Improving the Healthy Family Index to Prevent Stunting among Children aged 0–59 Months in Indonesia

Authors

  • Kadar Ramadhan Department of Midwifery, Poltekkes Kemenkes Palu, Palu, Indonesia https://orcid.org/0000-0002-0193-5698
  • Nurfatimah Nurfatimah Department of Midwifery, Poltekkes Kemenkes Palu, Palu, Indonesia https://orcid.org/0000-0003-3715-1286
  • Fahmi Hafid Department of Nutrition, Poltekkes Kemenkes Palu, Palu, Indonesia https://orcid.org/0000-0002-1508-3094
  • Rudy Hartono Department of Nutrition, Poltekkes Kemenkes Makassar, Makassar, Indonesia
  • Zakaria Zakaria Department of Nutrition, Poltekkes Kemenkes Makassar, Makassar, Indonesia
  • Bohari Bohari Department of Nutrition, Universitas Sultan Ageng Tirtayasa, Banten, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.7343

Keywords:

Stunting, Healthy Indonesia program with a family approach, Family health index

Abstract

BACKGROUND: In Indonesia, the prevalence of stunting which is still above the limit set by WHO, requires all parties to be involved in preventing stunting. To overcome this problem, the government is strengthening basic health efforts through the Healthy Indonesia Program with a Family Approach.

AIM: This study aims to determine the relationship between the index of healthy families and the incidence of stunting among toddlers.

MATERIALS AND METHODS: The design of this study was cross-sectional. The population in this study were all families with children aged 0–59 months who were in the working area of the Korobono Health Center. Based on the preliminary study, the number of children aged 0–59 months was 544 people. The number of sample was 202 selected by simple random sampling. Chi-square tests were used to examine the association between stunting and health family index and other related factors.

RESULTS: The prevalence of stunting was 36.1%. Hypothesis test results show a relationship between the index of healthy families and the incidence of stunting (p = 0.008).

CONCLUSIONS: Increasing the healthy family index can reduce the risk of stunting in the family. This research is expected to be an input for the public health center to improve the implementation and evaluation of the Healthy Indonesia Program with a Family Approach.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

World Health Organization. Stunting in a Nutshell. Geneva: World Health Organization; 2017. Available from: http://www.who.int/nutrition/healthygrowthproj_stunted_videos/ en [Last accessed on 2019 Dec 11].

Scheffler C, Hermanussen M, Bogin B, Liana DS, Taolin F, Cempaka PM, et al. Stunting is not a synonym of malnutrition. Eur J Clin Nutrl. 2020;74(3):377-86. https://doi.org/10.1038/s41430-019-0439-4 PMid:31142828 DOI: https://doi.org/10.1038/s41430-019-0439-4

Weise AS. TARGET: 40% Reduction in the Number of Children Under-5 who are Stunted. Geneva: World Health Organization; 2014. p. 10.

Development Initiatives, to Spur Action on Nutrition. Global Nutrition Report 2018: Shining a Lightl. Bristol, UK: Development Initiatives Poverty Research Ltd.; 2018. Available from: https://globalnutritionreport.org/documents/352/2018_Global_Nutrition_Report.pdf [Last Access on 2020 Dec 28].

UNICEF, World Health Organization, World Bank Group. Levels and Trends in Child Malnutrition 2018. New York: UNICEF, World Health Organization the World Bank Group; 2018. Available from: https://www.who.int/nutgrowthdb/2018-jme-brochure.pdf?ua=1 [Last Access on 2020 Dec 28].

Kesehatan KR. Laporan Nasional Riskesdas 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2018.

Kesehatan KR. Laporan Nasional Riset Kesehatan Dasar (RISKESDAS) 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI; 2013.

Kesehatan KR. Laporan Nasional Riset Kesehatan Dasar 2018. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI; 2018.

Kesehatan KR, Buku Saku Pemantauan Status Gizi Provinsi Sulawesi Tengah tahun 2016. Jakarta: Direktorat Gizi Masyarakat Direktorat Jenderal Kesehatan Masyarakat Kementerian Kesehatan; 2017.

Kesehatan KR, Buku Saku Pemantauan Status Gizi Provinsi Sulawesi Tengah Tahun 2017. Jakarta: Direktorat Gizi Masyarakat Direktorat Jenderal Kesehatan Masyarakat Kementerian Kesehatan; 2018.

