Rates Of Stunting Research Articles

Mitigating Stunting in Semarang City, Indonesia: A Comprehensive Approach to Better Health and Well-Being

Background: Among the 29 districts and 6 cities in Central Java, Semarang City stands out as the urban area with the most substantial reduction in stunting prevalence over a year (2021-2022), from 21,3% to 10.4%, while numerous regions continue to grapple with challenges in lowering rates of stunting. Aims: This study aims to investigate Semarang City's comprehensive strategy for mitigating stunting. Methods: This study used a qualitative case study approach. Utilizing focus group discussions (FGD) and document analysis, representatives from 16 diverse sectors, including health, education, religion, social services, food security, and more, engaged in discussions to synchronize activities and policies to achieve the common goal of stunting reduction. Simultaneously, a comprehensive document analysis was conducted, reviewing relevant documents, reports, and policies across 16 districts in Semarang City. Data analysis employed Miles et al.'s interactive model, involving data condensation, display, and conclusion drawing/verification. Results: The success of stunting reduction in Semarang City is highlighted by relevant regulations, an updated and accurate statistical database, intensive cross-sector coordination, and a synchronized effort across diverse sectors. Furthermore, the city's prudent financial planning is evident through sufficient and on-target budget allocations dedicated to stunting reduction programs. Conclusion: The research the importance of ongoing commitment, adaptability, and collaborative efforts to achieve the ambitious goal of zero stunting by 2024 in Semarang City, suggesting future studies focus on program effectiveness and long-term sustainability.

Balanced nutrition education to prevent stunting in children

Stunting is a condition in which a child has a lower height than their standard age, which can be caused by chronic malnutrition. This community service aims to educate children about balanced nutrition to prevent stunting. The methods used in this program include direct counseling, distribution of informative brochures, and demonstrations of the presentation of nutritious food. The target of the program is parents, especially mothers who have children under the age of five. The activity results showed increased participants' knowledge and awareness of the importance of balanced nutrition in child growth. The conclusion is that this community service program has succeeded in increasing public understanding and awareness of the importance of balanced nutrition in preventing stunting in children. This can be seen from the increase in the participants' knowledge about balanced nutrition and the steps that must be taken to ensure that children get enough food. In addition, this program has also succeeded in encouraging behavioral changes in the diet of participants' families, which is expected to contribute to reducing stunting rates in the area. With continuous education and support from various parties, it is hoped that stunting prevention efforts can run more effectively and children can grow healthy and optimally.

Improving parenting and healthy nutrition for stunted toddler mothers through community service programs

Stunting is a significant public health problem, especially among toddlers, caused by chronic malnutrition and suboptimal parenting. This community service program aims to overcome these problems by providing relevant education and interventions to mothers of toddlers who experience stunting. This program aims to improve the knowledge and skills of mothers under five in terms of parenting and healthy nutrition, as well as encourage behavioral changes that support optimal child growth and development. This program is carried out through a series of educational activities, including training on balanced nutrition, how to serve nutritious food, and parenting techniques that support children's health. In addition, this activity also involves direct counseling and the provision of educational materials that are easy to understand by mothers of toddlers. The evaluation was carried out to measure the improvement of parenting knowledge, skills, and practices and their impact on the nutritional status of children. Early results showed a significant increase in maternal knowledge about the importance of balanced nutrition and healthy parenting. Practical skills in the presentation of nutritious food have also improved. Further evaluation showed that there was an improvement in the nutritional status of toddlers and a decrease in the prevalence of stunting in the target community. This community service program has succeeded in improving parenting and healthy nutrition knowledge for mothers of stunted toddlers. This intervention is expected to be a model for similar programs in other regions and make a positive contribution to reducing stunting rates more broadly

Pelaksanaan Program PKM-KKN Kampus Peduli Stunting di Kelurahan Rangkapan Jaya Baru, Depok.

