Public Health Interventions to Reduce Stunting in Toddlers: A Systematic Review

Authors

  • Dwi Rahmadiyah Doctoral Program, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia; Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia image/svg+xml https://orcid.org/0000-0002-5468-0027
  • Junaiti Sahar Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia image/svg+xml
  • Widyatuti Widyatuti Department of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, Indonesia image/svg+xml

DOI:

https://doi.org/10.3889/oamjms.2022.8610

Keywords:

Child/preschool, Public health nurse, Stunting, Stunting prevention, Public health interventions

Abstract

BACKGROUND: Handling stunting in toddlers is not only the responsibility of the government, but the most important thing is family and community responsibility. Public health interventions involving the family and community are important for stunting prevention because the family environment is one of the factors that determine the provision of adequate conditions for the nutritional status and development of children.

AIM: The purpose of this systematic review is to synthesize various public health interventions that are practice-based evidence derived from programs implemented to reduce stunting in toddlers.

METHODS: Initial steps doing this systematic review articles included in this study were retrieved from ProQuest, EBSCOhost, MEDLINE/CINAHL (Academic Search Complete) that were published within 2011–2019 and written in English. Study Quality Assessment was done using keywords and by assessing compatibility of the articles with the study context. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was used to analyze the found articles.

RESULTS: After filtering process, there were 11 articles from 859 articles emphasize on using a combination of two or more Public Health Interventions to reduce stunting in toddlers. The most common public health interventions done to reduce stunting in toddlers are health teaching, counseling, collaboration, and community organizing.

CONCLUSIONS: Here, we show that public health interventions performed by public health nurses to reduce stunting require the involvement of the community itself, especially the family. Public health interventions can be combined with one or more other public health interventions to increase success in preventing stunting in children under five.

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References

World Health Organization. Childhood Stunting: Context, Causes and Consequences, WHO Conceptual Framework. Geneva: World Health Organization; 2013.

World Health Organization; UNICEF, Bank TW. Levels and Trends in Child malnutrition. World Bank Group Joint Child Malnutrition Estimates Key Findings of the 2020 Edition. Geneva: World Health Organization; 2020.

Health Research and Development Agency, Ministry of Health, R.I. RISKESDAS 2018 National Health Report. Jakarta: Health Research and Development; 2019

Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low‐income and middle‐income countries. Lancet. 2013;382(9890):427-51. DOI: https://doi.org/10.1016/S0140-6736(13)60937-X

Alam MA, Richard SA, Fahim SM, Mahfuz M, Nahar B, Das S, et al. Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study. PLoS One. 2020;15(1):e0227839. https://doi.org/10.1371/journal.pone.0227839 PMid:31978156 DOI: https://doi.org/10.1371/journal.pone.0227839

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A Review of Child Stunting Determinants in Indonesia. Vol. 14. Maternal and Child Nutrition. Hoboken, New Jersey: Blackwell Publishing Ltd.; 2018. DOI: https://doi.org/10.1111/mcn.12617

Friedman MM, Bowden VR, Jones EG. Family Nursing Research, Theory. 5th ed. New Jersey: Julie Levin Alexander; 2003.

Van Noordende AT, Kuipers P, Pereira ZB. Strengthening personal and family resilience: A literature review for the leprosy context. Leprosy Rev. 2019;90(1):88-104. DOI: https://doi.org/10.47276/lr.90.1.88

Rockers PC, Zanolini A, Banda B, Chipili MM, Hughes RC, Hamer DH, et al. Two-year impact of community-based health screening and parenting groups on child development in Zambia: Follow-up to a cluster-randomized controlled trial. PLoS Med. 2018;15(4):e1002555. https://doi.org/10.1371/journal.pmed.1002555 PMid:29689045 DOI: https://doi.org/10.1371/journal.pmed.1002555

Fink G, Levenson R, Tembo S, Rockers PC. Home and community-based growth monitoring to reduce early life growth faltering: An open-label, cluster-randomized controlled trial. Am J Clin Nutr. 2017;106(4):1070-7. https://doi.org/10.3945/ajcn.117.157545 PMid:28835364 DOI: https://doi.org/10.3945/ajcn.117.157545

Mistry SK, Hossain MB, Arora A. Maternal nutrition counselling is associated with reduced stunting prevalence and improved feeding practices in early childhood: A post-program comparison study. Nutr J. 2019;18(1):47. https://doi.org/10.1186/s12937-019-0473-z PMid:31455363 DOI: https://doi.org/10.1186/s12937-019-0473-z