Putri AW. Menghapus Cap Negara Penghasil Generasi Kerdil; 2017. Available from: https://tirto.id/menghapus-cap-negara-penghasil-generasi-kerdil-clqt [Last accessed on 2019 Feb 23].

Kementerian Desa. Pembangunan Daerah Tertinggal dan Transmigrasi, Panduan Fasilitasi Konvergensi Pencegahan Stunting di Desa. Jakarta: Direktorat Jenderal Pembangunan dan Pemberdayaan Masyarakat Desa; 2018.

Wado LA, Sudargo T, Armawi A. Socio-Demography of family food security in relation to the incidence of stunting in children aged 1-5 years (study in the working area of the Bandarharjo Public Health Center, Tanjung Mas Village, North Semarang District, Semarang Municipality, Central Java Province). J Ketahanan Nasional. 2019;25(2):178-203. https://doi.org/10.22146/jkn.45707

Laelasari E, Anwar A, Soerachman R. Evaluasi kesiapan pelaksanaan program Indonesia sehat dengan pendekatan keluarga. J Ekol Kesehatan. 2017;16(2):57-72. https://doi.org/10.22435/jek.v16i2.7835.57-72 DOI: https://doi.org/10.22435/jek.16.2.348.57-72

Ismayanti. Pendampingan Keluarga Dalam Upaya Mencegah Stunting Sejak 1000 Hari Pertama Kehidupan di rt/rw 02/03 Pasir Malang. In: Proceeding Book Seminar Nasional Kesehatan. Banten: Internalisasi Respectful Maternity Care dalam Pelayanan Kesehatan Ibu dan Anak; 2019. p. 31-8.

Kesehatan KR. Pedoman Umum Program Indonesia Sehat dengan Pendekatan Keluarga, 2nd ed. Jakarta: Kementerian Kesehatan RI; 2017.

Tentama F, Delfores HD, Wicaksono AE, Fatonah SF. Strengthening the family as an effort to reduce stunting in the population, family planning and family development program. J Pemberdayaan Publikasi Hasil Pengabdian Kepada Masyarakat. 2018;2(1):113-20. https://doi.org/10.12928/jp.v2i1.546 DOI: https://doi.org/10.12928/jp.v2i1.546

Kesehatan KR. Pedoman Umum Program Indonesia Sehat dengan Pendekatan Keluarga. Jakarta: Kesehatan KR; 2016.

Wardoyo H. Pencegahan “Stunting” Bisa Lewat Perencanaan Keluarga, sebut BKKBN. Antara News; 2019. Available from: https://www.antaranews.com/berita/1220392/pencegahan-stunting-bisa-lewat-perencanaan-keluarga-sebut-bkkbn [Last accessed on 2020 Dec 28].

Naik R, Impacts of Family Planning on Nutrition. Washington, DC: Futures Group, Health Policy Project; 2015.

Flood D, Petersen A, Martinez B, Chary A, Austad K, Rohloff P. Associations between contraception and stunting in Guatemala: secondary analysis of the 2014-2015 demographic and health survey. BJM Paedia Open. 2019;3(1):e000510. https://doi.org/10.1136/bmjpo-2019-000510 DOI: https://doi.org/10.1136/bmjpo-2019-000510

Handayani S, Kapota, WN, Oktavianto E. Hubungan status asi eksklusif dengan kejadian stunting pada batita usia 24-36 bulan di desa watugajah kabupaten Gunungkidul. 2019;14(4):287. https://doi.org/10.35842/mr.v14i4.226 DOI: https://doi.org/10.35842/mr.v14i4.226

Latifah AM, Purwanti LM, Sukamto FI. The relationship between exclusive breastfeeding and the incidence of stunting among toddlers 1-5 years. HSJ. 2020;4(1):142. https://doi.org/10.24269/hsj.v4i1.409 DOI: https://doi.org/10.24269/hsj.v4i1.409

Sampe A, Toban RC, Madi MA. The relationship between exclusive breastfeeding and the incidence of stunting among toddlers. J Ilm Kesehatan Sandi Husada. 2020;11(1):448-55. https://doi.org/10.35816/jiskh.v11i1.314 DOI: https://doi.org/10.35816/jiskh.v11i1.314

Mikawati M, Lusiana E, Hasriany H. The relationship between exclusive breastfeeding (asi) and mother heightwith incident rates stunting among child age 2-5 years in barombong public health center, Gowa, Sulawesi Selatan. KnE Life Sci. 2019;558-67. http://doi.org/10.18502/kls.v4i13.5306 DOI: https://doi.org/10.18502/kls.v4i13.5306

