Identification of factors causing stunting in Lamper Tengah primary healthcare centre, Semarang City

Authors

  • Firdha Fauzia Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia
  • Gusti Noorrizka Veronika Achmad Department of Pharmacy Practice, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia https://orcid.org/0000-0003-2310-5211
  • Ana Yuda Department of Pharmacy Practice, Faculty of Pharmacy, Universitas Airlangga, Surabaya, Indonesia https://orcid.org/0009-0004-4252-3106

DOI:

https://doi.org/10.46542/pe.2024.243.273279

Keywords:

Causal, Children, Environment, Factor, Maternal, Stunting

Abstract

Background: Stunting is a form of growth failure due to the accumulation of nutritional deficiencies characterised by height-for-age below the applicable standard. The prevalence of stunting in Indonesia in 2021 is 24.4%. In Semarang, the prevalence of stunting fluctuates. 2015, it was 14.4% and increased to 21% in 2017. Until 2021, the stunting rate in Semarang is 21.3%. The Semarang government has made various efforts, but the stunting rate has remained unchanged.    

Objective: This study aims to discover more about the factors that cause stunting in Semarang.    

Method: This research is qualitative research with a phenomenological approach. The data obtained in this study was from observation and interviews with mothers who have stunted children.    

Result:  A total of 15 informants were selected using purposive sampling techniques. The analysis method used is a descriptive method with inductive analysis.     

Conclusion: The result showed maternal factors were inadequate nutrition intake, genetic factors, stress during pregnancy, and poverty. In comparison, the factors in children are low birth weight, repeated infections, children's difficulty eating, and micronutrient deficiency. The environmental factors are the home environment polluted with cigarette smoke and unhealthy home conditions, poor sanitation, and limited access to clean water, leading to repeated infections.

References

Abuya, B. A., Ciera, J., & Kimani-Murage, E. (2012). Effect of mother's education on child's nutritional status in the slums of Nairobi. BMC paediatrics, 12, 80. https://doi.org/10.1186/1471-2431-12-80

Achón, M., Úbeda, N., García-González, Á., Partearroyo, T., & Varela-Moreiras, G. (2019). Effects of milk and dairy product consumption on pregnancy and lactation outcomes: A systematicreview. Advances in nutrition (Bethesda, Md.), 10(2), S74–S87. https://doi.org/10.1093/advances/nmz009

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

Berhe, K., Seid, O., Gebremariam, Y., Berhe, A., & Etsay, N. (2019). 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, 14(6), e0217736. https://doi.org/10.1371/journal.pone.0217736

Fatima, S., Manzoor, I., Joya, A. M., Arif, S., & Qayyum, S. (2020). Stunting and associated factors in children of less than five years: A hospital-based study. Pakistan journal of medical sciences, 36(3), 581–585. https://doi.org/10.12669/pjms.36.3.1370

Hizni, A., Julia, M., & Gamayanti, I. (2010) Stunted status and its relationship with the development of children under five in the coastal area of North Beach, Lemahwungkuk District, Cirebon City. Indonesian Journal of Clinical Nutrition, 6(3), 131–137. https://doi.org/10.22146/ijcn.17721

Huang, D., Wu, Q., Xu, X., Ji, C., Xia, Y., Zhao, Z., Dai, H., Li, H., Gao, S., Chang, Q., & Zhao, Y. (2022). Maternal consumption of milk or dairy products during pregnancy and birth outcomes: A systematic review and dose-response meta-analysis. Frontiers in nutrition, 9, 900529. https://doi.org/10.3389/fnut.2022.900529

IDAI. (2015). Recommendations for evidence-based feeding practices for infants and toddlers in Indonesia to prevent malnutrition. Nutrition and Metabolic Disease Coordination Working Unit Indonesian Paediatrician Association.

Kaur, S., Ng, C. M., Badon, S. E., Jalil, R. A., Maykanathan, D., Yim, H. S., & Jan Mohamed, H. J. (2019). Risk factors for low birth weight among rural and urban Malaysian women. BMC Public Health, 19(4), 539. https://doi.org/10.1186/s12889-019-6864-4

Khan, A., Ul-Haq, Z., Fatima, S., Ahmed, J., Alobaid, H. M., Fazid, S., Muhammad, N., Garzon, C., Ihtesham, Y., Habib, I., Tanimoune, M., Iqbal, K., Arshad, M., & Safi, S. Z. (2023). Long-term impact of multiple micronutrient supplementation on micronutrient status, haemoglobin level, and growth in children 24 to 59 months of age: A non-randomised community-based trial from Pakistan. Nutrients, 15(7), 1690. https://doi.org/10.3390/nu15071690

