Nutrition Awareness: Family Practices in Indonesian Borderland

Maria Paula Marla Nahak(1), Maria Fatimah Wilhelmina Abuk Fouk(2), Maria Julieta Esperanca Naibili(3),


(1) Universitas Timor
(2) Universitas Timor
(3) Universitas Timor

Abstract

Poor family nutritional practice is one of the major leading causes of stunting in children aged 0-59 months. Good family nutrition practices are one of the primary keys to stunting prevention. It can also reduce the prevalence of stunting and the impact it has on families, which are included in the category of stunting risk families. This study aimed to investigate nutrition-aware family practices at Haliwen Health Center, Atambua-one of the border areas of the Republic of Indonesia (RI) and Democratic Republic of Timor Leste (DRTL). It is a descriptive study with a cross-sectional design that took place at the Haliwen Health Center, Belu Regency, East Nusa Tenggara Province, Indonesia, from September 1 to October 30, 2021. A total of 147 families with children aged 0-59 months, were selected by purposive sampling. Most mothers (60%) gave exclusive breastfeeding to infants aged 0-6 months. Most mothers (78%) firstly gave complementary feeding to infants at the age of >6 months, most families and children (94%) ate a variety of nutritional sources, most families (56%) used iodized salt, most infants (95%) aged 6-11 months and children 12-59 months received vitamin A supplements, most (88%) pregnant women received iron supplement at least 90 tablets during pregnancy, most postpartum women (72%) received two capsules of vitamin A supplements. 58.5% of families at the Haliwen Health Center had implemented >75% nutrition-aware family indicators. However, none of them had performed 100% nutrition-aware family indicators. Sustainable assistance needs to be improved to reach 100% nutrition-aware family and implemented in all families.

Keywords

Nutrition-aware Family; Stunting; Borderland;

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References

Abbag, F.I., Abu-Eshy, S.A., Mahfouz, A.A., Alsaleem, M.A., Alsaleem, S.A., Patel, A.A., Mirdad, T.M., Shati, A.A., & Awadalla, N.J., 2021. Iodine Deficiency Disorders as a Predictor of Stunting Among Primary School Children in the Aseer Region, Southwestern Saudi Arabia’. International Journal of Environmental Research and Public Health, 18(14), pp.1–9.

Abdulahi, A., Shab-Bidar, S., Rezaei, S., & Djafarian, K., 2017. Nutritional Status of Under Five Children in Ethiopia: A Systematic Review and Meta-Analysis. Ethiopian Journal of Health Sciences, 27(2), pp.175–188.

Abhishek, S., Ashish., S., & Ram, F., 2014. Household Food Insecurity and Nutritional Status of Children and Women in Nepal. Food and Nutrition Bulletin, 35(1), pp.3–11.

Aguayo, V.M., & Menon, P., 2016. Stop Stunting: Improving Child Feeding, Women’s Nutrition and Household Sanitation in South Asia’. Maternal and Child Nutrition, 12, pp.3–11.

Ahmad, S.M., Hossain, M.I., Bergman, P., Kabir, Y., & Raqib, R., 2015. The Effect of Postpartum Vitamin A Supplementation on Breast Milk Immune Regulators and Infant Immune Functions: Study Protocol of a Randomized, Controlled Trial. Trials, 16(1), pp.1–9.

Akombi, B.J., Agho, K.E., Hall, J.J., Merom, D., Astell-Burt, T., & Renzaho, A.M.N., 2017. Stunting and Severe Stunting Among Children Under-5 Years in Nigeria: A Multilevel Analysis. BMC Pediatrics, 17(1), pp.1–16.

Atsu, B.K., Guure, C., & Laar, A.K., 2017. Determinants of Overweight with Concurrent Stunting Among Ghanaian Children. BMC Pediatrics, 17(1), pp.1–12.

Binns, C., Lee, M.K., Low, W.Y., Baker, P., Bulgiba, A., Dahlui, M., Duong, D.T.T., Guldan, G., Hairi, N., Hokama, T., Kagawa, M., Karunathilake, I., Majid, H.A., Maycock, B., Nanishi, K., Qiu, L., Raheem, R.A., Scott, J., & Tang, L., 2020. Guidelines for Complementary Feeding of Infants in the Asia Pacific Region: APACPH Public Health Nutrition Group. Asia-Pacific Journal of Public Health, 32(4), pp.1–9.

