The External Factors Associated with Stunting Occurrence among 12 – 59 Months Old Toddler
Rico J. Sitorus1, Merry Natalia P2, Imelda G. Purba3, Rini Mutahar4, Poppy Fujianti5
1Rico J. Sitorus, Department of Epidemiology Public Health, Universitas Sriwijaya, Inderalaya Campus, South Sumatra, Indonesia.
2Merry Natalia, Staff Ministry, Department of Health, Sultan Mahmud Badaruddin II Office, South Sumatra Indonesia.
3Imelda G. Purba, Department of Environmental Health Public Health, Inderalaya Campus, South Sumatra, Indonesia.
4Rini Mutahar, Department of Epidemiology Public Health, Universitas Sriwijaya, Inderalaya Campus, South Sumatra, Indonesia.
5Poppy Fujianti, Department of Environmental Health Public Health, Inderalaya Campus, South Sumatra, Indonesia.
Manuscript received on 15 October 2019 | Revised Manuscript received on 21 October 2019 | Manuscript Published on 02 November 2019 | PP: 137-140 | Volume-8 Issue-2S9 September 2019 | Retrieval Number: B10300982S919/2019©BEIESP | DOI: 10.35940/ijrte.B1030.0982S919
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© The Authors. Blue Eyes Intelligence Engineering and Sciences Publication (BEIESP). This is an open access article under the CC-BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Abstract: Background: Intervention strategy employed in solving stunting cases should be comprehensive by focusing on both direct (internal) and indirect factors (external). Therefore, the purpose of this study was to observe the indirect factors influencing the occurrence of stunting in toddlers. Methods: The study design used was community-based case control with the population comprising of toddlers between 12-59 months old. The sample size included 49 cases and 98 controls, and the stunting was measured by using anthropometry. Furthermore, short toddlers were indicated by nutrition status which was determined by the ideal height in certain age and .compared with the provision of WHO-MGRS (Multicentre Growth Reference Study) that any toddler with z-score less than -2 SD is short and less than -3 SD is categorized as very short. Results: The multivariate analysis conducted proved that toddlers with inadequate child-rearing have a greater risk (Adjusted Odds Ratio (AOR) = 3.03 (95% CI: 1.15-7.98) of experiencing stunting compared to those raised adequately. Those living in families below Guaranteed Minimum Income (GMI) has a greater risk (AOR = 4.63 (95 % CI: 1.701-12.63) of stunting compared to those in families with above Guaranteed Minimum Income (GMI). It was also found that those without exclusive breastfeeding has a greater risk (AOR = 4.53 (95 % CI: 1.64-12.49) compared to those with exclusive breastfeeding. Conclusion: The intervention methods needed to improve stunting’s problem-solving in rural areas include giving adequate child-rearing, improving the economic status of the family, and parent’s knowledge about giving exclusive breastfeeding for 6 months.
Keywords: Stunting, Toddler, Rural, Breastfeeding.
Scope of the Article: Bio-Science and Bio-Technology