Determinants of 6-24 Months Child Stunting in South Central Timor District, East Nusa Tenggara Province

Authors

  • Suriana Koro Jurusan Gizi, Poltekkes Kemenkes Kendari, Indonesia, Indonesia
  • Veni Hadju Fakultas Kesehatan Masyarakat, Hasanuddin University, Indonesia , Indonesia
  • Suryani As'ad Fakultas Kedokteran, Hasanuddin University, Indonesia , Indonesia
  • Baharuddin Bahar Fakultas Kesehatan Masyarakat, Hasanuddin University, Indonesia , Indonesia

DOI:

https://doi.org/10.36990/hijp.v10i1.1

Keywords:

Stunting, Anak usia 6 -24 bulan

Abstract

Nutritional problems in children under five are still a public health problem if the prevalence of stunting is> 20%. The prevalence of stunting in general in the world is also a public health problem because it is still 26%. Nationally, the prevalence of stunting in children under five in Indonesia is 37.2%. This means that the problem of nutrition in Indonesia is still a serious public health problem. Meanwhile, the proportion of children under five with stunting is 48.2% in NTT Province, including a critical public health problem. Based on this background, this study aims to determine the determinants of stunting of children 6-24 months in South Central Timor District, East Nusa Tenggara Province. B This research is an observational study with a cross-sectional design. The research was carried out in nine sub-districts of Timor Tengah Selatan Regency. Baduta food consumption data were obtained through consumption recall, while other data were obtained through questionnaires by enumerators. Analysis of nutrients in food using a food processor 2 (FP2). The statistical test used is Chi-Square. The number of respondents studied was 3480 children, with stunting and severe stunting as many as 1416 children (40.7%), most of whom were boys, as many as 1870 children (53.7%), for 12-24 months there were 1916 children, (1%), where the results of the chi square test are significant p <0.05. Education of mothers and fathers, respectively 1827 people (52.5%) and 1754 people (50.4%) with basic education did not complete and graduated from junior high school, with the majority of jobs being mother farmers (83.3%) and fathers (65.0%), most of the socio-economic conditions are low (83.5%). Maternal TB was significant (p = 0.000) as well as parity and birth spacing, the results of the chi-square test were significantly significant, p <0.005, while exclusive breastfeeding was only 596 people (17.1%). Nutritional needs did not reach the Recommended dietary allowance. (RDA) <80% RDA, energy intake (90.3%), protein (82.6%), fat (97.9%) and KH (82.0%). History of diarrhea (17.4%), fever (32.6%), shortness of breath (2.3%), cough (31.0%) and runny nose (29.2%) and the results of the chi-square test were only fever. Significant with p = 0.016. The logistic regression results showed that gender and maternal height were the most associated with stunting nutritional status. The determinant factors of stunting were the child's age, sex, mother's education, maternal occupation, mother's height, parity, birth spacing, protein intake and a history of fever.

References

Abuya AB et al. 2012. Effect of mother’s education on child’s nutritional status in the slums of Nairobi. BMC Pediatrics, 12-80.

Agrabar Murugkar D,2005. Nutritional status of Khasi schoolgirls in Meghalaya.J Nutr. 2005;21:425–31.

Ajoa KO et al. 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 Reproductive Health. 14 (4):123.

Amany Edward Seedhom, Eman Sameh Mohamed, Eman Mohamed Mahfouz, 2014. Determinants of stunting among preschool children, Minia, Egypt. International Public Health Forum Vol.1 No.2 June 2014 .

Babar N, Muzaffar R, Khan M, Imdad S, 2010. Impact of socioeconomic factors on nutritional status in primary schoolchildren in Lahore. Pakistan J Ayub Abbottabad.

;22(4):15–8.

Bhutta ZA, Tahmeed Ahmed, Robert E Black, Simon Cousens, Kathryn Dewey, Elsa Giugliani, Batool A Haider, Betty Kirkwood,Saul S Morris, H P S Sachdev, Meera Shekar. Maternal and Child Undernutrition 3 What works? Interventions for maternal and child undernutrition and survival.The Lancet, Vol 371 February 2, 2008

Black RE et al. 2008. Maternal And Child Undernutrition: Global And Regional Exposures And Consequences. www.thelancet.com Vol 371 January 19, 2008.

Baradaran R, Hasani K, 2006. Malnutrition in children. Tehran: Iranian Pediatrics Association Publisher; 2006.p.883-886.

Biswas S et al. 2010. Sex Differences in the Effect of Birth Order and Parents Educational Status on Stunting: A Study on Bengalee Preschool Children from Eastern India. HOMO-Journal of Comparative Human Biology, 6:271- 276.