Children's growth and development is influenced by several factors, including nutrition and nutrition. Stunting in early childhood will reduce the quality of growth and development as well as children's intelligence, so it is very important for various parties in society and academic circles to take a role in reducing stunting rates in the environment where they live. This community service aims to provide healthy food menus with balanced nutrition as an effort to fulfill nutritional requirements for children under five who suffer from stunting in the Rangkapan Jaya Baru Village environment. The service method used is the Community Based Research (CBR) method which includes four stages, including laying the foundation, planning, collecting and analyzing data (information gathering and analysis) and acting on findings. The results of the service show that providing a healthy, nutritious menu directly for stunted children can be an innovation for Ocan Bananas and parents in providing adequate nutrition for children with an appearance and food preparation that is attractive to young children.

Socioeconomic Factors and Its Correlation with Nutritional Status in Toddlers: A Study in Papua

Nutritional status in toddlers is a critical indicator of overall well-being and long-term health outcomes. Malnutrition among children is persistent and continues to be an alarming burden, often linked to socioeconomic factors in Papua. This study aims to analyze the relationship between socioeconomics and the nutritional health of toddlers. This cross-sectional study involved 300 toddlers aged 1–5 years from working areas at the Primary Health Center (PHC) Remu, Sorong City, Papua. We collected data by conducting structured interviews with the mothers and measuring the anthropometric traits of the toddlers. Socioeconomics was assessed through family income, maternal education, and access to healthcare. We measured nutritional status using WHO standards for weight-for-age (underweight), height-for-age (stunting), and weight-for-height (wasting). We implemented the Pearson and Spearman correlation tests for data analysis. The results indicated family income (p < 0.05), maternal education (p < 0.05), and access to healthcare (p < 0.05) were significantly correlated with nutritional status. This study highlights the significant influence of socioeconomic status on the nutritional status of toddlers in Papua. Toddlers from families with higher income, better maternal education, and enhanced accessibility to healthcare had better nutritional outcomes, with lower rates of stunting, wasting, and underweight. These findings suggest the need for targeted interventions aimed at improving socioeconomic conditions and enhancing access to nutritional and healthcare services in Papua, particularly in rural and remote areas, to reduce malnutrition and promote better health outcomes for children.

Hubungan ASI eksklusif dengan kejadian stunting pada balita 6-24 bulan pada tiga kecamatan kasus tertinggi stunting di Kabupaten Jeneponto, Sulawesi Selatan

Background: Stunting is a major issue with toddlers' eating habits, which are frequently linked to malnutrition during these crucial early years of development. The World Health Organization (WHO) defines stunting as a developmental failure characterized by a body length deficit about age, specifically a z-score of less than -2. A persistent problem with public health in some communities is the high rate of stunting. A few elements add to hindering, with selective breastfeeding being a basic determinant. Hindering, or weakened direct development, is a typical wholesome issue among babies that influences long-haul well-being, mental turn of events, and future efficiency. This study looks to evaluate whether selective breastfeeding is a gamble factor for hindering kids between the ages of 6 and two years in the Jeneponto region. Methods: An observational research design with a case-control approach was used. Children aged 6 to 24 months who were recorded in the posyandu (community health post) toddler register across three sub-districts—West Bangkala, Bontoramba, and Rumbia—were chosen for their high stunting rates. Findings: The review uncovered that 39.67% of kids were solely breastfed, while 60.33% were not. Bivariate examination demonstrated a remarkable connection between restrictive breastfeeding and hindering in this age bunch (p = 0.03; OR = 1.74), recommending that non-only breastfed youngsters had a 1.74 times higher gamble of hindering contrasted with the people who were solely breastfed. In any case, multivariate examination, which represented factors, for example, kid age, birth weight, mother's level, and breastfeeding status, uncovered that the connection between restrictive breastfeeding and hindering was as of now not huge (p = 0.49; OR = 1.23). This suggests that when these extra factors are thought of, the gamble of hindering non-solely breastfed youngsters was just 1.23 times higher than in only breastfed kids, a distinction not measurably huge. Conclusion: Although the initial data indicate that not exclusively breastfeeding increases the risk of stunting by 74%, this risk is reduced when other factors like maternal height, child age, birth weight, and overall breastfeeding status are taken into consideration. This demonstrates the complexity of stunting and the need for comprehensive interventions that address breastfeeding practices as well as broader factors affecting the health of mothers and children.

