Impact of Environmental Sanitation and Infection Disease as a Determining Stunting Factor for Children (original) (raw)
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Makara Journal of Health Research
Background: This study aims to identify the relationship between sanitation, hygiene, and stunting in children under two-years in Indonesia. Methods: This was a cross-sectional study that examined 9,688 children under the age of two. We obtained data from Indonesia's Basic Health Research paper that was released in 2013 and applied multiple logistic regression analysis. The prevalence of stunting amongst children under two-years in 2013 was 33.3%. Results: Our analysis showed that stunting is closely related to low birth weight, age, gender, exclusive breastfeeding, socioeconomic status, garbage removal, and waste management. Appropriate sanitation and hygiene had a significant impact on stunting amongst children under two-years in Indonesia, with waste management and low birth weight being the most important indicators. Conclusions: Nutrition, socioeconomic status, and a healthy environment are key to ensure children under two-years meet the recommended growth standards.
Proceedings of the 4th International Symposium on Health Research (ISHR 2019), 2020
Some sub-districts in Bali province have stunting prevalence more that national average which might be associated with the environmental health condition in those areas. This study aimed to examine the association between environmental health factors with stunting prevalence among children age 2-5 years. Case-control study was conducted at Karangasem district with 101 case and 101 control. Cases were obtained from the list of stunted children from the result of PSG 2017 in 4 sub-districts. The controls were children at the same age and sex which were randomly selected from the available list of children in the health center. Bivariate and multivariate (logistic regression) were used for analysis. The study shows that cases and controls were comparable for age, sex, health access, nutrition sensitive intervention, infection history, water access, solid waste management. Cases and controls differed for variables: education level of parents, toilet access and ownerships, disposal of child's feces, hand washing practice dan facilities, and distance to livestock shelter. Logistic regression showed that only father's education (AOR=2.429; 95%CI: 1.304-4.525) associated with stunting among children age 2-5 years. The optimum prediction model was obtained with variables of father's education, disposal of child's feces and distance to animal shelter. In conclusion, only father's education was found associated with stunting and only weak associations were found between environmental health factors and stunting.
Risk Factors That Cause Stunting in Indonesia
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS)
The Sustainable Development Goals emphasizing an intervention to prioritize solutions to the global challenge of poor child development in low and middle income countries (LMICs). In 2015, about 25% of children under five years of age in low were stunted (Kim & Subramanian, 2017; Perkins et al., 2017; UNICEF, 2015) The WHO conceptual framework for stunting (2013) identified household and family factors, complementary feeding, breastfeeding practices and infections as the most plausible causes of stunting(Stewart, Iannotti, Dewey, Michaelsen, & Onyango, 2013)
BMC Public Health, 2016
Background: Stunting in early life has considerable human and economic costs. The purpose of the study was to identify factors associated with stunting among children aged 0-23 months in Indonesia to inform the design of appropriate policy and programme responses. Methods: Determinants of child stunting, including severe stunting, were examined in three districts in Indonesia using data from a cross-sectional survey conducted in 2011. A total of 1366 children were included. The analysis used multiple logistic regression to determine unadjusted and adjusted odds ratios. Results: The prevalence of stunting and severe stunting was 28.4 % and 6.7 %, respectively. The multivariate analysis on determinants of stunting identified a significant interaction between household sanitary facility and household water treatment (P for interaction = 0.007) after controlling for potential covariates: in households that drank untreated water, the adjusted odds on child stunting was over three times higher if the household used a unimproved latrine (adjusted odds ratio 3.47, 95 % confidence interval 1.73-7.28, P <0.001); however, in households that drank treated water, the adjusted odds on child stunting was not significantly higher if the household used an unimproved latrine (adjusted odds ratio 1.27, 95 % confidence interval 0.99-1.63, P = 0.06). Other significant risk factors included male sex, older child age and lower wealth quintile. The risk factors for severe stunting included male sex, older child age, lower wealth quintile, no antenatal care in a health facility, and mother's participation in decisions on what food was cooked in the household. Conclusions: The combination of unimproved latrines and untreated drinking water was associated with an increased odds on stunting in Indonesia compared with improved conditions. Policies and programmes to address child stunting in Indonesia must consider water, sanitation and hygiene interventions. Operational research is needed to determine how best to converge and integrate water, sanitation and hygiene interventions into a broader multisectoral approach to reduce stunting in Indonesia.
Influence of Personal Hygiene on Stunting Occurrence
J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health)
Stunting is a significant problem that Indonesia must overcome to produce an excellent cognitive and physical development generation. Stunting is a problem in Bireuen Regency, Indonesia, and must be managed because it has long-term impacts on the future generation. According to data from the World Health Organization (WHO), in 2017, Indonesia had the third-highest stunting prevalence rate globally, at 32.6%. Even though the stunting prevalence rate in Indonesia decreased from 37.2% in 2013 to 27.7% in 2018, it is still far from the WHO target of not exceeding 20%. Therefore, the government is making efforts to rates s rate e reduce the prevalence of stunting in Indonesia by issuing The Regulation of the Republic of Indonesia’s President Number 72 the Year 2021 about the acceleration of stunting decrease. Based on the result of a nutrition case study of Indonesia in 2021, Aceh’s stunting rate reached 33,18% until it was included among the seven provinces with the highest stunting cas...
