Effectiveness of Specific Interventions to Address Stunting in East Java Province in 2023: An Ecological Analysis
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Nurul Jannatul Firdausi
Cicik Swi Antika
Agung Dwi Laksono
Waritsah Sukarjiyah
Abstract
The Indonesian Health Survey in 2023 indicates that the prevalence of stunting in Indonesia remains high, at approximately 21.5%. The objective of the present study is to evaluate the efficacy of specific strategies designed to mitigate stunting in East Java Province. The research utilised secondary data, which was gathered ecologically. The study utilised a cross-sectional design, with the prevalence of stunting serving as the dependent variable and eleven distinct interventions as independent variables. The analysis revealed ten strategies that were found to be effective in mitigating stunting. These include anemia screening, iron tablet supplementation for adolescent girls, pregnancy examinations, iron tablet supplementation for pregnant women, supplementary nutrition for pregnant women with chronic energy deficiency, monitoring of toddler growth, exclusive breastfeeding, management of toddlers with nutritional deficiencies, enhancement of immunization coverage, and education for pregnant women and their families, including the promotion of open defecation-free practices. Conversely, the provision of supplemental diets rich in animal protein for toddlers was found to be ineffectual in diminishing the prevalence of stunting.
Keywords: Community nutritional status, East Java, Stunting, Specific intervention
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References
Afira Septia Gunawan and Prameswari, G.N. (2022) ‘Evaluasi Program Intervensi Gizi Spesifik Penanggulangan Stunting pada Baduta’, Indonesian Journal of Public Health and Nutrition, 2(3), pp. 251–259. Available at: https://doi.org/10.15294/ijphn.v2i3.55253.
Akseer, N. et al. (2022) ‘Economic costs of childhood stunting to the private sector in low- and middle-income countries’, eClinicalMedicine, 45, pp. 1–18. Available at: https://doi.org/10.1016/j.eclinm.2022.101320.
Ashar, H. et al. (2024) ‘Factors related to stunting in children under 2 years old in the Papua, Indonesia’, Saudi Medical Journal, 45(3), pp. 273–278. Available at: https://doi.org/10.15537/smj.2024.45.3.20230774.
Diana, R. et al. (2018) ‘Food taboos and suggestions among Madurese pregnant women: a qualitative study’, Journal of Ethnic Foods, 5(4), pp. 246–253. Available at: https://doi.org/10.1016/j.jef.2018.10.006.
Domili, I. et al. (2023) ‘Pencegahan Stunting Melalui Intervensi Spesifik Dan Sensitif’, Jurnal Masyarakat Mandiri, 7(6), p. 5778. Available at: https://doi.org/10.31764/jmm.v7i6.19181.
Ekholuenetale, M. et al. (2022) ‘Inequalities in the prevalence of stunting, anemia and exclusive breastfeeding among African children’, BMC pediatrics, 22(1), p. 333. Available at: https://doi.org/10.1186/s12887-022-03395-y.
FAO et al. (2022) The State of Food Security and Nutrition in the World 2022, The State of Food Security and Nutrition in the World 2022. FAO. Available at: https://doi.org/10.4060/CC0639EN.
Fitrotuzzaqiyah, I. and Rahayu, S. (2023) ‘Implementasi Intervensi Spesifik Dalam Upaya Pencegahan Stunting Balita Di Desa Gambarsari Kecamatan Pagaden Kabupaten Subang’, Journal of Nutrition College, 11(3), pp. 236–247. Available at: https://doi.org/10.14710/jnc.v11i3.32165.
Gumilang, I. (2023) ‘Studi Literatur: Intervensi Spesifik Penanganan Stunting’, Indonesian Health Issue, 2(1), pp. 29–37. Available at: https://doi.org/10.47134/inhis.v2i1.43.
Ipa, M. et al. (2023) ‘Stakeholders’ Role in The Implementation of Stunting Management Policies in Garut Regency’, Indonesian Journal of Health Administration, 11(1), pp. 26–35. Available at: https://doi.org/10.20473/jaki.v11i1.2023.26-35.
Kementerian Kesehatan RI. (2023) 11 Intervensi Spesifik Atasi Stunting Telah Dilaksanakan di Daerah, 2 Di Antaranya Melebihi Target.
Kementerian Kesehatan RI (2024) Laporan Survei Kesehatan Indonesia 2023. Jakarta.
Kusrini, I., Ipa, M. and Laksono, A.D. (2019) ‘“Is It true that the child is king?”: Qualitative Study of Factors Related to Nutritional Status of Children in West Lombok, Indonesia’, Indian Journal of Public Health Research and Development, 10(12), pp. 1729–1733. Available at: https://doi.org/10.37506/v10/i12/2019/ijphrd/192113.
Kusumawardani, H.D. et al. (2023) ‘Stunting Among Children Under Two Years in the Islands Areas: A Cross-sectional Study of the Maluku Region in Indonesia, 2021’, Journal of Research in Health Sciences, 23(4), p. e00597. Available at: https://doi.org/10.34172/jrhs.2023.132.
Lagiono, L. et al. (2023) ‘Evaluasi Layanan Layanan Kesehatan Lingkungan Sebagai Intervensi Spesifik Untuk Mendukung Akselerasi Penurunan Stunting’, LINK, 19(1), pp. 34–42. Available at: https://doi.org/10.31983/link.v19i1.9428.
Laksono, A.D., Muis, E.W. and Wulandari, R.D. (2024) ‘Policy To Reduce Under Two Stunting In East Java Region, Indonesia: Who Is The Right Target?’, The Indonesian Journal of Public Health, 19(2), pp. 263–275. Available at: https://doi.org/10.20473/ijph.v19i2.2024.263-275.