A situational analysis of model holistic-comprehensive and integrated approaches to handling stunting in Buleleng Regency, Bali, Indonesia

Background: Policies and strategies for handling stunting cases effectively and efficiently vary in different regions, depending on their situation and conditions. There has yet to be an empirical study of stunting management with a holistic-comprehensive and integrated approach in Indonesia, especially in Buleleng Regency, Bali. Thus, conducting initial research to analyze the policy and determine the right stunting management strategy to implement is essential.Purpose: This study aims to map stunting cases, explore their causal factors, analyze the suitable policy model for overcoming stunting and describe the effective and efficient stunting management strategy in Buleleng Regency based on a holistic, comprehensive, and integrated approach.Methods: This is a situation analysis case study. Respondents were stunted children and related governmental agencies in Buleleng Regency, Bali. The incidence of stunting, risk factors suspected as the cause, policy models and appropriate stunting handling strategies were analyzed in depth using qualitative and quantitative methods.Results: There were 1040 cases of stunting in the regency, with the highest cases in Banjar District. Significant risk factors influencing the stunting incidence in the region include the lack of good complementary feeding (OR: 2.6722; p <0.05) and low family income (OR: 7.6667; p <0.0001). The results of the analysis of stunting handling policies, based on a holistic-comprehensive and integrated approach model by regional needs, are categorized into two policy areas: Policies in the Medical and Non-Medical fields. In contrast, the handling strategy is divided into two stages: the screening and the handling stages.Conclusion: Poor-quality complementary foods and low family income are the main risk factors for high stunting rates in Buleleng Regency, Bali. These factors must be considered in an effective and efficient policy and strategy model for handling stunting cases in the regency.

Perspectives of mothers and primary caregivers on undernutrition in children under 5 years in the Northwest region of Cameroon: a community based cross-sectional study

Background: Cameroon is one of the sub-Saharan African countries where undernutrition is a significant public health concern, with a national prevalence of 29% among children under five. The Northwest Region of Cameroon in particular, faces a triple burden of undernutrition, with high rates of stunting (32%), wasting (6.5%) and underweight (17.2%). Caregivers play a critical role in the management of undernutrition. This study analyzed their knowledge, attitudes and predictors of knowledge levels on undernutrition. Methods: A community-based cross-sectional study was carried out among 1279 mothers and primary caregivers of under five children from six health districts. Data on their knowledge and attitudes towards undernutrition was collected using a pre-tested questionnaire. Binary logistic regression analysis was used to identify predictors of nutrition knowledge levels. Results: Overall, 78.5% of the caregivers had ‘good knowledge’ on undernutrition and 21.7% had ‘poor knowledge’. Correct knowledge was highest on the causes of undernutrition and incorrect knowledge was highest on prevention of undernutrition in children especially as 32.9% didn’t know that exclusive breastfeeding could prevent undernutrition in children below six months. Regarding attitude, 52.2% had a ‘positive attitude’ and 47.7% had a ‘less positive or negative attitude’. The main predictors of knowledge levels among primary caregivers were sex of carer (p=0.001), household size (p=0.001), religion (p=0.010), residence status (p<0.001), occupation (p<0.001), and degree of urbanization (p=0.002). Conclusions: Caregivers in Northwest Cameroon showed good undernutrition knowledge (78.5%), but lacked knowledge on prevention, especially breastfeeding benefits. Sociodemographic factors influenced knowledge. This could inform interventions to improve practices.

