Family Determinants of Stunting in Indonesia: A Systematic Review
DOI:
https://doi.org/10.61841/wmfdcs02Keywords:
Child Growth, Family Factors, Stunting, ToddlersAbstract
Malnutrition is a problem experienced by every country in the world, including Indonesia. The present study aimed to analyze family factors associated with stunting in Indonesia. Five databases (Scopus, Science Direct, EBSCO, ProQuest, and PubMed) were explored to find relevant articles published from 2015 to 2020. The Boolean search used "factor", "stunting", "parent" and "Indonesia" in the title, abstract, or keywords. Inclusion criteria were: original article in English; the source from journals; research sites in the Indonesia region; families with children < 5 years; and available in full text. This systematic review used PRISMA guidelines. The determinants were analyzed based on the WHO conceptual framework for stunting. We identified 541 articles, and 15 were considered relevant for this systematic review. The main research design for these 15 journals was cross- sectional. This review shows that stunting in Indonesia is still very high. Family factors related to stunting in Indonesia include low caregiver education, low household welfare, poor nutrition during pregnancy, poor sanitation, and inadequate water supply, a father who smokes, a young mother and poor parenting. The results of the study form the basis for developing family centered-care for stunting.
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[1] Kemenkes RI, “The Stategy and policy to involve property in Indonesia,” Germas, vol. 2, no. 2, pp. 41–52, 2019.
[2] Kementerian Kesehatan Republik Indonesia, “Buletin Stunting,” Kementeri. Kesehat. Republik Indones., vol. 301, no. 5, pp. 1163–1178, 2018.
[3] World Health Organization, “Global Nutrition Targets 2025: Policy Brief Series,” World Heal. Organ., vol. 2, no. 6, pp. 375–388, 2014.
[4] W. Bank, G. Joint, C. Malnutrition, and E. Key, “Levels and Trends in Child Malnutrition,” 2020.
[5] U. Who and W. Bank, “Levels and trends in child malnutrition,” 2019.
[6] WHO, “Reducing stunting in children,” 2018.
[7] M. Teja, “Stunting Balita Indonesia Dan,” Pus. Penelit. Badan Keahlian DPR RI, no. November, pp. 13–18, 2019.
[8] T. N. P. P. Kemiskinan, 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting), Cetakan Pe. Jakarta: Tim Nasional Percepatan Penanggulangan Kemiskinan, 2017.
[9] C. R. Titaley, I. Ariawan, D. Hapsari, A. Muasyaroh, and M. J. Dibley, “Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey,”
Nutrients, vol. 11, no. 5, 2019.
[10] K. Berhe, O. Seid, Y. Gebremariam, A. Berhe, and N. Etsay, “Risk factors of stunting (chronic undernutrition) of children aged 6 to 24 months in Mekelle City, Tigray Region, North Ethiopia: An unmatched case-control study,” PLoS One, vol. 14, no. 6, pp. 1–11, 2019.
[11] R. A. Utami, A. Setiawan, and P. Fitriyani, “Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia,” Enferm. Clin., no. xx, pp. 6–11, 2019.
[12] WHO, “Stunted growth and development,” 2017.
[13] R. M. Rahayu, E. P. Pamungkasari, and C. Wekadigunawan, “The Biopsychosocial Determinants of Stunting and Wasting in Children Aged 12-48 Months,” J. Matern. Child Heal., vol. 03, no. 02, pp. 105–118, 2018.
[14] A. Ho, A. C. Flynn, and D. Pasupathy, “Nutrition in pregnancy,” Obstet. Gynaecol. Reprod. Med., no. July, 2016.
[15] WHO, “Indicators for the Global Monitoring Framework on Maternal , Infant and Young Child Nutrition,” 2014.
[16] U. Michigan, “Prenatal Nutrition Healthy Mom , Healthy Baby,” no. April, pp. 1–9, 2017.
[17] L. Meija and D. Rezenberga, “Proper Maternal Nutrition during Pregnancy Planning and Pregnancy :,” 2017.