Barir B, Murti B, Pamungkasari EP. The associations between exclusive breastfeeding, complementary feeding, and the risk of stunting in children under five years of age: A path analysis evidence from Jombang East Java. J Matern Child Health. 2019;4(6):486-98. https://doi.org/10.26911/ thejmch.2019.04.06.09 DOI: https://doi.org/10.26911/thejmch.2019.04.06.09

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;8:10-7. https://doi.org/10.1016/j.ijpam.2020.01.006 PMid:33718571 DOI: https://doi.org/10.1016/j.ijpam.2020.01.006

Kasim E, Malonda N, Amisi M. Hubungan antara riwayat pemberian imunisasi dan penyakit infeksi dengan status gizi pada anak usia 24-59 bulan di kecamatan ratahan Kabupaten Minahasa Tenggara. (Relationship between history of immunization and infectious disease with nutritional status in children aged 24-59 months in Ratahan Subdistrict, Southeast Minahasa Regency). J Bios Logos. 2019;9(1):34. https://doi.org/10.35799/jbl.9.1.2019.23421 DOI: https://doi.org/10.35799/jbl.9.1.2019.23421

Fajariyah RN, Hidajah CA. Correlation between immunization status and mother’s height, and stunting in children 2-5 years in Indonesia. J Berkala Epidemiol. 20208;(1):89. https://doi.org/10.20473/jbe.V8I12020.89-96 DOI: https://doi.org/10.20473/jbe.V8I12020.89-96

Berendsen ML, Smits J, Netea MG, van der Ven A. Non-specific effects of vaccines and stunting: Timing may be essential. EBioMedicine. 2016;8:341-8. https://doi.org/10.1016/j.ebiom.2016.05.010 DOI: https://doi.org/10.1016/j.ebiom.2016.05.010

Sankoh O, Welaga P, Debpuur C, Zandoh C, Gyaase S, Poma MA, et al. The non-specific effects of vaccines and other childhood interventions: The contribution of INDEPTH health and demographic surveillance systems. Int J Epidemiol. 2014;43(3)645-53. https://doi.org/10.1093/ije/dyu101 PMid:24920644 DOI: https://doi.org/10.1093/ije/dyu101

Solis-Soto MT, Paudel D, Nicoli F. Relationship between vaccination and nutritional status in children: Analysis of recent demographic and health surveys. Dem Res. 2020;42:1-14. https://doi.org/10.4054/DemRes.2020.42.1 DOI: https://doi.org/10.4054/DemRes.2020.42.1

Wibowo Y, Widiyarti Y. Cegah Stunting, Mulai dari Posyandu. Tempo; 2020. Available from: https://gaya.tempo.co/read/1289842/cegah-stunting-mulai-dari-posyandu [Last accessed on 2020 Dec 28].

Purnamasari H, Shaluhiyah Z, Kusumawati A. Posyandu cadre training as an effort to prevent stunting in toddlers in the working area of the Margadana Public Health Center and the South Tegal Public Health Center, Tegal City. J Kesehatan Masyarakat. 2020;8(3):432-9.

Hartono R, Andini M, Sartika D, Hasanah BU. Capacity building for posyandu cadres in preventing stunting through media-based nutrition education in Biringkanaya and Mamajang sub-districts. Media Implementasi Riset Kesehatan. 2018;1(1):22-4. https://doi.org/10.32382/mirk.v1i1.1453

Astuti DD, Handayani TW, Astuti DP. Cigarette smoke exposure and increased risks of stunting among under-five children. Clin Epidemiol Glob Health. 2020;8(3):943-8. https://doi.org/10.1016/j.cegh.2020.02.029 DOI: https://doi.org/10.1016/j.cegh.2020.02.029

Ramadani M, Utomo B, Achadi EL, Gunardi H. Prenatal secondhand smoke exposure: Correlation between nicotine in umbilical cord blood and neonatal anthropometry. Osong Public Health Res Perspect. 2019;10(4):234-9. https://doi.org/10.24171/j.phrp.2019.10.4.06 PMid:31497495 DOI: https://doi.org/10.24171/j.phrp.2019.10.4.06

Pem D. Factors affecting early childhood growth and development: Golden 1000 days. Adv Practice Nurs. 2016;1(1):101. http://doi.org/10.4172/2573-0347.1000101 DOI: https://doi.org/10.4172/2573-0347.1000101