Laksono, A.D. and Wulandari, R.D. (2021) ‘The Food Taboo of the Muyu Tribe in Papua (Pantangan Makanan pada Suku Muyu di Papua)’, Amerta Nutrition, 5(3), p. 251. Available at: https://doi.org/10.20473/amnt.v5i3.2021.251-259.
Latief, D. (2021) ‘The History of the Blood Supplemental Tablet (Iron/Folic Acid) Program Policy in Indonesia: Implementation and Constraints’. Available at: https://stunting.go.id/perlunya-konsumsi-ttd-untuk-penanggulangan-anemia-pada-ibu-hamil/.
Maghfiroh, M.S. and Laksono, A.D. (2020) ‘“Given sugar water ... at first the cry became silent, because it was full, not limp, its endurance increased”; Study of Patterns of Infant Intake (“Diberi air gula… awalnya nangis menjadi diam, karena kenyang, gak lemas, daya tahan tubuhnya meningkat”; S’, Amerta Nutrition, 4(2), pp. 116–122. Available at: https://doi.org/10.2473/amnt.v4i2.2020.116-122.
Marume, A., Archary, M. and Mahomed, S. (2023) ‘Predictors of stunting among children aged 6–59 months, Zimbabwe’, Public Health Nutrition, 26(4), pp. 820–833. Available at: https://doi.org/10.1017/S1368980023000046.
Ministry of National Development Planning/Bappenas (2017) Roadmap for Sustainable Development Goals in Indonesia (Peta Jalan Sustainable Development Goals di Indonesia), Ministry of National Development Planning/Bappenas. Jakarta.
Mukisa, G.G.W.W., Shumba, T.T.W. and Lourens, A. (2024) ‘Determinants of undernutrition in children under five years in the Southern Africa sub-region: A scoping review’, Journal of Health Research, 38(2), pp. 177–199. Available at: https://doi.org/10.56808/2586-940X.1074.
Muthia, G., Oscco, E. vasquez and Yantri, E. (2020) ‘Evaluasi Pelaksanaan Program Pencegahan Stunting Ditinjau dari Intervensi Gizi Spesifik Gerakan 1000 HPK Di Puskesmas Pegang Baru Kabupaten Pasaman’, Jurnal Kesehatan Andalas, 8(4), p. 100. Available at: https://doi.org/10.25077/jka.v8i4.1125.
Nuzula, F., Oktaviana, M.N. and Yunita, R.D.Y. (2021) ‘Pendidikan Kesehatan terhadap Kader tentang Intervensi Gizi Spesifik dalam Pencegahan Stunting’, The Indonesian Journal of Health Science, 12(2), pp. 209–215. Available at: https://doi.org/10.32528/ijhs.v12i2.4877.
Permanasari, Y. et al. (2021) ‘Determinant factors for stunting of toddlers in locus and non-locus villages in 13 stunting locus districts in Indonesia in 2019 (Faktor determinan balita stunting pada desa lokus dan non lokus di 13 kabupaten lokus stunting di Indonesia tahun 2019)’, The Journal of Nutrition and Food Research, 44(2), pp. 79–92. Available at: https://doi.org/10.22435/pgm.v44i2.5665.
Pratita, I. and Laksono, A.D. (2020) ‘“If this child eats, whatever she/he is asked ...”: Exploration of Value of Children and Parenting Patterns in Javanese in the Besowo village, Kediri, East Java’, Amerta Nutrition, 4(2), p. 147. Available at: https://doi.org/10.20473/amnt.v4i2.2020.147-154.
Supadmi, S. et al. (2024) ‘Factor related to stunting of children under two years with working mothers in Indonesia’, Clinical Epidemiology and Global Health, 26(2024), p. 101538. Available at: https://doi.org/10.1016/j.cegh.2024.101538.
Utami, S.M. et al. (2020) ‘Ecological Analysis of Preeclampsia/Eclampsia Case in Sidoarjo Regency, Indonesia, 2015-2019’, Indian Journal of Forensic Medicine and Toxicology, 14(4), pp. 3474–3479. Available at: https://doi.org/10.37506/ijfmt.v14i4.12164.
World Health Organization (2019) WHA Global Nutrition Targets 2025: Stunting Policy Brief. Geneva. Available at: https://www.who.int/publications-detail-redirect/WHO-NMH-NHD-14.3.
World Health Organization (2023) Stunting Prevalence among Children Under 5 Years of Age (%) (model-based estimates). Geneva. Available at: https://www.who.int/data/gho/data/indicators/indicator-details/GHO/gho-jme-stunting-prevalence.
Wulandari, R.D. et al. (2022) ‘The Targets for Stunting Prevention Policies in Papua, Indonesia: What Mothers’ Characteristics Matter?’, Nutrients, 14(3), p. 549. Available at: https://doi.org/10.3390/nu14030549.
Yesica, D. et al. (2021) ‘Ecological Analysis of Maternity Care in Indonesia in 2018’, Indian Journal of Forensic Medicine and Toxicology, 15(2), pp. 2261–2267. Available at: https://doi.org/10.37506/ijfmt.v15i2.14708.
Yuliarsih, L. (2020) ‘Gambaran Status Gizi dan Pola Makan Balita di Wilayah Kerja Puskesmas Anstanajapura Kabupaten Cirebon Tahun 2019’, Cerdika: Jurnal Ilmiah Indonesia, 1(2), pp. 130–140.
Yuniarti, Y. et al. (2024) ‘Intervensi Spesifik dan Sensitif Penanganan Stunting di Desa Salakbrojo Kabupaten Pekalongan’, Archive Jurnal Pengabdian Kepada Masyarakat, 3(2), pp. 178–186. Available at: https://doi.org/10.55506/arch.v3i2.93.