Analysis of stunting in East Java, Indonesia using random forest and geographically weighted random forest regression

Stunting is one of the problems that the world focuses on today to be resolved immediately. World Health Organization (WHO) stipulates that a country’s public health problems are said to be chronic if the stunting prevalence rate reaches more than 20%.The prevalence rate of stunting in Indonesia in 2021 reached 24.4%. This study aims to analyze factors that correlate with the prevalence of stunting in East Java Province using machine learning methods: Random Forest Regression (RFR) and Geographically Weighted Random Forest (GWRF) methods. The results of this research are the factors that correlate with the prevalence of stunting based on the RFR method, namely the number of babies who get early breastfeeding initiation, the number of malnourished toddlers, and the number of active integrated health posts. The RFR method results in RMSE values of 3.014, MAPE 11.69%, and R2 0.8168. The factors that correlate with the prevalence of stunting based on the GWRF method are divided into six groups according to the similarity of factors that correlate with stunting in the regency/city. The GWRF method gives better results than the RFR indicated by the resulting RMSE values of 1.023, MAPE 4.45%, and R2 0.9788.

Relationship Between Community-Based Total Sanitation and Stunting Incidence in Medan City

<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>Stunting remains a significant public health issue in Indonesia, particularly in Medan City. Poor sanitation has been identified as one of the key contributing factors to stunting. This study aims to analyze the relationship between community-based total sanitation and stunting incidence in Medan City. The research is a comparative study with a case-control design. It was conducted in five sub-districts with high stunting rates among the fourteen sub-districts in Medan City that have received community-based total sanitation interventions. The study was carried out from November 2023 to February 2024. The study population included all mothers with children age 0-59 months living in sub-districts that received community-based total sanitation interventions. There were 165 participants in the stunting and 49,676 in the not stunting. The sample size was calculated using the Lemeshow formula, resulting in 50 mothers for the stunting group. The not stunting group was matched to the case group in a 1:1 ratio, making the total sample size 100 mothers. Purposive sampling was used to select participants who met the inclusion and exclusion criteria.</em><em> </em><em>Data analysis was performed using SPSS software version 27, employing the chi-square test with a 95% confidence level (α = 0.05). The results showed that three pillars of community-based total sanitation were significantly related to stunting incidence: relationship between handwashing with soap and stunting incidence was significant (p=0.005; OR=4.125), relationship between household Latrine and stunting incidence was significant (p=0.001; OR=7.211), and relationship between household solid waste management and stunting incidence was significant (p=0.027; OR=2.681). The overall relationship between community-based total sanitation and stunting incidence was significant (p=0.015; OR=6.769). Recommendations for the Health Department and Community Health Centers in Medan City include enhancing the achievement of the five STBM pillars within the community through health promotion activities.</em></p><p><em> </em></p></td></tr></tbody></table></div><p><strong><em>Keyword: Child, Hygiene, Mother, Sanitation, Stunting</em></strong></p>

Nutritional status of HIV-infected children at Federal University Teaching Hospital, Owerri, Nigeria: A prospective analysis of rural and urban dwellers.

Malnutrition is a critical concern among children living with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), particularly in regions heavily affected by the HIV epidemic, such as sub-Saharan Africa. In 2019, nearly 2.84 million children under 19 years of age were living with HIV globally, with over 90% residing in sub-Saharan Africa. Concurrently, malnutrition remains prevalent in the region, with approximately 49 million children under the age of 5 experiencing stunting and 149 million suffering from wasting in 2018. This burden of malnutrition is exacerbated by factors such as poverty, food insecurity, and HIV/AIDS, which collectively contribute to adverse health outcomes among affected children. The bidirectional relationship between HIV/AIDS and malnutrition is well-established, with HIV infection increasing the risk of malnutrition and malnutrition worsening the progression of HIV/AIDS. Studies have consistently demonstrated higher rates of stunting, underweight, and wasting among HIV-infected children compared to their uninfected counterparts. Moreover, malnutrition significantly impacts the disease progression, morbidity, and mortality of HIV-infected individuals, further underscoring the importance of addressing this issue in pediatric HIV care. A total of 99 HIV-infected children, aged 2 to 16 years, were consecutively recruited from the pediatric infectious disease clinic of the Federal University Teaching Hospital Owerri. Anthropometric measurements, including weight and height, were obtained using a stadiometer (RGZ-160 England). Weight status was categorized as normal, underweight, overweight, or obese, while height status was classified as stunted, normal, or tall stature. The study participants ranged in age from 2 to 16 years. Approximately 20.2% of the children were underweight, and 6.1% were classified as obese. Stunting was observed in 29.3% of the participants. Notably, all forms of malnutrition, including underweight and overweight, were more prevalent among children residing in rural areas. In addition, stunting was more common among rural dwellers. This study highlights the high prevalence of malnutrition among HIV-infected children attending the pediatric infectious disease clinic at the Federal University Teaching Hospital Owerri. The findings underscore the urgent need for targeted nutritional interventions, particularly in rural areas, to improve the health outcomes of HIV-infected children.

