Determinants of Stunting among Children Aged 12-60 months in South Central Timor Regency of Indonesia: A Cross-Sectional Study

Herliana Monika Azi Djogo, Yasinta Betan, Yohanes Dion

= http://dx.doi.org/10.24990/injec.v6i2.422
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Abstract


Introduction: Stunting is currently one of the world's nutritional problems suffered by toddlers. This study aimed to determine the factors and incidence of stunting among children aged 12-60 months old in Indonesia. Methods: The design was a cross-sectional approach. This research was conducted in the South Central Timor Regency from February to August 2020. The respondents of this study were as many as 286 mothers and children. The sampling technique used in this study was purposive sampling. The questionnaire was used to identify demographic factors, infectious diseases, maternal care practice factors and stunting was identified by using the anthropometric measurement by WHO age-based height index (Z score <-2 SD). Chi-square and logistic regression were used to determine the factors associated with the incidence and the dominant factors of stunting. Results: The results showed a significant relationship between the number of children with  p= 0.000; mother's knowledge with  p= 0.000; and practice of complementary feeding with the incidence of stunting with  p=0.000, while the main factor causing the incidence of stunting in toddlers is the number of children, which is more than two people in the family (p= 0.000, Exp (B) = 0.137). Conclusion: The number of children is the primary factor causing stunting in South Central Timor. Therefore, health workers should increase health promotion and education about stunting and raise family awareness in running family planning programs to meet children's needs, including nutrition and control of childbirth.

Keywords


child; growth disorders; nutritional status

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Ajao, K.O., Ojofeitimi, E.O., Adebayo, A.A., Fatusi, A.O., & Afolabi, A.O. (2010). Influence of family size, household food security status, and child care practices on the nutritional status of under-five children in Ile-Ife, Nigeria. African Journal of Reproductive Health, 14(4), 117-126

Alam, M. A., Richard, S. A., Fahim, S. M., Mahfuz, M., Nahar, B., Das, S., Shrestha, B., Koshy, B., Mduma, E., Seidman, J. C., Murray-Kolb, L. E., Caulfield, L. E., & Ahmed, T. (2020). Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study. PLOS ONE, 15(1), e0227839. https://doi.org/10.1371/journal.pone.0227839

Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14(4), 1–10. https://doi.org/10.1111/mcn.12617

Beal, T., Le, D. T., Trinh, T. H., Burra, D. D., Huynh, T., Duong, T. T., Truong, T. M., Nguyen, D. S., Nguyen, K. T., de Haan, S., & Jones, A. D. (2019). Child stunting is associated with child, maternal, and environmental factors in Vietnam. Maternal and Child Nutrition, 15(4). https://doi.org/10.1111/mcn.12826

Bégin, F. (2016). The First 1000 Days: Shaping Children's Future. https://www.mofa.go.jp/files/000198909.pdf

Chowdhury, T. R., Chakrabarty, S., Rakib, M., Afrin, S., Saltmarsh, S., & Winn, S. (2020). Factors associated with stunting and wasting in children under 2 years in Bangladesh. Heliyon, 6(9), e04849. https://doi.org/10.1016/j.heliyon.2020.e04849

Datta,. S.S., Singh, Z., Boratne, A.V., Senthilvel, V., Bazroy, J., & Dimri, D. (2011). Knowledge and practice of handwashing among mothers of under five children in rural coastal South India. International Journal of Medicine and Public Health,, 1(1),33-38.

Department of Health of Indonesia. (2018). PUSDATIN Situasi Balita Pendek (Stunting) di Indonesia. https://www.kemkes.go.id/download.php?file=download/pusdatin/buletin/Buletin-Stunting-2018.pdf

Djogo, H.M.A., Betan, Y., & Dion, Y.. (2020). Hubungan Pekerjaan Ibu Dan Praktik Asi Ekslusif Dengan Kejadian Stunting Pada Balita Di Kabupaten Timor Tengah Selatan. Jurnal Kesehatan, 8(2).

Fadare, O., Amare, M., Mavrotas, G., Akerele, D., & Ogunniyi, A. (2019). Correction: Mother's nutrition-related knowledge and child nutrition outcomes: Empirical evidence from Nigeria. PLOS ONE, 14(4), e0215110. https://doi.org/10.1371/journal.pone.0215110

Hall, C., Bennet,C., Crookston,B., Dearden,K., Hasan,M., Lineham, M., Syafiq, A.,Torres, S., & West, J. (2018). Maternal Knowledge of Stunting in Rural Indonesia. International Journal of Child Health and Nutrition., 7, 139-145

Indonesia Ministry of Education and Culture. (2016). The Management of National Education in 2014/2015 at a Glance. http://publikasi.data.kemdikbud.go.id/uploadDir/isi_6549DA84-7A7F-44B5-AD22-829B1F002A4F_.pdf

Indonesian Ministry of Health. (2018). Riset Kesehatan Dasar 2018. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf

Indonesian Ministry of Home Affairs. (2020). Presidential Regulation number 63 of 2020. https://jdih.setkab.go.id/PUUdoc/176108/Perpres_Nomor_63_Tahun_2020.pdf

Ministry of Health of Republic Indonesia. (2018a). Indonesia Baseline Health Research 2018. https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/

Ministry of Health of Republic Indonesia. (2018b). Indonesian Basic Health Research in 2018. https://www.kemkes.go.id/folder/view/01/structure-publikasi-pusdatin-profil-kesehatan.html

