STUNTING DETERMINANTS IN KULONPROGO DISTRICT, YOGYAKARTA YEAR 2019
DOI:
https://doi.org/10.26555/eshr.v4i1.4039Keywords:
Stunting, Determinants, Malnutrition, Under-five childrenAbstract
Background: UNICEF stated that in 2014, about 66% of children aged less than five years in lower-middle-income countries were stunted. Stunting is a predictor of poor quality of human resources and reduces a nation's productivity in the future. Stunting control in the Kulonprogo District is one of the priority districts in Indonesia. This study aimed to analyze the determinants of stunting in the Kulonprogo District.
Methods: This research was conducted in Kuponprogo District. The population was children under five in Kulonprogo District. Analysis was done through a descriptive approach. Descriptive quantitative research was used by employing secondary data from the year 2013.
Results: The prevalence of stunting among children under five in the Kulonprogo District was 11.12%, spread across all primary health centers (Puskesmas) in the Kulonprogo District. The three puskesmas with the highest prevalence rate were Puskesmas Girimulyo 2, Puskesmas Samigaluh 2, and Puskesmas Kalibawang. The analysis found that low-income families, maternal education, age at pregnancy, chronic energy deficiency during pregnancy, anemia during pregnancy, early initiation of breastfeeding, exclusive breastfeeding, and parenting mode are the determinant factors of stunting in the Kulonprogo District in 2019.
Conclusion: Several determinants of stunting were found, namely low-income families, maternal education, age at pregnancy, chronic energy deficiency during pregnancy, anemia during pregnancy, early initiation of breastfeeding, exclusive breastfeeding, and parenting mode.
References
World Health Organization. Nutrition Landscape Information System (Nlis) Country Profile Indicators: Interpretation Guide. Geneva: WHO; 2010.
de Onis M, Branca F. Childhood stunting: a global perspective. Vol. 12, Maternal & Child Nutrition. Wiley-Blackwell; 2016 [cited 2022 Jan 23]. p. 12. Available from: /pmc/articles/PMC5084763/
UNICEF India. Stop stunting. Web. 2021 [cited 2022 Jan 23]. Available from: https://www.unicef.org/india/what-we-do/stop-stunting
Karsa NS, Mappaware NA, Latief S, Irwan AA, Andi U, Pangnguriseng. Analysis of Medicosocial Determinant Factors in Mothers with Stunted. Green Med J. 2021;3(2):101–9.
Soekatri MYE, Sandjaja S, Syauqy A. Stunting was associated with reported morbidity, parental education and socioeconomic status in 0.5–12-year-old Indonesian children. Int J Environ Res Public Health. 2020;17(17):1–9.
Bishwakarma R. Spatial Inequality in Children Nutrition in Nepal: Implications of Regional Context and Individual/Household Composition. University of Maryland; 2011. Available from: https://drum.lib.umd.edu/bitstream/handle/1903/11683/Bishwakarma_umd_0117E_12081.pdf?sequence=1&isAllowed=y
Fikadu T, Assegid S, Dube L. Factors associated with stunting among children of age 24 to 59 months in Meskan district, Gurage Zone, South Ethiopia: A case-control study. BMC Public Health. 2014;14(1):1–7.
Raiten DJ, Bremer AA. Exploring the nutritional ecology of stunting: New approaches to an old problem. Nutrients. 2020;12(2).
WHO. Stunting in a nutshell. Web. 2015 [cited 2021 Aug 13]. Available from: https://www.who.int/news/item/19-11-2015-stunting-in-a-nutshell
Tessema M, Gunaratna NS, Brouwer ID, Donato K, Cohen JL, McConnell M, et al. Associations among high-quality protein and energy intake, serum transthyretin, serum amino acids and linear growth of children in Ethiopia. Nutrients. 2018;10(11):1–17.
Stammers AL, Lowe NM, Medina MW, Patel S, Dykes F, Pérez-Rodrigo C, et al. The relationship between zinc intake and growth in children aged 1-8 years: A systematic review and meta-analysis. Eur J Clin Nutr. 2015;69(2):147–53.