Who is being left behind in water security, where do they live, and why are they left behind towards the achievement of the 2030 agenda?

The study focuses on sustainable development goal (SDG) 6, target 6.1.1 examining the proportion of the population using safely managed drinking water (SM). The SDGs aim to leave no one behind (LNOB) in development by 2030, this paper investigates if anyone is being left behind in accessing SM. We use world regions, countries globally, and 23 countries identified globally as critically water insecure (CWIC). The results indicate none of the CWIC had over 50% of the population accessing SM, but had over 50% using improved water, and over 10% using surface water. Sub-Saharan Africa had the lowest percentages using SM, and the highest using surface water in 2020. Pre-primary schools lag behind primary and secondary schools in accessing basic water services. Tanzania, Burundi, Papua New Guinea, and the Solomon Islands have below 50% of pre-primary schools with basic water. Households and schools using unimproved water sources are mostly from low-income and low climate resilience countries, fragile countries, and rural areas of CWICs characterized by high levels of poverty, food insecurity and illiterate women; subsequently exacerbating stunting and child mortality rates. These negative outcomes are largely consequences of poor institutional quality common to CWICs. Previous studies failed to highlight good governance, rigorously examine CWICs, and NOLB in water -health-food insecurity nexus. The stakeholders of the 2030 Agenda on water security can use these findings to accelerate the progress of leaving no one behind.

Analysis and Simulation of SEIR Mathematical Model of Stunting Case in Indonesia

Stunting is one of the focuses of the target for improving nutrition in the world until 2025. The government of Indonesia targets the prevalence of stunting to decrease to 14% in 2024. There are some factor affect stunting, some of them are sanitation, health care and parenting of child. In this research, we constructed a SEIR mathematical model of stunting case in Indonesia. There are four compartements in this model : the population of newborn are likely to be exposed to stunting (S), the population of children were having an early symptom stunting (E), the population of affected child stunting permanent (I) and the population of children showing symptom stunting but no caught stunting (free stunting) (R). The disease free and endemic equilibrium point are the equilibrium of the formed model. The local stability of equilibrium points have been analyzed, determined the basic reproduction number, and conducted a sensitivity analysis. If then is asymptotically stable If then is asymptotically stable. Sensitivity analysis revealed that the parameters and significantly contribute to the increase in the basic reproduction number . It means that the good sanitation, good healthcare, good parenting of child and decrease the rate of transmission indirectly from the person affected stunting are the most important thing to reduce the rate of stunting in Indonesia.

Socioeconomic determinants of child malnutrition: Evidence from Ethiopia

In this research, I examined the role of socioeconomic variations in the prevalence of stunting and underweight among children in Ethiopia. The study aimed to identify key health factors contributing to these disparities in child malnutrition by utilizing concentration indices, concentration curves, and regression-based decomposition analysis. Despite a notable decline in the average rates of stunting and underweight prevalence, the relative and absolute gaps between different demographic and socioeconomic groups have widened in Ethiopia. The empirical analysis revealed that higher levels of maternal education and household wealth significantly benefited children from better socioeconomic backgrounds, making them less likely to experience malnutrition. The disparity in socioeconomic status is the primary driver of inequalities in child malnutrition. The findings suggest that to reduce these disparities, national health policies should focus on promoting maternal literacy and targeting interventions for underprivileged groups.