[18] A. Triratnawati, “Food taboos and codes of conduct for pregnant women at Mount Sindoro, Wonosobo district, Central Java, Indonesia,” Stud. Ethno-Medicine, vol. 13, no. 2, pp. 22–32, 2019.
[19] R. Köhler, C. Lambert, and H. K. Biesalski, “Animal-based food taboos during pregnancy and the postpartum period of Southeast Asian women – A review of literature,” Food Res. Int., p. #pagerange#, 2018.
[20] N. Rahman, M. R. Napirah, D. Nadila, and Bohari, “Determinants of stunting among children in urban families in palu, Indonesia,” Pakistan J. Nutr., vol. 16, no. 10, pp. 750–756, 2017.
[21] W. R. Febriana and N. Nurhaeni, “Is There Any Relationship between Feeding Practices for Children Under Two Years of Age (6–23 Months) and Stunting?,” Compr. Child Adolesc. Nurs., vol. 42, no. sup1, pp. 65– 72, 2019.
[22] A. Rahman, A. Lahdimawan, S. Arifin, Husaini, and R. Indriasari, “The analysis of risk factors associated with nutritional status of toddler in posyandu of beringin village, alalak sub-district, barito kuala district,” Indian J. Public Heal. Res. Dev., vol. 9, no. 10, pp. 459–464, 2018.
[23] H. Gunardi et al., “Association between parental socio-demographic factors and declined linear growth of young children in Jakarta,” Med. J. Indones., vol. 26, no. 4, pp. 286–292, 2017.
[24] Z. Barati et al., “Breastfeeding and complementary feeding practices among children living in a rice surplus area, Central Java, Indonesia,” Nutr. Food Sci., vol. 48, no. 4, pp. 589–604, 2018.
[25] H. Torlesse, A. A. Cronin, S. K. Sebayang, and R. Nandy, “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, vol. 16, no. 1, pp. 1–12, 2016.
[26] Y. B. Prasetyo et al., “Factors influencing promotive behaviours in mothers of Indonesian children with avoidant restrictive food intake disorder,” J. Taibah Univ. Med. Sci., vol. 14, no. 5, pp. 454–459, 2019.
[27] I. Krisnana, R. Azizah, T. Kusumaningrum, and E. M. M. Has, “Feeding patterns of children with stunting based on WHO (world health organization) determinant factors of behaviours approach,” Indian J. Public Heal. Res. Dev., vol. 10, no. 8, pp. 2756–2761, 2019.
[28] D. D. Astuti, T. W. Handayani, and D. P. Astuti, “Cigarette smoke exposure and increased risks of stunting among under-five children,” Clin. Epidemiol. Glob. Heal., no. November 2019, pp. 0–1, 2020.
[29] V. D. Kien, H. Y. Lee, Y. S. Nam, J. Oh, K. B. Giang, and H. Van Minh, “Trends in socioeconomic inequalities in child malnutrition in Vietnam: Findings from the Multiple Indicator Cluster Surveys, 2000- 2011,” Glob. Health Action, vol. 9, no. 1, 2016.
[30] T. Mahmudiono, T. S. Nindya, and D. R. Andrias, “Comparison of maternal nutrition literacy , dietary diversity , and food security among households with and without double burden of malnutrition in Surabaya , Indonesia,” vol. 24, no. 3, pp. 359–370, 2018.
[31] O. Cumming and S. Cairncross, “Can water, sanitation and hygiene help eliminate stunting? Current evidence and policy implications,” Matern. Child Nutr., vol. 12, pp. 91–105, 2016.
[32] Y. Sofiatin, A. Pusparani, T. D. Judistiani, A. Rahmalia, A. Diana, and A. Alisjahbana, “Maternal and environmental risk for faltered growth in the first 5 years for Tanjungsari children in West Java, Indonesia,” Asia Pac. J. Clin. Nutr., vol. 28, no. 20, pp. S32–S42, 2019.
[33] J. A. L. Geere and P. R. Hunter, “The association of water carriage, water supply and sanitation usage with maternal and child health. A combined analysis of 49 Multiple Indicator Cluster Surveys from 41 countries,”
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