Campos, A.P., Vilar-Compte, M., & Hawkins, S.S., 2020. Association Between Breastfeeding and Child Stunting in Mexico. Annals of Global Health, 86(1), pp.1–14.

Danaei, G., Andrews, K.G., Sudfeld, C.R., Fink, G., McCoy, D.C., Peet, E., Sania, A., Fawzi, M.C.S., Ezzati, M., & Fawzi, W.W., 2016. Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis at Global, Regional, and Country Levels. PLoS Medicine, 13 (11), pp.1–18.

Deki, P., 2016. Factors Affecting Early Childhood Growth and Development: Golden 1000 Days. Journal of Advanced Practices in Nursing, 1(1), pp.1–4.

Demirchyan, A., Petrosyan, V., Sargsyan, V., & Hekimian, K., 2016. Predictors of Stunting Among Children Ages 0 to 59 Months in a Rural Region of Armenia. Journal of Pediatric Gastroenterology and Nutrition, 62(1), pp.150–156.

de Onis, M., & Branca, F., 2016. Childhood Stunting: A Global Perspective. Maternal and Child Nutrition, 12, pp.12–26.

Departemen Kesehatan RI., 2008. Pedoman Pemantauan Status Gizi (PSG) dan Keluarga Sadar Gizi (KADARZI). Jakarta: Depkes RI.

Dewey, K.G., 2016. Reducing Stunting by Improving Maternal, Infant and Young Child Nutrition in Regions Such as South Asia: Evidence, Challenges and Opportunities. Maternal and Child Nutrition, 12, pp.27–38.

Dewey, K.G., & Begum, K., 2011. Long-term Consequences of Stunting in Early Life. Maternal and Child Nutrition, 7(Suppl. 3), pp.5–18.

Fregonese, F., Siekmans, K., Kouanda, S., Druetz, T., Ly, A., Diabaté, S., & Haddad, S., 2017. Impact of Contaminated Household Environment on Stunting in Children Aged 12-59 Months in Burkina Faso. Journal of Epidemiology and Community Health, 71(4), pp.356–363.

Gleason, K.M., Valeri, L., Shankar, A.H., Hasan, M.O.S.I, Quamruzzaman, Q., Rodrigues, E.G., Christiani, D.C., Wright, R.O., Bellinger, D.C., & Mazumdar, M., 2016. Stunting is Associated with Blood Lead Concentration Among Bangladeshi Children Aged 2-3 Years. Environmental Health: A Global Access Science Source, 15(1), pp.1–9.

Gwavuya, S., Murendo, C., Wekwete, N., Takavarasha, F., & Madzingira, N., 2014. Maternal Iron and Vitamin A Supplementation and the Nutritional Status of Children in the 2010-11. Zimbabwe Demographic and Health Survey, DHS Working Papers, 109

Hoddinott, J., Alderman, H., Behrman, J.R., Haddad, L., & Horton, S., 2013. The Economic Rationale for Investing in Stunting Reduction. Maternal and Child Nutrition, 9(S2), pp.69–82.

Hoffman, D.J., Sawaya, A.L., Verreschi, I., Tucker, K.L., & Roberts, S.B., 2000. Why are Nutritionally Stunted Children at Increased Risk of Obesity? Studies of Metabolic Rate and Fat Oxidation in Shantytown Children from Sao Paulo, Brazil. American Journal of Clinical Nutrition, 72(3), pp.702–707.

Iftikhar, A., 2018. Maternal Anemia and Its Impact on Nutritional Status of Children Under the Age of Two Years. Biomedical Journal of Scientific & Technical Research, 5(3), pp.4519–4522.

Jackson, B.D., & Black, R.E., 2017. A Literature Review of the Effect of Malaria on Stunting. Journal of Nutrition, 147(11), pp.2163S-2168S.