Stoltzfus RJ. Iron Deficiency: Global Prevalence And Consequences. Food And Nutrition Bulletin Supplement. Food Nutr Bull. 2003;24(4 Suppl):S99-103.
Mikhail WZA, Sobhy HM, El-sayed HH, Khairy SA, Salem HYHA, Samy MA. Effect of Nutritional Status on Growth Pattern of Stunted Preschool Children in Egypt. Acad J Nutr. 2013;2(1):1–9.
Kearney J. Food consumption trends and drivers. Philos Trans R Soc B Biol Sci. 2010;365(1554):2793–807.
National Team for the Acceleration of Poverty Reduction. Summary of 100 Priority Districts/Cities for Interventions for Stunting. Jakarta Pusat: Sekretariat Wakil Presiden Republik Indonesia; 2017. [In Bahasa Indonesia]
Budiastutik I, Nugraheni A. Determinants of Stunting in Indonesia: A Review Article. Int J Heal Res. 2018;1(1):2620–5580.
Dhital R, Silwal RC, Simkhada P, Van Teijlingen E, Jimba M. Assessing knowledge and behavioural changes on maternal and newborn health among mothers following post-earthquake health promotion in Nepal. PLoS One. 2019;14(7):1–15.
Prasetyanti DK, Fitriasnani ME. The Influence of Calendar of Health As A Prevention of Stunting In Pre-Marriage Couples. Str J Ilm Kesehat. 2020;9(2):1300–8.
Semba RD, de Pee S, Sun K, Sari M, Akhter N, Bloem MW. Effect of parental formal education on risk of child stunting in Indonesia and Bangladesh: a cross-sectional study. Lancet. 2008;371(9609):322–8.
Fernald LCH, Kariger P, Hidrobo M, Gertler PJ. Socioeconomic gradients in child development in very young children : Evidence from India , Indonesia , Peru ,. 2012;109:17273–80.
Lee J, Houser RF, Must A, De Fulladolsa PP, Bermudez OI. Socioeconomic disparities and the familial coexistence of child stunting and maternal overweight in guatemala. Econ Hum Biol. 2012;10(3):232–41.
Schrijner S, Smits J. Grandparents and Children’s stunting in sub-Saharan Africa. Soc Sci Med. 2018;205(October 2017):90–8.
Rahman N, Napirah MR, Nadila D, Bohari. Determinants of stunting among children in urban families in palu , Indonesia. Pakistan J Nutr. 2017;16(November):750–6.
Dewi R, Evrianasari N, Yuviska IA. Hb Levels, Arm Circumference and Mother’s Weight During Pregnancy Are at Risk for Stunting Incidents in 1-3 Years Old Children. J Kebidanan Malahayati. 2020;6(1):57–64. Available from: http://ejurnalmalahayati.ac.id/index.php/kebidanan/article/view/1769. [In Bahasa Indonesia]
Prabandari Y, Hanim D, AR RC, Indarto D. Correlation Chronic Energy Deficiency and Anemia During Pregnancy With Nutritional Status of Infant 6 – 12 Months in Boyolali Regency. Penelit Dizi dan Makanan. 2016;39(1):1–8. Available from: https://media.neliti.com/media/publications/223581-hubungan-kurang-energi-kronik-dan-anemia.pdf. [In Bahasa Indonesia]
Febrina Y, Santoso S, Kurniati A. Risk Factors for Stunting in Newborns at Wonosari Hospital, Gunungkidul Regency in 2016. Poltekes Kemenkes Yogyakarta. Poltekes Kemenkes Yogyakarta; 2019. [In Bahasa Indonesia]
Warsini KT, Hadi H, Nurdiati DS. History of KEK and anemia in pregnant women is not associated with stunting in children aged 6-23 months in Sedayu Subdistrict, Bantul, Yogyakarta. J Gizi dan Diet Indones. 2016;4(1):29–40. [In Bahasa Indonesia]
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