Peranan Pilar Tujuan Pembangunan Berkelanjutan Terhadap Penanganan Gizi Kurang di Provinsi Jawa Barat (The Role Of Pillar Sustainable Development Goals Relate to Tackling Undernutrition in West Java Province)
Downloads
ABSTRAK
Latar belakang:Penghapusan malnutrisi dalam segala bentuknya, khususnya gizi kurang (stunting dan underweight) adalah suatu keharusan untuk alasan kesehatan, etika, politik, sosial dan ekonomi. Komitmen Tujuan Pembangunan Berkelanjutan (TPB) dipertimbangkan untuk dapat diarahkan kepada tindakan dan akuntabilitas untuk dapat menangani penyebab langsung dan tidak langsung dari segala bentuk malnutrisi.
Tujuan:Menganalisis peranan Tujuan Pembangunan Berkelanjutanterhadap penanganan gizi kurang (stunting dan underweight) dan menyusun pemodelan hubungan keduanya.
Metode:Penelitian menggunakan data sekunder. Unit analisis 27 kabupaten/kota di Provinsi Jawa Barat selama tahun 2016-2017, dengan total 54 unit.Variabel dependen penelitian ini adalah gizi kurang (stunting dan underweight) pada anak usia 0-59 bulan, sedangkan variabel independennya yaitu pilar sosial, pilar ekonomi dan pilar lingkungan. Data penelitian diolah menggunakan pendekatan Partial Least Square-Structural Equation Model (PLS-SEM)
Hasil: Pencapaian pilar lingkungan dapat mendorong peningkatan capaian pilar sosial dan ekonomi sehingga secara langsung dan tidak lansung mampu menurunkan prevalensi gizi kurang dengan total 5,09%. Pencapaian pilar sosial dapat secara langsung meningkatkan pencapaian pilar ekonomi sehingga secara langsung maupun tidak langsung dapat menurunkan prevalensi gizi kurang dengan total 3,65%. Peningkatan pencapaian pilar ekonomi dapat secara langsung menurukan prevalensi gizi kurang sebesar 3.86%. Semua hubungan signifikan dengan t-statistik > 1,96 (α=0,05).
Kesimpulan: Penurunan masalah gizi kurang (stunting (TB/U) dan underweight (BB/U)) pada anak usia 0-59 bulan dapat dipengaruhi oleh pencapaian indikator di masing-masing pilar TPB. Kombinasi pilar sosial, lingkungan dan ekonomi dalam penanganan masalah gizi secara bersama-sama menunjukkan penurunan prevalensi gizi kurang yang cenderung lebih tinggi dibandingkan hanya melalui pencapaian indikator pada satu/dua pilar TPB.
ABSTRACT
Background: Tackling malnutrition in all its forms, especially undernutrition (stunting, underweight) is a necessity related to health, ethical, political, social and economic reasons. Commitment to the post-2015 framework, Sustainable Development Goals (SDGs) is considered to be directed towards action and accountability to be able to address the direct and indirect causes of all forms of malnutrition.
Objectives: To analyze the role of SDGs indicators in tackling undernutrition (stunting dan underweight) and to determine the undernutrition and SDGs modelling in West Java province.
Methods: This study used secondary data. The unit analysis was 27 districts of West Java Province during 2016-2017, with a total 54 units. The dependent variable was undernutrition (stunting nd underweight) in children aged 0-59 months. The independent variables were the pillars of social development, the pillars of environmental development and the pillars of economic development. The data were analyzed using Partial Least-square-structural Equation Modeling (PLS-SEM).
Results: The achievement of environmental pillars can encourage increased achievement of social and economic pillars so it can direct and directly decrease the prevalence of undernutrition with a total of 5.09%. The improvement of social pillar can directly increase the achievement of economic pillars so that directly and indirectly can decrease the prevalence of undernutrition with total by 3.65%. The achievement of economic pillars can directly decrease the prevalence of undernutrition 3.86%. All the results were significant with t-statistic > 1.96 (α = 0.05).
Conclusion: Reduced undernutrition (stunting and underweight) in children aged 0-59 months can be influenced by the achievement of indicators in each pillars of SDGs. The combination of social, environmental and economic pillars in tackling malnutrition shows a higher decrease in undernutrition's prevalence than only through the achievement of indicators in one or two pillars of SDGs.
