* Corresponding Author
Policy Analysis Reducing Under Five Stunting Children in Special Region Yogyakarta, Indonesia
https://doi.org/10.22146/jkki.71795 Tri Siswati(1*), Agnes Murdiati(2)
(1)
(2)
(*) Corresponding Author
Abstract
Yogyakarta Special Region is a provinces with a low prevalence of stunting children in Indonesia as many as 21%. Many policies support reducing stunting children effort. This study aims to analysis of policies related to reduce stunting. The method was desk review using secondary data, literature review, policy/regulation tracing related to stunting children and discussions, presentations, Focus Group Discussion (FGD), and Round Table Discussion (RTD). Causes of stunting include distal factors such as the economy, poverty, education, and well-being. Proximate factors were baby low birth weight and adolescent pregnancy. Interventions conducted with a focus target on 1000 early day life include sensitive and specific nutritional interventions. All regional organization have taken a role in combating stunting. Also regulations both internationally, nationally and regionally support the acceleration of the decline of stunting. But the specific regulations on stunting is not available. Effort to reducing stunting have been implemented but need more synergitic and integrated intervention between regional organization with Bappeda as the leading sector.
Keywords
Full Text:
PDFReferences
WHO. Malnutrition [Internet]. New York; Available from: https://www.who.int/health-topics/malnutrition#tab=tab_1 2. WHO. Social Determinant of Health [Internet]. 2013. Available from: https://www.euro.who.int/en/health-topics/health-determinants/social-determinants/social-determinants 3. Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;14(4):1–10. 4. Yaya S, Uthman OA, Kunnuji M, Navaneetham K, Akinyemi JO, Kananura RM, et al. Does economic growth reduce childhood stunting? A multicountry analysis of 89 Demographic and Health Surveys in sub-Saharan Africa. BMJ Glob Heal. 2020;5(1):1–7. 5. Tariq J, Sajjad A, Zakar R, Zakar MZ, Fischer F. Factors associated with undernutrition in children under the age of two years: Secondary data analysis based on the Pakistan demographic and health survey 2012–2013. Nutrients. 2018;10(6):1–20. 6. Andari W, Siswati T, Paramashanti BA. Tinggi Badan Ibu Sebagai Faktor Risiko Stunting Pada Anak Usia 24-59 Bulan Di Kecamatan Pleret Dan Kecamatan Pajangan, Kabupaten Bantul, Yogyakarta. J Nutr Coll. 2020;9(4):235–40. 7. Orellana JDY, Gatica-Domínguez G, Vaz JDS, Neves PAR, de Vasconcellos ACS, Hacon S de S, et al. Intergenerational association of short maternal stature with stunting in yanomami indigenous children from the brazilian amazon. Int J Environ Res Public Health. 2021;18(17):1–14. 8. Yang Q, Yuan T, Yang L, Zou J, Ji M, Zhang Y, et al. Household food insecurity, dietary diversity, stunting, and anaemia among left-behind children in poor rural areas of China. Int J Environ Res Public Health. 2019;16(23):1–13. 9. Krebs NF, Mazariegos M, Tshefu A, Bose C, Sami N, Chomba E, et al. Meat consumption is associated with less stunting among toddlers in four diverse low-income settings. Food Nutr Bull. 2011;32(3):185–91. 10. Millward DJ. Nutrition, infection and stunting: The roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children. Nutr Res Rev. 2017;30(1):50–72. 11. Abbas F, Kumar R, Mahmood T, Somrongthong R. Impact of children born with low birth weight on stunting and wasting in Sindh province of Pakistan: a propensity score matching approach. Sci Rep [Internet]. 2021;11(1):1–10. Available from: https://doi.org/10.1038/s41598-021-98924-7 12. Siswati T, Hookstra T, Kusnanto H. Stunting among children Indonesian urban areas: What is the risk factors? J Gizi dan Diet Indones (Indonesian J Nutr Diet. 2020;8(1):1. 