Water, Sanitation Dan Hygiene Analysis, and Individual Factors for Stunting among Children Under Two Years in Ambon

Uswatun Hasanah; Ida Leida Maria; Nurhaedar Jafar; Andi Hardianti; Anwar Mallongi; Aminuddin Syam

doi:10.3889/oamjms.2020.5177

Authors

Uswatun Hasanah Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Ida Leida Maria Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Nurhaedar Jafar Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Andi Hardianti Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Anwar Mallongi Department of Environmental Health, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
Aminuddin Syam Department of Epidemiology, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.5177

Keywords:

Stunting, Water, Sanitation, Hygiene, Wash

Abstract

BACKGROUND: Nutrition problem is a problem that is still a threat in various countries around the world, one of which is stunting that occurs since the baby is in the womb and in the early period after the baby is born, but only appears after the child is 2 years old.

AIM: This study aimed to analyze the water, sanitation and hygiene (WASH), and individual factors for the incidence of stunting in children aged 7–24 months in the slums of Ambon City.

METHODS: The research was an analytical observational study using a case control study design. The population in this study was all children aged 7–24 months who suffered from stunting in Ambon. The samples were 150 child with a ratio of 1:1 for the case and control groups.

RESULTS: The results showed that WASH (OR=2.7, CI 95%: 1.379–5.566) dan status Berat Badan Lahir Rendah (OR=5.1; CI 95%: 2.279–11.445) was a stunting risk factor. Meanwhile, diarrhea status (OR=2.4; CI 95%: 0.793–7.302), immunization (OR=1.4; CI 95%:0.622–3.260), and smoking history of household members (OR=1.1; CI 95%: 0.540–2.086) are risk factors, but statistically not significant. Maternal education (OR=1.0) is not a risk factor for stunting in children aged 7–24 months.

CONCLUSION: The conclusion of this study is that the WASH condition and low birth weight status are risk factors for stunting in children aged 7–24 months in Ambon.

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References

Global Nutrition Report. Global Nutrition Report: Shining a Light to Spur Action on Nutrition. Geneva: Global Nutrition Report; 2018. https://doi.org/10.2499/9780896292178

Kemenkes RI. Hasil Utama Riskesdas Tahun 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

UNICEF. Unicef Framerwork, a Schematic Overview of the Factors Known from International Experience to Cause Chronic Malnutrition, or Stunting. Ecuador: United Nations Children’s Fund; 2007.

Torlesse H, Aidan AC, Susy KS, Robin N. 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. 2016;16(1):669. https://doi.org/10.1186/s12889-016-3339-8 PMid:27472935

Humphrey JH. Child Undernutrition, Tropical Enteropathy, Toilets, and Handwashing. Vol. 374. The Lancet Elsevier Ltd.; 2009. p. 1032-5. https://doi.org/10.1016/s0140-6736(09)60950-8

Semba RD, Regina MP, Kai S, Saskia DP, Nasima A, Jee HR, et al. Consumption of micronutrient-fortified milk and noodles is associated with lower risk of stunting in preschool-aged children in Indonesia. Food Nutr Bull. 2011;32(4):347-53. https://doi. org/10.1177/156482651103200406 PMid:22590968

Blake RA, Park S, Baltazar P, Ayaso EB, Monterde DB, Acosta LP, et al. LBW and SGA impact longitudinal growth and nutritional status of filipino infants. PLOS One. 2016;11(7):e0159461. PMid:27441564

Rukmana E, Briawan D, Ekayanti I. Faktor risiko stunting pada anak usia 6-24 bulan di kota bogor. Med Kesehatan Masyarakat Indones. 2016;12(3):192-9. https://doi.org/10.14710/jnc. v2i4.3830

Victora CG, Linda A, Caroline F, Pedro CH, Reynaldo M, Linda R, et al. Maternal and child undernutrition: Consequences for adult health and human capital. Lancet. 2008;371(9609):340-57. https://doi.org/10.1016/s0140-6736(07)61692-4

Rosmalina Y, Erna L, Aditianti A, Fitrah E. Upaya pencegahan dan penanggulangan batita stunting: Systematic review. J Indones Nutr Assoc. 2018;41(1):1-14. https://doi.org/10.36457/ gizindo.v41i1.221

Nengsih U, Noviyanti, Dedi SD. Hubungan riwayat kelahiran berat bayi lahir rendah dengan pertumbuhan anak usia balita. J Bidan. 2016;2(2):59-67. https://doi.org/10.24235/awlady. v3i2.1499

Taguri AE, Ibrahim B, Salah MM, Abdel MA, Oliver G, Pilar G, et al. Risk factors for stunting among under-fives in libya. Public Health Nutr. 2009;12(8):1141-9. https://doi.org/10.1017/ s1368980008003716 PMid:18789172

Subagyo B, Santoso NB. Diare Akut. Buku Ajar. Jakarta: IDAI; 2012.

Al-Rahmad AH, Miko A, Hadi A. Kajian Stunting pada anak balita ditinjau dari pemberian ASI eksklusif, MP-ASI, status imunisasi dan karakteristik keluarga di kota banda aceh. J Kesehatan Ilmiah Nasuwakes. 2013;6(2):169-84. https://doi.org/10.33490/ jkm.v3i1.28

Dhok RS, Thakre SB. Chronic undernutrition amongst underfive in an urban slum of Central India. Int J Commun Med Public Health. 2016;3(3):700-4. https://doi.org/10.18203/2394-6040. ijcmph20160636

Sari SP. Konsumsi rokok dan tinggi badan orangtua sebagai faktor risiko stunting anak usia 6-24 Bulan di perkotaan. Ilmu Gizi Indones. 2017;1(1):1-9. https://doi.org/10.31227/osf.io/ t4b26

Mushtaq MU, Sibgha G, Usman K, Ubeera S, Mushtaq AS, Arif MS. Prevalence and socio-demographic correlates of stunting and thinness among Pakistani primary school children prevalence and socio-demographic correlates of stunting and thinness among Pakistani primary school children. BMC Public Health. 2011;11:790. https://doi.org/10.1186/1471-2458-11-790 PMid:21988799

Mallongi A, Limbong E, Naiem F, Ishak H, Basri S, Saleh M, et al. Health risk analysis of exposure to mercury (Hg) and cyanide (CN) in Kayeli village communities Teluk Kayeli district Buru regency. Enferm Clin. 2020;30(4):427-30. https://doi. org/10.1016/j.enfcli.2020.03.007

Stang, Mallongi A, Dwinata I, Sumarni. Risk factor model for pulmonary tuberculosis occurrence in Makassar using spatial approach. Enferm Clin. 2020;30:383-7.

Kyu H, Georgiades K, Boyle MH. Maternal smoking, biofuel smoke exposure and child height-for-age in seven developing countries. Int J Epidemiol. 2009;38:1342-50. https://doi. org/10.1093/ije/dyp253