Analysis of Obstetric Medical Determinant Factors toward Mothers with the Stunting Children

Syahril, Erlin; Mappaware, Nasrudin Andi; Akib, Marliyanti Nur Rahmah; Mursyid, Muhammad

doi:10.33096/gmj.v2i3.67

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…Moreover, mothers with NCDs such as hypertension showed an association with TBM. This relates to a poor obstetric history that affects the child's growth during pregnancy until birth [45].…”

Section: Discussionmentioning

confidence: 99%

A multilevel analysis of the triple burden of malnutrition in Indonesia: trends and determinants from repeated cross-sectional surveys

Andriani,

Friska,

Arsyi

et al. 2023

BMC Public Health

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Background Although child malnutrition has been reducing, the coexistence in mothers and children of various forms of malnutrition has continued to rise around the world. In the Indonesian context, a knowledge gap exists on the coexistence of multiple malnutrition burdens. This study examines trends in the coexistence of the triple burden of malnutrition (TBM) among mother–child pairs living in the same house and explores multilevel (individual, household, and community) factors associated with TBM in Indonesia. Methods We used data from the 2013 and 2018 Indonesia Basic Health Research, the nationally representative survey of the Indonesian population, as repeated cross-sectional surveys. Study samples were mothers and children (0–59 months old), who resided in the same household and indicated by the same identifier number. The anthropometric measurements of the mothers and children, and the hemoglobin levels of the children were collected. We employed a multilevel mixed-effects model to consider the hierarchical data structure. The model captured the role of cluster, district, provincial differences, and the individual, household, community-level, and TBM status characteristics. Results Of 3,891 mother–child pairs analyzed, 24.9% experienced TBM. Girls had 63% higher odds than boys of TBM (aOR: 1.63; 95% CI: 1.30 to 2.03). Significantly lower odds were found in children of mothers who had a gestational age lower than 37 weeks (aOR: 0.72; 95% CI: 0.55 to 0.94). At the household level, children with a father who had a high-school, primary-school, or no school education had significantly higher odds of TBM than children of fathers who had graduated from academy. Children of mothers who visited Antenatal Care (ANC) no more than 6 times had significantly lower odds (aOR: 0.65; 95% CI: 0.47 to 0.88). Children of mothers who consumed Iron and Folic Acid (IFA) supplements had significantly lower odds. Conclusion TBM is related to characteristics at not just the individual level but also the family and community levels. To achieve significant outcomes, integrated nutrition interventions in Indonesia should also consider family and community factors.

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Section: Discussionmentioning

confidence: 99%

A multilevel analysis of the triple burden of malnutrition in Indonesia: trends and determinants from repeated cross-sectional surveys

Andriani,

Friska,

Arsyi

et al. 2023

BMC Public Health

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

A Multilevel Analysis of the Triple Burden of Malnutrition in Indonesia: Trends and Determinants From Repeated Cross-Sectional Surveys

Andriani

Friska

Arsyi

et al. 2023

Preprint

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Background Although child malnutrition has been reducing, the coexistence in mothers and children of various forms of malnutrition has continued to rise around the world. In the Indonesian context, a knowledge gap exists on the coexistence of multiple malnutrition burdens. This study examines trends in the coexistence of the triple burden of malnutrition (TBM) among mother–child pairs living in the same house and explores multilevel (individual, household, and community) factors associated with TBM in Indonesia.Methods We used data from the 2013 and 2018 Indonesia Basic Health Research, the nationally representative survey of the Indonesian population, as repeated cross-sectional surveys. The anthropometric measurements of the mother–child pairs and the hemoglobin levels of the children were collected. We employed a multilevel mixed-effects model to consider the hierarchical data structure. The model captured the role of cluster, district, provincial differences, and the individual, household, community-level, and TBM status characteristics.Results Of 3,891 mother–child pairs analyzed, 24.9% experienced TBM. Girls had 63% higher odds than boys of TBM (aOR: 1.63; 95% CI: 1.30 to 2.03). Significantly lower odds were found in children of mothers who had a gestational age lower than 37 weeks (aOR: 0.72; 95% CI: 0.55 to 0.94). At the household level, children with a father who had a high-school, primary-school, or no school education had significantly higher odds of TBM than children of fathers who had graduated from academy. Children of mothers who visited Antenatal Care (ANC) no more than 6 times had significantly lower odds (aOR: 0.65; 95% CI: 0.47 to 0.88). Children of mothers who consumed Iron and Folic Acid (IFA) supplements had significantly lower odds.Conclusion TBM is related to characteristics at not just the individual level but also the family and community levels. To achieve significant outcomes, integrated nutrition interventions in Indonesia should also consider family and community factors.

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“…However, children suffering from stunting tend to have skinny mothers and mothers with obesity are correlated to the lower stunting risk (14). Thus, it is necessary to have strategic effort to improve family life support related to stunting children by empowering the family through culture which affects stunting risk, so that culture differences can explain the gap in stunting phenomenon (15). This intervention was done using family life support model as the nutritional education approach for the sectio caesarea respondents by distributing stunting leaflet to improve nutritional behavior especially stunting risked-family, including the aspects of knowledge, attitude, and behavior (16).…”

Section: Discussionmentioning

confidence: 99%

Developing Family Life Support Model Towards Stunting Children Born Through Sectio Caesarea in Padangsidimpuan City, Indonesia

Rangkuti,

Hadi,

Ahmad

et al. 2023

ijmst

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One of the effects of stunting phenomenon in the future is having higher risk of experiencing sectio caesarea labor because it is correlated to the unideal size of the pelvis of adult women with short height. This study aims at analyzing and evaluating the effect of family life support model towards stunting child’s family before and after intervention by implementing family life support model education. The design of this research was quasi experimental research with non-equivalent control group design. The sampling technique used was purposive sampling. This study was conducted in South Padangsidimpuan District, Padangsidimpuan City for five months from June to October 2022. The research intervention was done for three months by distributing leaflets; there was visit or monitoring using research questionnaire and anthropometric measurement each month. The collected data were analyzed using univariate, bivariate, and multivariate analyses using SPSS and independent t-test as the parametric test. This research discovered that there were differences in knowledge (p=0.000), attitude (p=0.000), and behavior (p=0.000), both in the treatment group and in the control group so that there was a change on the family’s nutrition behavior before and after being intervened using family life support model-based stunting leaflet. After being intervened, it was noticed that there was a meaningful difference on the knowledge, attitude, and behavior at the same time on both groups (p=0.000 < 0.05). The conclusion of this research finding delivers the evidence that intervention to decrease stunting for the respondents also has to consider the parents’ height, age, and parity, especially if it is their first pregnancy and if the parents have short height or are young. An adequate family-based nutrition education program to support the respondents and monitor children’s height since birth will help preventing stunting in the future.

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Analysis of Obstetric Medical Determinant Factors toward Mothers with the Stunting Children

Cited by 6 publications

References 9 publications

A multilevel analysis of the triple burden of malnutrition in Indonesia: trends and determinants from repeated cross-sectional surveys

A multilevel analysis of the triple burden of malnutrition in Indonesia: trends and determinants from repeated cross-sectional surveys

A Multilevel Analysis of the Triple Burden of Malnutrition in Indonesia: Trends and Determinants From Repeated Cross-Sectional Surveys

Developing Family Life Support Model Towards Stunting Children Born Through Sectio Caesarea in Padangsidimpuan City, Indonesia

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