13. Aryastami NK, Shankar A, Kusumawardani N. Low birth weight was the most dominant predictor associated with stunting among children aged 12-23 months in Indonesia. BMC Nutr. 2017;3(16):1–6. 14. Arini D, Nursalam N, Mahmudah M, Faradilah I. The incidence of stunting, the frequency/duration of diarrhea and Acute Respiratory Infection in toddlers. J Public health Res. 2020;9(2):117–20. 15. Ponum M, Khan S, Hasan O, Mahmood MT, Abbas A, Iftikhar M, et al. Stunting diagnostic and awareness: Impact assessment study of sociodemographic factors of stunting among school-going children of Pakistan. BMC Pediatr. 2020;20(1):1–9. 16. Neumann, C. G., & Harrison GG. Onset and evolution of stunting in infants and children. Examples from the Human Nutrition Collaborative Research Support Program. Kenya and Egypt studies. E=. Eur J Clin Nutr. 1:90–102. 17. Islam, S., Rana, M. J., & Mohanty SK. Cooking, smoking, and stunting: Effects of household air pollution sources on childhood growth in India. Indoor Air. 2021;31(1):229–49. 18. Mushtaq MU, Gull S, Khurshid U, Shad MA, Siddiqui AM. Prevalence and socio-demographic correlates of stunting and thinness among Pakistani primary school children. BMC Public Health [Internet]. 2011;11(1):790. Available from: http://www.biomedcentral.com/1471-2458/11/790 19. Bhutta ZA, Berkley JA, Bandsma RHJ, Kerac M. Severe childhood malnutrition. Eur PMC Funders Group, Author Manuscr [Internet]. 2017;44. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004825/pdf/EMS85656.pdf 20. Malhotra N, Malhotra J, Bora NM, Bora R, Malhotra K. Fetal origin of adult disease. Donald Sch J Ultrasound Obstet Gynecol. 2014;8(2):164–77. 21. Sanders TAB, Foundation BN, Buttriss JL. Mechanisms and Pathways of Critical Windows of Development. In: Nutrition and Development [Internet]. West Sussex, UK: John Wiley & Sons, Ltd,.; 2013 [cited 2016 Aug 19]. p. 75–85. Available from: http://doi.wiley.com/10.1002/9781118782972.ch4 22. Silva TM, Bueno NB, De M de L da SG, Azevedo, Clemente APG, Florêncio TM de MT. Pre-School Children Undergoing Nutritional Recovery Treatment. Rev Paul Pediatr [Internet]. 2018;36(1):39–44. Available from: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822018000100039&lng=en&nrm=iso&tlng=en 23. Konermann S. The effect of early childhood stunting on children’s cognitive achievements: Evidence from young lives Ethiopia. Physiol Behav. 2019;173(3)(1):665–76. 24. Grillo LP, Gigante DP, Horta BL, de Barros FCF. Childhood stunting and the metabolic syndrome components in young adults from a Brazilian birth cohort study. Eur J Clin Nutr [Internet]. 2016;70(5):548–53. Available from: http://www.nature.com/doifinder/10.1038/ejcn.2015.220 25. Kimani-Murage EW, Kahn K, Pettifor JM, Tollman SM, Dunger DB, Gómez-Olivé XF, et al. The prevalence of stunting, overweight and obesity, and metabolic disease risk in rural South African children. BMC Public Health. 2010;10:1–13. 26. Kimani-Murage E, Kahn K. The prevalence of stunting, overweight and obesity, and metabolic disease risk in rural South African children. BMC public [Internet]. 2010;1–13. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-10-158 27. Barker DJP. The origins of the developmental origins theory. J Intern Med. 2007;261(5):412–7. 28. Mardones F, Arnaiz P, Pacheco P, Dominguez A, Villarroel L, Eriksson JG, et al. Associations of prenatal growth with metabolic syndrome, insulin resistance, and nutritional status in chilean children. Biomed Res Int. 2014;2014. 29. ISLDB. The burden of child and maternal malnutrition and trends in its indicators in the states of India: the Global Burden of Disease Study 1990–2017. Lancet Child Adolesc Heal. 2019;3(12):855–70. 30. Renyoet BS, Martianto D, Sukandar D. Potensi Kerugian Ekonomi Karena Stunting Pada Balita Di Indonesia Tahun 2013. J Gizi dan Panga. 