Role of specific interventions to prevent stunting in children under five years in the first thousand days of life

Authors

  • Sugeng Wiyono Jakarta Health Polytechnic II, Ministry of Health Republic of Indonesia, Indonesia
  • Moch Rachmat Jakarta Health Polytechnic II, Ministry of Health Republic of Indonesia, Indonesia
  • Rosmida M. Marbun Jakarta Health Polytechnic II, Ministry of Health Republic of Indonesia, Indonesia
  • Sa’diah Multi Karina Jakarta Health Polytechnic II, Ministry of Health Republic of Indonesia, Indonesia
  • Meilinasari . Jakarta Health Polytechnic II, Ministry of Health Republic of Indonesia, Indonesia
  • Endang Titi Amrihati Jakarta Health Polytechnic II, Ministry of Health Republic of Indonesia, Indonesia
  • Muntikah . Jakarta Health Polytechnic II, Ministry of Health Republic of Indonesia, Indonesia
  • Titik Ceriyani Miswaty Bumi Gora of Mataram University, Indonesia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20230206

Keywords:

Baby birth length, Cold, Maternal height, Nutrient intake, Stunting

Abstract

Background: Indonesia faces the problem of stunting in children under five years by 24.4%. Boys aged 3 years with severe stunting have 15.0 points lower reading ability and girls have 11.0 points compared to mild stunting, resulting in a decrease in intelligence (IQ), so that learning achievement becomes low. Objective was to obtain information on the role of specific interventions to prevent stunting in children under five years in the first thousand days of life.

Methods: Case-control design analytical research, in the stunted locus area, Jagakarsa Subdistrict, South Jakarta, Special area of the capital Jakarta Indonesia from 1 to 30 September 2021. Case samples of all stunting in children under five years and controls were normal height children who were matched for age and sex with 28 children each. The inclusion criteria in this research were ages 6-59 while the exclusion criteria in this research were toddler who had physical disabilities.

Results: Variables that showed a significant relationship with stunting in children under five years (p<0.05) were the length of a baby at birth (p=0.005) OR 4.958 (95%CI: 1.529-15.987), maternal height (0.002) OR 5.727 (95%CI: 1.765-18.507), father’s education p=0.006 OR 5.169 (95%CI:1.520-17.580, and family income (p=0.012) OR 9.800 (95%CI: 1.116-86.041.

Conclusions: Babies born <48.0 cm are at risk of 12.306 times of becoming stunting after controlling for variables such as maternal height, father’s education, energy intake, protein, iron, colds, exclusive breastfeeding, supplementary feeding for pregnant women and children and early initiation of breastfeeding.

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References

Ministry of Health of the Republic of Indonesia. Main Results of Basic Health Research. J Phys A Math Theor. 2018;44(8):1-200.

Zahraini Y. Stunting and Environmental Health; Information of the Ministry of Health of the Republic of Indonesia. 2017;1-2.

Ministry of Health; 2018; Public Health Development Index 1.

https://www.tanotofoundation.org/id/news/stunting-ancaman-bagi-masa-depan-anak-anak-indonesia/

Achadi EL. The critical period of the first 1000 days of life and its long-term impact on health and physical. Faculty of Public Health University of Indonesia . 2014;(November).

Indonesia, Republic; 2013; Presidential Decree No. 42 of 2013 concerning the National Movement for the Acceleration of Nutrition Improvement; Minister of Law and Human Rights, R.I

Nani AND. The relationship of specific interventions from indicators of the healthy indonesia program with a family approach (Pis-Pk) with stunting prevalence in 10 locus villages of the Stunting Prevention Program in Banggai Regency Year 2018-2019. Hasanuddin University. 2021.

Hafid F, Taqwin T, Linda L, Nasrul N, Ramadhan K, Bohari B. Specific interventions to prevent stunting in children under 2 years after the natural disaster. Open Access Macedon J Med Sci. 2021;9(E):64-9.

Candriasih P, Ndama M, Pont AV. Specific and sensitive nutrition interventions with nutritional status of toddlers as prevention of stunting in the coronavirus disease 2019 pandemic in Sigi District, Indonesia. Open Access Macedon J Med Sci. 2021;9(E):415-8.

DKI Jakarta Government; 2018. Stunting Case in Jakarta 25%. 2018;(September):41-3.

Amaliah N, Sari K, Suryaputri IY. Short birth body length as one of the determinant factors of child development delays age 6-23 months in Jaticempaka Village, Pondok Gede District, Bekasi City. J Ekol Kesehat. 2016;15(1):3-9.

Lukman TN, Anwar F, Riyadi H, Harjomidjojo H, Martianto D. Birth weight and length associated with stunting among children under-five in Indonesia. Indones J Nutr Food. 2021;16:99-108.