Khatun, W., Rasheed, S., Alam, A., Huda, T. M., & Dibley, M. J. (2019). Assessing the intergenerational linkage between short maternal stature and under-five stunting and wasting in Bangladesh. Nutrients, 11(8), 1818. https://doi.org/10.3390/nu11081818

Kpewou, D. E., Poirot, E., Berger, J., Som, S. V., Laillou, A., Belayneh, S. N., & Wieringa, F. T. (2020). Maternal mid-upper arm circumference during pregnancy and linear growth among Cambodian infants during the first months of life. Maternal & child nutrition, 2(2), e12951. https://doi.org/10.1111/mcn.12951

Laksono, A. D., Wulandari, R. D., Amaliah, N., & Wisnuwardani, R. W. (2022). Stunting among children under two years in Indonesia: Does maternal education matter? PloS one, 17(7), e0271509. https://doi.org/10.1371/journal.pone.0271509

Lee, W. S., Jalaludin, M. Y., Khoh, K. M., Kok, J. L., Nadarajaw, T., Soosai, A. P., Mukhtar, F., Fadzil, Y. J., Anuar Zaini, A., Mohd-Taib, S. H., Rosly, R. M., Khoo, A. J., & Cheang, H. K. (2022). Prevalence of undernutrition and associated factors in young children in Malaysia: A nationwide survey. Frontiers in paediatrics, 10, 913850. https://doi.org/10.3389/fped.2022.913850

Leroy, J. L., Habicht, J. P., González de Cossío, T., & Ruel, M. T. (2014). Maternal education mitigates the negative effects of higher income on the double burden of child stunting and maternal overweight in rural Mexico. The Journal of Nutrition, 144(5), 765–770. https://doi.org/10.3945/jn.113.188474

Li, Z., Kim, R., Vollmer, S., & Subramanian, S. V. (2020). Factors associated with child stunting, wasting, and underweight in 35 low- and middle-income countries. JAMA network open, 3(4), e203386. https://doi.org/10.1001/jamanetworkopen.2020.3386

Liou, S. R., Wang, P., & Cheng, C. Y. (2016). Effects of prenatal maternal mental distress on birth outcomes. Women and birth: Journal of the Australian College of Midwives, 29(4), 376–380. https://doi.org/10.1016/j.wombi.2016.03.004

Ministry of Health. (2016). Complete basic immunization. https://sehatnegeriku.kemkes.go.id/baca/daerah/

Ministry of Health. (2019). Recommended nutritional adequacy rates (M. et al. Indonesia (ed.)). http://hukor.kemkes.go.id/uploads/produk_hukum

Ministry of Health. (2020). Children's anthropometry standards. http://hukor.kemkes.go.id/uploads/

Muchlis, N., Yusuf, R. A., Rusydi, A. R., Mahmud, N. U., Hikmah, N., Qanitha, A., & Ahsan, A. (2023). Cigarette smoke exposure and stunting among under-five children in rural and poor families in Indonesia. Environmental health insights, 17. https://doi.org/10.1177/11786302231185210

Mukhlis, H., & Yanti, R. (2020). Factors associated with the incidence of stunting in toddlers aged 24 - 59 months. Proceedings of pioneer health seminar, 3(1), 127. https://jurnal.upertis.ac.id/index.php/PSKP/article/view/554

Mzumara, B., Bwembya, P., Halwiindi, H., Mugode, R., & Banda, J. (2018). Factors associated with stunting among children below five years of age in Zambia: Evidence from the 2014 Zambia demographic and health survey. BMC Nutrition, 4, 51. https://doi.org/10.1186/s40795-018-0260-9

Perin, J., Mulick, A., Yeung, D., Villavicencio, F., Lopez, G., Strong, K. L., Prieto-Merino, D., Cousens, S., Black, R. E., & Liu, L. (2022). Global, regional, and national causes of under-5 mortality in 2000-19: An updated systematic analysis with implications for the Sustainable Development Goals. The Lancet. Child & adolescent health, 6(2), 106–115. https://doi.org/10.1016/S2352-4642(21)00311-4

Republic of Indonesia Health Research and Development Agency. (2021). Pocket book of Indonesian Nutritional Status Study Results (SSGI). Republic of Indonesia Health Research and Development Agency.

