The Family Assistance and Determinants of Stunting: An Operational Study in Donggala Regency

Fahmi Hafid; Taufiqurrahman Taufiqurrahman; Nasrul Nasrul; Sarina Sariman; Syahriar; Ilham

doi:10.36568/jone.v3i1.591

Authors

Fahmi Hafid Nutrition of Department, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia https://orcid.org/0000-0002-1508-3094
Taufiqurrahman Taufiqurrahman Nutrition of Department, Poltekkes Kemenkes Surabaya, Surabaya, Indonesia https://orcid.org/0000-0002-9854-2427
Nasrul Nasrul Nursing of Department, Poltekkes Kemenkes Palu, Palu =, Indonesia https://orcid.org/0009-0007-2501-1864
Sarina Sariman Faculty of Health and Life Sciences, Management and Science University https://orcid.org/0000-0002-9893-210X
Syahriar Dinas Kesehatan Pemerintah Kabupaten Donggala Banawa
Ilham Dinas Kesehatan Pemerintah Kabupaten Donggala Banawa

DOI:

https://doi.org/10.36568/jone.v3i1.591

Keywords:

Family Assistance, Determinant, Donggala, Stunting

Abstract

Stunting remains a significant public health issue in Donggala Regency, impacting long-term human resource quality. This study analyzed stunting determinants through a family-based approach using a cross-sectional survey on November 13–18, 2024, involving 908 families at risk of stunting. Data were collected through questionnaires, body length measurements using Length Board Measuring (LMB), and age verification from birth certificates or KIA books. Statistical analysis employed Chi-Square, Logistic Regression, and T-Test with STATA software, while the WHO-Antro 2005 software calculated Z-Score TB/U values. Most respondents were housewives (90.7%), educated >9 years (80.1%), aged ≥20 years (94.4%), and lived in rural areas (93.6%). Families receiving assistance showed a lower stunting prevalence (22.7%) compared to controls (30%). Proper sanitation and clean water access reduced stunting prevalence to 24.1%, versus 63.6% in families lacking access. Boys aged 12–23 months were the most vulnerable group. Family assistance improved knowledge of balanced diets and hygiene, reducing stunting prevalence. Expanding family assistance programs, enhancing sanitation infrastructure, and increasing access to clean water are crucial. Strengthening posyandu to provide targeted nutritional interventions, especially for children aged 12–23 months, is recommended to combat stunting effectively in Donggala Regency.

References

Sutinbuk, D., Nugraheni, S. A., Rahfiludin, M. Z. & Setyaningsih, Y. Effectiveness of ERKADUTA model to increase stunting prevention behaviors among mothers with toddlers in Indonesia: A quasi-experiment. Narra J 4, e688 (2024).

Ashar, H. et al. Factors related to stunting in children under 2 years old in the Papua, Indonesia. Saudi Med. J. 45, 273–278 (2024).

Laksono, A. D., Wulandari, R. D., Susianti, N., Samsudin, M. & Musoddaq, M. A. Stunting Among Wealthy Indonesian Families: A Cross-Sectional Study of Children Under the Age of Two. J. Popul. Soc. Stud. 32, 384–398 (2024).

Jokhu, L. A. & Syauqy, A. Determinants of concurrent wasting and stunting among children 6 to 23 mo in Indonesia. Nutrition 122, 112390 (2024).

Supadmi, S. et al. Factor related to stunting of children under two years with working mothers in Indonesia. Clin. Epidemiol. Glob. Heal. 26, 101538 (2024).

Danty, I. P. Nutritional Fulfillment of Children under Three in Stunting Area of Kepung Public Health Center, Besowo, Kediri. Malaysian J. Med. Heal. Sci. 19, 49–50 (2023).

Nuzul Z. A., R., Renjani, R. S., Parahdiba, M. & Maliya, E. Risk factors for stunting incidence in toddlers ages 2-5 years at Lampisang public health center Peukan Bada Aceh Besar. in AIP Conference Proceedings vol. 2544 030012 (2023).

Ejigu, H. & Tafese, Z. Stunting at birth: linear growth failure at an early age among newborns in Hawassa city public health hospitals, Sidama region, Ethiopia: a facility-based cross- sectional study. J. Nutr. Sci. 12, e63 (2023).

