When mothers talk about their past habits: A case study of stunting in Kendary City, Indonesia
Abstract
Stunting can be a nutritional problem that will adversely affect the optimal development process of children according to their genetic potential. Stunting can hinder the process of growth and development in under-fives. This study aimed to determine the causes of stunting in under-fives in the Abeli sub-district, Kendari City. The method of study was descriptive qualitative by a case study design. Data obtained through in-depth interviews of 4 (four) key informants and 5 (five) ordinary informants. Based on the results of the study, it was known that the incidence of stunting in the Abeli sub-district was caused by low birth weight, exclusive breastfeeding, and complementary feeding. It was based on the results of interviews, of four under-fives were stunting, there were three under-fives had a birth weight <2500 grams. The reason was because of inadequate breast milk production and a lack of family support for mothers to provide exclusive breastfeeding to under-fives. The reason was that the mother did not carry out routine pregnancy checks so that the condition of the fetus was poorly monitored. Besides, all under-fives who were stunting did not receive exclusive breastfeeding. In giving complementary feeding, the mothers gave complementary feeding to under-fives too early. Besides, a portion of the meal did not meet the needs of under-fives and less varied food.
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Abdurahman, A. A., Mirzaei, K., Dorosty, A. R., Rahimiforoushani, A., & Kedir, H. (2016). Household food insecurity may predict underweightand wasting among children aged 24–59 months. Ecology of food and nutrition, 55(5), 456-472. https://doi.org/10.1080/03670244.2016.1207069
Abubakar, A., Holding, P., Mwangome, M., & Maitland, K. (2011). Maternal perceptions of factors contributing to severe under-nutrition among children in a rural African setting. Rural and remote health, 11(1), 1423. https://pubmed.ncbi.nlm.nih.gov/21323398/
Agustina, A., & Hamisah, I. (2019). Hubungan Pemberian Asi Ekslusif, Berat Bayi Lahir Dan Pola Asuh Dengan Kejadian Stunting Di Wilayah Kerja Puskesmas Reubee Kabupaten Pidie. Journal Of Healthcare Technology And Medicine, 5(2), 162-170. https://doi.org/10.33143/jhtm.v5i2.397
Akombi, B. J., Agho, K. E., Hall, J. J., Merom, D., Astell-Burt, T., & Renzaho, A. M. (2017). Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC pediatrics, 17(1), 15. https://doi.org/10.1186/s12887-016-0770-z
Altmann, M., Altare, C., Van Der Spek, N., Barbiche, J. C., Dodos, J., Bechir, M., ... & Kolsteren, P. (2018). Effectiveness of a household water, sanitation and hygiene package on an outpatient program for severe acute malnutrition: a pragmatic cluster-randomized controlled trial in Chad. The American journal of tropical medicine and hygiene, 98(4), 1005-1012. https://doi.org/10.4269/ajtmh.17-0699
Ampaabeng, S. K., & Tan, C. M. (2013). The long-term cognitive consequences of early childhood malnutrition: the case of famine in Ghana. Journal of health economics, 32(6), 1013-1027. https://doi.org/10.1016/j.jhealeco.2013.08.001
Anugraheni, H., & Kartasurya, M. (2012). Faktor risiko kejadian stunting pada anak usia 12-36 bulan di Kecamatan Pati, Kabupaten Pati. Journal of Nutrition College, 1(1), 30-37. https://doi.org/10.14710/jnc.v1i1.725
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), e12617. https://doi.org/10.1111/mcn.12617
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., Uauy, R., & Maternal and Child Nutrition Study Group (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet (London, England), 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X
Caron, Y., Hong, R., Gauthier, L., Laillou, A., Wieringa, F. T., Berger, J., & Poirot, E. (2018). Stunting, beyond acute diarrhoea: Giardia duodenalis, in Cambodia. Nutrients, 10(10), 1420. https://doi.org/10.3390/nu10101420
Coghlan, C. M., & Bhagwat, S. A. (2019). Going beyond hunger: Linking food supplies to global malnutrition. Norsk Geografisk Tidsskrift-Norwegian Journal of Geography, 73(2), 128-134. https://doi.org/10.1080/00291951.2019.1569125
De Silva, I., & Sumarto, S. (2018). Child malnutrition in Indonesia: can education, sanitation and healthcare augment the role of income?. Journal of International Development, 30(5), 837-864. https://doi.org/10.1002/jid.3365
Desyanti, C., & Nindya, T. S. (2017). Hubungan riwayat penyakit diare dan praktik higiene dengan kejadian stunting pada balita usia 24-59 bulan di wilayah kerja Puskesmas Simolawang, Surabaya. Amerta Nutrition, 1(3), 243-251.