REFERENSI
Organization, U. N. F. and A. International Fund for Agricultural Development, United Nations Children's Fund. World Heal. Organ. World Food Program. State Food Secur. Nutr. World Safeguarding Against Econ. Slowdowns Downturns. Rome FAO, IFAD, UNICEF, WFP, WHO (2019).
Organization, W. H. Levels and trends in child malnutrition: UNICEF/WHO/The World Bank Group joint child malnutrition estimates: key findings of the 2021 edition. in Levels and trends in child malnutrition: UNICEF/WHO/The World Bank Group joint child malnutrition estimates: key findings of the 2021 edition (2021).
Fanzo, J. et al. 2018 Global Nutrition Report: Shining a light to spur action on nutrition. (2018).
Barat, B. P. S. K. B. Bandung Barat Dalam Angka. Jawa Barat, Kabupaten Bandung Barat (2018).
Siswanto, S. et al. Metadata Penelitian Badan Penelitian dan Pengembangan Kesehatan Tahun 2018.
Bromet, E. J. et al. Association between psychotic experiences and subsequent suicidal thoughts and behaviors: a cross-national analysis from the World Health Organization World Mental Health Surveys. JAMA psychiatry 74, 1136–1144 (2017).
Roemling, C. & Qaim, M. Obesity trends and determinants in Indonesia. Appetite 58, 1005–1013 (2012).
Wise, J. Obesity rates rise substantially worldwide. Bmj 348, (2014).
(FAO), F. and A. O. of the U. N. Second International Conference on Nutrition. (2014).
Yang, L. X. From general principles of civil law to general provisions of civil law: A historical leap in contemporary Chinese civil law. Soc. Sci. China 2, 85–91 (2019).
Mensah, J. Sustainable development: Meaning, history, principles, pillars, and implications for human action: Literature review. Cogent Soc. Sci. 5, 1653531 (2019).
Webb, P. et al. Hunger and Malnutrition in the 21st Century. BMJ, 361, k2238. Available https//www. bmj. com/content/361/bmj. k2238. full (2018).
Sabbahi, M., Li, J., Davis, C. & Downs, S. M. The Role of the Sustainable Development Goals to Reduce the Global Burden of Malnutrition. in Advances in Food Security and Sustainability vol. 3 277–333 (Elsevier, 2018).
Hair Jr, J. F., Hult, G. T. M., Ringle, C. M. & Sarstedt, M. A primer on partial least squares structural equation modeling (PLS-SEM). (Sage publications, 2021).
Berendse, F., van Ruijven, J., Jongejans, E. & Keesstra, S. Loss of plant species diversity reduces soil erosion resistance. Ecosystems 18, 881–888 (2015).
Keesstra, S. D. et al. Soil as a filter for groundwater quality. Curr. Opin. Environ. Sustain. 4, 507–516 (2012).
Utuk, I. O. & Daniel, E. E. Land degradation: a threat to food security: a global assessment. J Env. Earth Sci 5, 13–21 (2015).
Sudarwani, M. M. & Ekaputra, Y. D. Konservasi Lahan Kritis Untuk Pertanian Produktif Dalam Pencapaian Ketahanan Pangan Yang Berkelanjutan Di Kecamatan Gunungpati Semarang. (2012).
Rajashekhar Rao, B. K. Kinetics of potassium release in sweet potato cropped soils: a case study in the highlands of Papua New Guinea. Solid Earth 6, 217–225 (2015).
Krieger, J. & Higgins, D. L. Housing and health: time again for public health action. Am. J. Public Health 92, 758–768 (2002).
Mara, D., Lane, J., Scott, B. & Trouba, D. Sanitation and health. PLoS Med. 7, e1000363 (2010).
Water, S. Hygiene and Health: A Primer for Health Professionals. Geneva World Heal. Organ. (2019).
Dhrifi, A. Health-care expenditures, economic growth and infant mortality: Evidence from developed and developing countries. CEPAL Rev. No. 125, August 2018 69 (2019).
Pingali, P., Aiyar, A., Abraham, M. & Rahman, A. Transforming food systems for a rising India. (Springer Nature, 2019).
Bhutta, Z. A. et al. What works? Interventions for maternal and child undernutrition and survival. Lancet 371, 417–440 (2008).
