Determinants of Stunting in Children Under Five in Rural Areas
DOI:
https://doi.org/10.35335/midwifery.v10i4.729Keywords:
Stunting, Children Under Five, Rural AreasAbstract
Stunting is a major nutritional problem that will have an impact on social and economic life in society. Stunting is prone to occur in toddlers. Stunting toddlers tend to find it difficult to achieve optimal growth and development potential, both physically and psychomotor. This study is a systematic review using online databases, namely Sciencedirect, ProQuest, Scopus, and Google Scholar. The keywords used are stunting, toddlers, rural areas and their impact. The purpose of the systematic review is to analyze the factors that influence the incidence of stunting in children under five in rural areas. The results of the review show that the factors that influence the occurrence of stunting in children under five in rural areas are mother's education, family income, mother's knowledge of nutrition, exclusive breastfeeding, age of giving complementary feeding, levels of zinc and iron adequacy, history of infectious diseases. and genetic factors. However, for the mother's employment status, the number of family members, immunization status, energy adequacy level, and LBW status did not affect the occurrence of stunting. The factor that most influences the occurrence of stunting in children under five in rural areas is the level of zinc adequacy. It is recommended for the community to be active in outreach activities and other health activities carried out in order to improve health status and for mothers should routinely carry out weighing at the nearest posyandu so that the growth and development of children can be monitored and can be handled immediately if problems are found in the child's growth and development.
Downloads
References
World Health Organization. (2018). The state of food security and nutrition in the world 2018: building climate resilience for food security and nutrition. Food & Agriculture Organization.
World Health Organization. (2019). The state of food security and nutrition in the world 2019: safeguarding against economic slowdowns and downturns (Vol. 2019). Food & Agriculture Organization.
World Health Organization. (2020). The state of food security and nutrition in the world 2020: transforming food systems for affordable healthy diets (Vol. 2020). Food & Agriculture Organization.
Li, X., Yadav, R., & Siddique, KH (2020). Neglected and underutilized crop species: the key to improving dietary diversity and fighting hunger and malnutrition in Asia and the Pacific. Frontiers in Nutrition, 7, 593711.
Balitbangkes Ministry of Health, RI (2018). Basic Health Research Report (Riskesdas). Jakarta: Ministry of Health of the Republic of Indonesia.
Fanzo, J., Hawkes, C., Udomkesmalee, E., Afshin, A., Allemandi, L., Assery, O., ... & Schofield, D. (2019). 2018 Global Nutrition Report.
Titaley, Christiana R., et al. "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 (2019): 1106.
Rachmi, CN, Agho, KE, Li, M., & Baur, LA (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), e0154756.
Balitbangkes Ministry of Health, RI (2010). Basic Health Research Report (Riskesdas). Jakarta: Ministry of Health of the Republic of Indonesia.
Dwiputri, J. (2022). Identification of Factors Affecting Undernutrition in Children (Lung TB in Children) in Kindergarten III Hospital 03.06. 02 Salak Bogor (Case Study of Class 2 Pediatric Patients).
Ministry of Health, RI (2013). Basic Health Research Report (Riskesdas) 2013. Jakarta: Ministry of Health of the Republic of Indonesia.
Sulastri, D. (2012). Determinant factors of stunting in school-age children in Lubuk Kilangan District, Padang City. Andalas medical magazine, 36(1), 39-50.
Hendrayati, H., & Asbar, R. (2018). Analysis of Determinants of Stunting Incidence in Toddlers Age 12 to 60 Months. Food Nutrition Media, 25(1), 69-76.
Ibrahim, IA, Bujawati, E., Syahrir, S., Adha, AS, & Mujahida, M. (2019). Analysis of Determinants of Growth Failure (Stunting) Incidence in Toddlers Age 12-36 Months in the Mountain Area of Bontongan Village, Baraka District, Enrekang Regency. Al-Sihah: The Public Health Science Journal, 11(1).https://doi.org/10.24252/as.v11i1.9418
Haris, A., Fitri, A., & Kalsum, U. (2019). Determinants of stunting and underweight among tribal children under five in Nyogan village, Muaro Jambi district in 2019. Jambi Public Health Journal, 3(1), 41-54.
Mustikaningrum, AC, Subagio, HW, & Margawati, A. (2016). Determinants of stunting in infants aged 6 months in Semarang City. Indonesian Journal of Nutrition (The Indonesian Journal of Nutrition), 4(2), 82-88.
Subratha, HFA, & Peratiwi, NMI (2020). Determinants of Stunting Incidence in Toddlers in Gianyar Regency, Bali. MAKIA Journal of Health Sciences, 10(2), 99-106.
