyumas.
Bupati Banyumas. (2020d). Keputusan Bupati Banyumas tentang Perpanjangan Ketiga Status Tanggap Darurat Bencana Covid Nomor 340/714/2020. Banyumas.
Bupati Banyumas. (2020e). Keputusan Bupati Banyumas tentang Perpanjangan Status Tanggap Darurat Bencana Covid Nomor 360/568/2020. Banyumas.
Bustamam, N., & Wahyuningsih, S. (2021). BULAN PENIMBANGAN BALITA DAN PEMBERIAN VITAMIN A DI POSYANDU LIMO DEPOK PADA PANDEMI COVID-19. BERNAS: Jurnal Pengabdian Kepada Masyarakat, 2(1), 152–157. Retrieved from
Chambers, C., Krogstad, P., Bertrand, K., Contreras, D., Tobin, N. H., Bode, L., & Aldrovandi, G. (2020). Evaluation for SARS-CoV-2 in breast milk from 18 infected women. Jama, 324(13), 1347–1348. Retrieved from
Costa, S., Posteraro, B., Marchetti, S., Tamburrini, E., Carducci, B., Lanzone, A., … Vento, G. (2020). Excretion of SARS-CoV-2 in human breast milk. Clinical Microbiology and Infection, 26(10), 1430–1432. Retrieved from
Delamou, A., El Ayadi, A. M., Sidibe, S., Delvaux, T., Camara, B. S., Sandouno, S. D., … Zhang, W.-H. (2017). Effect of Ebola virus disease on maternal and child health services in Guinea: a retrospective observational cohort study. The Lancet Global Health, 5(4), e448–e457. Retrieved from
Djalante, R., Lassa, J., Setiamarga, D., Mahfud, C., Sudjatma, A., Indrawan, M., … Djalante, S. (2020). Review and analysis of current responses to COVID-19 in Indonesia: Period of January to March 2020. Progress in Disaster Science, 100091. Retrieved from
Elston, J. W. T., Moosa, A. J., Moses, F., Walker, G., Dotta, N., Waldman, R. J., & Wright, J. (2015). Impact of the Ebola outbreak on health systems and population health in Sierra Leone. Journal of Public Health, 38(4), fdv158.
Gribble, K., Mathisen, R., Ververs, M., & Coutsoudis, A. (2020). Mistakes from the HIV pandemic should inform the COVID-19 response for maternal and newborn care. International Breastfeeding Journal, 15(1), 1–5. Retrieved from
Groß, R., Conzelmann, C., Müller, J. A., Stenger, S., Steinhart, K., Kirchhoff, F., & Münch, J. (2020). Detection of SARS-CoV-2 in human breastmilk. The Lancet, 395(10239), 1757–1758. Retrieved from
Gubernur Jawa Tengah. (2019). Peraturan Gubernur Jawa Tengah No. 61/2019 tentang Rencana Aksi Daerah Pangan dan Gizi Provinsi Jawa Tengah Tahun 2019-2023. Retrieved from
Haymond, M., Kappelgaard, A. M., Czernichow, P., Biller, B. M., Takano, K., & Kiess, W. (2013, August). Early recognition of growth abnormalities permitting early intervention. Acta Paediatrica, International Journal of Paediatrics, Vol. 102, pp. 787–796.
Herdiana, D. (2020). SOCIAL DISTANCING: INDONESIAN POLICY REPONSE TO THE CORONA VIRUS DISEASE 2019 (COVID-19). Jurnal Ilmu Administrasi: Media Pengembangan Ilmu Dan Praktek Administrasi, 17(1), 93–110. Retrieved from
Kemenkes RI; UNICEF. (2020). Report of Rapid Health Assessment. Retrieved from
Kemenkes RI. (2011). Pedoman Umum Pengelolaan Posyandu. Jakarta.
Kemenkes RI. (2020). Panduan Pelayanan Kesehatan Balita Pada Masa Pandemi COVI-19 Bagi Tenaga Kesehatan (Revisi I). Retrieved from
Kemenkes RI. (2021). Infeksi Emerging Kementerian Kesehatan RI. Retrieved February 11, 2021, from
Kodish, S. R., Bio, F., Oemcke, R., Conteh, J., Beauliere, J. M., Pyne-Bailey, S., … Wirth, J. P. (2019). A qualitative study to understand how Ebola Virus Disease affected nutrition in Sierra Leone—A food value-chain framework for improving future response strategies. PLoS Neglected Tropical Diseases, 13(9), e0007645. Retrieved from
Kodish, S. R., Simen-Kapeu, A., Beauliere, J.-M., Ngnie-Teta, I., Jalloh, M. B., Pyne-Bailey, S., … Wirth, J. P. (2019). Consensus building around nutrition lessons from the 2014–16 Ebola virus disease outbreak in Guinea and Sierra Leone. Health Policy and Planning, 34(2), 83–91. Retrieved from
Kumar, M. M., Priya, P. K., Panigrahi, S. K., Raj, U., & Pathak, V. K. (2020). Impact of COVID-19 pandemic on adolescent health in India. Journal of Family Medicine and Primary Care, 9(11), 5484. Retrieved from;year=2020;volume=9;issue=11;spage=5484;epage=5489;aulast=Kumar
Liu, W., Wang, J., Li, W., Zhou, Z., Liu, S., & Rong, Z. (2020). Clinical characteristics of 19 neonates born to mothers with COVID-19. Frontiers of Medicine, 14(2), 193–198. Retrieved from
Lobstein, T., Baur, L., & Uauy, R. (2004). Obesity in children and young people: a crisis in public health. Obesity Reviews, 5, 4–85. Retrieved from
Menteri Dalam Negeri. (2020). Surat Menteri Dalam Negeri No. 094/1737/BPD tentang Operasional Pos Pelayanan Terpadu (Posyandu dalam Pencegahan Penyebaran COVID-19.
Rosiana, H., & Sundari, A. (2021). PENGARUH KADER TERHADAP PRAKTIK KESEHATAN IBU HAMIL PADA MASA PANDEMI COVID 19. Midwifery Care Journal, 2(1), 21–26. Retrieved from
Shannon, F. Q., Horace-Kwemi, E., Najjemba, R., Owiti, P., Edwards, J., Shringarpure, K., … Kateh, F. N. (2017). Effects of the 2014 Ebola outbreak on antenatal care and delivery outcomes in Liberia: a nationwide analysis. Public Health Action, 7(1), S88–S93. Retrieved from
WHO. (2009). WHO child growth standards and the identification of severe acute malnutrition in infants and children. A joint statement by the World Health Organization and the United Nations Children’s Fund. Retrieved from
WHO. (2013). Pocket book of hospital care for children: guidelines for the management of common childhood illnesses. Retrieved from
WHO. (2020a). Clinical management of COVID-19: interim guidance, 27 May 2020. Retrieved from World Health Organization website:
WHO. (2020b). Pulse survey on continuity of essential health services during the COVID-19 pandemic: interim report, 27 August 2020. Retrieved from World Health Organization website:
Zhu, N., Zhang, D., Wang, W., Li, X., Yang, B., Song, J., … Tan, W. (2020). A novel coronavirus from patients with pneumonia in China, 2019. New England Journal of Medicine, 382(8), 727–733.
How to Cite
Ihsani, A., Achadi, E., & Pratiwi, R. (2021). Impact of COVID-19 Pandemic on Nutrition Services in Banyumas, Central Java. STRADA Jurnal Ilmiah Kesehatan, 10(1), 1369-1379.