Sanitasi rumah dan stunting di Wilayah Kerja Puskesmas Labuan Kabupaten Donggala

Christine Christine* -  Program Studi D3 Sanitasi, Politeknik Kesehatan Kemenkes Palu, Kota Palu. Jl. Thalua Konchi, No.19, Mamboro, Kecamatan Palu Utara, Sulawesi Tengah, 94148, Indonesia
Fellysca Veronica Margareth Politon -  Program Studi D3 Sanitasi, Politeknik Kesehatan Kemenkes Palu, Kota Palu, Sulawesi Tengah, Indonesia
Fahmi Hafid -  Jurusan Gizi, Politeknik Kesehatan Kemenkes Palu, Kota Palu, Sulawesi Tengah, Indonesia

Supp. File(s): Surat Pernyataan Hak Cipta dan Etika Publikasi Etik Penelitian

Poor home sanitation can increase the risk of stunting in children. The study aims to analyze the risk factors for stunting based on house conditions, sanitation facilities, and occupant behavior. Observational research using a case-control study design was carried out in September–December 2020. The sample size was 60 toddlers (30 cases and 30 controls) taken randomly by simple arithmetic. Case samples are stunted toddlers based on e-PPGBM data. The control sample is a typical toddler who is the closest neighbor to the case with age equivalence. Respondents were mothers of toddlers. Data on the physical condition of the house and sanitation facilities were obtained through direct observation, while data on the behavior of the house occupants were obtained through interviews. Data processing was carried out by cleaning and editing, coding for categorical variables, entry and data processing. Data were analyzed using the Chi-square test and odds ratio at 95% CI. The house's physical condition (p= 0,058; OR= 8,83) and the behavior of the householder in managing sanitation are risk factors for stunting (p= 0,002; OR= 6,91). In conclusion, toddlers who live in houses with physical conditions that do not meet health requirements are at risk of experiencing stunting 8,83 times. Residents of houses whose behavior does not meet sanitation requirements risk 6,91 times experiencing stunting in toddlers.