Shah S, Kanaan M, Huque R, Sheikh A, Dogar O, Thomson H, et al. Secondhand smoke exposure in primary school children: A survey in Dhaka, Bangladesh. Nicotine Tob Res. 2019;21(4):416-23. https://doi.org/10.1093/ntr/ntx248 PMid:29228385 DOI: https://doi.org/10.1093/ntr/ntx248

Simbolon D. The effect of ownership of health insurance for the poor on birth status and stunting incidence in Indonesian Baduta (IFLS Data Analysis 1993-2007). J Kebijakan Kesehatan Indonesia. 2014;3(2):11. https://doi.org/10.22146/jkki.36359

Pulungan AB, Solehudin I. Aturan Baru BPJS Dibayangi Ancaman Bayi Stunting.C Jawapos; 2018. Available from: https://www.jawapos.com/kesehatan/health-issues/05/08/2018/aturan-baru-bpjs-dibayangi-ancaman-bayi-stunting [Last accessed on 2020 Dec 28].

Hafid F, Thaha AR, Nasrul N, Suriah S. Risk factors for stunting aged 6-23 months in Bontoramba sub-district, Jeneponto district. J MKMI. 2015;11(3):139-46. DOI: https://doi.org/10.21776/ub.ijhn.2016.003.Suplemen.5

Herawati H, Anwar A, Setyowati DL. Relationship between sanitation facilities, occupant behavior, and mother’s habit of washing hands with soap (CTPS) with stunting in toddlers aged 6-24 months in the working area of the Harapan Baru Public Health Center, Samarinda. J Kesehatan Lingkungan Indones. 2020;19(1):7. https://doi.org/10.14710/jkli.19.1.7-15 DOI: https://doi.org/10.14710/jkli.19.1.7-15

Sinatrya AK, Muniroh L. Relationship of water, sanitation, and hygiene (wash) factors with stunting in the working area of the Kotakulon Public Health Center, Bondowoso Regency. AMNT. 2019;3(3):164. https://doi.org/10.20473/amnt.v3i3.2019.164-170. DOI: https://doi.org/10.20473/amnt.v3i3.2019.164-170

Ramdaniati SN, Nastiti D. The relationship between the characteristics of toddlers, mother’s knowledge, and sanitation on the incidence of stunting in toddlers in Labuan sub-district, Pandeglang district. Hearty J Kesehatan Masyarakat. 2019;7(2):47-54. http://doi.org/10.32832/hearty.v7i2.2877 DOI: https://doi.org/10.32832/hearty.v7i2.2877

Rahmawati UH, Aini SL, Rasni H. Hubungan pelaksanaan peran keluarga dengan kejadian stunting pada balita di kecamatan Arjasa, Jember. Pustaka Kesehatan. 2019;7(2):112. https://doi.org/10.19184/pk.v7i2.19123 DOI: https://doi.org/10.19184/pk.v7i2.19123

Mediani HS. Keluarga Punya Peran Penting Cegah Stunting. Universitas Padjadjaran. 2020. Available from: https://www.unpad.ac.id/2020/11/keluarga-punya-peran-penting-cegah-stunting [Last accessed on 2020 Dec 29].

Pranowo A, Keluarga Kunci Pencegahan stunting Di Masa Pandemic. Jatengprov; 2020. Available from: https://jatengprov.go.id/publik/keluarga-kunci-pencegahan-stunting-di-masa-pandemi [Last accessed on 2020 Dec 29].

Puspita WA. Ayah, Anda Berperan Sentral dalam Menanggulangi Stunting! Sahabat Keluarga. Sahabat Keluarga Kementerian Pendidikan dan Kebudayaan; 2018. Available from: https://sahabatkeluarga.kemdikbud.go.id/laman/index.php?r=tpost/xview&id=249900174 [Last accessed on 2020 Dec 29].

Downloads

Published

2022-04-30

How to Cite

1.
Ramadhan K, Nurfatimah N, Hafid F, Hartono R, Zakaria Z, Bohari B. Improving the Healthy Family Index to Prevent Stunting among Children aged 0–59 Months in Indonesia. Open Access Maced J Med Sci [Internet]. 2022 Apr. 30 [cited 2024 Apr. 23];10(E):752-7. Available from: https://oamjms.eu/index.php/mjms/article/view/7343

Issue

Section

Public Health Education and Training

Categories

Most read articles by the same author(s)

1 2 3 > >>