ANALYSIS OF MATERNAL AGE AT MARRIED, NUMBER OF CHILDREN, HISTORY OF BREASTFEEDING, MOTHER'S EDUCATION AND HIGH RISK OF PREGNANCY WITH INCIDENCE OF STUNTING IN CHILDREN UNDER FIVE-YEARS

Main Article Content

Eka Sri Purwandari
Qorinah Estiningtyas Sakilah Adnani
Reni Yuli Astutik

Abstract

Background: Stunting among children is a problem that has received serious attention from the Indonesian government. Incidence of stunting has decreased from year to year, but the decline still does not meet the World Health Organization (WHO) target. Stunting occurs as a result of chronic malnutrition, especially during the first 1000 days of birth as a vital phase. Chronic nutritional deficiency as a toddler can be caused by various factors, including exclusive breastfeeding, the number of children that must be borne by the family and mother's education.


Purpose: This study aimed to analyse the age of the women at marriage, the number of children, mother’s education, history of breastfeeding and pregnancy risk with the incidence of stunting in children under five years..


Methods: The design of this study was analytic with a cross-sectional approachThis research was conducted on toddlers aged 13-60 months in a village of East Java Province, Indonesia, with a sample size of 110 children under five. The statistical test used logistic regression with a confidence level of 95%.


Results: Data analysis using logistic regression reveal the relationship between the dependent variable and the incidence of toddler stunting, the following results were obtained: from the mother's age at marriage, the value of ? 0.286, the number of family members ? 0.587, mother's education, ? 0.002, history of breastfeeding, ? 0.884, risk of pregnancy ? 0.696. of the five factors associated with the incidence of under-five stunting in this study, it shows that only mother's education has a very significant relationship with the incidence of under-five stunting (? = 0.002 <? = 0.05). The OR value is 4.724, which means that mothers with primary education have a risk of 4.724 times in the incidence of child stunting.


Conclusion: The lower the mother's education provides an opportunity for the incidence of toddler stunting. Maternal education is related to the ability to receive information related to nutrition and child development so that it also has an impact on the preparation of family nutrition. In the long term, improper nutrition can lead to stunting.

Article Details

How to Cite
Purwandari, E. S., Estiningtyas Sakilah Adnani , Q. ., & Yuli Astutik, R. (2021). ANALYSIS OF MATERNAL AGE AT MARRIED, NUMBER OF CHILDREN, HISTORY OF BREASTFEEDING, MOTHER’S EDUCATION AND HIGH RISK OF PREGNANCY WITH INCIDENCE OF STUNTING IN CHILDREN UNDER FIVE-YEARS. Women, Midwives and Midwifery, 1(1), 21-30. https://doi.org/10.36749/wmm.1.1.21-30.2021
Section
Articles

References

Aguayo V.M., Nair R., Badgaiyan N. & Krishna V. (2016). Determinants of stunting and poor linear growth in children under two years of age in India: an in?depth analysis of Maharashtra's Comprehensive Nutrition Survey. Maternal and Child Nutrition. ; 12(1): 121–140.

Aguayo, V. M and Menon P, (2016). Stop stunting: improving child feeding, women's nutrition and household sanitation in South Asia. Matern Child Nutr. Vol 12 (1): 3-11

Akombi, B. J., Agho, K. E., Hall, J. J., Merom, D., Astell-Burt, T., & Renzaho, A. M. (2017). Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatrics, 17 (1), 15. https://doi.org/10.1186/s12887-016-0770-z

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. (2013). Riset kesehatan dasar (Riskesdas). Jakarta: Balitbang Kemenkes RI

Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI (2018). Riset kesehatan dasar (Riskesdas). Jakarta: Balitbang Kemenkes RI

Direktorat Gizi Dirjen Kesmas Kemenkes. (2018). Buku Saku Pemantaun Gizi 2017. Jakarta: Kemenkes RI

Efevbera, Y, Bhabha J, Farmer PE, Fink G. (2017). Girl child marriage as a risk factor for early childhood development and stunting. Social Scince Medicine. Jul;185:91-101. doi: 10.1016/j.socscimed.2017.05.027.

Efevbera, Y., Bhabha, J., Farmer, P. et al. (2019). Girl child marriage, socioeconomic status, and undernutrition: evidence from 35 countries in Sub-Saharan Africa. BMC Medicine 17: 55. https://doi.org/10.1186/s12916-019-1279-8

Fikadu, T., Assegid, S., & Dube, L. (2014). Factors associated with stunting among children of age 24 to 59 months in Meskan district, Gurage Zone, South Ethiopia: a case-control study. BMC public health, 14, 800. https://doi.org/10.1186/1471-2458-14-800

Gupta, AK, Santhya, KG (2020) Proximal and contextual correlates of childhood stunting in India: A geo-spatial analysis. Plos One. 15(8): e0237661. https://doi.org/10.1371/journal. pone.0237661

Huang W. (2015). Understanding the effects of education on health: evidence from China. Retrieved from: https://scholar.harvard.edu/ weihuang/publications/understanding-effects- education-health-evidence-china

Karundeng LR, Amatus Yudi Ismanto, Rina Kundre. (2015). Hubungan Jarak Kelahiran dan Jumlah Anak dengan Status Gizi Balita di PuskesmasKao Kecamatan Kao kabupaten Halmahera Utara. eJournal Keperawatan (e-Kep) .Volume 3 (1)

Khan S, Zaheer, S., Safdar, N.F. (2019). Determinants of stunting, underweight and wasting among children < 5 years of age: evidence from 2012-2013 Pakistan demographic and health survey. BMC Public Health. 19:358 https://doi.org/10.1186/s12889-019-6688-2

Prendergast, A. J., & Humphrey, J. H (2014). The stunting syndrome in developing countries. Paediatrics & International Child Health. 34(4), 250–265. doi:10.1179/2046905514y.0000000158

Rakotomanana H, Gates GE, Hildebrand D, Stoecker BJ. (2017). Determinants of stunting in children under 5 years in Madagascar. Matern and Child Nutrition. 13(4):e12409. doi: 10.1111/mcn.12409.

Rumble, L., Amber Peterman, Nadira Irdiana, Margaret Triyana and Emilie Minnick. (2018). An empirical exploration of female child marriage determinants in Indonesia. BMC Public Health. 18:407

TNP2K (2017). 100 Kabupaten/Kota Prioritas Untuk Intervensi Anak Kerdil (Stunting). TNP2K: Jakarta

UNICEF. (2020). Child Marriage. Retrieved From: https://data.unicef.org/topic/child-protection/child-marriage/

WHO. (2006). Child growth standards: Length/height?for?age. Retrieved from http://www.who.int/childgrowth/standards/height_for_age/en/

WHO. (2014a). Stunting Policy Brief. Retrieved from https://www.who.int/nutrition/publications/globaltargets2025_policybrief_stunting/en/

WHO. (2014b). Anaemia Policy Brief. Retrieved from https://www.who.int/nutrition/publications/globaltargets2025_policybrief_anaemia/en/

Zaragoza Cortes, J, Trejo Osti, LE, Ocampo Torres, M, Maldonado Vargas, L, Ortiz Gress, AA (2018). Poor breastfeeding, complementary feeding and dietary diversity in children and their relationship with stunting in rural communities. Nutr Hosp. 2018. 35(2):271-278. doi: 10.20960/nh.1352.