Rohmawati, N., Akbar, A. A., & Nurfaradila, T. (2023). Food security and parenting as risk factors of stunting in toddlers aged 24 to 59 months. Pharmacy Education, 23(4), 82–86. https://doi.org/10.46542/pe.2023.234.8286

Sarma, H., Khan, J. R., Asaduzzaman, M., Uddin, F., Tarannum, S., Hasan, M. M., Rahman, A. S., & Ahmed, T. (2017). Factors influencing the prevalence of stunting among children aged below five years in Bangladesh. Food and Nutrition Bulletin, 38(3), 291–301. https://doi.org/10.1177/0379572117710103

Schmidt C. W. (2014). Beyond malnutrition: The role of sanitation in stunted growth. Environmental health perspectives, 122(11), A298–A303. https://doi.org/10.1289/ehp.122-A298

Semarang City Government. (2021). Semarang City Government realise the Indonesia emas program to prevent stunting. https://semarangkota.go.id/p/2306

Solis-Soto, M. T., Paudel, D., & Nicoli, F. (2020). Relationship between vaccination and nutritional status in children: Analysis of recent Demographic and Health Surveys. Demographic Research, 42, 1–14 https://www.jstor.org/stable/26936781

Ssentongo, P., Ssentongo, A. E., Ba, D. M., Ericson, J. E., Na, M., Gao, X., Fronterre, C., Chinchilli, V. M., & Schiff, S. J. (2021). Global, regional and national epidemiology and prevalence of child stunting, wasting and underweight in low- and middle-income countries, 2006-2018. Scientific Reports, 11(1), 5204. https://www.doi.org/10.1038/s41598-021-84302-w.

Tam, E., Keats, E. C., Rind, F., Das, J. K., & Bhutta, A. Z. A. (2020). Micronutrient supplementation and fortification interventions on health and development outcomes among children under-five in low- and middle-income countries: A systematic review and meta-analysis. Nutrients, 12(2), 289. https://doi.org/10.3390/nu12020289

UNICEF-WHO. (2019). Levels and trends in child malnutrition. UNICEF-WHO Low birthweight estimates: Levels and trends 2000–2015. Geneva: World Health Organization. https://cdn.who.int/media/docs/default-source/

Wahyuni, D & Fitrayuna, R. (2020). Socioeconomic influences on the incidence of stunting in Kulau Mining Kampar village. Preportif: Journal of Public Health, 4(1), 20–26. https://doi.org/10.31004/prepotif.v4i1.539

WHO., (2018). Global nutrition targets 2025: Stunting policy brief.

Wu, H., Ma, C., Yang, L., & Xi, B. (2021). Association of parental height with offspring stunting in 14 Low- and middle-income countries. Frontiers in nutrition, 8, 650976. https://doi.org/10.3389/fnut.2021.650976

Xiang, S., Chen, Z., Dai, Z., & Wang, F. (2023). Global burden of lower respiratory infections attributable to second-hand smoke among children under 5 years of age, 2010-2019: A systematic analysis of the global burden of disease study 2019. BMC Public Health, 23(1), 1920. https://doi.org/10.1186/s12889-023-16848-5

Yang, W., Han, N., Jiao, M., Chang, X., Liu, J., Zhou, Q., & Wang, H. J. (2022). Maternal diet quality during pregnancy and its influence on low birth weight and small for gestational age: A birth cohort in Beijing, China. The British Journal of Nutrition, 1–10. https://doi.org/10.1017/S0007114522000708

Young, M. F., & Ramakrishnan, U. (2021). Maternal undernutrition before and during pregnancy and offspring health and development. Annals of Nutrition & Metabolism, 1–13. https://doi.org/10.1159/000510595

Zhang, G., Bacelis, J., Lengyel, C., Teramo, K., Hallman, M., Helgeland, Ø., Johansson, S., Myhre, R., Sengpiel, V., Njølstad, P. R., Jacobsson, B., & Muglia, L. (2015). Assessing the causal relationship of maternal height on birth size and gestational age at birth: A mendelian randomization analysis. PLoS medicine, 12(8), e1001865. https://doi.org/10.1371/journal.pmed.1001865

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Published

12-05-2024

How to Cite

Fauzia, F., Achmad, G. N. V., & Yuda, A. (2024). Identification of factors causing stunting in Lamper Tengah primary healthcare centre, Semarang City. Pharmacy Education, 24(3), p. 273–279. https://doi.org/10.46542/pe.2024.243.273279