Dinas Kesehatan Kota Kendari. (2019). Profil Kesehatan Kota Kendari Tahun 2018. Kendari: Dinas Kesehatan Kota Kendari.
Dinas Kesehatan Prov.Sulawesi Tenggara. (2019). Profil Kesehatan Provinsi Sulawesi Tenggara Tahun 2018. Kendari: Dinas Kesehatan Provinsi Sulawesi Tenggara
Donini, L. M., Poggiogalle, E., Pinto, A., Giusti, A. M., & del Balzo, V. (2015). Malnutrition in the Elderly. In Diet and Nutrition in Dementia and Cognitive Decline (pp. 211-222). Academic Press. https://doi.org/10.1016/B978-0-12-407824-6.00020-3
Fitri, L. (2018). Hubungan BBLR Dan Asi Ekslusif Dengan Kejadian Stunting Di Puskesmas Lima Puluh Pekanbaru. Jurnal Endurance, 3(1), 131-137. http://doi.org/10.22216/jen.v3i1.1767
Goudet, S., Griffiths, P., Bogin, B., & Madise, N. (2017). Interventions to tackle malnutrition and its risk factors in children living in slums: a scoping review. Annals of Human Biology, 44(1), 1-10. https://doi.org/10.1080/03014460.2016.1205660
Hartiningrum, I., Nurul Fitriyah, N. (2018). Bayi berat lahir rendah (BBLR) di Provinsi Jawa Timur tahun 2012-2016, Jurnal Biometrika dan Kependudukan, 7(2), 97-104. http://dx.doi.org/10.20473/jbk.v7i2.2018.97-104
Huang, C., Phillips, M. R., Zhang, Y., Zhang, J., Shi, Q., Song, Z., ... & Martorell, R. (2013). Malnutrition in early life and adult mental health: evidence from a natural experiment. Social science & medicine, 97, 259-266. https://doi.org/10.1016/j.socscimed.2012.09.051
Husseini, M., Darboe, M. K., Moore, S. E., Nabwera, H. M., & Prentice, A. M. (2018). Thresholds of socio-economic and environmental conditions necessary to escape from childhood malnutrition: a natural experiment in rural Gambia. BMC medicine, 16(1), 199. https://doi.org/10.1186/s12916-018-1179-3
Kien, V. D., Lee, H. Y., Nam, Y. S., Oh, J., Giang, K. B., & Minh, H. V. (2016). Trends in socioeconomic inequalities in child malnutrition in Vietnam: findings from the Multiple Indicator Cluster Surveys, 2000–2011. Global health action, 9(1), 29263. https://doi.org/10.3402/GHA.V9.29263
Kinyoki, D. K., Manda, S. O., Moloney, G. M., Odundo, E. O., Berkley, J. A., Noor, A. M., & Kandala, N. B. (2017). Modelling the ecological comorbidity of acute respiratory infection, diarrhoea and stunting among children under the age of 5 years in Somalia. International Statistical Review, 85(1), 164-176. https://doi.org/10.1111/insr.12206
Loya, R., & Nuryanto, N. (2017). Pola asuh pemberian makan pada bayi stunting usia 6-12 bulan di Kabupaten Sumba Tengah, Nusa Tenggara Timur. Journal of Nutrition College, 6(1), 84-95. https://doi.org/10.14710/jnc.v6i1.16897
Mahmudiono, T., Nindya, T. S., Andrias, D. R., Megatsari, H., & Rosenkranz, R. R. (2016). The effectiveness of nutrition education for overweight/obese mothers with stunted children (NEO-MOM) in reducing the double burden of malnutrition in Indonesia: study protocol for a randomized controlled trial. BMC public health, 16(1), 486. https://doi.org/10.1186/s12889-016-3155-1
Meilyasari, F., & Isnawati, M. (2014). Faktor risiko kejadian stunting pada balita usia 12 bulan di Desa Purwokerto Kecamatan Patebon, Kabupaten Kendal. Journal of Nutrition College, 3(2), 303-309. https://doi.org/10.14710/jnc.v3i2.5437
