DISEASE OCCURRENCE SURVEILLANCE AS A DETERMINANT OF STUNTING IN CHILDREN UNDER FIVE: A STUDY OF MOTHERS IN POLEWALI MANDAR REGENCY
Keywords
Stunting, Disease Surveillance, Child Illness, Sanitation, Maternal EducationAbstract
Stunting reflects impaired linear growth and requires attention to illness, household conditions, and maternal care. This study aimed to examine disease history and related environmental and socioeconomic factors in the context of stunting among children under five in Polewali Mandar Regency. An observational cross-sectional design was used, with mothers serving as respondents for information concerning their children and households. Questionnaire domains included maternal characteristics, maternal and child illness history, sanitation, clean-water availability, maternal education, and household socioeconomic status. The research report described data processing using Microsoft Excel 2010 and SPSS version 22, followed by univariate and bivariate analyses. The reported findings identified illness history, inadequate sanitation and clean-water access, lower maternal education, and disadvantaged household socioeconomic conditions as factors associated with stunting. However, the available report did not provide the sample size, the distribution of stunting, odds ratios, confidence intervals, or numerical significance tests. Consequently, neither association magnitude nor statistical significance could be independently established. The findings support considering disease monitoring alongside environmental and family circumstances when assessing child growth problems, but do not establish causal determinants. Completion of the original quantitative results is necessary before the strength of these associations can be evaluated and used to prioritize local interventions.
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Ayuningtyas, D., Hapsari, D., Rachmalina, R., Amir, V., Rachmawati, R., & Kusuma, D. (2022). Geographic and socioeconomic disparity in child undernutrition across 514 districts in Indonesia. Nutrients, 14(4), Article 843. https://doi.org/10.3390/nu14040843
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), Article e12617. https://doi.org/10.1111/mcn.12617
Checkley, W., Buckley, G., Gilman, R. H., Assis, A. M. O., Guerrant, R. L., Morris, S. S., Mølbak, K., Valentiner-Branth, P., Lanata, C. F., Black, R. E., & Childhood Malnutrition and Infection Network. (2008). Multi-country analysis of the effects of diarrhoea on childhood stunting. International Journal of Epidemiology, 37(4), 816–830. https://doi.org/10.1093/ije/dyn099
Humphrey, J. H., Mbuya, M. N. N., Ntozini, R., Moulton, L. H., Stoltzfus, R. J., Tavengwa, N. V., Mutasa, K., Majo, F., Mutasa, B., Mangwadu, G., Chasokela, C. M., Chigumira, A., Chasekwa, B., Smith, L. E., Tielsch, J. M., Jones, A. D., Manges, A. R., Maluccio, J. A., Prendergast, A. J., & Sanitation Hygiene Infant Nutrition Efficacy (SHINE) Trial Team. (2019). Independent and combined effects of improved water, sanitation, and hygiene, and improved complementary feeding, on child stunting and anaemia in rural Zimbabwe: A cluster-randomised trial. The Lancet Global Health, 7(1), e132–e147. https://doi.org/10.1016/S2214-109X(18)30374-7
Kartasurya, M. I., Syauqy, A., Suyatno, S., Dewantiningrum, J., Nuryanto, N., Sunarto, S., Isnawati, M., Nurcahyani, Y. D., Wati, E. K., Hapsari, P. W., Samsudin, M., & Fuada, N. (2023). Determinants of length for age Z scores among children aged 6–23 months in Central Java, Indonesia: A path analysis. Frontiers in Nutrition, 10, Article 1031835. https://doi.org/10.3389/fnut.2023.1031835
Luby, S. P., Rahman, M., Arnold, B. F., Unicomb, L., Ashraf, S., Winch, P. J., Stewart, C. P., Begum, F., Hussain, F., Benjamin-Chung, J., Leontsini, E., Naser, A. M., Parvez, S. M., Hubbard, A. E., Lin, A., Nizame, F. A., Jannat, K., Ercumen, A., Ram, P. K., . . . Colford, J. M., Jr. (2018). Effects of water quality, sanitation, handwashing, and nutritional interventions on diarrhoea and child growth in rural Bangladesh: A cluster randomised controlled trial. The Lancet Global Health, 6(3), e302–e315. https://doi.org/10.1016/S2214-109X(17)30490-4
Titaley, C. R., Ariawan, I., Hapsari, D., Muasyaroh, A., & Dibley, M. J. (2019). Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia Basic Health Survey. Nutrients, 11(5), Article 1106. https://doi.org/10.3390/nu11051106
Torlesse, H., Cronin, A. A., Sebayang, S. K., & Nandy, R. (2016). 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, 16, Article 669. https://doi.org/10.1186/s12889-016-3339-8
Victora, C. G., Christian, P., Vidaletti, L. P., Gatica-Domínguez, G., Menon, P., & Black, R. E. (2021). Revisiting maternal and child undernutrition in low-income and middle-income countries: Variable progress towards an unfinished agenda. The Lancet, 397(10282), 1388–1399. https://doi.org/10.1016/S0140-6736(21)00394-9
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P., & STROBE Initiative. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. PLOS Medicine, 4(10), Article e296. https://doi.org/10.1371/journal.pmed.0040296
World Health Organization. (2006). WHO child growth standards: Length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: Methods and development. https://www.who.int/publications/i/item/924154693X