Noflidaputri, R., & Febriyeni, F. (2020). Determinants of Stunting Incidence in Toddlers Age 24-59 Months in the Working Area of Silayang Health Center, Pasaman Regency. Scientific Journal of Health, 12(2), 187-195.
Asmirin, A., Hasyim, H., Novrikasari, N., & Faisya, F. (2021). Analysis of Determinants of Stunting Incidence in Toddlers (Age 24-59 Months). Journal of 'Aisyiyah Medika, 6(2), 16-33.
Permanasari, Y., Saptarini, I., Amalia, N., Safitri, A., Nurhidayati, N., Sari, YD, ... & Kumlasari, SD (2021). Determinants of Stunting Toddlers in Locus and Non Locus Villages in 13 Stunting Locus Districts in Indonesia in 2019. Nutrition and Food Research (The Journal of Nutrition and Food Research), 44(2), 79-92.
Rahim, E., & Amma, YA (2022). Factors Associated with Stunting Incidence in Bulango Ulu District, Bone Bolango Regency. Echo Wiralodra, 13(1), 12-22.
Supariasa, IDN, & Purwaningsih, H. (2019). Factors influencing the incidence of stunting in children under five in Malang district. Journal of Innovation and Regional Development, 1(2), 76-85.
Ramadhaniah, R., Azvia, F., & Hanum, F. (2022). Determinants of Stunting Incidence in Toddlers Age 24-59 Months at Grong-Grong Health Center, Pidie Regency, 2019. Celebes Public Health Journal, 3(02), 01-10.
Ramadhani, F., Hatta, H., & Abidin, A. (2021). Determinants of the Nutritional Status of Toddlers at the Boilan Health Center, Buol Regency. Gorontalo Journal Of Nutrition And Dietetic, 1(1), 1-6.
Panatariono, TA, & Puspitasari, Y. (2022). Determinants of Factors Occurring Stunting in Toddlers in East Kambingan Village and Talang Village, Saronggi Subdistrict, Sumenep Regency. Health Science and Practice Development, 1(1), 36-53.
Anas, AS, Ikhtiar, M., & Gobel, FA (2022). The Relationship between Environmental Factors and Stunting Incidence in Toddlers in the Work Area of Taraweang Health Center, Pangkep Regency. Journal of Muslim Community Health, 3(3), 1-12.
Pardede, TT, Sumargo, B., & Rahayu, W. (2022). Application of Least Absolute Shrinkage And Selection Operator (LASSO) Regression to Identify Variables That Affect Stunting Incidence in Indonesia. Journal of Statistics and Its Applications, 6(1), 37-48.
Kiik, SM, & Nuwa, MS (2021). Maternal factors in stunting among vulnerable children. Indonesian Journal of Nursing, 24(2), 82-89.
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, LM (2018). A review of child stunting determinants in Indonesia. Maternal & child nutrition, 14(4), e12617.
Sari, JS, Fitria, F., & Esitra, E. (2020). Factors Affecting Adherence to Pregnant Women Taking Iron Supplements: Systematic Literature Review. PLACENTUM: Scientific Journal of Health and Its Applications, 8(1), 18-24.
Greffeuille, V., Sophonneary, P., Laillou, A., Gauthier, L., Hong, R., Hong, R., ... & Berger, J. (2016). Correction: Greffeuille, V.; et al. Persistent Inequalities in Child Undernutrition in Cambodia from 2000 Until Today. Nutrients 2016, 8, 297. Nutrients, 8(10), 459.
Aguayo, VM, & Menon, P. (2016). Stop stunting: improving child feeding, women's nutrition and household sanitation in South Asia. Maternal & child nutrition, 12, 3-11.
Al-Anshori, H., & Nuryanto, N. (2013). Risk factors for stunting in children aged 12-24 months (Study in East Semarang District) (Doctoral dissertation, Diponegoro University).
SJMJ, SAS, Toban, RC, & Madi, MA (2020). The Relationship of Exclusive Breastfeeding with Stunting Incidence in Toddlers. Scientific Journal of Health Sandi Husada, 9(1), 448-455.
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(1), 1-7.
Thobias, IA, & Djokosujono, K. (2021). Minimum Dietary Diversity as a Dominant Factor of Stunting in Children aged 6-23 Months in Kupang Regency. Journal of Public Health and Nutrition (Jkg), 3(2), 136-143.
Ryadinency, R., Suwandi, N., & Patmawati, TA (2020). Analysis of Determinant Factors in Stunting Children in Palopo, Indonesia. Journal of Wetenskap Health, 1(2), 77-82.


