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Jurnal Keperawatan Indonesia
Articles
VIEWS: 412
10.7454/jki.v24i2.1306
Submitted: 2023-03-06
Published: 2021-07-30

Maternal Factors in Stunting Among Vulnerable Children

Maranatha Kupang School of Health Sciences, Kupang 85361
Maranatha Kupang School of Health Sciences, Kupang 85361
antenatal care children Indonesia maternal age mother refugee stunting

Abstract

Children with stunting in Indonesia and other low-middle countries remains a serious problem. This study aimed to identify the association between maternal education, maternal age, maternal height, preceding birth interval, and ANC clinic visits, and stunting among vulnerable children in Kupang Regency, Indonesia. A cross-sectional study was conducted of two villages in Kupang Regency. The study sample comprised female ex-refugees from Timor Leste who had children aged 24–59 months. The subjects were chosen using consecutive sampling, with a total number of 154. Data were collected from both primary and secondary sources. There was a significant relationship between maternal education (p = 0.014), maternal height (p = 0.003), preceding birth interval (p = 0.001), ANC clinic visits (p = 0.009) and stunting. In contrast, maternal age showed no significant association (p = 0.611). Further studies are needed to help eradicate stunting by intervening in the reduction of risk factors.

 

Abstrak

Faktor-faktor Ibu terkait Stunting pada Anak-Anak yang Rentan. Anak-anak yang mengalami stunting di Indonesia dan negara-negara berpenghasilan rendah masih menjadi masalah serius. Tujuan penelitian ini adalah mengidentifikasi hubungan antara pendidikan ibu, usia ibu, tinggi badan ibu, jarak melahirkan dan kunjungan antenatal care (ANC) dengan stunting pada anak rentan usia 24–59 bulan di Kabupaten Kupang, Indonesia. Metode penelitian yang digunakan adalah cross-sectional yang dilakukan di dua desa di Kabupaten Kupang. Sampel dalam penelitian ini adalah para ibu mantan pengungsi Timor Leste yang memiliki anak usia 24–59 bulan. Teknik sampling yang digunakan adalah consecutive sampling, sebanyak 154 responden. Data diperoleh dari sumber primer dan sekunder. Terdapat hubungan
yang signifikan antara pendidikan ibu (p = 0,014), tinggi ibu (p = 0,003), jarak kelahiran (p = 0,001), kunjungan ANC (p = 0,009) dengan stunting. Namun tidak ada hubungan antara usia ibu dengan stunting (p = 0,611). Penelitian selanjutnya dibutuhkan untuk memberantas stunting melalui intervensi untuk menurunkan faktor risiko.