Muslihah, N., Khomsan, A., Briawan, D., & Ryadi, H. (2016). Complementary food supplementation with a small-quantity of lipid-based nutrient supplements prevents stunting in 6-12-month-old infants in rural West Madura Island, Indonesia. Asia Pacific Journal of Clinical Nutrition, 25(Suppl 1), S36–S42. https://doi.org/10.6133/apjcn.122016.s9

National Population and Family Planning Board (BKKBN), Statistics Indonesia (BPS), Ministry of Health (Kemenkes), and ICF. (2018). Indonesia Demographic and Health Survey 2017. Jakarta, Indonesia: BKKBN, BPS, Kemenkes, and ICF DHS. https://dhsprogram.com/pubs/pdf/FR342/FR342.pdf

Nshimyiryo, A., Hedt-Gauthier, B., Mutaganzwa, C., Kirk, C. M., Beck, K., Ndayisaba, A., Mubiligi, J., Kateera, F., & El-Khatib, Z. (2019). Risk factors for stunting among children under five years: a cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey. https://doi.org/10.1186/s12889-019-6504-z

Saxton, J., Rath, S., Nair, N., Gope, R., Mahapatra, R., Tripathy, P., & Prost, A. (2016). Handwashing, sanitation and family planning practices are the strongest underlying determinants of child stunting in rural indigenous communities of Jharkhand and Odisha, Eastern India: a cross-sectional study. Maternal and Child Nutrition, 12(4), 869–884. https://doi.org/10.1111/mcn.12323

Semba, R. D., Moench-Pfanner, R., Sun, K., De Pee, S., Akhter, N., Rah, J. H., Campbell, A. A., Badham, J., Bloem, M. W., & Kraemer, K. (2011). Consumption of micronutrient-fortified milk and noodles is associated with lower risk of stunting in preschool-aged children in Indonesia. Food and Nutrition Bulletin, 32(4), 347–353. https://doi.org/10.1177/156482651103200406

Sukardin, Hemchayat, M., &Sinsuesatkul, S. (2014). T The Maternal Socio-Demographic Factors Associated With Nutritional Status in Children Under Five Years Old In West Nusa Tenggara Province, Indonesia International Proceedings of Social and Behavioral Sciences, 2(1), 149–156. http://www.conscientiabeam.com/pdf-files/pro/agr/3/INC 17-2014-2(1)-149-156.pdf

Svefors, P., Pervin, J., Islam Khan, A., Rahman, A., Ekström, E. C., El Arifeen, S., Ekholm Selling, K., & Persson, L. Å. (2020). Stunting, recovery from stunting and puberty development in the MINIMat cohort, Bangladesh. Acta Paediatrica, International Journal of Paediatrics, 109(1), 122–133. https://doi.org/10.1111/apa.14929

Torlesse, H., Cronin, A. A., Sebayang, S. K., & Nandy, R. (2016). Determinants of stunting in Indonesian children: Evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC Public Health, 16(1), 669. https://doi.org/10.1186/s12889-016-3339-8

UNICEF/WHO/The World Bank Group joint child malnutrition. (2020). Levels and trends in child malnutrition: key findings of the 2020 edition. https://www.who.int/publications/i/item/jme-2020-edition

UNICEF/WHO/The World Bank Group joint child malnutrition estimates. (2020). Joint Child Malnutrition Estimates 2020 edn. https://apps.who.int/gho/tableau-public/tpc-frame.jsp?id=402

UNICEF. (2017). First 1000 Days the critical Window to ensure that children survive and thrive. https://www.unicef.org/southafrica/sites/unicef.org.southafrica/files/2019-03/ZAF-First-1000-days-brief-2017.pdf

UNICEF. (2020). Malnutrition in Children-Unicef Data: Monitoring the situation of Children and Women. https://data.unicef.org/topic/nutrition/malnutrition/

WHO. (2011). WHO Anthro. https://www.who.int/childgrowth/software/anthro_pc_manual_v322.pdf

WHO. (2013). Childhood Stunting: Context, Causes and Consequences WHO Conceptual framework. https://www.who.int/nutrition/events/2013_ChildhoodStunting_colloquium_14Oct_ConceptualFramework_colour.pdf?ua=1

Wirth, J. P., Rohner, F., Petry, N., Onyango, A. W., Matji, J., Bailes, A., de Onis, M., & Woodruff, B. A. (2017). Assessment of the WHO Stunting Framework using Ethiopia as a case study. Maternal and Child Nutrition, 13(2). https://doi.org/10.1111/mcn.12310

Wirth, J. P., Rohner, F., Petry, N., Onyango, A. W., Matji, J., Bailes, A., De Onis, M., & Woodruff, B. A. (2016). Assessment of the WHO Stunting Framework using Ethiopia as a case study. https://doi.org/10.1111/mcn.12310

Workicho, A., Belachew, T., Argaw, A., Ghosh, S., Kershaw, M., Lachat, C., & Kolsteren, P. (2019). Adolescent pregnancy and linear growth of infants: A birth cohort study in rural Ethiopia. Nutrition Journal, 18(1), 22. https://doi.org/10.1186/s12937-019-0448-0

Yunitasari, E., Pradanie, R., Arifin, H., Fajrianti, D., & Lee, B. O. (2021). Determinants of stunting prevention among mothers with children aged 6–24 months. Open Access Macedonian Journal of Medical Sciences, 9(B), 378–384. https://doi.org/10.3889/oamjms.2021.6106


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