PENGENDALIAN FAKTOR RISIKO STUNTING ANAK BADUTA DI SULAWESI TENGAH

Nasrul Nasrul(1*)


(1) Poltekkes Kemenkes Palu
(*) Corresponding Author

DOI : 10.31934/promotif.v8i2.495

Abstract


Stunting merupakan perhatian utama kesehatan masyarakat di seluruh dunia. Tujuan penelitian menganalisis faktor risiko baduta stunting di Sulawesi Tengah dan model pengendaliannya. Penelitian Cross Sectional dilaksanakan pada tanggal 06 Juli-31 Agusutus 2018 di Kota Palu, Kabupaten Poso, Sigi dan Kabupaten Banggai di Provinsi Sulawesi Tengah. Populasi semua anak baduta di Sulawesi Tengah. Metode penarikan sampel dengan simple random sampling sebanyak 384 orang. Stunting adalah status gizi anak 0-23 bulan skor TB/U < -2SD Standar WHO 2005. Data diperoleh dengan wawancara menggunakan kuesioner, Faktor risiko yang paling dominan dilakukan analisis multivariat regresi logistik terhadap variabel faktor risiko risiko rumah tangga dan keluarga, risiko makanan pendamping ASI, risiko praktek menyusui, risiko penyakit infeksi, risiko sosial dan masyarakat. Analisis bivariat nilai p <0,25 dilanjutkan dengan uji regresi logistik. Selanjutnya faktor risiko dominan dikendalikan dengan model promosi multilevel dengan pendekatan Multilevel Approach To Community Health (MATCH). Hasil penelitian menunjukkan variabel yang memiliki faktor risiko terhadap kejadian stunting adalah berat badan lahir rendah OR=5,512 (1,992-15,256) tidak mencuci tangan OR=5,359 (1,758-16,341) serta tidak memiliki jamban dengan OR= 7,398 (2,072-30,714). Model MATCH dengan melaksanakan program peningkatan efektivitas program Kesehatan ibu dan anak seperti antenatal care, kelas ibu hamil, suplementasi Fe dan kalsium. Pemberian makanan tambahan ibu hamil. Pelatihan praktik mencuci tangan pada air mengalir menggunakan sabun. Dukungan prasarana Air bersih dengan pemipaan. Bantuan kepemilikan jamban dan cara perawatannya serta pelatihan sanitasi berbasis masyarakat.

Full Text:

PDF

References


Adair, L. S., Fall, C. H. D., Osmond, C., Stein, A. D., Martorell, R., Ramirez-Zea, M., … Victora, C. G. (2013). Associations of linear growth and relative weight gain during early life with adult health and human capital in countries of low and middle income: Findings from five birth cohort studies. The Lancet, 382(9891), 525–534. https://doi.org/10.1016/S0140-6736(13)60103-8

Angood, C., Khara, T., Dolan, C., Berkley, J. A., & Group, W. T. I. (2016). Research Priorities on the Relationship between Wasting and Stunting. Plos One, 11(5), e0153221. https://doi.org/10.1371/journal.pone.0153221

Bata, P., Binh, L., Vonaesch, P., Tondeur, L., Nguyen, L., Frank, T., … Vray, M. (2017). Factors associated with stunting in healthy children aged 5 years and less living in Bangui ( RCA ). PLoS ONE, 12(8), 1–17. https://doi.org/10.1371/journal.pone.0182363

Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., … Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X

Chase, C., & Ngure, F. (2016). Multisectoral Approaches to Improving Nutrition : Water , Sanitation , and Hygiene, (February).

de Onis, M., Blössner, M., & Borghi, E. (2012). Prevalence and trends of stunting among pre-school children, 1990–2020. Public Health Nutrition, 15(01), 142–148. https://doi.org/10.1017/S1368980011001315

Esrey, S. A., Potash, J. B., Roberts, L., & Shiff, C. (1991). Reviews / Analyses Effects of improved water supply and sanitation on, (Table 1).

Fertman, C. I., & Allensworth, D. D. (2010). Health promotion programs: from theory to practice. (C. I. Fertman & D. D. Allensworth, Eds.) (First Edit). San Francisco: Jossey-Bass A Wiley Imprint.