Kata Kunci: anak, antenatal care, ibu, Indonesia, pengungsi, stunting, usia ibu

References

  1. Aldana-Parra, F., Vega, G.O., & Fewtrell, M. (2020). Associations between maternal BMI, breastfeeding practices and infant anthropometric status in Colombia: Secondary analysis of ENSIN 2010. BMC Public Health, 20 (1), 1–15. doi: 10.1186/s12889-020-8310-z.
  2. Amugsi, D.A., Dimbuene, Z.T., & Kimani-Murage, E.W. (2020). Socio-demographic factors associated with normal linear growth among pre-school children living in better-off households: A multi-country analysis of nationally representative data. PLoS ONE, 15 (3), 1–19. doi: 10.1371/journal.pone.0224118.
  3. Aryastami, N.K., Shankar, A., Kusumawardani, N., Besral, B., Jahari, A.B., & Achadi, E. (2017). Low birth weight was the most dominant predictor associated with stunting among children aged 12–23 months in Indonesia. BMC Nutrition, 3 (1), 1–6. doi: 10.1186/s40795-017-0130-x.
  4. Batiro, B., Demissie, T., Halala, Y., & Anjulo, A.A. (2017). Determinants of stunting among children aged 6-59 months at Kindo Didaye Woreda, Wolaita Zone, Southern Ethiopia: Unmatched case-control study. PLoS ONE, 12 (12), 1–15. doi: 10.1371/journal.pone.0189106.
  5. Beal, T., Le, D.T., Trinh, T.H., Burra, D.D., Huynh, T., Duong, T.T., Truong, T.M., Nguyen, D.S., Nguyen, K.T., de Haan, S., & Jones, A.D. (2019). Child stunting is associated with child, maternal, and environmental factors in Vietnam. Maternal and Child Nutrition, 15 (4), 1–10. doi: 10.1111/mcn.12826.
  6. Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L.M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14 (4), 1–10. doi: 10.1111/mcn.12617.
  7. Berhe, K., Seid, O., Gebremariam, Y., Berhe, A., & Etsay, N. (2019). 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 (6), 1–11. doi: 10.1371/ journal.pone.0217736.
  8. Blössner, M., Siyam, A., Borghi, E., de Onis, M., Onyango, A., & Yang, H. (2011). WHO Anthro for Personal Computers Manual. World Health Organization. World Health Organization.
  9. Briaux, J., Fortin, S., Kameli, Y., Agboka, Y., Romedenne, M., Boko, J., Martin-Prevel, Y., Becquet, R., & Savy, M. (2019). Dissimilarities across age groups in the associations between complementary feeding practices and child growth: Evidence from rural Togo. Maternal and Child Nutrition, 15 (4), 1–17. doi: 10.1111/mcn.12843.
  10. Budhathoki, S.S., Bhandari, A., Gurung, R., Gurung, A., & Kc, A. (2020). Stunting among under 5-year-olds in Nepal: Trends and risk factors. Maternal and Child Health Journal, 24 (0123456789), 39–47. doi: 10.1007/s10995-019-02817-1.
  11. Chan, J.F.W., Yuan, S., Kok, K.H., To, K.K.W., Chu, H., Yang, J., Xing, F., Liu, J., Yip, C.C., Poon, R.W., Tsoi, H.W., Lo, S.K., Chan, K.H., Poon, V.K., Chan, W.M., Ip, J.D., Cai, J.P., Cheng. V.C., Chen, H., ... Yuen, K.Y. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: A study of a family cluster. The Lancet, 395 (10223), 514–523. doi: 10.1016/S0140-6736(20)30154-9.
  12. Dewey, K.G., & Begum, K. (2011). Long-term consequences of stunting in early life. Maternal and Child Nutrition, 7 (Suppl. 3), 5–18. doi: 10.1111/j.1740-8709.2011.00349.x.
  13. Faul, F., Buchner, A., Erdfelder, E., & Mayr, S. (2007). A short tutorial of GPower. Tutorials in Quantitative Methods for Psychology, 3 (2), 51–59.
  14. Geberselassie, S.B., Abebe, S.M., Melsew, Y.A., Mutuku, S.M., & Wassie, M.M. (2018). Prevalence of stunting and its associated factors among children 6-59 months of age in Libo-Kemekem district, Northwest Ethiopia: A community-based cross-sectional study. PLoS ONE, 13 (5), 1–11. doi: 10.1371/journal.pone.0195361.
  15. Ghosh-Jerath, S., Devasenapathy, N., Singh, A., Shankar, A., & Zodpey, S. (2015). Antenatalcare (ANC) utilization, dietary practices and nutritional outcomes in pregnant and recently delivered women in urban slums of Delhi, India: An exploratory cross-sectional study. Reproductive Health, 12 (1). doi: 10.1186/s12978-015-0008-9.
  16. Kahssay, M., Woldu, E., Gebre, A., & Reddy, S. (2020). Determinants of stunting among children aged 6 to 59 months in pastoral community, Afar region, North East Ethiopia: Unmatched case-control study. BMC Nutrition, 6 (1), 1–8. doi: 10.1186/s40795-020-00332-z.