Gope RK, Tripathy P, Prasad V, Pradhan H, Sinha RK, Panda R, et al. Effects of participatory learning and action with women’s groups, counselling through home visits and crèches on undernutrition among children under three years in Eastern India: A quasi-experimental study. BMC Public Health. 2019;19(1):962. https://doi.org/10.1186/s12889-019-7274-3 PMid:31319828 DOI: https://doi.org/10.1186/s12889-019-7274-3

Reinsma K, Nkuoh G, Nshom E. The potential effectiveness of the nutrition improvement program on infant and young child feeding and nutritional status in the Northwest and Southwest regions of Cameroon, Central Africa. BMC Health Serv Res. 2016;16(1):654. https://doi.org/10.1186/s12913-016-1899-z PMid:27846828 DOI: https://doi.org/10.1186/s12913-016-1899-z

Galasso E, Weber AM, Stewart CP, Ratsifandrihamanana L, Fernald LC. Effects of nutritional supplementation and home visiting on growth and development in young children in Madagascar: A cluster-randomised controlled trial. Lancet Glob Health. 2019;7(9):e1257-68. DOI: https://doi.org/10.1016/S2214-109X(19)30317-1

Kang Y, Kim S, Sinamo S, Christian P. Effectiveness of a community-based nutrition programme to improve child growth in rural Ethiopia: A cluster randomized trial. Matern Child Nutr. 2017;13(1):1-15. https://doi.org/10.1111/mcn.12349 PMid:27549570 DOI: https://doi.org/10.1111/mcn.12349

Kureishy S, Khan GN, Arrif S, Ashraf K, Cespedes A, Habib MA, et al. A mixed methods study to assess the effectiveness of food-based interventions to prevent stunting among children under-five years in Districts Thatta and Sujawal, Sindh Province, Pakistan: Study protocol. BMC Public Health. 2017;17(1):24. https://doi.org/10.1186/s12889-016-3976-y PMid:28056945 DOI: https://doi.org/10.1186/s12889-016-3976-y

Zhang J, Shi L, Chen DF, Wang J, Wang Y. Effectiveness of an educational intervention to improve child feeding practices and growth in rural China: Updated results at 18 months of age. Matern Child Nutr. 2013;9(1):118-29. https://doi.org/10.1111/j.1740-8709.2012.00447.x PMid:23020102 DOI: https://doi.org/10.1111/j.1740-8709.2012.00447.x

Effendy DS, Prangthip P, Soonthornworasiri N, Winichagoon P, Kwanbunjan K. Nutrition education in Southeast Sulawesi Province, Indonesia: A cluster randomized controlled study. Matern Child Nutr. 2020;16:e13030. https://doi.org/10.1111/mcn.13030 PMid:32468687 DOI: https://doi.org/10.1111/mcn.13030

Kim SS, Nguyen PH, Yohannes Y, Abebe Y, Tharaney M, Drummond E, et al. Behavior change interventions delivered through interpersonal communication, agricultural activities, community mobilization, and mass media increase complementary feeding practices and reduce child stunting in Ethiopia. J Nutr. 2019;149(8):1470-81. https://doi.org/10.1093/jn/nxz087 PMid:31165869 DOI: https://doi.org/10.1093/jn/nxz087

Minnesota Department of Health. Public Health Interventions: Applications for Public Health Nursing Practice. 2nd ed. Minnesota: Minnesota Department of Health; 2019.

Friedman AJ, Cosby R, Boyko S, Hatton-Bauer J, Turnbull G. Effective teaching strategies and methods of delivery for patient education: A systematic review and practice guideline recommendations. J Cancer Educ. 2011;26:12-21. https://doi.org/10.1007/s13187-010-0183-x DOI: https://doi.org/10.1007/s13187-010-0183-x

Center for Community Health and Development at the University of Kansas. Community Toolbox. Strategies for Community Change and Improvement: An Overview. Available from: https://ctb.ku.edu/en/table-of-contents/assessment/promotion-strategies/overview/main. [Last accessed on 2020 Sep 30].