Mufdlilah, M. (2017). Buku pedoman pemberdayaan ibu menyusui pada program ASI eksklusif [Universitas Aisyiyah Yogyakarta]. http://digilib.unisayogya.ac.id/4083
Mufida, L., Widyaningsih, T. D., & Maligan, J. M. (2015). Prinsip Dasar Makanan Pendamping Air Susu Ibu (MP-ASI) Untuk Bayi 6–24 Bulan: Kajian Pustaka [In Press September 2015]. Jurnal Pangan dan Agroindustri, 3(4). 1646-1651. https://jpa.ub.ac.id/index.php/jpa/article/view/290/
Myatt, M., Khara, T., Dolan, C., Garenne, M., & Briend, A. (2019). Improving screening for malnourished children at high risk of death: a study of children aged 6–59 months in rural Senegal. Public health nutrition, 22(5), 862-871.. https://doi.org/10.1017/S136898001800318X
Oktiva, B. R., & Adriani, M. (2017). Perbedaan Kadar Zinc Rambut pada Anak Stunting dan Non Stunting Usia 12-24 Bulan di Kelurahan Tambak Wedi Kenjeran, Surabaya. Amerta Nutrition, 1(2), 133-142. http://dx.doi.org/10.20473/amnt.v1i2.2017.133-142
Prihutama, N. Y., Rahmadi, F. A., & Hardaningsih, G. (2018). Pemberian Makanan Pendamping ASI Dini Sebagai Faktor Risiko Kejadian Stunting pada Anak Usia 2-3 Tahun. Jurnal Kedokteran Diponegoro, 7(2), 1419-1430. https://ejournal3.undip.ac.id/index.php/medico/article/view/21288
Quinn JA, Munoz FM, Gonik B, et al. Preterm birth: Case definition & guidelines for data collection, analysis, and presentation of immunisation safety data. Vaccine. 2016;34(49):6047-6056. doi:10.1016/j.vaccine.2016.03.045
Rahayu, A., Yulidasari, F., Putri, A. O., & Rahman, F. (2015). Riwayat berat badan lahir dengan kejadian stunting pada anak usia bawah dua tahun. Kesmas: National Public Health Journal, 10(2), 67-73. http://dx.doi.org/10.21109/kesmas.v10i2.882
Rasheed, S., & Woods, R. T. (2013). Malnutrition and quality of life in older people: a systematic review and meta-analysis. Ageing research reviews, 12(2), 561-566. https://doi.org/10.1016/j.physbeh.2014.02.051
Rohmah, S., Suyatno, S., & Kartasurya, M. (2018). Berat badan lahir rendah sebagai faktor risiko dominan terhadap kejadian gagal tumbuh pada anak usia 6-24 bulan. Jurnal Kesehatan Masyarakat (e-Journal), 6(5), 445 - 453. https://ejournal3.undip.ac.id/index.php/jkm/article/view/22069
Trihardiani, I. (2011). Faktor risiko kejadian berat badan lahir rendah di wilayah kerja Puskesmas Singkawang Timur dan Utara Kota Singkawang [Doctoral dissertation, Diponegoro University]. http://eprints.undip.ac.id/32555/
Woldeamanuel, G. G., Geta, T. G., Mohammed, T. P., Shuba, M. B., & Bafa, T. A. (2019). Effect of nutritional status of pregnant women on birth weight of newborns at Butajira Referral Hospital, Butajira, Ethiopia. SAGE open medicine, 7, 1-7. https://doi.org/10.1177/2050312119827096
World Health Organization (2013). Essential Nutrition Actions: Improving Maternal, Newborn, Infant and Young Child Health and Nutrition. https://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/
World Health Organization, UNICEF, & The World Bank Group Joint Child Malnutrition Estimates. (2020). Levels And Trends In Child Malnutrition. https://www.who.int/publications/i/item/jme-2020-edition
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