Kemenkes RI., 2013. Riset Kesehatan Dasar 2013. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI. Jakarta.

Kemenkes RI., 2018. Hasil Utama Riset Kesehatan Dasar (RISKESDAS) 2018. Jakarta: Kementerian Kesehatan RI.

Kemenkes RI., 2020. Pokok-Pokok Renstra Kemenkes 2020-2024. Jakarta: Kemenkes RI.

Krämer, M., Kupka, R., Subramanian, S.V., & Vollmer, S., 2016. Association between Household Unavailability of Iodized Salt and Child Growth: Evidence from 89 Demographic and Health Surveys. American Journal of Clinical Nutrition, 2016, pp.1093–1100.

Li, Z., Kim, R., Vollmer, S., & Subramanian, S.V., 2020. Factors Associated with Child Stunting, Wasting, and Underweight in 35 Low-And Middle-Income Countries. JAMA Network Open, 3(4), pp.1–67.

Mahmudiono, T., Sumarmi, S., & Rosenkranz, R.R., 2017. Household Dietary Diversity and Child Stunting in East Java, Indonesia. Asia Pacific Journal of Clinical Nutrition, 26(2), pp.317–325.

Mal-ed Network Investigators., 2017. Childhood Stunting in Relation to the Pre- and Postnatal Environment During the First 2 Years of Life: The MAL-ED Longitudinal Birth Cohort Study. PLoS Medicine, 14(10), pp.1–21.

Mosites, E., Dawson-Hahn, E., Walson, J., Rowhani-Rahbar, A., & Neuhouser, M.L., 2016. Piecing Together the Stunting Puzzle: A Framework for Attributable Factors of Child Stunting. Paediatrics and International Child Health, 37(3), pp.158–165.

Muhammad, H.F.L., 2018. Obesity as the Sequel of Childhood Stunting: Ghrelin and GHSR Gene Polymorphism Explained. Acta medica Indonesiana, 50(2), pp.159–164.

Nisar, Y.B., Aguayo, V.M., Billah, S.M., & Dibley, M.J., 2020. Antenatal Iron-Folic Acid Supplementation is Associated with Improved Linear Growth and Reduced Risk of Stunting or Severe Stunting in South Asian Children Less than Two Years of Age: A Pooled Analysis from Seven Countries. Nutrients, 12(9), pp.1–19.

Nisar, Y.B., Dibley, M.J., & Aguayo, V. M., 2016. Iron-Folic Acid Supplementation During Pregnancy Reduces the Risk of Stunting in Children Less Than 2 Years of Age: A Retrospective Cohort Study from Nepal. Nursing News, 8(67), pp.1–16.

Nkurunziza, S., Meessen, B., Geertruyden, J-P.V., & Korachais, C., 2017. Determinants of Stunting and Severe Stunting among Burundian Children Aged 6-23 Months: Evidence from a National Cross-Sectional Household Survey, 2014. BMC Pediatrics, 17(1), pp.1–14.

Oliveira, J.M., Allert, R., & East, C.E., 2016. Vitamin A Supplementation for Postpartum Women. Cochrane Database of Systematic Reviews, 2016(3), pp.1–4.

Owino, V., Ahmed, T., Freemark, M., Kelly, P., Loy, A., Manary, M., & Loechl, C., 2016. Environmental Enteric Dysfunction and Growth Failure/Stunting in Global Child Health. Pediatrics, 138(6), pp.1–11.

Pacheco, C.D.R., Picauly, I., & Sinaga, M., 2017. Health, Food Consumption, Social Economy, and Stunting Incidency in Timor Leste. Jurnal Kesehatan Masyarakat, 13(2), pp.261–269.

Pemerintah Republik Indonesia., 2021. Peraturan Presiden Republik Indonesia Nomor 72 Tahun 2021 Tentang Percepatan Penurunan Stunting.

Perkins, J.M., Kim, R., Krishna, A., McGovern, M., Aguayo, V.M., & Subramanian, S.V., 2017. Understanding the Association Between Stunting and Child Development in Low- and Middle-Income Countries: Next Steps for Research and Intervention. Social Science and Medicine, 193, pp.101–109.