Prediksi Tingkat Stunting Anak di Kabupaten Langkat Menggunakan Metode Regresi Linear Berganda

Stunting is a growth and development disorder in children caused by chronic malnutrition over a long period of time, especially in the first 1,000 days of life, namely from pregnancy to the first 2 years of life. There are more than 149 million (22%) toddlers worldwide who are stunted, of which 6.3 million are Indonesian toddlers. Based on data from the Ministry of Health, the stunting rate in Indonesia in 2023 was recorded at 21.5 percent, only down 0.1 percent from the previous year which amounted to 21.6 percent. Predicting the number of stunted toddlers is very important and necessary to know the stunting rate in Langkat Regency in 2024, and the prediction results can help health workers in handling and preventing the spread of stunting. The method applied to this prediction system is Multiple Linear Regression where this analysis determines whether each independent variable is positively or negatively related, the direction of the relationship between variables, and estimates the value of the dependent variable will increase or decrease. The prediction system is carried out using the RapidMiner application because this application is very appropriate to produce information output in the form of prediction results for the coming year. The prediction results obtained are an increase and decrease in 2024 in each sub-district and there are sub-districts that do not experience an increase and decrease. The sub-district with the highest number was Secanggang with approximately 177 people, and the sub-district with the lowest number of stunted children was West Berandan with approximately 55 people. Then Stabat sub-district became the sub-district that experienced the most increase in the number of stunting, which was around 15 people, and the sub-district that experienced the most decrease was Kuala sub-district with a total of approximately 23 people. From the overall results it can be calculated that the number of stunting in all districts in Langkat Regency amounted to approximately 2453 people in 2024. And testing the error rate of prediction results using RMSE in the RapidMiner application of 7.63%, where the level of accuracy in the prediction of child stunting in Langkat Regency is 92.46%.

Pemberdayaan Mandiri Kader Nasyiatul Aisyiyah Tanggap Stunting di Kota Pekalongan

Data from Pekalongan City in August 2021 showed a stunting rate of 7.8% under five, which is lower than the national average. Efforts to accelerate stunting handling are carried out by involving Nasyiatul Aisyiyah (NA) as a youth organization in Pekalongan City. NA cadres are targeted to empower independence in handling stunting with education and early detection. However, the obstacles that occur are uneven activities in all branches of NA Pekalongan City and health programs that are limited to screening. Therefore, the independent empowerment of NA cadres in increasing awareness and independence of stunting response is important. The approach method taken is the independent empowerment of NA cadres as subjects and objects in community service activities with the aim of reducing stunting rates and improving student learning experiences as well as the implementation of key performance indicators. This method includes socialization, formation of stunting response NA cadres, provision of education, demonstration examinations, and assistance to provide education and early detection of stunting to the community. This activity received support from various parties so that it can run smoothly and is expected to increase public awareness about the importance of early detection in stunting. Support from various parties is still needed such as the Health Office, Social Office of Population Control and Family Planning, Puskesmas, and the community as an effort to realize zero stunting through independent empowerment of stunting response cadres.

Stunting Literacy Strategy of the Library and Archives Office: Increasing Public Awareness and Understanding

The purpose of this research is to provide a detailed explanation of the stunting literacy approach implemented by the Labuhanbatu Utara Regency Library and Archives Office to increase public awareness and understanding of stunting. This research uses qualitative analysis using the Miles and Huberman paradigm to gain insight into the librarian's point of view. Data were collected through interviews, observation, and documentation. The Library and Archives Office of Labuhanbatu Utara Regency implemented various initiatives aimed at increasing public understanding and awareness of stunting. These activities include improving literacy collection development by offering a variety of library materials, fostering partnerships with related organizations, and providing access to Online Public Access Catalog (OPAC) services. Working with BKKBN, the Health Office, academics and health workers. Social promotion and campaign: Involves disseminating information through several media channels and organizing social campaigns. Devotion of local government Collaboration between various agencies Compilation of extensive literacy resources to address stunting. To achieve success, it is crucial to have active involvement and support from community members and leaders. Barriers Limited resources Limited availability of information Lack of collaboration among government organizations Recommendations Increase collaboration and synchronization among agencies Increase availability of information Improve librarian skills Conduct program monitoring and evaluation Conclusion Labura district has made great strides in improving understanding of stunting. These efforts deserve recognition and are expected to be continuously improved to achieve the goal of reducing stunting rates in Labuhanbatu Utara Regency.