Haroon S, Das JK, Salam RA, Imdad A, Bhutta ZA. Breastfeeding promotion interventions and breastfeeding practices: A systematic review. BMC Public Health. 2013;13(Suppl 3):S20. https://doi.org/10.1186/1471-2458-13-S3-S20 PMid:21161465 DOI: https://doi.org/10.1186/1471-2458-13-S3-S20

Kuchenbecker J, Reinbott A, Mtimuni B, Krawinkel MB, Jordan I. Nutrition education improves dietary diversity of children 6-23 months at community-level: Results from a cluster randomized controlled trial in Malawi. PLoS One. 2017;12(4):e0175216. DOI: https://doi.org/10.1371/journal.pone.0175216

Allender JA, Rector C, Warner KD. Community and Public Health Nursing Promoting the Public’s Health. 8th ed. United States: Wolters Kluwer Health Lippincott Williams and Wilkins; 2014.

Stanhope M, Lancaster J, editors. Public Health Nursing: Population-Centered Health Care in the Community. 9th ed. Maryland Height, Missouri: Mosby; 2016.

Keller LO, Strohschein S, Lia-Hoagberg B, Schaffer MA. Population-based public health interventions. Public Health Nurs. 1998;21(5):453-68. https://doi.org/10.1111/j.0737-1209.2004.21509.x PMid:15363026 DOI: https://doi.org/10.1111/j.0737-1209.2004.21509.x

Keller LO, Strohschein S, Schaffer MA, Lia-Hoagberg B. Population-based public health interventions: Innovations in practice, teaching, and management. Part II. Public Health Nurs. 2004;21(5):469-87. https://doi.org/10.1111/j.0737-1209.2004.21510.x PMid:15363027 DOI: https://doi.org/10.1111/j.0737-1209.2004.21510.x

Bulechek GM, Butcher HK, Dochterman JM, Wagner CM. Nursing interventions classification (NIC). J Chem Inf Modeling. 2013;8(Pt 2):1689-99. PMid:8591448

Ruel MT, Alderman H, Maternal and Child Nutrition Study Group. Nutrition-sensitive interventions and programmes: How can they help to accelerate progress in improving maternal and child nutrition? Lancet. 2013;382(9891):536-51. https://doi.org/10.1016/S0140-6736(13)60843-0 PMid:23746780 DOI: https://doi.org/10.1016/S0140-6736(13)60843-0

Sharma N, Gupta M, Aggarwal AK, Gorle M. Effectiveness of a culturally appropriate nutrition educational intervention delivered through health services to improve growth and complementary feeding of infants: A quasi-experimental study from Chandigarh, India. PLoS One. 2020;15(3):e0229755. https://doi.org/10.1371/journal.pone.0229755 PMid:32182241 DOI: https://doi.org/10.1371/journal.pone.0229755

Ara G, Khanam M, Papri N, Nahar B, Kabir I, Sanin KI, et al. Peer counselling promotes appropriate infant feeding practices and improves infant growth and development in an Urban Slum in Bangladesh: A community-based cluster randomized controlled trial. Curr Dev Nutr. 2019;3(7):nzz072. https://doi.org/10.1093/cdn/nzz072 PMid:31334480 DOI: https://doi.org/10.1093/cdn/nzz072

Nikièma L, Huybregts L, Martin-Prevel Y, Donnen P, Lanou H, Grosemans J, et al. Effectiveness of facility-based personalized maternal nutrition counselling in improving child growth and morbidity up to 18 months: A cluster-randomized controlled trial in rural Burkina Faso. PLoS One. 2017;12(5):e0177839. https://doi.org/10.1371/journal.pone.0177839 PMid:28542391 DOI: https://doi.org/10.1371/journal.pone.0177839

Janmohamed A, Sohani N, Lassi ZS, Bhutta ZA. The effects of community home visit and peer group nutrition intervention delivery platforms on nutrition outcomes in low and middle-income countries: A systematic review and meta-analysis. Nutrients. 2020;12:440. https://doi.org/10.3390/nu12020440 PMid:32050577 DOI: https://doi.org/10.3390/nu12020440

Nair N, Tripathy P, Sachdev HS, Pradhan H, Bhattacharyya S, Gope R, et al. Effect of participatory women’s groups and counselling through home visits on children’s linear growth in Rural Eastern India (CARING trial): A cluster-randomised controlled trial. Lancet Glob Health. 2017;5(10):e1004-16. PMid:28911749 DOI: https://doi.org/10.1016/S2214-109X(17)30339-X

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Published

2022-03-02

How to Cite

1.
Rahmadiyah D, Sahar J, Widyatuti W. Public Health Interventions to Reduce Stunting in Toddlers: A Systematic Review. Open Access Maced J Med Sci [Internet]. 2022 Mar. 2 [cited 2024 Apr. 24];10(F):158-67. Available from: https://oamjms.eu/index.php/mjms/article/view/8610

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