Zinc Supplementation and Recurrent Diarrhea in Children in Primary Health Care

Masta Hutasoit




The high rate of infant morbidity and mortality due to diarrhea is still a focus on children's health. In addition to Oral Rehydration Salt (ORS), zinc is a supplement needed to treat diarrhea. As long as the child has diarrhea, the body will lose zinc, so that additional zinc is needed to accelerate the healing process of diarrhea. Zinc is an important micronutrient in the growth of children and is able to prevent diarrhea 2-3 months after diarrhea. The previous study showed that most mothers do not give zinc to diarrhea children (59.3 %), thus there are still many recurrent diarrhea in children. Objective of study to determine the relationship between zinc supplementation in children with diarrhea and the incidence of recurrent diarrhea at Kasihan Primary Health Care, Bantul. We used descriptive correlational with a retrospective approach. The number of respondents was 47 children under five years (0-59 months) with diarrhea who were taken to primary health care and received zinc therapy. The sampling technique was carried out by purposive sampling. Data collection was performed by filling out the questionnaire by visiting the respondent's house (home visit). The result of the contingency coefficient showed p= 0.013 (p < 0.05) which means that there was a statistically significant relationship between zinc supplementation and the incidence of recurrent diarrhea. The closeness of the relationship between the two variables was indicated by the correlation coefficient value of 0.342 which was in a moderate relationship. There is a correlation between giving zinc supplementation to children with recurrent diarrhea in Primary Health Care



zincsupplementation; recurrent diarrhea; children under five years

Full Text:




Adriani, M., Wirjatmadi, B. (2014). Gizi dan Kesehatan Balita Peranan Mikro Zinc pada Pertumbuhan Balita Edisi Pertama. (Nutrition and Health of Toddler: Role of Micro Zinc in Toddler Growth). 1st edition. Jakarta: Kencana.

Artana, WD., Suraatmadja, S., Aryasa, KN, Suandi, IKG. (2005). Peran suplementasi mineral mikro seng terhadap kesembuhan diare. (The role of micro zinc mineral supplementation for diarrhea) Sari Pediatri,7(1), 15-18.

Yogyakarta Health Service. (2015). Profil Kesehatan D.I.Yogyakarta Tahun 2014. (Health Profile of Yogyakarta in 2014). Yogyakarta: Yogyakarta Health Service.

Hastuti, D. (2013). Hubungan pemberian zinc dengan kejadian diare berulang pada balita di wilayah kerja Puskesmas Kedungmundu Kota Semarang. (The relationship between zinc with recurrent diarrhea in children at Kedungmundu Primary Health Care, Semarang). Skripsi. Unpublish.

Indonesia Ministry of Health. (2011). Situasi Diare di Indonesia. (Diarrhea Situation in Indonesia). Jakarta: Indonesia Ministry of Health.

___________(2011). Buku Saku Lintas Diare. (Diarrhea Pocket Book). Jakarta: Directorate General of Disease Control and Environmental Health.

___________(2013). Riset Kesehatan Dasar. (Basic Health Research). Jakarta: Department of Health Research and Development of the Indonesia Ministry of Health.

___________(2015). Manajemen Terpadu Balita Sakit. (Integrated Management of Children Ilnesses) Jakarta: Indonesia Ministry of Health

Lamberti, L.M.; Walker, C.L.F.; Chan, K.Y.; Jian, W.-Y.; Black, R.E. (2013). Oral Zinc Supplementation for the Treatment of Acute Diarrhea in Children: A Systematic Review and Meta-Analysis. Nutrients,5, 4715-4740. Available at: www.mdpi.com/journal/nutrients.

Larson CP, Hoque AB, Larson CP, Khan AM, Saha UR. (2005). Initiation of zinc treatment for acute childhood diarrhoea and risk for vomiting or regurgitation: a randomized, double-blind, placebo-controlled trial. J Health Popul Nutr, 23,311-319

Latif, HA. (2014). Terapi suplementasi zink dan probiotik pada pasien diare. Jurnal Agromed Unila,2(4), 440-445. (Zinc Supplementation and probiotic therapy in diarrhea patient)

Lazzerrani, M., Ronfani, L. (2013). Oral zinc for treating diarrhoea in children. Cochrane Database of Systematic Review, (1), 1-78. doi: 10.1002/14651858.CD005436.pub4.

Marlia, DL., Dwipoerwantoro, PG., Advani, N. (2015). Defisiensi zinc sebagai salah satu faktor risiko diare akut menjadi diare melanjut. Sari Pediatri,16(5), 299-306. (Zinc deficiency is one of the risk factor acute diarrhea to be chronic diarrhea)

Nissa, MC. (2017). Hubungan Pengetahuan dengan Kepatuhan Ibu dalam Pemberian Zinc Pada Balita Penderita Diare di Puskesmas Helvatia Medan. http://repositori.usu.ac.id/handle/123456789/1556 (The correlation Knowledge and Maternal Compliance in Giving Zinc to children under five years old with at Hevatia Primary Health Care)

Purnamasari, H., Santosa, B., Puruhita, N. (2011). Pengaruh suplementasi seng dan probiotik terhadap kejadian diare berulang. Sari Pediatri,13(2), 96-104. (Effect of zinc supplementation and probiotic on recurrent diarrhea)

Sofiana, D. (2015). Gambaran tingkat Kepatuhan Ibu Dalam Pemberian Tablet Zinc Pada Balita Diare di Puskesmas Banyumas. Karya Tulis Ilmiah. Unpublish. (The level of maternal compliance in the administration of zinc tablets in diarrhea toddlers in Banyumas Primary Helath Care)

Soebagyo, B. (2008). Diare Akut Pada Anak. Surakarta: Universitas Sebelas Maret Press. (Acute Diarrhea in Children).

World Health Organization. (2017). Zinc supplementation in the management of diarrhoea. Retrieved March 16th, 2017, from http://www.who.int/elena/titles/zinc_diarrhoea/en/.

WHO/UNICEF. (2013). Ending Preventable Child Deaths from Pneumonia and Diarrhoea by 2025. The Integrated Global Action Plan for Pneumonia and Diarrhea (GAPPD). Retrieved March 15th, 2017, from http://www.unicef.org/media/files/Final_GAPPD_main_Report-_EN-8_April_2013.pdf

Yakoob et al. (2011). Preventive zinc supplementation in developing countries: impact on mortality and morbidity due to diarrhea, pneumonia and malaria. BMC Public Health, 1-10.

DOI: http://dx.doi.org/10.21927/jnki.2020.8(1).74-81


  • There are currently no refbacks.

Jurnal Ners dan Kebidanan Indonesia (JNKI) indexed by:


Lisensi Creative Commons

  View My Stats