Spatial distribution analysis and risk factors for stunting in Kerinci Regency, Jambi Province Indonesia

Rd. Halim -  Universitas Jambi, Indonesia
Muhammad Syukri* -  Universitas Jambi, Indonesia
Guspianto Guspianto -  Universitas Jambi, Indonesia
Fajar Akbar -  Poltekkes Kemenkes Mamuju, Indonesia
DOI : 10.30867/action.v8i4.1190

Supp. File(s): common.other

There are variations in the prevalence of stunting cases at the village level in Kerinci Regency. There have been no studies on the spatial distribution and risk factors of stunting cases in Kerinci Regency. This study aimed to determine the risk factors and spatial distribution of stunting. This research was conducted in Kerinci Regency from March to November 2020 using a case-control design and a total sampling technique. The study participants consisted of 223 patients and 223 controls. Children who experienced stunting were recorded at the health office. The controls were non-stunted children with an age range (±3 months) and sex who came from the same village as the cases—data collection through interview techniques and observation of the Mother and Child Health book. The chi-square test, logistic regression, and spatial distribution analysis were performed using the open-source software SatScan 10,1 and ArGIS 3,30. The analysis shows stunting cases clustered in Kayu Aro, Gunung Tujuh, and Keliling Danau Districts. A low father's education level (aOR=1,76), father's height <161 cm (aOR=1,52), mother's height <150 cm (aOR=1,83), and incomplete immunization status (aOR=1,6) were risk factors for stunting. In conclusion, cases of stunting clustered in three sub-districts, and the leading risk factor was the mother's height. The health office should make specific intervention efforts before and during pregnancy and focus on cluster-indicated areas.