De Menezes RCE et al. 2011. Determinants Of Stunting In Children Under Five In Pernambuco, Northeastern Brazil. Rev Saúde Pública. 45(6).

Donna M, John V, Ann V, Joel D, 2002. Household food security and nutritional status of Hispanic children. Am J Clin Nutr. 2002;76:210–7.

Eastwood M. 2003. Principle of Human Nutrition Second Edition. Blackwell Science Ltd, a Blackwell Publishing Company.

Emina BJ, Ngianga BK, Joseph I, Yazoume Y,2011. Maternal education and child nutritional status in the Democratic Republic of Congo. J Pub Health Epidemiol. 2011;3:576.

Jenevic T et al. 2010. Risk Factors For Childhood Malnutrition In Roma Settlements In Serbia. BMC Public Health. 10:509.

Joshi HS, Gupta R, Joshi MC, Mahajan V,2010. Determinants of Nutritional Statusof Schoolchildren, A Cross Sectional Study in the Western Region of Nepal. NJIRM. 2011;2(1):10–5.

Kementerian Kesehatan RI, 2013. PenyajianPokok - Pokok Hasil Riset Kesehatan Dasar 2013

Kerangka Kebijakan Gerakan Nasional Sadar Gizi dalam Rangka 1000 Hari Pertama Kehidupan (Gerakan 1000 HPK). Republik Indonesia 2012.

Lazzi ZS, Das JK, Zahid G, Imdad A, Bhutta ZA., (2013). Impact of education and provision of complementary feeding on growth and morbidity in children less than 2 years of age in developing countries: a systematic review. BMC Public Health. 13 Suppl 3:S13. doi: 10.1186/1471-2458-13-S3-S13.

Mahfouz EM, Mostafa S, Sadek RR, Hathout MH, AwadAllah HI., (2003). Rural/Urban infant nutrition gaps and KAP Of mothers in El Minia and Giza governorate, Egypt. The Egyptian Journal of Community Medicine. 2003; 21 (1): 17-24.

Mahgoub SEO et al. 2006. Factors Affecting Prevalence Of Malnutrition Among Children Under Three Years Of Age In Botswana. AJFAND. 6(1).

Mahyar A et al. 2010. Prevalence of Underweight, Stunting and Wasting Among Children in Qazvin, Iran. Iranian Journal Of Pediatrick Society. Vol 2, 37-43.

Pourhashemi JS, Motlagh GM, Khaniki JRG, Golestan B. Nutritional assessment of Macronutrients in Primary School Children and its Association with anthropometric Indices and Oral Health. Pak J Nutr. 2007;6(6):687–92.

Profil Kesehatan Indonesia 2012

Rapaport R, Bowlby DA. 2004. Clinical aspects of growth and growth disorder. In: Pescovitsozz OH, Eugster EA. Pediatric endocrinology: Mechanisms, Manifestations and Management. Philadelphia: Lippincott Williams & Wilkins;.p.172-187.

Senbanjo I, Dowu O, Kazeem A, Oshikoya L, Olumuyiwa O, Dusanya O, et al. Prevalence Of and Risk factors for Stunting among School Children and Adolescents in Abeokuta, Southwest Nigeria. J Health Popul Nutr. 2011;29(4):364–70.

Reyes et al. 2004. The family as a determinant of stunting in children living in conditions of extreme poverty: a case-control study. BMC Public Health 2004, 4:57.

Semba RD et al. 2008. Effect Of Parental Formal Education On Risk Of Child Stunting In Indonesia And Bangladesh: A Cross-Sectional Study. The Lancet. Volume 371, Issue 9609, pp. 322 – 328.

Tuyet Maj THN, Kim M, Kawakami VC, Nguyen: Macronutrient intake andnutritional status of primary school girls in South Vietnam. J. Nutr. Sci. Vitaminol 2003;49:13-20.

UNHCR. 2011. Operational Guidance on the Use of Special Nutritional Products to Reduce Micronutrient Deficiencies and Malnutrition in Refugee Populations.

WHO-The World Bank Joint Child Mortality Estimates. 2012. Levels and trends in child mortality.

Wolde Mekides , Yifru Berhan, Alemzewed Chala,2015. Determinants of underweight, stunting andwasting among schoolchildren BMC Public Health , 15:8 , DOI 10.1186/s12889-014-1337-2

Published

2018-06-27

How to Cite

Koro, S., Hadju, V., As’ad, S., & Bahar, B. (2018). Determinants of 6-24 Months Child Stunting in South Central Timor District, East Nusa Tenggara Province. Health Information : Jurnal Penelitian, 10(1), 1–10. https://doi.org/10.36990/hijp.v10i1.1

Issue

Section

Original Research

Citation Check