Supplement Files

Keywords : Behavior; housing conditions; sanitation; stunting

  1. AL Rahmad, A. H., & Miko, A. (2016). Kajian Stunting pada Anak Balita Berdasarkan Pola Asuh dan Pendapatan Keluarga di Kota Banda Aceh. Kesmas Indonesia, 8(02), 58–77.
  2. Al Rahmad, A., & Miko, A. (2017). Peningkatan Pengetahuan Calon Pengantin melalui Konseling ASI Eksklusif di Aceh Besar. Indonesian Bulletin of Health Research, 45(4), 249–256. https://doi.org/http://dx.doi.org/10.22435/bpk.v45i4.6802.249-256
  3. Arief, S., Hartini, & Yuri, H. (2011). Modul Rumah Sehat. Kementerian Pekerjaan Umum.
  4. Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI. (2018). Hasil Utama Riskesdas 2018.
  5. Beal, T., Tumilowicz, A., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal and Child Nutrition, 14(October 2017), 1–10. https://doi.org/10.1111/mcn.12617
  6. Danaei, G., Andrews, K. G., Sudfeld, C. R., nther Fink, G., Charles McCoy, D., Peet, E., Sania, A., Smith Fawzi, M. C., Ezzati, M., & Fawzi, W. W. (2016). Risk factors for childhood stunting in 137 developing countries: a comparative risk assessment analysis at global, regional, and country levels. PLoS Medicine, 13(11), e1002164. https://doi.org/10.1371/journal.pmed.1002164
  7. Dinas Kesehatan Kabupaten Donggala. (2019). Update Data Stunting Kabupaten Donggala.
  8. Dinas Kesehatan Provinsi Sulawesi Tengah. (2019). Strategi Penurunan Prevalensi Stunting di Sulawesi Tengah.
  9. Direktorat Jenderal Kesehatan Masyarakat Kemenkes RI. (2018). Warta Kesmas (02 ed.). Kementerian Kesehatan RI.
  10. Hanandita, W., & Tampubolon, G. (2015). The double burden of malnutrition in Indonesia: Social determinants and geographical variations. SSM - Population Health, 1, 16–25. https://doi.org/10.1016/j.ssmph.2015.10.002
  11. Hasan, A., & Kadarusman, H. (2019). Akses ke Sarana Sanitasi Dasar sebagai Faktor Risiko Kejadian Stunting pada Balita Usia 6-59 Bulan. Jurnal Kesehatan, 10(3), 413. https://doi.org/10.26630/jk.v10i3.1451
  12. He, Z., Bishwajit, G., Zou, D., Yaya, S., Cheng, Z., & Zhou, Y. (2018). Burden of common childhood diseases in relation to improved water, sanitation, and hygiene (WASH) among Nigerian children. International Journal of Environmental Research and Public Health, 15(6). https://doi.org/10.3390/ijerph15061241
  13. Herawati, H., Anwar, A., & Setyowati, D. L. (2020). Hubungan Sarana Sanitasi, Perilaku Penghuni, dan Kebiasaan Cuci Tangan Pakai Sabun (CTPS) oleh Ibu dengan Kejadian Pendek (Stunting) pada Batita Usia 6-24 Bulan di Wilayah Kerja Puskesmas Harapan Baru, Samarinda. Jurnal Kesehatan Lingkungan Indonesia, 19(1), 7. https://doi.org/10.14710/jkli.19.1.7-15
  14. Irianti, S., Prasetyoputra, P., Dharmayanti, I., Azhar, K., & Hidayangsih, P. S. (2019). The role of drinking water source, sanitation, and solid waste management in reducing childhood stunting in Indonesia. IOP Conference Series: Earth and Environmental Science, 344(1), 12009. https://doi.org/10.1088/1755-1315/344/1/012009
  15. Khairiyah, D., & Fayasari, A. (2020). Perilaku higiene dan sanitasi meningkatkan risiko kejadian stunting balita usia 12-59 bulan di Banten. Ilmu Gizi Indonesia, 3(2), 123. https://doi.org/10.35842/ilgi.v3i2.137
  16. Kusumawati, E., Rahardjo, S., Sari, H. P., Kesehatan, J., Fakultas, M., Universitas, I. K., & Soedirman, J. (2013). Model Pengendalian Faktor Risiko Stunting pada Anak Usia di Bawah Tiga Tahun Model of Stunting Risk Factor Control among Children under Three Years. Kesehatan Masyarakat Nasional, 9(3), 249–256. https://doi.org/http://dx.doi.org/10.21109/kesmas.v9i3.572
  17. Lowe, C., Kelly, M., Sarma, H., Richardson, A., Kurscheid, J. M., Laksono, B., Amaral, S., Stewart, D., & Gray, D. J. (2021). The double burden of malnutrition and dietary patterns in rural Central Java, Indonesia. The Lancet Regional Health - Western Pacific, 14, 100205. https://doi.org/10.1016/j.lanwpc.2021.100205
  18. Mahmudah, U. (2017). Hubungan Sanitasi Lingkungan Rumah terhadap Kejadian Infeksi Kecacingan pada Anak Sekolah Dasar. Jurnal Kesehatan, 10(1), 32–39. https://doi.org/10.23917/jk.v10i1.5490
  19. Mahmudiono, T., Segalita, C., & Rosenkranz, R. R. (2019). Socio-Ecological Model of Correlates of Double Burden of Malnutrition in Developing Countries: A Narrative Review. International Journal of Environmental Research and Public Health, 16(19), 3730. https://doi.org/10.3390/ijerph16193730