2016;11(November):247–54. 31. Hoddinott J, Alderman H, Behrman JR, Haddad L, Horton S. The economic rationale for investing in stunting reduction. Matern Child Nutr. 2013;9(S2):69–82. 32. Reynaldo Martorell. Improved Nutrition in the First 1000 Days and Adult Human Capital and Health. Am J Hum Biol. 2017;29(2):1–24. 33. Bundy, D., de Silva, N., Horton, S., Patton, G. C., Schultz, L., Jamison, D. T. & DCP-3 C and AH and DAG. Investment in child and adolescent health and development: key messages from Disease Control Prioritiesitle. Lancet, 3rd Ed. 2018;391(10121):687–99. 34. BPS. Statistik Indonesia 2019. 2019. 35. de Onis M, Branca F. Childhood stunting: A global perspective. Matern Child Nutr. 2016;12:12–26. 36. Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatr Int Child Heal. 2016;34(4):250–265. 37. NJ. GS, Griffiths PL., Bogin BA. Madise. Nutritional interventions for preventing stunting in children (0 to 5 years) living in urban slums in low and middle-income countries (LMIC) (Protocol). Cochrane Libr. 2015;(5):1–44. 38. De Onis M, Borghi E, Arimond M, Webb P, Croft T, Saha K, et al. Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutr. 2019;22(1):175–9. 39. Kemenkes RI, Riset Kesehatan Dasar Tahun 2007. Jakarta, Indonesia; 2017. 40. Kemenkes RI. Riset Kesehatan Dasar Tahun 2010. Jakarta, Indonesia; 2010. 41. Kemenkes RI. Riset Kesehatan Dasar Tahun 2018. 2018. 42. Kemenkes RI. Buku Saku Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, Kabupaten/Kota. 2021. 43. BPS. Laju Pertumbuhan Ekonomi DIY. 2019. 44. Egerter S, Braveman P, Sadegh-Nobari T, Grossman-Khan R, Dekker M. Education Matters for Health. 2009;(September):1–15. 45. Braveman PA, Cubbin C, Egerter S, Williams DR, Pamuk E. Socioeconomic disparities in health in the united States: What the patterns tell us. Am J Public Health. 2010;100(SUPPL. 1). 46. Braveman P, Egerter S, Barclay C. Income , Wealth and Health. Explor Soc Determ Heal [Internet]. 2011;(April). Available from: http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2011/rwjf70448 47. Dinkes DIY. Profil Kesehatan DIY Tahun 2020. Yogyakarta; 2019. 48. Dinkes DIY. Profil Kesehatan DIY tahun 2019. 2019. 49. Bagmar SH, Khudri M. Tracking Changes and Identifying Determinants of Child Malnutrition Status over the Past Decade in Bangladesh. Pakistan J Nutr [Internet]. 2015 Dec 1 [cited 2017 Jan 17];14(12):964–71. Available from: http://www.scialert.net/abstract/?doi=pjn.2015.964.971 50. Angdembe MR, Dulal BP, Bhattarai K, Karn S. Increased risk of low birthweight and preterm birth, stunting in infancy, short adult height, poor schooling, and higher adult fasting glucose concentrations. The. Int J Equity Health [Internet]. 2019;18(42):1–17. Available from: https://doi.org/10.1186/s12939-019-0944-z 51. Reinhardt K, Fanzo J. Addressing Chronic Malnutrition through Multi-Sectoral, Sustainable Approaches: A Review of the Causes and Consequences. Front Nutr. 2014;1(August):1–11. 52. Rabaoarisoa CR, Rakotoarison R, Rakotonirainy NH, Mangahasimbola RT, Randrianarisoa AB, Jambou R, et al. The importance of public health, poverty reduction programs and women’s empowerment in the reduction of child stunting in rural areas of Moramanga and Morondava, Madagascar. PLoS One. 2017;12(10):1–18.
DOI: https://doi.org/10.22146/jkki.71795
Article Metrics
Abstract views : 2311
| 
views : 382
Refbacks
- There are currently no refbacks.
Copyright (c) 2022 Jurnal Kebijakan Kesehatan Indonesia : JKKI
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Jurnal Kebijakan Kesehatan Indonesia : JKKI [ISSN 2089 2624 (print); ISSN 2620 4703 (online)] is published by Center for Health Policy and Management (CHPM). This website is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. Built on the Public Knowledge Project's OJS 2.4.8.1.
View My Stats