Acceso usuarios
Anna Vipta Resti Mauludyani, Mewa Ariani, Sri Hastuti Suhartini, Rindang Ekawati, Mugia Bayu Rahardja, Herlina Tarigan, Anggit Gantica, Ahmad yafiq
Introduction: Stunting among children under the age offive is a major public health challenge in Indonesia. Severalfactors have been identified as influencing stunting; however,Indonesia has several islands with unique characteristics thatmay impact them.
Objectives: This study aims to investigate factors associ-ated with district-level stunting prevalence while accountingfor island-level variation.
Methods: This study utilised data mainly from the 2020Food Security and Vulnerability Atlas (FSVA) of the IndonesianMinistry of Agriculture. The FSVA collected 2019 indicatorsand was published in 2020. The independent variables areclassified into two levels: the district level (514 districts) andthe island level (eight major islands). The analysis was doneusing multilevel linear regression.
Results: Most districts (473 out of 514) have a high orvery high prevalence of stunting. The results showed thatpoverty, households with food expenditures greater than65%, households without water, and women’s education wereall positively associated with stunting at the district level, buthealth personnel coverage was negatively associated. At theisland level, Gross Regional Domestic Products (GRDP) werefound to be negatively linked with stunting Conclusion: Poverty and lack of basic infrastructure con-tinue to be major contributors to stunting. Given Indonesia’sbreadth and number of islands, stunting-reduction initiativesare customised to regional challenges, with a focus on regionswhere stunting is more prevalent.