  20. 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.v40i1.222
  21. Moncayo, A. L., Lovato, R., & Cooper, P. J. (2018). Soil-transmitted helminth infections and nutritional status in Ecuador: findings from a national survey and implications for control strategies. BMJ Open, 8, 21319. https://doi.org/10.1136/bmjopen-2017-021319
  22. Nadiyah, N., Briawan, D., & Martianto, D. (2014). Faktor Risiko Stunting Pada Anak Usia 0—23 Bulan Di Provinsi Bali, Jawa Barat, Dan Nusa Tenggara Timur. Jurnal Gizi Dan Pangan, 9(2), 125–132.
  23. Rachmi, C. N., Agho, K. E., Li, M., & Baur, L. A. (2016). Stunting, underweight and overweight in children aged 2.0-4.9 years in Indonesia: Prevalence trends and associated risk factors. PLoS ONE, 11(5), 1–17. https://doi.org/10.1371/journal.pone.0154756
  24. Rachmi, C. N., Li, M., & Baur, L. A. (2018). The double burden of malnutrition in Association of South East Asian Nations (ASEAN) countries: A comprehensive review of the literature. Asia Pacific Journal of Clinical Nutrition, 27(4), 736–755. https://doi.org/10.3316/ielapa.761708622605017
  25. Raenti, R. A., Gunawan, A. T., & Subagiyo, A. (2019). Hubungan Faktor Lingkungan Fisik Rumah Dan Perilaku Hidup Bersih Dan Sehat Dengan Kejadian Infeksi Saluran Pernapasan Akut Pada Balita Di Wilayah Kerja Puskesmas 1 Purwokerto Timur Tahun 2018. Buletin Keslingmas, 38(1), 85–94. https://doi.org/10.31983/keslingmas.v38i1.4079
  26. Rah, J. H., Sukotjo, S., Badgaiyan, N., Cronin, A. A., & Torlesse, H. (2020). Improved sanitation is associated with reduced child stunting amongst Indonesian children under 3 years of age. Maternal & Child Nutrition, 16(S2), e12741. https://doi.org/https://doi.org/10.1111/mcn.12741
  27. Rahmayani, R. (2018). Hubungan pengetahuan, sikap dan tindakan hygiene sanitasi pedagang makanan jajanan di pinggir jalan. AcTion: Aceh Nutrition Journal, 3(2), 172–178. https://doi.org/http://dx.doi.org/10.30867/action.v3i2.84
  28. Saputri, R. A., Anggraeni, D., Sujadmi, & Sopamena, N. (2020). Environmental Sanitation and Stunting (Study of the Role of Women in Stunting Intervention). Journal of Physics: Conference Series, 1655(1), 012083. https://doi.org/10.1088/1742-6596/1655/1/012083
  29. Sekretariat Wakil Presiden Republik Indonesia. (2017). 100 Kabupaten/Kota Prioritas Untuk Intervensi Anak Kerdil (Stunting).
  30. Sharma, S. K., Mudgal, S. K., Thakur, K., & Gaur, R. (2020). How to calculate sample size for observational and experimental nursing research studies? National Journal of Physiology, Pharmacy and Pharmacology, 10(1), 1–8. https://doi.org/10.5455/njppp2020.10.0930717102019
  31. Sudikno, Irawan, I. R., Setyawati, B., Wiryawan, Y., Puspitasari, D. S., Widodo, Y., Ahmadi, F., & Amaliah, N. (2019). Laporan Akhir Penelitian Studi Status Gizi Balita Di Indonesia Tahun 2019.
  32. 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). https://doi.org/10.3390/nu11051106
  33. 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
  34. Vaivada, T., Akseer, N., Akseer, S., Somaskandan, A., Stefopulos, M., & Bhutta, Z. A. (2020). Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. American Journal of Clinical Nutrition, 112, 777S-791S. https://doi.org/10.1093/ajcn/nqaa159
  35. Vilcins, D., Sly, P. D., & Jagals, P. (2018). What it is and what it means | Concern Worldwide U.S. Annals of Global Health, 84(4), 551–562.
  36. Wulandhani, S., & Purnamasari, A. B. (2019). Analisis Faktor Risiko Kejadian Infeksi Saluran Pernapasan Akut ditinjau dari Lingkungan Fisik. Sainsmat : Jurnal Ilmiah Ilmu Pengetahuan Alam, 8(2), 70. https://doi.org/10.35580/sainsmat82107212019
  37. Yuniarti, T. S., Margawati, A., & Nuryanto, N. (2019). Faktor Risiko Kejadian Stunting Anak Usia 1-2 Tahun Di Daerah Rob Kota Pekalongan. Jurnal Riset Gizi, 7(2), 83–90. https://doi.org/10.31983/jrg.v7i2.5179
  38. Zairinayati, R. P. (2019). Hubungan Hygiene Sanitasi dan Lingkungan dengan Kejadian Stunting Pada Balita. Jurnal Ilmiah Multi Science Kesehatan, 10(1), 78–91.

Open Access Copyright (c) 2022 Christine, Fellysca Veronica Margareth Politon, Fahmi Hafid
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