Double-Duty Actions to Reduce the Double Burden of Malnutrition in Indonesia
Downloads
Background:: Indonesia is facing a double burden of malnutrition (DBM). Double-duty action was promoted by WHO in 2017 which aims to tackle the double burden of malnutrition simultaneously.
Objectives: This study analyzed factors associated with the double burden of malnutrition and potential of double-duty action (DDA)that is suitable for Indonesia
Methods:This study is a provincial-level aggregate data set from Indonesia Basic Health Survey 2018 and National Socio-Economic Survey 2018 which covered 34 provinces. A serious DBM characterized by persistent stunting (children under five) ≥30% and coexisting overweight and obesity in adults ≥30% at the same time. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to analyze factors associated with DBM.
Results: High prevalence of stunting and overweight and obesity in almost all provinces di Indonesia. Seventeen provinces were having a serious DBM. Health care access, exclusive breastfeeding and socio-economic associated with DBM. There were 4 potential DDA for Indonesia: health care which consist of antenatal care, maternal and child care, exclusive breastfeeding, child growth monitoring, and social safety net. Conclusions:Addressing the DBM through four potential DDA can be a new paradigm, mindset, and critical importance in achieving Indonesia's target in reducing under and over nutrition simultaneously.
REFERENSI
WHO Regional Office for South-East Asia. Strategic Action Plan to reduce the double burden of malnutrition in the South-East Asia Region 2016-2025. (WHO Regional Office for South-East Asia, 2016).
Development Initiatives. 2020 Global Nutrition Report: Action on equity to end malnutrition. (2020).
Badan Penelitian dan Pengembangan Kesehatan. Laporan Hasil Riset Kesehatan Dasar (Riskesdas) Indonesia tahun 2018. Riset Kesehatan Dasar 2018 182–183 (2019).
Wells, J. C. et al. The double burden of malnutrition: aetiological pathways and consequences for health. Lancet 395, P75-88 (2020).
Shrimpton, R. & Rokx, C. The Double Burden of Malnutrition in Indonesia. (World Bank Jakarta, 2013).
Shrimpton, R. & Rokx, C. HNP Discussion Paper Series. The Double Burden of Malnutrition: A Review of Global Evidence. (The World bank, 2012).
United Nations. United Nations Decade of Action on Nutrition (2016-2025). In: Seventieth session of United Nations General Assembly. Agenda Item 15. (2016). Available at: https://www.un.org/ga/search/view_doc.asp?symbol=A/70/L.42. (Accessed: 19th May 2020)
WHO. The double burden of malnutrition. Policy Brief. (2017).
Hawkes, C., Ruel, M. T., Salm, L., Sinclair, B. & Branca, F. Double-duty actions : seizing programme and policy opportunities to address malnutrition in all its forms. Lancet 395, P142-155 (2020).
WHO. Double-duty actions. Policy Brief. (2017).
BPS. Publikasi Statistik. (2020). Available at: https://www.bps.go.id/. (Accessed: 10th May 2020)
Badan Ketahanan Pangan. Statistik ketahanan pangan 2014-2018. (Badan Ketahanan Pangan, Kementerian Pertanian, 2019).
Popkin, B. M., Corvalan, C. & Grummer-strawn, L. M. Dynamics of the double burden of malnutrition and the changing nutrition reality. Lancet 395, P65-74 (2020).
NCD Risk Factor Collaboration (NCS-RisC). Worldwide trends in body-mass index, underweight , overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet 390, 2627–2642 (2017).
GBD 2017 Diet Collaborators. Health effects of dietary risks in 195 countries , 1990 – 2017 : a systematic analysis for the Global Burden of Disease Study. Lancet 393, 1958–72 (2019).
Nainggolan, O. Pengaruh Akses ke Fasilitas Kesehatan terhadap Kelengkapan Imunisasi Baduta ( Analisis Riskesdas 2013 ). Media Litbangkes 26, 15–28 (2016).
Jabbari-Beyrami, H. et al. Adequacy of prenatal care and its association with pregnancy outcomes : A comparison of indices in Tabriz, Iran. J Anal Res Clin Med 3, 12–16 (2015).
Sartika, R. A. D. Analisis Pemanfaatan Program Pelayanan Kesehatan Status Gizi Balita. J. Kesehat. Masy. Nas. 5, 76–83 (2010).
Aderibigbe, S., Wit, F., van Hensbroek, M., Osagbemi, G. & Akande, T. The effect of health insurance on maternal and child health : A systematic review. J. Med. Trop. 20, 83–92 (2018).
Nuñez, P. A. et al. Impact of Universal Health Coverage on Child Growth and Nutrition in Argentina. Am J Public Heal. 106, 720–726 (2016).
Titaley, C. R., Ariawan, I., Hapsari, D., Muasyaroh, A. & Dibley, M. J. Determinants of the Stunting of Children Under Two Years Old in Indonesia : A Multilevel Analysis of the 2013 Indonesia Basic Health Survey. Nutrients 11, 1106 (2019).
Torlesse, H., Cronin, A. A., Sebayang, S. K. & Nandy, R. Determinants of stunting in Indonesian children : evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC Public Health 16, 669 (2016).
Lee, J. W. et al. The Protective Effect of Exclusive Breastfeeding on Overweight / Obesity in Children with High Birth Weight. J. Korean Med. Sci. 34, e85 (2019).
Uwaezuoke, S. N., Eneh, C. I. & Ndu, I. K. Relationship Between Exclusive Breastfeeding and Lower Risk of Childhood Obesity : A Narrative Review of Published Evidence. Clin. Med. Insights Pediatr. 11, 1–7 (2017).
Yan, J., Liu, L., Zhu, Y., Huang, G. & Wang, P. P. The association between breastfeeding and childhood obesity : a meta-analysis. BMC Public Health 14, 1276 (2014).
Barir, B., Murti, B. & Pamungkasari, E. P. The Associations between Exclusive Breastfeeding , Complementary Feeding , and the Risk of Stunting in Children Under Five Years of Age : A Path Analysis Evidence from Jombang East Java. J. Matern. Child Heal. 4, 486–498 (2019).
Destiadi, A., Susila, T. N. & Sumarmi, S. Frekkuensi kunjungan posyandu dan riwayat kenaikan berat badan sebagai faktor risiko kejadian stunting pada anak usia 3-5 tahun. Media Gizi Indones. 10, 71–75 (2015).
Sahanggamu, P. D., Purnomosari, L., Dillon, D. & Indonesia, U. Information exposure and growth monitoring favour child nutrition in rural Indonesia. Asia Pac. J. Clin. Nutr. 26, 313–316 (2017).
Tanumihardjo, S. A. et al. Poverty, Obesity, and Malnutrition: An International Perspective Recognizing the Paradox. J. Am. Diet. Assoc. 107, 1966–1972 (2007).
WHO. Malnutrition. (2020). Available at: https://www.who.int/news-room/fact-sheets/detail/malnutrition. (Accessed: 22nd June 2020)
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.