Gusnedi, G. et al. Risk factors associated with childhood stunting in Indonesia: A systematic review and meta-analysis. Asia Pac. J. Clin. Nutr. 32, 184–195 (2023).

Perry, H. B. et al. Reducing inequities in maternal and child health in rural Guatemala through the CBIO+ Approach of Curamericas: 4. Nutrition-related activities and changes in childhood stunting, wasting, and underweight. Int. J. Equity Health 21, 197 (2023).

Maulina, R., Qomaruddin, M., Prasetyo, B., Indawati, R. & Alfitri, R. The Effect of Stunting on the Cognitive Development in Children: A Systematic Review and Meta-analysis. Studies on Ethno-Medicine vol. 17 19–27 at https://doi.org/10.31901/24566772.2023/17.1-2.661 (2023).

Haque, M. A. et al. A predictive modelling approach to illustrate factors correlating with stunting among children aged 12–23 months: a cluster randomized pre-post study. BMJ Open 13, e067961 (2023).

Suratri, M. A. L. et al. Risk Factors for Stunting among Children under Five Years in the Province of East Nusa Tenggara (NTT), Indonesia. Int. J. Environ. Res. Public Health 20, 1640 (2023).

Halli, S. S., Biradar, R. A. & Prasad, J. B. Low Birth Weight, the Differentiating Risk Factor for Stunting among Preschool Children in India. Int. J. Environ. Res. Public Health 19, 3751 (2022).

Quamme, S. H. & Iversen, P. O. Prevalence of child stunting in Sub-Saharan Africa and its risk factors. Clin. Nutr. Open Sci. 42, 49–61 (2022).

Anismuslim, M., Pramoedyo, H. & Andarini, S. Modeling of Risk Factors of Childhood Stunting Cases in Malang Regency using Geographically Weighted Regression (GWR). Open Public Health J. 16, (2023).

Hidayanti, L., Rahfiludin, M. Z., Nugraheni, S. A. & Murwani, R. Association of malnutrition and main-meal- and snack-predominant intake among female adolescent students in boarding schools in Tasikmalaya, Indonesia. Nutr. Health 026010602311662 (2023) doi:10.1177/02601060231166224.

Beckmann, J. et al. Prevalence of Stunting and Relationship between Stunting and Associated Risk Factors with Academic Achievement and Cognitive Function: A Cross-Sectional Study with South African Primary School Children. Int. J. Environ. Res. Public Health 18, 4218 (2021).

Laksono, A. D., Wulandari, R. D., Amaliah, N. & Wisnuwardani, R. W. Stunting among children under two years in Indonesia: Does maternal education matter? PLoS One 17, e0271509 (2022).

Handayani, N. S., Huriyati, E. & Hasanbasri, M. Association of Maternal Education With Nutritional Outcomes of Poor Children With Stunting in Indonesia. Asia Pacific J. Public Heal. 35, 373–380 (2023).

Emaniar, A. E. et al. Increasing Maternal Knowledge in Preventing Stunting Through Community-Based Nutrition Education. Adv. Sustain. Sci. Eng. Technol. 5, 0230205 (2023).

Oktaviana, W., Keliat, B. A., Wardani, I. Y. & Pratiwi, A. Effectiveness of Health Education and Infant Therapeutic Group Therapy on Baby Aged 0-6 Months to Prevent Stunting Risk Factors: Maternal Depression. J. Public health Res. 11, jphr.2021.2740 (2022).

Azimi, N. A. Development and Effectiveness of a Mobile Health-based Nutrition Education Intervention on Maternal, Infant and Young Child Nutrition to Prevent Stunting in Kelantan: A Study Protocol. Malaysian J. Med. Heal. Sci. 20, 349–355 (2024).

Atlas, H. E. et al. Prevalence and Correlates of Stunting among a High-Risk Population of Kenyan Children Recently Hospitalized for Acute Illnesses. Am. J. Trop. Med. Hyg. 110, 356– 363 (2024).

Karlsson, O., Kim, R., Moloney, G. M., Hasman, A. & Subramanian, S. V. Patterns in child stunting by age: A cross‐sectional study of 94 low‐ and middle‐income countries. Matern. Child Nutr. 19, (2023).