Fink, G., Isabel, G., & Hill, K. (2011). The effect of water and sanitation on child health: Evidence from the demographic and health surveys 1986-2007. International Journal of Epidemiology, 40(5), 1196–1204. https://doi.org/10.1093/ije/dyr102

Hafid, F., Djabu, U., Udin, & Nasrul. (2017). Efek Program SBABS Terhadap Pencegahan Stunting Anak Baduta di Kabupaten Banggai dan Sigi. Indonesian Journal of Human Nutrition, 4(2), 79–87. Retrieved from ijhn.ub.ac.id/index.php/ijhn/article/view/223

Hafid, F., Maudu, R., & Nasrul, N. (2017). Trend dan prevalensi stunting baduta tahun 2007 -2016 di sulawesi tengah. Preventif, 8(2).

Hammer, J. (2013). Village Sanitation and Children ’ s Human Capital Evidence from a Randomized Experiment by the Maharashtra Government. Washington, DC.

Humphrey, J. H. (2009). Child undernutrition, tropical enteropathy, toilets, and handwashing. The Lancet, 374(9694), 1032–1035. https://doi.org/10.1016/S0140-6736(09)60950-8

Muqni, A. D., Hadju, V., & Jafar, N. (2012). Hubungan Berat Badan Lahir Dan Pelayanan KIA Terhadap Status Gizi Anak Balita Di Kelurahan Tamamaung Makassar. Media Gizi Masyarakat Indonesia, 1, 109–116.

Nasrul, Hafid, F., Razak Thaha, A., & Suriah. (2015). Faktor Risiko Stunting Usia 6-23 Bulan dI Kecamatan Bontoramba Kabupaten Jeneponto. Media Kesehatan Masyarakat Indonesia, 11(3), 139–146. https://doi.org/http://dx.doi.org/10.30597/mkmi.v11i3

Nasrul, N. (2015). Determinan Stunting Pada Anak Usia 6-23 Bulan di Kota Palu Sulawesi Tengah. Palu.

Onis, M. De, Blo, M., & Borghi, E. (2011). Prevalence and trends of stunting among pre-school children , 1990 – 2020. Public Health Nutrition, 15(1), 142–148. https://doi.org/10.1017/S1368980011001315

Rachmi, CN; Agho KE; Li, M. B. LA. (2016). Stunting, Underweight and Overweight in Children Aged 2.0–4.9 Years in Indonesia: Prevalence Trends and Associated Risk Factors. Plosone, 11(5), 1–18. https://doi.org/10.1371/journal.pone.0154756

Rah, J. H., Cronin, A. A., Badgaiyan, B., Aguayo, V. M., Coates, S., & Ahmed, S. (2015). Household sanitation and personal hygiene practices are associated with child stunting in rural India: a cross-sectional analysis of surveys. BMJ Open, 5(2), e005180. https://doi.org/10.1136/bmjopen-2014-005180

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. https://doi.org/10.21109/kesmas.v10i2.882

Stewart, C. P., Iannotti, L., Dewey, K. G., Michaelsen, K. F., & Onyango, A. W. (2013). Contextualising complementary feeding in a broader framework for stunting prevention. Maternal and Child Nutrition, 9(S2), 27–45. https://doi.org/10.1111/mcn.12088

Stewart CP, Lannotti L, Dewey KG, M. K. & O. A. (2013). Childhood Stunting : Context , Causes and Consequences WHO Conceptual framework. Maternal and Chind Nutrition, 9(September), 27–45.

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(1), 669. https://doi.org/10.1186/s12889-016-3339-8


Article Statistic

Abstract view : 89 times
PDF views : 130 times

Dimensions Metrics

Refbacks

  • There are currently no refbacks.




Copyright (c) 2019 Nasrul Nasrul

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


ISSN 2089-0349 (Print)  ISSN 2503-1139 (Online)

Published by: Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Palu

Editorial Address : Jalan Bukit Jabal Nur No. 3 Palu, Sulawesi Tengah 94118

Email : jurnal.pjkm.fkm.ump@gmail.com

Phone/SMS/WhatsApp : +6281245936241