  17. Khairi, S., Setyowati, S., & Afiyanti, Y. (2013). Kegagalan memutuskan pemenuhan kebutuhan nutrisi selama kehamilan: Studi grounded theory pada ibu hamil anemia. Jurnal Keperawatan Indonesia, 16 (2), 85–92. doi: 10.7454/jki.v16i2.6.
  18. Khan, S., Zaheer, S., & Safdar, N. F. (2019). Determinants of stunting, underweight and wasting among children < 5 years of age: Evidence from 2012-2013 Pakistan demographic and health survey. BMC Public Health, 19 (358), 1–15. doi: 10.1186/s12889-019-6688-2.
  19. Manggala, A.K., Kenwa, K.W.M., Kenwa, M.M.L., Sakti, A.A.G.D.P.J., & Sawitri, A.A.S. (2018). Risk factors of stunting in children age 24-59 months old. Paediatrica Indonesiana, 58 (5), 205–212. doi: 10.14238/pi58.5.2018.205-12.
  20. Ministry of Health Republic of Indonesia. (2018). Laporan nasional riskesdas 2018. Ministry of Health Republic of Indonesia. Retrieved from http://repository.litbang.kemkes.go.id/3514/
  21. Nshimyiryo, A., Hedt-Gauthier, B., Mutaganzwa, C., Kirk, C. M., Beck, K., Ndayisaba, A., Mubiligi, J., Kateera, F., El-khatib, Z. (2019). Risk factors for stunting among children under five years: A cross-sectional population-based study in Rwanda using the 2015 demographic and health survey. BMC Public Health, 19 (175), 1–10. doi: 10.1186/s12889-019-6504-z.
  22. Rachmi, C.N., Agho, K.E., Li, M., & Baur, L.A. (2016). Stunting, underweight and overweight in children aged 2.0-4.9 years in Indonesia: Prevalence trends and associated risk factors. PLoS ONE, 11 (5), 1–17. doi: 10.1371/journal.pone.0154756.
  23. Stewart, C.P., Iannotti, L., Dewey, K.G., Michaelsen, K.F., & Onyango, A.W. (2013). Contextualising complementary feeding in a broader framework for stunting prevention. Maternal and Child Nutrition, 9 (Suppl. 2), 27–45. doi: 10.1111/mcn.12088.
  24. Svefors, P., Pervin, J., Islam Khan, A., Rahman, A., Ekström, E.C., El Arifeen, S., Ekholm Selling, K., & Persson, L.Å. (2020). Stunting, recovery from stunting and puberty development in the MINIMat cohort, Bangladesh. Acta Paediatrica, International Journal of Paediatrics, 109 (1), 122–133. doi: 10.1111/apa.14929.
  25. Takele, K., Zewotir, T., & Ndanguza, D. (2019). Understanding correlates of child stunting in Ethiopia using generalized linear mixed models. BMC Public Health, 19 (1), 1–8. doi: 10.1186/s12889-019-6984-x.
  26. Tariku, A., Biks, G.A., Derso, T., Wassie, M.M., & Abebe, S.M. (2017). Stunting and its determinant factors among children aged 6-59 months in Ethiopia. Italian Journal of Pediatrics, 43 (1), 1–9. doi: 10.1186/s13052-017-0433-1.
  27. Torlesse, H., Cronin, A.A., Sebayang, S.K., & Nandy, R. (2016). 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 (1), 1–11. doi: 10.1186/s12889-016-3339-8.
  28. United Nations Children’s Fund (UNICEF), WHO, & World Bank. (2020). Levels and trends in child malnutrition: Key Findings of the 2020 Edition of the Joint Child Malnutrition Estimates. UNICEF, WHO and the World Bank Group. Retrieved from https://www.who.int/publications/i/item/9789240025257
  29. Utami, R.A., Setiawan, A., & Fitriyani, P. (2019). Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia. Enfermeria Clinica, 29 (S2), 606–611. doi: 10.1016/j.enfcli.2019.04.093.
  30. Walters, C.N., Rakotomanana, H., Komakech, J.J., & Stoecker, B.J. (2019). Maternal determinants of optimal breastfeeding and complementary feeding and their association with child undernutrition in Malawi (2015-2016). BMC Public Health, 19 (1), 1–12. doi: 10.1186/s12889-019-7877-8.
  31. Workicho, A., Belachew, T., Argaw, A., Ghosh, S., Kershaw, M., Lachat, C., & Kolsteren, P. (2019). Adolescent pregnancy and linear growth of infants: A birth cohort study in rural Ethiopia. Nutrition Journal, 18 (1), 1–9. doi: 10.1186/s12937-019-0448-0.
  32. World Health Organization. (2006). WHO child growth standards based on length/height, weight and age. Acta Paediatrica, 95 (Suppl. 450), 76–85. doi: 10.1080/08035320500495548.
  33. World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/250796/9789241549912-eng.pdf;jsessionid=CBC4F12694985F7AA97E210FAFE35935?sequence=1

How to Cite

Kiik, S. M., & Nuwa, M. S. (2021). Maternal Factors in Stunting Among Vulnerable Children. Jurnal Keperawatan Indonesia, 24(2), 82–89. https://doi.org/10.7454/jki.v24i2.1306