Control of Families at Risk of Stunting through Demographic Approach and Information Dissemination
https://doi.org/10.33860/jik.v18i3.2028
Keywords:
demographics, family at risk, environmental health, stunting information disseminationAbstract
Stunting prevention in high-risk families, particularly regarding environmental factors, remains a significant issue in Bengkulu Province as an area characterized by limited access to safe drinking water and adequate sanitation, both key indicators of stunting risk. This study aimed to identify factors associated with the risk of stunting among families in Bengkulu Province, Indonesia. A cross-sectional approach was employed using secondary data from the 2021 Population Survey (PK21) of Bengkulu Province, which included 436,490 families. Univariate, bivariate (chi-square), and multivariate logistic regression analyses were conducted. The results showed that 83.1% of families in Bengkulu Province were not at risk of stunting. Factors significantly associated with stunting risk included the occupation and educational level of the head of household, health insurance status, household income adequacy, housing ownership status, and exposure to information through media and health officers (p < 0.001). Families with heads of household working as farmers and those with heads who did not complete elementary school had the highest prevalence of stunting risk. Families without health insurance, inadequate income, rent-free housing, and no exposure to the Bangga Kencana program through media or officers also exhibited a higher prevalence of stunting risk. Logistic regression analysis revealed that families not receiving Bangga Kencana information from officers were 1.08 times more likely to be at risk of stunting (95% CI = 1.05–11). In conclusion, demographic factors and information exposure were identified as critical risk factors for stunting among families in Bengkulu Province. These findings highlight the importance of targeted interventions and information dissemination in reducing stunting risk.
References
UNICEF, WHO, Bank W. Levels and Trends in Child Malnutrition; UNICEF/WHO/World Bank Group-Joint Child Malnutrition Estimates 2021 edition [Internet]. 2021. Available from: https://data.unicef.org/resources/jme-report-2021/
Ministry of Health. Indonesian Nutrition Status Survey (SSGI) 2022 Results [Internet]. Ministry of Health. Jakarta; 2023. Available from: https://kesmas.kemkes.go.id/assets/uploads/contents/attachments/09fb5b8ccfdf088080f2521ff0b4374f.pdf
Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A Review of Child Stunting Determinants in Indonesia. Matern Child Nutr [Internet]. 2018 Oct 17;14(4):e12617. Available from: https://onlinelibrary.wiley.com/doi/10.1111/mcn.12617
Torlesse H, Cronin AA, Sebayang SK, Nandy R. Determinants of Stunting in Indonesian Children: Evidence from a Cross-sectional Survey Indicates a Prominent Role for the Water, Sanitation, and Hygiene Sector in Stunting Reduction. BMC Public Health [Internet]. 2016 Dec 29;16(1):669. Available from: http://dx.doi.org/10.1186/s12889-016-3339-8
Angraini W, Amin M, Pratiwi BA, Febriawati H, Yanuarti R. Maternal Knowledge, Access to Clean Water and Diarrhoea with Stunting in Puskesmas Aturan Mumpo Central Bengkulu. J Kesmas (Public Health) Khatulistiwa [Internet]. 2021 Jun 15;8(2):92. Available from: http://openjurnal.unmuhpnk.ac.id/index.php/JKMK/article/view/2816
Wulandari WW, Rahayu F, . D. The Relationship between Environmental Sanitation and History of Infectious Diseases with the Incidence of Stunting in the Kerkap Health Centre Working Area, North Bengkulu Regency in 2019. Avicenna J Ilm [Internet]. 2019;14(02):6-13. Available from: http://jurnal.umb.ac.id/index.php/avicena/article/view/374
Sari F, Rozi VF. Analysis of Risk Factors Associated with Stunting among Under-fives in Bengkulu City. Inject Nurs J [Internet]. 2022;2(1):9. Available from: https://www.jurnal.stikesbhaktihusada.ac.id/index.php/INJECTION/article/view/128/pdf
Banowo AS, Hidayat Y. Effect of Nutrition Education on Feeding Practices of Stunted Children in North Bengkulu district. J Ilm Univ Batanghari Jambi [Internet]. 2021;21(2):765. Available from: http://ji.unbari.ac.id/index.php/ilmiah/article/view/1539/903
