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.
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