INDIRECT DETERMINANT EFFECTS OF STUNTING WITH TODDLER STUNTING INCIDENT IN PAPUA NEW GUINEA IN 2018
PENGARUH DETERMINAN TIDAK LANGSUNG STUNTING DENGAN KEJADIAN STUNTING BALITA DI PAPUA NEW GUINEA TAHUN 2018
Background: Stunting is still a world health problem. The prevalence of stunting in 2022 is 22,3%. Papua New Guinea (PNG) is a country with a high prevalence, in 2018 it reached 46,5%. "The UNICEF Conceptual Framework on the Determinants of Maternal and Child Nutrition, 2020, says that every malnutrition including stunting is caused by direct causes, namely inadequate dietary intake and disease, and indirect causes such as parental education, health financing, drinking water, sanitation and etc.
Purpose: This study aims to find the indirect determinants of stunting from data from "The Demographic and Health Surveys Program (DHS)" program which may statistically influence the incidence of stunting in toddlers in PNG in 2018.
Methods: Of the 2.337 data of children under five in PNG, a data cleaning process was carried out on variables that met the research requirements, 744 data were analyzed. Indirect determinants of stunting were found to include sources of drinking water, type of sanitation facility, number of children under five, mother's school status, ownership of health insurance, gender of the under five, and age of the under five. The logistic regression test was chosen to see the effect, with a 95% confidence interval (p = ≤ 0.05) considered to confirm a statistically significant factor.
Results: The study found that the variable "mother's school status" had a partial effect on the incidence of stunting (p value = 0,026; aOR = 1,433; 95% CI [1,043; 1,968]), and the variable "age of five" had a partial effect on the incidence of stunting (p value = 0,000; aOR = 1,803; 95% CI [1,322; 2,460].
Conclusion: The importance of investing in mother's education and the importance of preparing for the prevention and control of stunting in children, especially before they are 24 months old in Papua New Guinea.
Bank, A. D. (2021). 2020 Global Nutrition Report: Country Nutrition Profiles. In The burden of malnutrition at a glance.
WHO. (2015). Stunting in a Nutshell. Https://Www.Who.Int/News/Item/19-11-2015-Stunting-in-a-Nutshell, November.
World Health Organization. (2023). Tersedia di: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/gho-jme-stunting-prevalence (Diakses : 2 Juni 2023)
Pham, B. N., Silas, V. D., Okely, A. D., & Pomat, W. (2021). Measuring Wasting and Stunting Prevalence Among Children Under 5 Years of Age and Associated Risk Factors in Papua New Guinea: New Evidence From the Comprehensive Health and Epidemiological Surveillance System. Frontiers in Nutrition, 8. https://doi.org/10.3389/fnut.2021.622660
UNICEF.UNICEF Conceptual Framework on Maternal and Child Nutrition, 2020. ( UNICEF Nutrition and Child Development Section, Programme Group. 2021)
Headey, D., Hirvonen, K., & Hoddinott, J. (2018). Animal sourced foods and child stunting. American Journal of Agricultural Economics, 100(5). https://doi.org/10.1093/ajae/aay053
WHO. (2006). WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for- height and body mass index-forage: methods and development. In World Health Organisation.
Croft, T. N., Marshall, A. M. J., & Allen, C. K. (2020). Guide to DHS Statistics - DHS-7 (version 2). USAID.
Toma, T. M., Andargie, K. T., Alula, R. A., Kebede, B. M., & Gujo, M. M. (2023). Factors associated with wasting and stunting among children aged 06–59 months in South Ari District, Southern Ethiopia: a community-based cross-sectional study. BMC Nutrition, 9(1). https://doi.org/10.1186/s40795-023-00683-3
Danso, F., & Appiah, M. A. (2023). Prevalence and associated factors influencing stunting and wasting among children aged 1 to 5 years in Nkwanta South Municipality, Ghana. Nutrition. https://doi.org/10.1016/j.nut.2023.111996
Madinar. (2021). Fulfilment of minimum acceptable diet (MAD), short birth length and family income level are associated with stunting in children aged 6-23 months in Central Jakarta. Malaysian Journal of Nutrition, 27(2). https://doi.org/10.31246/MJN-2020-0045
Odei Obeng-Amoako, G. A., Karamagi, C. A. S., Nangendo, J., Okiring, J., Kiirya, Y., Aryeetey, R., Mupere, E., Myatt, M., Briend, A., Kalyango, J. N., & Wamani, H. (2021). Factors associated with concurrent wasting and stunting among children 6–59 months in Karamoja, Uganda. Maternal and Child Nutrition, 17(1). https://doi.org/10.1111/mcn.13074
Tafesse, T., Yoseph, A., Mayiso, K., & Gari, T. (2021). Factors associated with stunting among children aged 6–59 months in Bensa District, Sidama Region, South Ethiopia: unmatched case-control study. BMC Pediatrics, 21(1). https://doi.org/10.1186/s12887-021-03029-9
Quamme, S. H., & Iversen, P. O. (2022). Prevalence of child stunting in Sub-Saharan Africa and its risk factors. In Clinical Nutrition Open Science (Vol. 42). https://doi.org/10.1016/j.nutos.2022.01.009
Brou, A. M., Djalega, F. A., Tokpa, V., Seri, E. C. G., Anoua, A. L. F., & Robinson, J. A. (2023). Urban–rural differences in the relationship between stunting, preschool attendance, home learning support, and school readiness: A study in Cí´te d'Ivoire. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.1035488
Gassara, G., & Chen, J. (2021). Household food insecurity, dietary diversity, and stunting in sub-saharan africa: A systematic review. Nutrients, 13(12). https://doi.org/10.3390/nu13124401
Yuliawati, E. (2019). inisisasi menyusu dini, keanekaragaman makanan dan jaminan kesehatan terhadap kejadi stunting pada anak usia 24-59 bulan di kabupaten kepulauan mentawai sumatera barat tahun 2019. Human Care Journal, 4(3). https://doi.org/10.32883/hcj.v4i3.480
Desma Simbolon. (2014). Pengaruh Kepemilikan Jaminan Kesehatan Masyarakat Miskin Terhadap Status Kelahiran Dan Kejadian Stunting Pada Baduta Indonesia (Analisis Data IFLS 1993-2007). Jurnal Kebijakan Kesehatan Indonesia, 03(02).
Pertiwi, F. D., Prastia, T. N., & Nasution, A. (2021). Hubungan Faktor Sosial Ekonomi dan Riwayat Pemberian ASI Eksklusif dengan Kejadian Stunting pada Balita. Jurnal Ilmu Kesehatan Masyarakat, 10(04). https://doi.org/10.33221/jikm.v10i04.801
Fufa, D. A. (2022). Determinants of stunting in children under five years in dibate district of Ethiopia: A case-control study. Human Nutrition and Metabolism, 30. https://doi.org/10.1016/j.hnm.2022.200162
Dr. Jenni K Dahlia, Sp. A. (2017). Pentingnya Pemantauan Tumbuh Kembang 1000 Hari Pertama Kehidupan Anak. Ikatan Dokter Anak Indonesia.
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