BPS. Percentage of Households with Access to Sustainable and Appropriate Drinking Water Source Services (Bottom 40%), by Province (Percent), 2017-2019 [Internet]. Central Bureau of Statistics, Jakarta - Indonesia. 2019. Available from: https://www.bps.go.id/indicator/23/1554/1/persentase-rumah-tangga-yang-memiliki-akses-terhadap-layanan-sumber-air-minum-layak-dan-berkelanjutan-40-bawah-menurut-provinsi.html
Pangestu S, Sitorus JRH. Compilation of Sanitation Index for Provinces in Indonesia. Semin Nas Off Stat [Internet]. 2021 Nov 1;2021(1):363-72. Available from: https://prosiding.stis.ac.id/index.php/semnasoffstat/article/view/873
BPS Bengkulu Province. Housing and Environmental Health Indicators [Internet]. Bengkulu; 2020. Available from: https://bengkulu.bps.go.id/publication/download.html?nrbvfeve=YzUzODY5MzgzNzk4Zjg1Mzc3Nzc1ZjY0&xzmn=aHR0cHM6Ly9iZW5na3VsdS5icHMuZ28uaWQvcHVibGljYXRpb24vMjAyMS8wOC8wNC9jNTM4NjkzODM3OThmODUzNzc3NzVmNjQvaW5kaWthdG9yLXBlcnVtYWhhbi1kYW4ta2VzWhhdGFuLWxpbmdrdW5
Merera A, Asena T, Senbeta M. Bayesian Multilevel Analysis of Determinants of Acute Respiratory Infection in Children under the Age of Five Years in Ethiopia. BMC Pediatr [Internet]. 2022 Dec 10;22(1):123. Available from: https://doi.org/10.1186/s12887-022-03187-4
Freeman MC, Garn J V, Sclar GD, Boisson S, Medlicott K, Alexander KT, et al. The Impact of Sanitation on Infectious Disease and Nutritional Status: A systematic Review and Meta Analysis. Int J Hyg Environ Health [Internet]. 2017 Aug;220(6):928-49. Available from: http://dx.doi.org/10.1016/j.ijheh.2017.05.007
Suminar E, Wibowo AR. The Correlation Between Infection Diseases History and Nutritional Status in Toddler. Fundam Manag Nurs J [Internet]. 2021 Apr 1;4(1):18. Available from: https://e-journal.unair.ac.id/FMNJ/article/view/215587
Yuliana W, Hakim B. Emergency Stunting by Involving Families. South Sulawesi: Yayasan Ahmar Cendekia Indonesia; 2019.
Lemaking VB, Manimalai M, Djogo HMA. The Association of Father's Occupation, Mother's Education, Parenting, and Family Size with the Incidence of Stunting among Under-fives in Kupang Tengah Sub-district, Kupang Regency. Nutrition Science Indonesia [Internet]. 2022 Feb 28;5(2):123. Available from: http://ilgi.respati.ac.id/index.php/ilgi2017/article/view/254
Maulida. The Relationship between Family Characteristics and Nutritional Status with the Incidence of Stunting in Toddlers in the Darul Aman Health Centre Working Area, East Aceh Regency in 2021. Getsempena Heal Sci J [Internet]. 2022;1(1):19-35. Available from: https://ejournal.bbg.ac.id/ghsj/article/view/1705
Setiawan E, Machmud R, Masrul M. Factors Associated with the Incidence of Stunting in Children aged 24-59 Months in the Andalas Health Centre Working Area, Padang Timur Subdistrict, Padang City 2018. J Kesehat Andalas [Internet]. 2018 Jun 10;7(2):275. Available from: http://jurnal.fk.unand.ac.id/index.php/jka/article/view/813
French SA, Tangney CC, Crane MM, Wang Y, Appelhans BM. Nutrition Quality of Food Purchases Varies by Household Income: the SHoPPER study. BMC Public Health [Internet]. 2019 Dec 26;19(1):231. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-6546-2
Putri RM, Rahayu W, Maemunah N. Associations between Parents' Education, Occupation and Nutritional Status of Pre-School Children. J Care [Internet]. 2017;5(2):231-43. Available from: https://jurnal.unitri.ac.id/index.php/care/article/view/841
Rahmawati UH, S LA, Rasni H. The Relationship between the Implementation of Family Roles and the Incidence of Stunting in Toddlers in Arjasa District, Jember. Pustaka Kesehat [Internet]. 2019 May 27;7(2):112. Available from: https://jurnal.unej.ac.id/index.php/JPK/article/view/19123
Abedi AJ, Moin A, Ahmad S, Mehnaz S, Amir A. Prevalence and Determinants of Food Insecurity and Association with Malnutrition of under Five Children in Aligarh. Indian J Community Heal [Internet]. 2021 Sep 30;33(3):424-9. Available from: https://www.iapsmupuk.org/journal/index.php/IJCH/article/view/2234
Ahmad A, Madanijah S, Dwiriani CM, Kolopaking R. Maternal Knowledge, Attitudes, Motivation, and Practices of Complementary Feeding in Children aged 6-23 Months: a Formative Study in Aceh. J Nutr Nutr Indones [Internet]. 2019 Jul 27;16(1):1. Available from: https://jurnal.ugm.ac.id/jgki/article/view/34560
Soetjiningsih, Ranuh ING. Child Growth and Development. Jakarta: EGC; 2014.
