Factors Influencing Malnutrition of Children Aged 24-60 Months Old in Flores Timur, Nusa Tenggara Timur


Yasinta Betan
Monthana Hemchayat
Kanokwan Wetasin


Malnutrition remains a health problem in the world especially in developing countries such as Indonesia. This study aimed to determine factors influencing the nutritional status of children aged 24-60 months old in rural communities of Flores Timur, Nusa Tenggara Timur, Indonesia. This study was conducted in 5 villages in the rural community with a cross-sectional design. The total participant of this study was 250 mothers and children 24-60 months old. The participants were selected purposively. Data were collected using questionnaires of socio-demographic, dietary intakes, diseases, child care practices, and anthropometric measurement. Multivariate binary logistic regression was employed for the data analysis. Binary logistic regression revealed that energy intake (OR=8.99), protein intake (OR=6.95), the occurrence of infectious diseases (OR=6.45), the frequency of infectious diseases (OR=6.00), and age of introduction of complementary foods (OR=34.55) were significant factors that influence nutritional status in rural communities of Flores Timur, Indonesia. Based on these findings, health workers need to promote the appropriate time for giving the children complementary foods. Moreover, children who have experience of acute respiratory infection and/or diarrhea over the past six months should receive the appropriate intervention such as adequate dietary intake during illness to maintain nutritional status.


Author Biographies

Yasinta Betan, Nursing Department, Faculty of Health, Citra Bangsa University, Kupang, Indonesia

Scholar Google Profile

Monthana Hemchayat, Nursing Department, Prapokklao Nursing College, Chanthaburi, Thailand


Kanokwan Wetasin, Boromarajonani College of Nursing Nopparat Vajira, Kasetsart University, Bangkok, Thailand

Scopus ID: 25958748700

How to Cite
Betan, Y., Hemchayat, M., & Wetasin, K. (2021). Factors Influencing Malnutrition of Children Aged 24-60 Months Old in Flores Timur, Nusa Tenggara Timur. Unnes Journal of Public Health, 11(1). https://doi.org/10.15294/ujph.v11i1.40940