Andari W, Siswati T, Paramashanti BA. Maternal height as a risk factor for stunting in children aged 24-59 months in Pleret District and Pajangan District, Bantul Regency, Yogyakarta. J Nutr Coll. 2020;9(4):235-40.

Nshimyiryo A, Hedt-Gauthier B, Mutaganzwa C, Kirk CM, Beck K, Ndayisaba A, et al. 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. 2019;19(1):1-10.

Anshori LM, Sutrisna B, Fikawati S. Relationship energy and protein intake with the incidence of stunting among toddler aged (25-60 months) in Mangkung village, District of Central Lombok. Indian J Public Health. 2020;11(3):1593-8.

Azmy U, Mundiastuti L. Nutrients consumption of stunted and non-stunted children in Bangkalan. Amerta Nutr. 2018;2(3):292-8.

Hendraswari CA, Purnamaningrum YE, Maryani T, Widyastuti Y, Harith S. The determinants of stunting for children aged 24-59 months in Kulon Progo District 2019. Nat Public Health J. 2021;16(2).

Nurhasanah N, Rachmawati DA, Sutejo IR. Severe deficit in energy and protein intake correlates with stunting among children aged 12-24 months in Plerean Sumberjambe Jember. J Agromed Med Sci. 2021;7(2):116-20.

Kavle JA, El-Zanaty F, Landry M, Galloway R. The rise in stunting in relation to avian influenza and food consumption patterns in Lower Egypt in comparison to Upper Egypt: results from 2005 and 2008 Demographic and Health Surveys. BMC Public Health. 2015;15(1):1-8.

Adani FY, Nindya TS. Differences in energy, protein, zinc, and developmental intakes in stunting and non stunting in children under five years. Amerta Nutr. 2017;1(2):46.

Paramashanti BA, Hadi H, Gunawan IM. Exclusive breastfeeding is not related to stunting in children aged 6–23 months in Indonesia. Indones J Nutr Dietetics. 2016;3(3):162-74.

Husna DS, Puspita ID. Correlation between Intensity of Social Media Use with Sleep Duration and Nutritional Status of Adolescents. Nutr Res J. 2020;8(1):76-84.

P2PTM Ministry of Health RI. The Government tackles Stunting: through PIS-PK, Supplementary Feeding (PMT), and First 1000 Days of Life (HPK). Ministry of Health of the Republic of Indonesia. 2018. Available from: http://p2ptm.kemkes.go.id/. Accessed on 2 December 2021.

Herawati H, Anwar A, Setyowati DL. Sanitation facility relations, behavior of occupants, and habits of washing hands with soap (CTPS) by mothers with short events (Stunting) in toddlers age 6-24 months in the working area of Harapan Baru Health Center, Samarinda. Indones J Environ Health. 2020;19(1):7.

Syam DM, Sunuh HS. Relationship between handwashing, drinking water and food management and stunting in central Sulawesi. Gorontalo J Public Health. 2020;3(1):15.

Permadi MR, Hanim D, Kusnandar K, Indarto D. Risks of early initiation of breastfeeding and exclusive breastfeeding practices for stunting incidents in children aged 6-24 months. Nutr Food Res. 2017;39(1):2016.

Mawaddah S. Relationship between early initiation of breastfeeding and exclusive breastfeeding for babies. J Health Inform. 2018;16(2):214-25.

Wiyono S, Harjatmo TP, Astuti T, Prayitno N, Zulfianto NA, Tugiman AS, et al. Intake of nutrients, infection and sanitation with stunting in three-year-old children in rural areas. Nutr Res J. 2020;8(2):65-75.

Windasari DP, Syam I, Kamal LS. The relationship factor with the incidence of stunting at the Tamalate Public Health Center in Makassar city. Action Aceh Nutr J. 2020;5(1):27-34.

Tello B, Rivadeneira MF, Moncayo AL, Buitrón J, Astudillo F, Estrella A, et al. Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age. Int Breastfeed J. 2022;17(1):1-5.

Syeda B, Agho K, Wilson L, Maheshwari GK, Raza MQ. Relationship between breastfeeding duration and undernutrition conditions among children aged 0–3 Years in Pakistan. Int J Pediatr Adolesc Med. 2021;8(1):10-7.

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Published

2023-01-27

How to Cite

Wiyono, S., Rachmat, M., Marbun , R. M., Karina, S. M., ., M., Amrihati, E. T., ., M., & Miswaty, T. C. (2023). Role of specific interventions to prevent stunting in children under five years in the first thousand days of life. International Journal Of Community Medicine And Public Health, 10(2), 569–574. https://doi.org/10.18203/2394-6040.ijcmph20230206

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Original Research Articles