Rahayu A, Khairiyati L. Risk of Maternal Education on the Incidence of Stunting in Children 6- 23 Months. Food Nutrition Research [Internet]. 2014;37(2):129-36. Available from: https://pgm.persagi.org/index.php/pgm/article/view/67
Budiana TA, Supriadi D. The Relationship between the Number of Family Members, Parents' Education and Child Health Insurance Participation with the Incidence of Underweight in Toddlers 24-59 Months in the Work Area of Puskesmas Cimahi Selatan in 2019. J Health Science Bhakti Husada Heal Sci J [Internet]. 2021 Jun 21;12(1):38-50. Available from: https://ejournal.stikku.ac.id/index.php/stikku/article/view/256
Pertiwi FD, Prastia TN, Nasution A. The Relationship between Socioeconomic Factors and Exclusive Breastfeeding History with the Incidence of Stunting in Toddlers. J Ilmu Kesehat Masy [Internet]. 2021 Dec 1;10(04):208-16. Available from: https://journals.stikim.ac.id/index.php/jikm/article/view/801
Apriluana G, Fikawati S. Analysis of Risk Factors for the Incidence of Stunting in Toddlers (0-59 Months) in Developing Countries and Southeast Asia. Health Research and Development Media [Internet]. 2018 Dec 31;28(4):247-56. Available from: https://ejournal2.litbang.kemkes.go.id/index.php/mpk/article/view/472
Fikrina LT. The Relationship between Socioeconomic Level and the Incidence of Stunting in Toddlers Aged 24-59 Months in Karangrejek Village Wonosari Gunung Kidul. Univ 'Aisyiyah Yogyakarta (Publ manuscript [Internet]. 2017; Available from: https://onesearch.id/Record/IOS3884.2461?widget=1
Rajoo Y, Ambu S, Lim YAL, Rajoo K, Tey SC, Lu CW, et al. Neglected Intestinal Parasites, Malnutrition and Associated Key Factors: A Population Based Cross-Sectional Study Among Indigenous Communities in Sarawak, Malaysia. PLoS One. 2017;January 17.
Rufaida FD, Raharjo AM, Handoko A. The Correlation of Family and Household Factors on the Incidence of Stunting on Toddlers in Three Villages Sumberbaru Health Centre Work Area of Jember. J Agromedicine Med Sci [Internet]. 2020 Jan 9;6(1):1. Available from: https://jurnal.unej.ac.id/index.php/JAMS/article/view/9541
Nshimyiryo A, Hedt-Gauthier B, Mutaganzwa C, Kirk CM, Beck K, Ndayisaba A, et al. Risk Factors for Stunting Among Children Under Five Years: A Cross-Sectional Population-Based Study in Rwanda Using the 2015 Demographic and Health Survey. BMC Public Health. 2019;1-10.
Candra A. The Relationship between Underlying Factors and the Incidence of Stunting in Children 1-2 Years. J Nutr Heal [Internet]. 2013;1(1). Available from: https://www.neliti.com/publications/89913/hubungan-underlying-factors-dengan-kejadian-stunting-pada-anak-1-2-th
UNICEF. Improving Child Nutrition, the Achievable Imperative for Global Progress. New York: United Nations Children's Fund; 2013.