UNICEF & Unicef. 's approach to scaling up nutrition for mothers and their children. United Nations Child. Fund (2015).
Vilcins, D., Sly, P. D. & Jagals, P. Environmental risk factors associated with child stunting: a systematic review of the literature. Ann. Glob. Heal. 84, 551 (2018).
Spears, D. How much international variation in child height can sanitation explain? World Bank policy Res. Work. Pap. (2013).
Alzua, M. L. et al. Impact Evaluation of Community-led Total Sanitation (CLTS) in Rural Mali. (2015).
Nunes, A. R., Lee, K. & O'Riordan, T. The importance of an integrating framework for achieving the Sustainable Development Goals: the example of health and well-being. BMJ Glob. Heal. 1, e000068 (2016).
Wagstaff, A. Inequalities in health in developing countries: swimming against the tide? vol. 2795 (World Bank Publications, 2002).
Mahmud Khan, M., Hotchkiss, D. R., Berruti, A. A. & Hutchinson, P. L. Geographic aspects of poverty and health in Tanzania: does living in a poor area matter? Health Policy Plan. 21, 110–122 (2006).
Mazumdar, S. Determinants of inequality in child malnutrition in India: the poverty-undernutrition linkage. Asian Popul. Stud. 6, 307–333 (2010).
Stevens, G. A. et al. Trends in mild, moderate, and severe stunting and underweight, and progress towards MDG 1 in 141 developing countries: a systematic analysis of population representative data. Lancet 380, 824–834 (2012).
Hanson, M. A. et al. The International Federation of Gynecology and Obstetrics (FIGO) recommendations on adolescent, preconception, and maternal nutrition:"Think Nutrition First”#. Int. J. Gynecol. Obstet. 131, S213–S253 (2015).
Vir, S. C. Improving women's nutrition imperative for rapid reduction of childhood stunting in South Asia: coupling of nutrition specific interventions with nutrition sensitive measures essential. Matern. Child Nutr. 12, 72–90 (2016).
Keino, S., Plasqui, G., Ettyang, G. & van den Borne, B. Determinants of stunting and overweight among young children and adolescents in sub-Saharan Africa. Food Nutr. Bull. 35, 167–178 (2014).
Berhe, K., Seid, O., Gebremariam, Y., Berhe, A. & Etsay, N. Risk factors of stunting (chronic undernutrition) of children aged 6 to 24 months in Mekelle City, Tigray Region, North Ethiopia: An unmatched case-control study. PLoS One 14, e0217736 (2019).
Aguayo, V. M., Badgaiyan, N. & Paintal, K. Determinants of child stunting in the R oyal K ingdom of B hutan: an in"depth analysis of nationally representative data. Matern. Child Nutr. 11, 333–345 (2015).
Ahmed, T., Hossain, M. & Sanin, K. I. Global burden of maternal and child undernutrition and micronutrient deficiencies. Ann. Nutr. Metab. 61, 8–17 (2012).
Mariyam, A. F. & Dibaba, B. Epidemiology of malnutrition among pregnant women and associated factors in central refit valley of Ethiopia, 2016. J Nutr Disord Ther 8, 1–8 (2018).
Schaefer, R. M., Huch, R. & Krafft, A. Current recommendations for the treatment of iron deficiency anemia. Rev. Med. Suisse 3, 874–880 (2007).
Abu-Ouf, N. M. & Jan, M. M. The impact of maternal iron deficiency and iron deficiency anemia on child's health. Saudi Med. J. 36, 146 (2015).
Gewa, C. A. & Yandell, N. Undernutrition among Kenyan children: contribution of child, maternal and household factors. Public Health Nutr. 15, 1029–1038 (2012).
Anekwe, T. D. & Kumar, S. The effect of a vaccination program on child anthropometry: evidence from India's Universal Immunization Program. J. Public Health (Bangkok). 34, 489–497 (2012).
Prendergast, A. J. Malnutrition and vaccination in developing countries. Philos. Trans. R. Soc. B Biol. Sci. 370, 20140141 (2015).
Toikilik, S. et al. Are hard-to-reach populations being reached with immunization services? Findings from the 2005 Papua New Guinea national immunization coverage survey. Vaccine 28, 4673–4679 (2010).