Perumal, N., Bassani, D.G., & Roth, D.E., 2018. Use and Misuse of Stunting as a Measure of Child Health. Journal of Nutrition, 148(3), pp.311–315.

Prentice, A.M., 2017. Stunting in Developing Countries. World Review of Nutrition and Dietetics, 117, pp.e108–e216.

Pusat Data dan Informasi Kementerian Kesehatan RI., 2020. Situasi Stunting di Indonesia, Jendela data dan informasi kesehatan. Available at: https://pusdatin.kemkes.go.id/download.php?file=download/pusdatin/buletin/buletin-Situasi-Stunting-di-Indonesia_opt.pdf.

Rakotomanana, H., Gates, G.E., Hildebrand, D., & Stoecker, B.J., 2017. Determinants of Stunting in Children Under 5 Years in Madagascar. Maternal and Child Nutrition, 13(4), pp.1–10.

Santos, C. D. D. L., Clemente, A.P.G., Martins, V.J.B., Albuquerque, M.P., & Sawaya, A.L., 2010. Adolescents with Mild Stunting Show Alterations in Glucose and Insulin Metabolism. Journal of Nutrition and Metabolism, 2010, pp.1–6.

Sarma, H., Khan, J.R., Asaduzzaman, M., Uddin, F., Tarannum, S., Hasan, M.M., Rahman, A.S., Ahmed, T., 2017. Factors Influencing the Prevalence of Stunting Among Children Aged Below Five Years in Bangladesh. Food and Nutrition Bulletin, 38(3), pp.1–11.

Sawaya, A.L., Sesso, R., Florêncio, T.M.d-M.T., Fernandes, M.T.B., & Martins, P.A., 2005. Association Between Chronic Undernutrition and Hypertension. Maternal and Child Nutrition, 1(3), pp. 155–163.

Schrijner, S., & Smits, J., 2018. Grandparents and Children’s Stunting in Sub-Saharan Africa. Social Science and Medicine, 205, pp.90–98.

Shekar, M., Kakietek, J., D’Alimonte, M.R., Rogers, H.E., Eberwein, J.D., Akuoku, J.K., Pereira, A., Soe-Lin, S., Hecht, R., 2017. Reaching the Global Target to Reduce Stunting: An Investment Framework. Health Policy and Planning, 32, pp.657–668.

Singh, A., Upadhyay, A K., & Kumar, K., 2017. Birth Size, Stunting and Recovery from Stunting in Andhra Pradesh, India: Evidence from the Young Lives Study. Maternal and Child Health Journal, 21(3), pp.492–508.

Ssentongo, P., Ba, D.M., Ssentongo, A.E., Fronterre, C., Whalen, A., Yang, Y., Ericson, J.E., & Chinchilli, V.M., 2020. Association of Vitamin A Deficiency with Early Childhood Stunting in Uganda: A Population-Based Cross-Sectional Study. PLoS ONE, 15(5).

Sugiyono., 2017. Metode Penelitian Kuantitatif, Kualitatif dan R&D. Bandung: Alfabeta.

Torlesse, H., Cronin, A.A., Sebayang, S.K., & Nandy, R., 2016. Determinants of Stunting in Indonesian Children: Evidence from a Cross-Sectional Survey Indicate a Prominent Role for the Water, Sanitation and Hygiene Sector in Stunting Reduction. BMC Public Health, 16(1), pp.1–11.

Vir, S.C., 2016. Improving Women’s Nutrition Imperative for Rapid Reduction of Childhood Stunting in South Asia: Coupling of Nutrition Specific Interventions with Nutrition Sensitive Measures Essential. Maternal and Child Nutrition, 12, pp.72–90.

Vonaesch, P., Tondeur, L., Breurec, S., Bata, P., Nguyen, L.B.L., Frank, T., Farra, A., Rafaï, C., Giles-Vernick,T., Gody, J.C., Gouandjika-Vasilache, I., Sansonetti, P., Vray, M., 2017. Factors Associated with Stunting in Healthy Children Aged 5 Years and Less Living in Bangui (RCA). PLoS ONE, 12(8), pp.1–17.

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