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The Effect of the Physical Factors of Parents and Children on Stunting at Birth Among Newborns in Indonesia
Kencana Sari, Ratu Ayu Dewi Sartika
J Prev Med Public Health. 2021;54(5):309-316.   Published online August 29, 2021
DOI: https://doi.org/10.3961/jpmph.21.120
  • 5,245 View
  • 444 Download
  • 7 Crossref
AbstractAbstract PDF
Objectives
This study examined stunting at birth and its associations with physical factors of parents and children in Indonesia.
Methods
This study analyzed secondary data from the national cross-sectional Indonesian Basic Health Survey 2018, conducted across 34 provinces and 514 districts/cities. Birth length data were available for 756 newborns. Univariable, bivariable, and multivariable logistic regression analyses were performed to determine associations between the physical factors of parents and children and stunting at birth.
Results
In total, 10.2% of children aged 0 months were stunted at birth (10.7% of males and 9.5% of females). Stunting at birth was associated with the mother’s age at first pregnancy, parity, parents’ heights, parents’ ages, and gestational age. Children from mothers with short statures (height <145.0 cm) and fathers with short statures (height <161.9 cm) had an almost 6 times higher likelihood of being stunted at birth (adjusted odds ratio, 5.93; 95% confidence interval, 5.53 to 6.36). A higher maternal age at first pregnancy had a protective effect against stunting. However, other variables (firstborn child, preterm birth, and both parents’ ages being <20 or >35 years) corresponded to a 2-fold higher likelihood of stunting at birth compared to the reference.
Conclusions
These findings provide evidence that interventions to reduce stunting aimed at pregnant females should also consider the parents’ stature, age, and parity, particularly if it is the first pregnancy and if the parents are short in stature or young. Robust programs to support pregnant females and monitor children’s heights from birth will help prevent intergenerational stunting.
Summary

Citations

Citations to this article as recorded by  
  • How do household living conditions and gender-related decision-making influence child stunting in Rwanda? A population-based study
    Jean Nepo Utumatwishima, Ingrid Mogren, Aline Umubyeyi, Ali Mansourian, Gunilla Krantz, Olutosin Ademola Otekunrin
    PLOS ONE.2024; 19(3): e0290919.     CrossRef
  • Understanding Pediatric Health Trends in Papua: Insights From SUSENAS, RISKESDAS, Remote Sensing, and Its Relevance to Prabowo and Gibran’s Free Lunch and Milk Program
    Rezzy Eko Caraka, Khairunnisa Supardi, Puspita Anggraini Kaban, Robert Kurniawan, Prana Ugiana Gio, Yunho Kim, Syihabuddin Ahmad Mufti, Rung-Ching Chen, Muhammad Khahfi Zuhanda, Avia Enggar Tyasti, Noor Ell Goldameir, Bens Pardamean
    IEEE Access.2024; 12: 51536.     CrossRef
  • Stunting predictors among children aged 0-24 months in Southeast Asia: a scoping review
    Via Eliadora Togatorop, Laili Rahayuwati, Raini Diah Susanti, Julianus Yudhistira Tan
    Revista Brasileira de Enfermagem.2024;[Epub]     CrossRef
  • Stunting at birth: linear growth failure at an early age among newborns in Hawassa city public health hospitals, Sidama region, Ethiopia: a facility-based cross-sectional study
    Haileyesus Ejigu, Zelalem Tafese
    Journal of Nutritional Science.2023;[Epub]     CrossRef
  • Socio-economic and agricultural factors associated with stunting of under 5-year children: findings from surveys in mountains, dry zone and delta regions of rural Myanmar (2016–2017)
    Min Kyaw Htet, Tran Thanh Do, Thet Wah, Thant Zin, Myat Pan Hmone, Shahreen Raihana, Elizabeth Kirkwood, Lwin Mar Hlaing, Michael J Dibley
    Public Health Nutrition.2023; 26(8): 1644.     CrossRef
  • Predictor of Stunting Among Children 0-24 Months Old in Indonesia: A Scoping Review
    Via Eliadora Togatorop, Laili Rahayuwati, Raini Diah Susanti
    Jurnal Obsesi : Jurnal Pendidikan Anak Usia Dini.2023; 7(5): 5654.     CrossRef
  • Determinants of Incident Stunting in Elementary School Children in Endemic Area Iodine Deficiency Disorders Enrekang Regency
    Nur Abri, Saifuddin Sirajuddin, Burhanuddin Bahar, Nurhaedar Jafar, Syamsiar S. Russeng, Zakaria Zakaria, Veni Hadju, Abdul Salam, Abdul Razak Thaha
    Open Access Macedonian Journal of Medical Sciences.2022; 10(E): 161.     CrossRef
Birth Patterns and Delayed Breastfeeding Initiation in Indonesia
Tika Dwi Tama, Erni Astutik, Septa Katmawanti, Jauhari Oka Reuwpassa
J Prev Med Public Health. 2020;53(6):465-475.   Published online October 26, 2020
DOI: https://doi.org/10.3961/jpmph.20.212
  • 4,655 View
  • 168 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
This study was conducted to examine the association between birth patterns (defined in terms of birth order and interval) with delayed breastfeeding initiation in Indonesia. Methods: A cross-sectional study was carried out using data from the Indonesian Demographic and Health Survey 2017. The weighted number of respondents was 5693 women aged 15-49 years whose youngest living child was less than 2 years old. Multivariable logistic regression was conducted to evaluate associations between birth patterns and delayed breastfeeding initiation after adjusting for other covariates. Results: This study found that 40.2% of newborns in Indonesia did not receive timely breastfeeding initiation. Birth patterns were significantly associated with delayed breastfeeding initiation. Firstborn children had 77% higher odds of experiencing delayed breastfeeding initiation (adjusted odds ratio, 1.77; 95% confidence interval, 1.02 to 3.04; p<0.05) than children with a birth order of 4 or higher and a birth interval ≤ 2 years after adjusting for other variables. Conclusions: Firstborn children had higher odds of experiencing delayed breastfeeding initiation. Steps to provide a robust support system for mothers, especially first-time mothers, such as sufficient access to breastfeeding information, support from family and healthcare providers, and national policy enforcement, will be effective strategies to ensure better practices regarding breastfeeding initiation.
Summary