Fedriansyah D, Paramashanti BA, Paratmanitya Y. Socioeconomic Factors and Stunting in Children Aged 6-23 Months. Food Nutrition Media [Internet]. 2020;27(1):22-9. Available from: https://www.researchgate.net/profile/Bunga-Paramashanti-2/publication/344295609_FAKTOR_SOSIAL_EKONOMI_DAN_STUNTING_PADA_ANAK_USIA_6-23_BULAN/links/5f644f5e299bf1b53eddf00e/FAKTOR-SOSIAL-EKONOMI-DAN-STUNTING-PADA-ANAK-USIA-6-23-BULAN.pdf
Presidential Regulation of the Republic of Indonesia. Presidential Regulation of the Republic of Indonesia Number 72 of 2021 concerning Acceleration of Stunting Reduction. 2021.
Silalahi V, Aritonang E, Ashar T. Potential of Nutrition Education in Improving Nutrition Intake among Anaemic Adolescent Girls in Medan City. J Kesehat Masy [Internet]. 2016 Feb 25;11(2):295. Available from: http://journal.unnes.ac.id/nju/index.php/kemas/article/view/4113
Anjani Saputri, Usman, Ayu Dwi Putri Rusman. Socioeconomic Analysis with the Incidence of Stunting in Highland Areas of Parepare City. J Ilm Mns Dan Kesehat [Internet]. 2022 Jan 5;5(1):503-10. Available from: https://jurnal.umpar.ac.id/index.php/makes/article/view/749
UNICEF. What Is Scaling Up Nutrition? [Internet]. 2020. Available from: https://scalingupnutrition.org/sites/default/files/2022-01/SUN-2-pager-ENG-2020A_WEB.pdf
Rosini R, Nurningsih S. Utilization of Social Media for Health Information Search and Communication. Berk Ilmu Perpust dan Inf [Internet]. 2018 Dec 4;14(2):226. Available from: https://jurnal.ugm.ac.id/bip/article/view/33844
Laili AN. The Effect of Sanitation in the Living Environment on the Incidence of Stunting in Toddlers. J Kebidanan [Internet]. 2019 Nov 30;8(1):28-32. Available from: http://jurnal.stikeswilliambooth.ac.id/index.php/Keb/article/view/192
TNP2K. 100 Priority Districts/Cities for Stunting Intervention. National Team for the Acceleration of Poverty Reduction. Jakarta: Secretariat of the Vice President of the Republic of Indonesia; 2017.
Ministry of Finance. Integrated Stunting Management in 2018. Jakarta: Budget Director for Human Development and Culture; 2018.
Fantay Gebru K, Mekonnen Haileselassie W, Haftom Temesgen A, Oumer Seid A, Afework Mulugeta B. Determinants of Stunting among Under-five Children in Ethiopia: A Multilevel Mixed-Effects Analysis of 2016 Ethiopian Demographic and Health Survey data. BMC Pediatr [Internet]. 2019 Dec 1;19(1):176. Available from: https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-019-1545-0
Mzumara B, Bwembya P, Halwiindi H, Mugode R, Banda J. Factors associated with Stunting among Children under Five Years of Age in Zambia: Evidence from the 2014 Zambia Demographic and Health Survey. BMC Nutr [Internet]. 2018 Dec 20;4(1):51. Available from: https://bmcnutr.biomedcentral.com/articles/10.1186/s40795-018-0260-9
Indrastuty D, Pujiyanto P. Household Socioeconomic Determinants of Toddler Stunting in Indonesia: Analysis of Indonesia Family Life Survey (IFLS) 2014 Data. J Econ Kesehat Indones [Internet]. 2019 Jun 18;3(2):69-75. Available from: http://journal.fkm.ui.ac.id/jurnal-eki/article/view/3004
Aridiyah FO, Rahmawati N, Ririjanty M. Factors Affecting the Incidence of Stunting in Toddlers in Rural and Urban Areas. Pustaka Ke [Internet]. 2015;3(1):163-70. Available from: https://jurnal.unej.ac.id/index.php/jpk/article/view/2520
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