Kuchenbecker, J. et al. Exclusive breastfeeding and its effect on growth of Malawian infants: results from a cross-sectional study. Paediatr. Int. Child Health 35, 14–23 (2015).
Huynh, G., Huynh, Q. H. N., Nguyen, N. H. T., Do, Q. T. & Van Tran, K. Malnutrition among 6–59-month-old children at district 2 hospital, Ho Chi Minh City, Vietnam: prevalence and associated factors. Biomed Res. Int. 2019, (2019).
Nigatu, D., Azage, M. & Motbainor, A. Effect of exclusive breastfeeding cessation time on childhood morbidity and adverse nutritional outcomes in Ethiopia: analysis of the demographic and health surveys. PLoS One 14, e0223379 (2019).
Prusty, R. K., Gouda, J. & Pradhan, M. R. Inequality in the utilization of maternal healthcare services in Odisha, India. Int. J. Popul. Res. 2015, (2015).
Sarode, V. M. Does illiteracy influence pregnancy complications among women in the slums of greater Mumbai. Int. J. Sociol. Anthropol. 2, 82–93 (2010).
Hamidu, J. L., Salami, H. A., Ekanem, A. U. & Hamman, L. Prevalence of protein-energy malnutrition in Maiduguri, Nigeria. African J. Biomed. Res. 6, (2003).
Bain, L. E. et al. Malnutrition in Sub–Saharan Africa: burden, causes and prospects. Pan Afr. Med. J. 15, (2013).
Yalew, B. M. Prevalence of malnutrition and associated factors among children age 6–59 months at lalibela town administration, North WolloZone, Anrs, Northern Ethiopia. J Nutr Disord. Ther 4, 509–2161 (2014).
Hossain, M. B. & Khan, M. H. R. Role of parental education in reduction of prevalence of childhood undernutrition in Bangladesh. Public Health Nutr. 21, 1845–1854 (2018).
Bhalotra, S. & Rawlings, S. B. Intergenerational persistence in health in developing countries: The penalty of gender inequality? J. Public Econ. 95, 286–299 (2011).
Pinstrup-Andersen, P. The food system and its interaction with human health and nutrition. Reshaping Agric. Nutr. Heal. 21, (2012).
Marphatia, A. A., Cole, T. J., Grijalva-Eternod, C. & Wells, J. C. K. Associations of gender inequality with child malnutrition and mortality across 96 countries. Glob. Heal. Epidemiol. genomics 1, (2016).
Boah, M., Azupogo, F., Amporfro, D. A. & Abada, L. A. The epidemiology of undernutrition and its determinants in children under five years in Ghana. PLoS One 14, e0219665 (2019).
Cetthakrikul, N. et al. Childhood stunting in Thailand: when prolonged breastfeeding interacts with household poverty. BMC Pediatr. 18, 1–9 (2018).
Ashagidigbi, W. M. & Dahunsi, A. Poverty status of households and child malnutrition in rural population of Nigeria. J. Environ. Agric. Sci 16, 42–49 (2018).
Vollmer, S., Bommer, C., Krishna, A., Harttgen, K. &
Subramanian, S. V. The association of parental education with childhood undernutrition in low-and middle-income countries: comparing the role of paternal and maternal education. Int. J. Epidemiol. 46, 312–323 (2017).
Wibowo, T. Ketimpangan pendapatan dan Middle income trap. Kaji. Ekon. dan Keuang. 20, 111–132 (2016).
Hanandita, W. & Tampubolon, G. The double burden of malnutrition in Indonesia: Social determinants and geographical variations. SSM-population Heal. 1, 16–25 (2015).
Jonah, C. M. P., Sambu, W. C. & May, J. D. A comparative analysis of socioeconomic inequities in stunting: a case of three middle-income African countries. Arch. Public Heal. 76, 1–15 (2018).
Mary, S. How much does economic growth contribute to child stunting reductions? Economies 6, 55 (2018).
Biadgilign, S., Shumetie, A. & Yesigat, H. Does economic growth reduce childhood undernutrition in Ethiopia? PLoS One 11, e0160050 (2016).
Ghozali, I. & Latan, H. Partial Least Squares, konsep, teknik dan aplikasi menggunakan program Smartpls 3.0 untuk penelitian empiris. Semarang: Badan Penerbit UNDIP (2015).
AMERTA NUTR by Unair is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.