Citations

Citations to this article as recorded by  
  • Modeling spatial determinants of initiation of breastfeeding in Ethiopia: A geographically weighted regression analysis
    Samuel Hailegebreal, Yosef Haile, Binyam Tariku Seboka, Ermias Bekele Enyew, Tamiru Shibiru, Zeleke Abebaw Mekonnen, Shegaw Anagaw Mengiste, James Mockridge
    PLOS ONE.2022; 17(9): e0273793.     CrossRef
  • The Intervention of Maternal Nutrition Literacy Has the Potential to Prevent Childhood Stunting: Randomized Control Trials
    Sirajuddin, Saifuddin Sirajuddin, Amran Razak, Ansariadi, Ridwan M Thaha, Toto Sudargo
    Journal of Public Health Research.2021; 10(2): jphr.2021.2235.     CrossRef
Adequacy of Medical Manpower and Medical Fee for Newborn Nursery Care.
Jung Han Park, Soo Yong Kim, Sin Kam
Korean J Prev Med. 1991;24(4):531-548.
  • 1,906 View
  • 22 Download
AbstractAbstract PDF
To assess the adequacy of medical manpower and medical fee for the newborn nursery care, the author visited 20 out of 24 hospitals with the pediatric training program in Youngnam area between July 29 and August 14, 1991. Total number of newborn, both normal and sick, admission and discharge in 1--30 June 1991 was obtained from the logbook of nursery. Head nurse and staff pediatrician of the nursery were interviewed to get the current staffing for the nursery and their subjective opinion on the adequacy of nursery manpower and the difficulties in recruiting manpower. Average medical fee charged for the maternity and normal newborn nursery care was obtained from the division of self-audit of medical insurance claim of each hospital. Average minimum requirement of nursing care time for one normal newborn per day was 179.5 (+/-58.6) minutes; 2023(+/-50.7) minutes for the university hospitals and 164.2(+/-60.5) minutes for the general hospitals. The ratio of minimum requirement of nursing care time and available nursing time was 1.42 on the average. Taking the additional requirement of nursing care for the sick newborns into consideration, the ratio was 2.06. The numbers of R. N. and A. N. in the nurserys of study hospitals were 31%, and 17%, respectively, of the nursing manpower for the nursery recommended by the American Academy of Pediatrics. These findings indicate that the nursing manpower in newborn nursery is in severe shortage. Ninety percent of the head nurses and 85% of the staff pediatrician stated that the newborn nursery is short of R.N. and 75% of them said that the nurse's aide is also short. Major reason for not recruiting R.N. was the financial constraint of hospital. For the recruitment of nurse's aide, short supply was the second most important reason next to the financial constraint. However, limit of quarter in T.O. was the major reason for the national university hospitals. Average total medical fee for the maternity and newborn nursery cares of a normal vaginal delivery who stayed two nights and three days at hospital was 219,430Won. Out of the total medical fee, 20,323Won(9.3%) was for the newborn nursery care. In case of C-section delivery six nights and seven days, who stayed otal medical fee was 732,578Won and out of the total fee 76,937Won (12.0%) was for the newborn care. Cost for a newborn care per day by cost accounting was 16,141Won for the tertiary care hospitals and 14,576Won for the all other hopitals. The ratio of cost and the fee schedule of the medical insurance for a newborn care per day was 5.0 for the tertiary care hospitals and 4.9 for the all other hospitals. Considering the current wage level of the medical personnel, capital investment for the hospital facilities and equipments, and the cost for hospital maintenance, it is hard to expect adequate quality care in the newborn nursery under the current medical insurance fee schedule.
Summary

JPMPH : Journal of Preventive Medicine and Public Health