The Influence of Clean Lifestyle and Healthy Environment Maintained by Mothers on The Incidence of Stunting in Maratua District, Berau Regency
DOI:
https://doi.org/10.51601/ijse.v6i1.433Abstract
Stunting is a major health problem in the Indonesian archipelago, such as in the Maratua Island District, due to limited sanitation and access to health services. This study aims to analyze the relationship between maternal hygiene practices and household environmental conditions with the incidence of stunting in toddlers. Using a quantitative analytical observational cross-sectional design, the population of all mothers of toddlers aged 0-4 years (n=54) was taken by total sampling. Data were collected through a PHBS questionnaire, environmental observations, and WHO anthropometric Z-scores, analyzed univariately and bivariately using the Spearman Rank test. The results showed that 100% of toddlers were stunted (75.9% were short, 24.1% were very short), but there was no significant relationship between maternal hygiene practices (ρ=-0.031; p=0.825) or the home environment (ρ=0.139; p=0.317) with stunting. Stunting is multifactorial, so the conclusion recommends integrated interventions including nutrition, sanitation, and socioeconomic factors for effective prevention in the archipelago.
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References
[1] Bhutta, ZA, et al. (2020). Interventions to address maternal and child undernutrition: What difference can integrated nutrition and WASH programs make? The Lancet Global Health, 8(2), e204–e215.
[2] Black, RE, Victora, CG, Walker, S.P., Bhutta, ZA, Christian, P., de Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451
[3] Checkley, W., et al. (2019). Childhood stunting in low- and middle-income countries: Causes, consequences, and strategies for prevention. The Lancet Child & Adolescent Health, 3(9), 635–650.
[4] Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.
[5] Cumming, O., et al. (2019). The implications of water, sanitation and hygiene for child growth: Evidence from multiple countries. The Lancet Global Health, 7(5), e645–e656.
[6] Dangour, AD, et al. (2021). Understanding the complex relationship between WASH and child growth outcomes. Public Health Nutrition, 24(10), 2985–2993.https://doi.org/10.1017/S1368980020003288
[7] Ethics, I. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1–7.https://doi.org/10.11648/j.ajtas.20160501.11
[8] Fink, G., Günther, I., & Hill, K. (2019). The effect of water and sanitation on child health: Evidence from the Demographic and Health Surveys 1986–2007. International Journal of Epidemiology, 48(2), 400–415.
[9] Headey, D., Hoddinott, J., & Park, S. (2017). Accounting for nutritional changes in six success stories: A regression-decomposition approach. Global Food Security, 13, 12–20.https://doi.org/10.1016/j.gfs.2017.02.003
[10] Ministry of Health of the Republic of Indonesia. (2021). Report on the 2021 Indonesian Nutritional Status Survey (SSGI). Ministry of Health of the Republic of Indonesia.
[11] Berau Regency Government. (2023). Report on the progress of the Berau Regency environmental health program. Berau Health Office.
[12] Prendergast, A. J., & Humphrey, J. H. (2014). The stunting syndrome: Pathophysiology and global implications. The Lancet Global Health, 2(12), e765–e771.https://doi.org/10.1016/S2214-109X(14)70307-9[12]
[13] Prüss-Ustün, A., Wolf, J., Bartram, J., Clasen, T., Cumming, O., Freeman, M. C., Gordon, B., Hunter, P. R., Medlicott, K., & Johnston, R. (2019). Burden of disease from inadequate water, sanitation and hygiene for selected adverse health outcomes: An updated analysis with a focus on low- and middle-income countries. International Journal of Hygiene and Environmental Health, 222(5), 765–777.
[14] Rah, J.H., Sukotjo, S., Badgaiyan, N., Cronin, A.A., & Torlesse, H. (2020). Improved sanitation and child growth in Indonesia: Evidence from a national longitudinal study. Nutrition Journal, 19(1), Article 25.
[15] Setia, MS (2016). Methodology series module 3: Cross-sectional studies. Indian Journal of Dermatology, 61(3), 261–264.https://doi.org/10.4103/0019-5154.182410
[16] Spears, D., Coffey, D., & Cumming, O. (2021). The contribution of poor sanitation to child stunting: Evidence from India and sub-Saharan Africa. Journal of Development Economics, 150, Article 102627.https://doi.org/10.1016/j.jdeveco.2020.102627
[17] Taherdoost, H. (2018). Validity and reliability of the research instrument; How to test the validation of a questionnaire/survey in a research. SSRN Electronic Journal.https://doi.org/10.2139/ssrn.3205040
[18] UNICEF. (2023). Child Nutrition Report 2023. UNICEF.
[19] World Health Organization. (2020). Malnutrition fact sheet.https://www.who.int/news-room/fact-sheets/detail/malnutrition
[20] World Health Organization. (2020). WHO child growth standards: Anthropometry.https://www.who.int/tools/child-growth-standards
[21] World Health Organization. (2021). Environment and child health: Key data and statistics. WHO.
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