Supplement Files

Keywords : Education, Immunization status, Parental height, Stunting

  1. Akseer, N., Tasic, H., Nnachebe Onah, M., Wigle, J., Rajakumar, R., Sanchez-Hernandez, D., Akuoku, J., Black, R. E., Horta, B. L., Nwuneli, N., Shine, R., Wazny, K., Japra, N., Shekar, M., & Hoddinott, J. (2022). Economic costs of childhood stunting to the private sector in low- and middle-income countries. EClinicalMedicine, 45, 101320. https://doi.org/10.1016/j.eclinm.2022.101320
  2. Al Rahmad, A. H., Miko, A., Labatjo, R., Fajriansyah, F., Fitri, Y., & Suryana, S. (2020). Malnutrition prevalence among toddlers based on family characteristics: A cross-sectional study in the rural and urban areas of Aceh, Indonesia. Sri Lanka Journal of Child Health, 49(3), 263. https://doi.org/10.4038/sljch.v49i3.9145
  3. Batiro, B., Demissie, T., Halala, Y., & Anjulo, A. A. (2017). Determinants of stunting among children aged 6-59 months at Kindo Didaye woreda, Wolaita Zone, Southern Ethiopia: Unmatched case control study. PLoS ONE, 12(12), 1–15. https://doi.org/10.1371/journal.pone.0189106
  4. Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14(4), 1–10. https://doi.org/10.1111/mcn.12617
  5. Dinkes Kabupaten Kerinci. (2021). Laporan Kasus Stunting di Kabupaten Kerinci Tahun 2021.
  6. Ferreira, H. S., Moura, F. A., Cabral Júnior, C. R., Florêncio, T. M. M. T., Vieira, R. C., & de Assunção, M. L. (2009). Short stature of mothers from an area endemic for undernutrition is associated with obesity, hypertension and stunted children: A population-based study in the semi-arid region of Alagoas, Northeast Brazil. British Journal of Nutrition, 101(8), 1239–1245. https://doi.org/10.1017/S0007114508059357
  7. Garza, C., Borghi, E., Onyango, A. W., & De Onis, M. (2013). Parental height and child growth from birth to 2 years in the WHO multicentre growth reference study. Maternal and Child Nutrition, 9(S2), 58–68. https://doi.org/10.1111/mcn.12085
  8. Halimatussakdiah, H., & Miko, A. (2016). Hubungan antropometri ibu hamil (Berat Badan, Lingkar Atas, Tinggi Fundus Uteri) dengan reflek fisiologi bayi baru lahir normal. AcTion: Aceh Nutrition Journal, 1(2), 88–93. https://doi.org/10.30867/action.v1i2.16
  9. Javid, N., & Pu, C. (2020). Maternal stature, maternal education and child growth in Pakistan: a cross-sectional study. AIMS Public Health, 7(2), 380–392. https://doi.org/10.3934/publichealth.2020032
  10. Kalinda, C., Phri, M., Qambayot, M. A., Ishimwe, M. C. S., Gebremariam, A., Bekele, A., & Wong, R. (2023). Socio-demographic and environmental determinants of under-5 stunting in Rwanda: Evidence from a multisectoral study. Frontiers in Public Health, 11, 1107300. https://doi.org/10.3389/FPUBH.2023.1107300/BIBTEX
  11. Kemenkes RI. (2020). Indikator Program Kesehatan Masyarakat dalam RPJMN dan Rentra Kementerian Kesehatan 2020-2024. In Katalog Dalam Terbitan. Kementerian Kesehatan RI. https://kesmas.kemkes.go.id/assets/uploads/contents/attachments/ef5bb48f4aaae60ebb724caf1c534a24.pdf
  12. Kemenkes RI. (2022). Hasil Survei Status Gizi Indonesia (SSGI) 2022. https://promkes.kemkes.go.id/materi-hasil-survei-status-gizi-indonesia-ssgi-2022
  13. Kementerian PPN/ Bappenas. (2018). Pedoman Pelaksanaan Intervensi Penurunan Stunting Terintegrasi di Kabupaten/Kota. Rencana Aksi Nasional Dalam Rangka Penurunan Stunting: Rembuk Stunting, November, 1–51.
  14. 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
  15. Kulldorff, M. (2020). SaTScan User Guide for 10.1 version (8th ed., Issue July). https://www.satscan.org/cgi-bin/satscan/register.pl/SaTScan_Users_Guide.pdf?todo=process_userguide_download
  16. Manggala, A. K., Kenwa, K. W. M., Kenwa, M. M. L., Jaya, A. A. G. D. P., & Sawitri, A. A. S. (2018). Risk factors of stunting in children aged 24-59 months. Paediatrica Indonesiana, 58(5), 205–212. https://doi.org/10.14238/pi58.5.2018.205-12
  17. Mediani, H. S. (2020). Predictors of Stunting Among Children Under Five Year of Age in Indonesia: A Scoping Review. Global Journal of Health Science, 12(8), 83. https://doi.org/10.5539/gjhs.v12n8p83
  18. Miko, A., & Al-Rahmad, A. H. (2017). Hubungan berat dan tinggi badan orang tua dengan status gizi balita di Kabupaten Aceh Besar. Gizi Indonesia, 40(1), 21-34. https://doi.org/10.36457/gizindo.v40i1.22
  19. Nshimyiryo, A., Hedt-Gauthier, B., Mutaganzwa, C., Kirk, C. M., Beck, K., Ndayisaba, A., Mubiligi, J., Kateera, F., & El-Khatib, Z. (2019). Risk factors for stunting among children under five years: A cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey. BMC Public Health, 19(1), 1–10. https://doi.org/10.1186/s12889-019-6504-z
  20. Sari, K., & Sartika, R. A. D. (2021). The effect of the physical factors of parents and children on stunting at birth among newborns in indonesia. Journal of Preventive Medicine and Public Health, 54(5), 309–316. https://doi.org/10.3961/jpmph.21.120
  21. Sindhughosa, W. U., & Arimbawa, I. M. (2020). Association between parent’s body height with stunting in children ages 1-5 years old in Nagi Primary Health Care Working Area Larantuka City, East Flores, Indonesia. Intisari Sains Medis, 11(1), 315–319. https://doi.org/10.15562/ism.v11i1.567
  22. Sinha, B., Taneja, S., Chowdhury, R., Mazumder, S., Rongsen-Chandola, T., Upadhyay, R. P., Martines, J., Bhandari, N., & Bhan, M. K. (2018). Low-birthweight infants born to short-stature mothers are at additional risk of stunting and poor growth velocity: Evidence from secondary data analyses. Maternal and Child Nutrition, 14(1), 1–9. https://doi.org/10.1111/mcn.12504
  23. Sipahutar, T., Eryando, T., Paulina Budhiharsana, M., Siregar, K. N., Nur Aidi, M., Mulyawati Utari, D., Rahmaniati, M., & Hendarwan, H. (2021). Finding stunting hotspot areas in seven major islands using spatial analysis: for the acceleration of stunting prevention in Indonesia. MedRxiv, 6, 1-17. https://doi.org/10.1101/2021.03.31.21254736
  24. Soliman, A., De Sanctis, V., Alaaraj, N., Ahmed, S., Alyafei, F., Hamed, N., & Soliman, N. (2021). Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Biomedica, 92(1), 1–12. https://doi.org/10.23750/abm.v92i1.11346
  25. Sugianti, E., Buanasita, A., Hidayanti, H., & Putri, B. D. (2023). Analisis faktor ibu terhadap kejadian stunting pada balita usia 24-59 bulan di perkotaan. AcTion: Aceh Nutrition Journal, 8(1), 30. https://doi.org/10.30867/action.v8i1.616
  26. 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), 1106. https://doi.org/10.3390/nu11051106
  27. Utami, N. H., Rika, R., Anies, I., Kencana, S., Bunga Christitha Rosah, B. C., Nurillah, A., & Besral. (2018). Short birth length, low birth weight and maternal short stature are dominant risks of stunting among children aged 0-23 months: Evidence from Bogor longitudinal study on child growth and development, Indonesia. Malaysian Journal of Nutrition, 24(29), 11–23. https://nutriweb.org.my/mjn/publication/24-1/24-1.pdf#page=15
  28. WHO. (2022). GIS, geospatial solutions for health. https://www.who.int/data/GIS
  29. WHO. (2014). Childhood Stunting: Challenges and opportunities. Report of a Promoting Healthy Growth and Preventing Childhood Stunting colloquium. WHO Geneva, 34.
  30. 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/FULL

Open Access Copyright (c) 2023 Rd. Halim, Muhammad Syukri, Guspianto Guspianto, Fajar Akbar
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here