Development of encyclopedia in biology “Growth and Development” enriched with an information of stunting

Print media such as encyclopedia still holds advantages in learning. As learning media, encyclopedias can be employed to convey current issues occurring in society that are broad and highly important. The high prevalence of toddlers with stunting indicates is crucial to be presented comprehensively. Encyclopedia can act as enrichment by discussing material that can broaden students' perspectives and understanding. However, limited encyclopedias have been developed. This research aims to develop an encyclopedia as a learning medium for Growth and Development material in high school. Enrichment with stunting information is aimed not only at increasing students' understanding, but also at supporting government programs related to efforts to reduce national stunting rates. The research and development method applied uses the ADDIE model which is limited to the first three stages (analysis, design, and development). The initial product is tested for suitability in six aspects, namely presentation, graphics, layout, content, language and use by 5 validators. The validity calculation uses the Aiken's V formula and the final value is 0.93. Referring to the minimum validity value for five validators, the encyclopedia that has been developed meets the valid category in all aspects and indicators. It is hoped that further research can be carried out to implement encyclopedias in learning.

ANALYSIS OF PRIORITY AREAS FOR HANDLING STUNTING CASES IN SIGI REGENCY USING THE TOPSIS METHOD BASED ON WEB DASHBOARD

Stunting is a condition of growth failure in children, where a toddler has a length or height below the average. Stunting is a problem for children because it has the potential to slow down brain development with prolonged effects. Central Sulawesi Province is one of the provinces with the highest stunting prevalence rate and the area with the highest stunting rate is in Sigi Regency at 36.8%. Stunting cases are an important concern for the Sigi Regency government, especially the Health Office and Community Health Centers. To identify and determine areas that are prioritized for handling stunting cases, seven indicators are used, including the number of stunting cases, number of villages covered, number of health workers, number of integrated service posts, number of exclusive breastfeeding, percentage of clean drinking water, and percentage of proper sanitation. To support in reducing the percentage of stunting in Sigi Regency, research was conducted and a web dashboard system application was made to support priority area selection decisions using the Technique for Order Preference by Similarity to Ideal Solution (TOPSIS) method, a best alternative method that has the shortest distance from the positive ideal solution and the farthest distance from the negative ideal solution. The results obtained in this study are the areas that are prioritized for handling stunting cases in Sigi Regency is the Sigi Biromaru area with a total of 495 stunting cases, the number of coverage villages is 18, the number of integrated service posts is 53, the number of health workers is 96, the number of exclusive breastfeeding is 35, the percentage of proper drinking water is 44%, and the percentage of proper sanitation is 84.00% with the highest preference value through the TOPSIS method analysis of 0.660.

Extending intervention window from 1000 to 8000 first day of life: how can it boost the stunting reduction program?

Stunting is one of the triple malnutrition burdens in Indonesia, beside obesity and micronutrient deficiency. Stunting is a reflection of long-term undernourishment which resulted in stunted growth. National Health Survey Data showed the reduction of stunting rate among under-five children in Indonesia from 37.2% in 2013 to 30.4% in 2018 and 21.5% in 2023. Despite this decreasing trend, the national stunting rate was still above the World Health Organization threshold of 20%. There is also a wide discrepancy between provinces in Indonesia with stunting rate ranges from 7.2% in Bali to 39.2% in Papua. Back in 2011, there was a movement by 28 countries including Indonesia regarding the 1000 first day of life (1000-days) program. This was an approach targeting children during their 1000 first day of life through specific and sensitive nutritional interventions. The 1000-days is started during pregnancy until the child is two years old. This movement involved related stakeholders from national and sub-national level including ministries, community organization, private sectors, professional organization, academics and others.