International Journal Of Community Medicine And Public Health
Background: Stunting toddlers describe the existence of chronic nutritional problems, influenced by prospective maternal, fetal period, and toddler age, including illnesses during infancy. Children who stunted impact not only on intelligence, productivity and future performance after adulthood.Methods: The study in 10 villages in Purwojati Subdistric, Banyumas district, Central Java, Indonesia in 2017. The cross-sectional study design with population is households that have children aged 6-35 months. A sample of 348 children aged 6-35 months was taken by the cluster whit design effect of 2.Results: Respondents consisted of 52.3% boys, 45.4% aged 12-23 months. Most of the energy, protein, fat and carbohydrate intake is more than 80% of the recommended dietary allowance and a small proportion of children suffer from measles, Acute Respiratory Infection and diarrhoea. For sanitation 68.4% of the houses are in the poor, poor waste management is 92%, non-plumbing sources 68.9%, dirty lat...
The Effect of Sanitation on Stunting Prevalence in Indonesia
Populasi, 2022
Preparing children from birth can boost productivity and competitiveness later in their lives. However, the occurrence of malnutrition and stunting during childhood period will reduce their productivity and increases the risk of non-communicable diseases later in their lives. This study examines the effect of sanitation, drinking water sources, and drinking water treatment on stunting in Indonesian children (0-59 months). This study analyses crosssectional data from the 2014 Indonesia Family Life Survey (IFLS) 5 with 3,834 children living with their biological mothers. The Logistic Regression to estimate the coefficients is applied here. The results show that the variables of sanitation, drinking water sources, and drinking water treatment before consuming affected stunting. Children who consume tap water are less likely to be stunted (OR=0.81, 95% CI 0.66-0.99). Birth weight, economic conditions, and mother's level of education also affect risk of stunting. Hence, to overcome the risk of stunting, the government have to accelerate the supply of basic sanitation, to protect the good quality of drinking water sources, and to promote the awareness of boiling water before consumption.
Contagion, 2024
The second sustainable development goal, which aims to achieve food security and eradicate hunger and all kinds of malnutrition by 2030, includes stunting as one of its priorities. WASH and personal hygiene are indirect risk factors for stunting, if environmental sanitation and personal hygiene are poor, it can increase the risk of stunting in toddlers. The purpose of this study was to determine the effect of personal hygiene status and basic sanitation on the incidence of stunting in Pantai Labu sub-district. The research was conducted from August to October 2023 in five villages that have been determined to be the locus of stunting in the district, namely Paluh Sibaji, Regemuk, Denai Kuala, Bagan Serdang, and Sei Tuan Villages. This research method uses a case control design population in this study were mothers of toddlers who were stunted in Pantai Labu District, totaling 55 toddlers. Sample taken by total sampling with a total of 55 stunted toddlers and 55 toddlers who were not stunted and a total sample of 110 toddlers. This research uses primary and secondary data, with data collection using questionnaires and observation sheets. Data analysis using logistic regression test presenting with odds ratio (OR) and 95% confidence interval (95% CI) by using SPSS version 25. The results showed that personal hygiene of toddlers (OR = 4.259; 95% CI 1.749-10.372; p = 0.001), personal hygiene of mothers (OR = 4.571; 95% CI 1.752-11.928; p=0.002), and ownership of latrines (OR=2.260; 95% CI 1.051-4.859; p=0.037) influenced the incidence of stunting in Pantai Labu sub-district. Access to drinking water, waste water disposal facilities, and waste disposal facilities had no effect on the incidence of stunting (p>0.05). Mothers are advised to improve personal hygiene for both mothers and toddlers and always fulfill the criteria for latrines to meet the requirements.
Research Square (Research Square), 2023
Background Stunting among children under ve remains a global health problem. Indonesia is no exception, as its stunting reduction rate has not yet reached the expected target. Regencies/cities in the West Sumatra province in Indonesia still show a stark disparity of achievement following the implementation of their various stunting prevention policies and programs. Methods Cross-sectional study based on 2018 Riskesdas and 2021 SSGI. Nineteen regencies/cities in West Sumatra province. Families with children under ve years involved 3,380 subjects from the 2018 Riskesdas and 4,662 subjects from the 2021 SSGI. Results The results showed that the stunting prevalence decreased from 31.2% in 2018 to 23.3% in 2021. Stunting risk factors include male gender, low birth weight, mothers over 35 years, upper respiratory tract infection, lack of vitamin A consumption, and parents' low education. The rate of stunting reduction varies signi cantly between cities or regencies in the West Sumatra province due to non-exclusive breastfeeding, lack of growth monitoring, poor water quality, and working mothers. Conclusions Most stunting occurs before the age of two. Stunting is signi cantly in uenced by various infectious diseases, dietary intake, and parents' socioeconomic status. The related city/regency governments should develop intervention strategies and speci c programs to reach the expected target.
A review of child stunting determinants in Indonesia
Maternal & Child Nutrition
Child stunting reduction is the first of 6 goals in the Global Nutrition Targets for 2025 and a key indicator in the second Sustainable Development Goal of Zero Hunger. The prevalence of child stunting in Indonesia has remained high over the past decade, and at the national level is approximately 37%. It is unclear whether current approaches to reduce child stunting align with the scientific evidence in Indonesia. We use the World Health Organization conceptual framework on child stunting to review the available literature and identify what has been studied and can be concluded about the determinants of child stunting in Indonesia and where data gaps remain. Consistent evidence suggests nonexclusive breastfeeding for the first 6 months, low household socioeconomic status, premature birth, short birth length, and low maternal height and education are particularly important child stunting determinants in Indonesia. Children from households with both unimproved latrines and untreated drinking water are also at increased risk. Community and societal factors-particularly, poor access to health care and living in rural areas-have been repeatedly associated with child stunting. Published studies are lacking on how education; society and culture; agriculture and food systems; and water, sanitation, and the environment contribute to child stunting. This comprehensive synthesis of the available evidence on child stunting determinants in Indonesia outlines who are the most vulnerable to stunting, which interventions have been most successful, and what new research is needed to fill knowledge gaps.