Stunting Determinant Analysis in the East Mainland Province of East Nusa Tenggara for the Period of 2017-2021
DOI:
https://doi.org/10.26911/thejmch.2022.07.06.09Abstract
Background: The Mainland of Timor, East Nusa Tenggara Province (NTT) has a diverse regional topography with a high prevalence of stunting (>20%). The local government has taken preventive measures. However, the results show a very small reduction in the prevalence of stunting (±2-3%/year). This study aimed to determine the factors that influence the incidence of stunting in the Eastern Mainland Region, NTT
Subjects and Method: This data was a cross-sectional study conducted in NTT, from in June to August 2022. A sample of 28 informants who were selected with the following considerations: officials from the Health Office, PUPR Service, Agriculture Service, and Regency/ City BPS data managers for the Eastern mainland region of NTT. The dependent variable was stunting. The independent variables were Availability of Public Health Workers, Infectious infectious diseases, Open defecation behavior, Family income level, Availability of clean water and proper sanitation, Exclusive breastfeeding, Posyandu visits, Program for giving iron tablets to young women, and Administration of Vitamin A. The data were analyzed by linear regression analysis.
Results: Factors that influence the incidence of stunting were sanitation factors (b= -2.22; 95% CI= -3.52 to -0.91; p= 0.012), factor of pneumonia infection (b= 0.07; 95% CI= 0.01 to 0.13; p= 0.038), open defecation behavior factor (b= 2.60; 95% CI= 0.99 to 4.21; p= 0.014), and family income level factor (p= -1.21; 95% CI= -1.80 to -5.70; p= 0.009).
Conclusion: The incidence of stunting in the East Mainland Region, NTT is influenced by factors: sanitation, pneumonia infection, open defecation behavior; and family income level.
Keywords: stunting incidence, eastern mainland, sanitation factors, infectious diseases, pneumonia, open defecation.
Correspondence:Intje Picauly, Department of Nutrition, Faculty of Public Health, Universitas Nusa Cendana, Kupang, Nusa Tenggara Timur, Indonesia, Jl. Adi Sucipto Penfui, Penfui, Maulafa, Kupang, Nusa Tenggara Timur. Mobile: +62822-3714-5517. Email: intjepicauly@staf.undana.ac.id.
References
Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition Journal. 1(3): 14-24. doi: 10.1111/mcn.12617.
BPS Provinsi Nusa Tenggara Timur/ BPS-Statistics of Nusa Tenggara Timur Province (2022). East Nusa Tenggara Province in Figures 2021. Accessed February 2, 2022. Retrieved from: https://ntt.bps.go.id/publication/2021/02/26/28a3d01a29a 82489c3f95190/provinsi-nusa-tenggara-timur-dalam-angka-2021.html
Gaspersz E, Picauly I, Sinaga M (2020). The relationship of consumption patterns, history of infectious diseases, and personal hygiene with nutritional status of pregnant women in Indonesia north middle east district stunting locus area. Jurnal Pangan Gizi Dan Kesehatan (PAZIH). ISSN (e): 2085-2371. 9(2) 80-90 Oktober 2020. DOI: https://doi.org/10.51556/ejpazih.v9i2.77.
Hairuddin AA (2018). Infectious diseases and practice of complementary feedi-ng on the incidence of stunting in children aged 12-36 months in Sim-pang Kiri District, Subulussalam City. Jurnal Dunia Gizi (JDG). 1(1) 33-37 Retrieved from: http://ejournal.helvetia.ac.id/index.php/jdg/article/view/2919
Hidayani WR (2020). History of infectious diseases associated with stunting in Indonesia: literatur review. Home/ Archives/ 2(1): Proceedings of the National Health Seminar "The Role of Health Workers in Reducing Stunting Incidence" Jurnal Stikes Respati. Retrieved from: http://ejurnal.stikesrespatitsm.ac.id/index.php/semnas/arti cle/view/264
Hina BGJ, Picauly Intje (2021). Relationship of nutritional intake factors, history of infections and exclusive breast milk with incidence of stunting in Kupang District. Jurnal Pangan Gizi Dan Kesehatan (PAZIH). ISSN (e): 2085 - 2371. 10(2). 61-70 Oktober 2021. DOI: https://doi.org/10.51556/ejpazih.v10i2.155. s
Ministry of Health (2013). National basic health survey of Indonesia (Riset Ke-sehatan Dasar).
Ministry of Health (2018). National basic health survey of Indonesia (Riset Ke-sehatan Dasar).
Ministry of Health (2021). Regulation of the Minister of Health of the Republic of Indonesia 2 of 2020 concerning Anthropometry of Indonesian Chil-dren.
Namangboling AD, Bhisma M, Sulaeman ES (2017). Relationship of history of infectious diseases and exclusive breastfeeding with nutritional status children age 7-12 months in Kelapa Lima District, Kupang City. Jurnal Sari Pediatri. p-ISSN: 0854-7823; e-ISSN 2338-5030, 19(2). 12-17. Retrie-ved from: https://saripediatri.org/-index.php/sari-pediatri/article/view/1208
Nurbiah Nurbiah, Kinasih LS (2019). Potential of responsive feeding and macronutrient intake on stunting incidence in muna ethnics in Batalaiworu, Southeast Sulawesi. proceedings of the national seminar on applied technology based on local wisdom. ISBN: 978-602-51407-1-6. 2(1) 497-505. Retrieved from: http://ojs.uho.ac.id/index.php/snt2bkl/article/view/9722
Stewart CP, Iannotti L, Dewey KG, Michaelsen KF, Onyango AW (2013). Contextualising complementary feeding in a broader framework for stunting prevention. Maternal and Child Nutrition journal.2(4): 27-45. doi:10.1111/mcn.12088
Subroto Trio, Novikasari Linawati, Setiawati Setiawati (2021). The Relationship of history of infectious diseases with stunting incidence in children aged 12-59 months. Jurnal Kebidanan Malahayati. 7(2) 132-137. DOI: 10.33024/jkm.v7i2.4140.
UNICEF (2020). Conceptual framework on the determinants of maternal and child nutrition. a framework for the prevention of malnutrition in all its forms. Retrieved from: https://www.unicef.org/media/113291/file/UNICEF%20 Conceptual%20 Framework.pdf
UNICEF (1998). The State of the World's Children 1998. New York: Oxford. University Press for UNICEF.
Wantina M, Sri Rahayu L, Yuliana I (2022). Diversity of food consumption as a stunting risk factor in infants age 6-24 months. Jurnal Ilmiah Mahasiswa Keperawatan. ISSN (e): 2716-3555. 6(1). 86-96. Retrieved from: https://jim.unsyiah.ac.id/FKep/article/view/20738
Yulnefia, Sutia M (2022). The Relationship between history of infectious diseases and incidence of stunting in infants age 24-36 months in the working area of the Mining Health Center, Kampar Regency. Jambi Medical Journal Jurnal Kedokteran dan Kesehatan. 10(1) DOI: https://doi.org/10.22437/jmj.v10i1.10410