Betan, Y., Hemchayat, M., & Wetasin, K. (2016). The Relationship between Complementary Foods, Diatery Intakes and Malnutrition among Children 2-5 years Old in Indonesia (Vol. 31, pp. 978–993).
Chang, S. M., Walker, S. P., & Christine, S. G. (2010). Early childhood stunting and later fine motor abilities, 831–836. https://doi.org/10.1111/j.1469-8749.2010.03640.x
Cheah, W., Wan Abdul Manan, W., Zabidi-Hussin, Z., & Chang, C. (2009). Development of a questionnaire for the study of malnutrition among children in rural Kelantan, Malaysia. Rural and Remote Health, 9(3), 1155.
Daniel, W. . (1999). Biostatistics: A Foundation for Analysis in the Health Sciences. (7th ed.). New York: John Wiley & Sons.
Degarege, D., Degarege, A., & Animut, A. (2015). Undernutrition and associated risk factors among school age children in Addis Ababa, Ethiopia Global health. BMC Public Health, 15(1), 1–9. https://doi.org/10.1186/s12889-015-1714-5
Demissie, S., & Worku, A. (2013). Magnitude and Factors Associated with Malnutrition in Children 6-59 Months of Age in Pastoral Community of Dollo Ado District, Somali Region, Ethiopia. Science Journal of Public Health, 1(4), 175. https://doi.org/10.11648/j.sjph.20130104.12
Department of Health of Indonesia. (2013). Permenkes No. 75 tahun 2013 tentang AKG 2013. Retrieved from http://kesmas.kemkes.go.id/perpu/konten/permenkes/pmk-75-2013-456
Department of Health of Indonesia. (2014). Peraturan Menteri Kesehatan Nomor 41 tentang Pedoman Gizi Seimbang. Retrieved from http://hukor.kemkes.go.id/uploads/produk_hukum/PMK No. 41 ttg Pedoman Gizi Seimbang.pdf
Health Department of East Flores District. (2014). Profil Kesehatan Kabupaten Flores Timur 2014.
Health Department of East Nusa Tenggara Province. (2014). Informasi Kesehatan Provinsi Nusa Tenggara Timur 2014. Retrieved March 13, 2015, from http://nttprov.go.id/new/index.php/2014-03-13-05-54-55/informasi-kesehatan
Kementerian Kesehatan RI Badan Penelitian dan Pengembangan. (2018). Hasil Utama Riset Kesehatan Dasar. Kementrian Kesehatan Republik Indonesia, 1–100. https://doi.org/1 Desember 2013
Martins, V. J. B., Florê, T. M. M. T., Santos, C. D. L., Vieira, M. D. F. A., & Sawaya, A. L. (2011). Long-Lasting Effects of Undernutrition, 1817–1846. https://doi.org/10.3390/ijerph8061817
Meshram, I. I., Kodavanti, M. R., Chitty, G. R., Manchala, R., Kumar, S., Kakani, S. K., … Ginnela Narsimhachary Veera, B. (2015). Influence of feeding practices and associated factors on the nutritional status of infants in rural areas of Madhya Pradesh State, India. Asia-Pacific Journal of Public Health, 27(2), NP1345–NP1361. https://doi.org/10.1177/1010539513486174
Rah, J. H., Cronin, A. A., Badgaiyan, B., Aguayo, V., Coates, S., & Ahmed, S. (2015). Household sanitation and personal hygiene practices are associated with child stunting in rural India: A cross-sectional analysis of surveys. BMJ Open, 5(2). https://doi.org/10.1136/bmjopen-2014-005180
Rismawan, M. (2013). Predictors of Hand Washing Behavior among Fifth Grade Students of Public Elementary Schools in Bali. Kasetsart University.
Schack-Nielsen, L., Sørensen, T. I. A., Mortensen, E. L., & Michaelsen, K. F. (2010). Schack-Nielson, L., Sorensen, T. I. A., Mortensen, E. K., & Michaelsen, K. F. (2010). Late introduction of complementary feeding, rather than duration of breastfeeding, may protect against adult overweight. American Journal of Clinical Nutrition, 91(3), 6. American Journal of Clinical Nutrition, (7), 1–9. https://doi.org/10.3945/ajcn.2008.27078.1
United Nation Children’s Funds. (2015). UNICEF ’ s approach to scaling up nutrition for mothers and their children. New York.
United Nations. (2008). Official list of MDG indicators. Retrieved March 19, 2015, from http://www.un.org/Docs/journal/asp/ws.asp?m=A/RES/60/1
Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2008). Maternal and child undernutrition: consequences for adult health and human capital. The Lancet, 371(9609), 340–357. https://doi.org/10.1016/S0140-6736(07)61692-4
Whye Lian, C., Wan Muda, W. A. M., Mohd Hussin, Z. A., & Ching Thon, C. (2012). Factors associated with undernutrition among children in a rural district of Kelantan, Malaysia. Asia-Pacific Journal of Public Health, 24(2), 330–342. https://doi.org/10.1177/1010539510380737
Wolde, M., Berhan, Y., & Chala, A. (2015). Determinants of underweight, stunting and wasting among schoolchildren. BMC Public Health, 15, 8. https://doi.org/10.1186/s12889-014-1337-2
Wong, H. J., Moy, F. M., & Nair, S. (2014). Risk factors of malnutrition among preschool children in Terengganu, Malaysia: A case control study. BMC Public Health, 14(1), 1–10. https://doi.org/10.1186/1471-2458-14-785
World Health Organization. (2015). Global Database on Child Growth and Malnutrition. Retrieved March 2, 2015, from http://www.who.int/nutgrowthdb/about/introduction/en/index5.html
World Health Organization. (2020). Child Growth Standards. Retrieved March 27, 2020, from ttps://www.who.int/childgrowth/standards/chts_wfa_boys_p/en/